Surgery and Niraparib in Secondary Recurrent Ovarian Cancer (SOC-3 Trial)

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexFemale
Age18-75
SponsorShanghai Gynecologic Oncology Group

About this trial

This is a Phase II, open-label, multicenter, randomized umbrella study to evaluate the efficacy of cytoreductive surgery and Niraparib maintenance in participants with platinum-sensitive secondary recurrent ovarian cancer. Cohort 1 will focus on participants without prior use of PARP inhibitor, and without prior secondary cytoreduction (SCR) when first recurrence. Cohort 2 will focus on participants with prior use of PARP inhibitor, but without prior SCR when first recurrence. Cohort 3 will focus on participants with SCR when first recurrence, but without prior use of PARP inhibitor.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age ≥18 years to ≤ 75 years

Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2

Patients with platinum-sensitive, secondary relapsed epithelial ovarian, primary peritoneal, or fallopian tube cancer.

Front-line or second-line treatment may have included maintenance therapy (i.e. bevacizumab, PARP inhibitor)

Disqualifiers

Patients with borderline tumors as well as non-epithelial tumors.

Patients for interval-debulking, or for second- or third-look surgery, or palliative surgery planned.

Impossible to assess the resectability. Radiological signs suggesting complete resection is impossible.

Patients who have received more than two previous regimen of chemotherapy (maintenance is not considered a third regimen).

Trial design

Design model

Parallel

Treatments tested in this trial

  • Surgery

    Procedure/Surgery

    Tumor debulking surgery (surgery in recurrent ovarian disease)

  • carboplatin/taxane, carboplatin/gemcitabine, cisplatin/gemcitabine, liposome doxorubicin/carboplatin...

    Drug

    Salvage chemotherapy

  • Niraparib

    Drug

    Niraparib maintenance therapy

Treatment groups

167 Participants
are divided into 2 treatment groups
Group A: SurgeryExperimental treatment 3 interventions
Group B: No surgeryActive comparator 2 interventions

Trial outcomes

Primary outcomes

1

12-month disease non-progression rate

12-month non-progression rate

Time frame
up to 12 months after last patient randomized

Secondary outcomes

1

Progression-free survival

from date of randomization until the date of 3rd relapse/progression or death (whatever occurs first)

Time frame
Up to 24 months after last patient randomized
2

Treatment free survival

It is the area between Kaplan-Meier curves for two time-to-event end points: 1) time to protocol chemotherapy cessation and 2) time to first subsequent anticancer therapy initiation or death, whichever occurred first.

Time frame
Up to 24 months after last patient randomized
3

Overall survival

from date of randomization until the date of death from any cause

Time frame
Approximately up to 24 months after last patient randomized
4

30-day post-operative complications

surgical complications grading criteria will be adopted for evaluating the perioperative complications

Time frame
From the operation until after 30 days

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Shanghai Gynecologic Oncology Group

Lead sponsor

Fudan University

Collaborator

Shanghai Jiao Tong University School of Medicine

Collaborator

Zhejiang Cancer Hospital

Collaborator

Sun Yat-sen University

Collaborator