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 volunteersQualifiers
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
Parallel
Treatments tested in this trial
Surgery
Procedure/SurgeryTumor debulking surgery (surgery in recurrent ovarian disease)
carboplatin/taxane, carboplatin/gemcitabine, cisplatin/gemcitabine, liposome doxorubicin/carboplatin...
DrugSalvage chemotherapy
Niraparib
DrugNiraparib maintenance therapy
Treatment groups
Trial outcomes
Primary outcomes
12-month disease non-progression rate
12-month non-progression rate
Secondary outcomes
Progression-free survival
from date of randomization until the date of 3rd relapse/progression or death (whatever occurs first)
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.
Overall survival
from date of randomization until the date of death from any cause
30-day post-operative complications
surgical complications grading criteria will be adopted for evaluating the perioperative complications
Sponsors and contacts
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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