Phase IV Randomized Study of Epoetin beta for Anemia Management in Patients With Stage IIB, III, or IVA Cervical Cancer Treated With Cisplatin and Radiotherapy
Last Modified: 3/28/2007  First Published: 10/1/2002
Alternate Title Basic Trial Information Objectives Entry Criteria Expected Enrollment Outcomes Outline Trial Contact Information Registry Information
Alternate Title
Epoetin beta in Treating Anemia in Patients With Cervical Cancer
Basic Trial Information
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Protocol IDs
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Phase IV
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Supportive care, Treatment
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Completed
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Over 18
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Pharmaceutical / Industry
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AGOSG-OVAR-MO16375-MARCH EU-20217, ROCHE-MO16375, ROCHE-RO2053859, NCT00046969
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Objectives - Compare the effectiveness of epoetin beta vs standard care for anemia management, in terms of increased hemoglobin levels and the correlation with reduced relapse/treatment failure rate, in patients with stage IIB, III, or IVA cervical cancer treated with cisplatin and radiotherapy.
- Compare the safety of these regimens in these patients.
- Compare the relapse-free and overall survival of patients treated with these regimens.
- Compare the frequency and localization of relapses and metastases in patients treated with these regimens.
- Compare the quality of life of patients treated with these regimens.
- Compare the type, frequency, and degree of adverse events in patients treated with these regimens.
- Compare the overall response rate in patients treated with these regimens.
Entry Criteria Disease Characteristics:
- Histologically confirmed stage IIB, III, or IVA cervical cancer
- No chorion carcinoma or neuroendocrine small cell carcinoma
- Previously untreated disease
- Must be scheduled to undergo radiotherapy and receive cisplatin as primary therapy
- Hemoglobin 8.0-13.0 g/dL
- No relevant acute bleeding within the past 3 months, including anemia caused by gross bleeding from tumor
- No distant metastasis
- No positive para-aortic lymph nodes
Prior/Concurrent Therapy:
Biologic therapy - At least 3 months since prior epoetins or related compounds
Chemotherapy - See Disease Characteristics
Endocrine therapy Radiotherapy - See Disease Characteristics
- No prior radiotherapy for cervical cancer
Surgery Other - At least 30 days since prior investigational drugs
- No prior systemic antineoplastic therapy for cervical cancer
- No other concurrent investigational drugs
Patient Characteristics:
Age Performance status Life expectancy Hematopoietic - See Disease Characteristics
- WBC greater than 3,000/mm3
- Platelet count greater than 100,000/mm3
- No hemolytic anemia
- No transferrin saturation less than 20% that cannot be treated with IV iron
- No hemoglobinopathies (i.e., sickle cell disease or thalassemia of all types)
Hepatic - Bilirubin no greater than 1.5 times upper limit of normal (ULN)
- Transaminases no greater than 2.5 times ULN
- Alkaline phosphatase no greater than 2.5 times ULN
Renal - Creatinine clearance greater than 60 mL/min
Cardiovascular - No chronic heart failure
- No New York Heart Association class II-IV heart disease
- No uncontrolled arterial hypertension (systolic blood pressure at least 170
mmHg, diastolic blood pressure at least 100 mmHg)
- No prior deep vein thrombosis
- No thrombocytosis
Other - No vitamin B12 deficiency
- No folic acid deficiency
- No newly diagnosed (unstable) epilepsy
- No acute infection
- No other malignancy within the past 5 years except basal cell carcinoma in
situ
- No known peripheral neuropathy or moto-sensory neurotoxicity grade 2 or
greater
- No impaired hearing grade 2 or greater
- No hypersensitivity to benzyl alcohol, benzoic acid, benzalkonium chloride,
or any excipients of cisplatin preparations
- Not pregnant or nursing
Expected Enrollment 450A total of 80-450 patients will be accrued for this study within 4-22.5 months. Outcomes Primary Outcome(s)Number of treatment failures within 6 months after beginning radiochemotherapy (RCT) (stage I) Overall survival after RCT (stage II)
Secondary Outcome(s)Progression/relapse-free survival Overall response rate to RCT Overall survival after RCT (stage I) Frequency and localization of relapses and/or metastases Change in hemoglobin from baseline during therapy Quality of life as assessed by the Functional Assessment of Cancer Therapy-Anemia Type, frequency, and degree of adverse events Safety Vital signs Number of treatment failures within 6 months after beginning RCT (stage II)
Outline This is a randomized, open-label, parallel-group, multicenter study. Patients are stratified according to country, disease stage, and brachytherapy technique. Patients are randomized to 1 of 2 treatment arms. - Arm I: Patients undergo radiotherapy 5 days a week for 6 weeks. Patients also undergo high-dose rate, low-dose rate, or boost brachytherapy. Patients receive cisplatin IV beginning on day 1 of radiotherapy and continuing weekly for 6 weeks. Patients also receive epoetin beta subcutaneously 3 times a week beginning 2 weeks before radiotherapy and continuing for 8 weeks.
- Arm II: Patients undergo radiotherapy and brachytherapy and receive cisplatin as in arm I.
Quality of life is assessed at baseline, after the last treatment, and at 3 months. Patients are followed every 3 months for 2 years and then every 6 months thereafter.
Trial Contact Information
Trial Lead Organizations AGO Ovarian Cancer Study Group | | | Heinz Koelbl, MD, Protocol chair | | | |
Registry Information | | Official Title | | Management Of Anemia Under RadioChemotherapy (MARCH): An Open, Randomized Multicenter Study Of The Effect Of NeoRecormon On Treatment Outcome In Patients With Advanced Cervical Cancer Stage IIB -IVA Treated With Primary Simultaneous Radiochemotherapy (Radiotherapy Plus Cisplatin) | | Trial Start Date | | 2002-07-10 | | Registered in ClinicalTrials.gov | | NCT00046969 1 | | Date Submitted to PDQ | | 2002-02-12 | | Information Last Verified | | 2007-03-28 |
Note: The purpose of most clinical trials listed in this database is to test new cancer treatments, or new methods of diagnosing, screening, or preventing cancer. Because all potentially harmful side effects are not known before a trial is conducted, dose and schedule modifications may be required for participants if they develop side effects from the treatment or test. The therapy or test described in this clinical trial is intended for use by clinical oncologists in carefully structured settings, and may not prove to be more effective than standard treatment. A responsible investigator associated with this clinical trial should be consulted before using this protocol.
Table of Links
1 | http://clinicaltrials.gov/ct/show/NCT00046969 |
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