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NCT00445887

Levonorgestrel in Preventing Ovarian Cancer in Patients at High Risk for Ovarian Cancer

Completed Phase 2 Results posted Last updated 19 November 2019
What this trial tests

Phase 2 trial testing Laboratory Biomarker Analysis in Ovarian Carcinoma in 60 participants. Completed.

Timeline
10 March 2008
Primary endpoint
11 December 2013

Quick facts

Lead sponsorGynecologic Oncology Group
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposeprevention
Enrollment60
Start date10 March 2008
Primary completion11 December 2013
Sites66 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Gynecologic Oncology Group — full company profile →

Who can join

30 and older, female only, with Ovarian Carcinoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Median Proportion Cells That Are Apoptotic in Epithelial Ovarian Tissue Primary · Surgical specimen (4 - 6 weeks after entry)

The median proportion of cells that are considered to be apoptotic are counted in the ovarian tissue sample, among the total number of cells available in the sample slide.

GroupValue95% CI
Arm I (Levenorgestrel).093.024 – .25
Arm II (Placebo).115.033 – .329
Number of Participants With Adverse Events According to Grade as Determined by NCI CTCAE v.3.0 Primary · Up to 20 weeks

Participants were graded using CTCAE v.30 criteria. Grade 1 is the least severe grade. Each adverse event lists criteria for grading, grade 1 being mild, up to grade 5. Grade 4 is generally life threatening. Grade 5 is death.

Allergy/Immunology
GroupValue95% CI
Grade 1 CTCAE v 3.0 Arm I (Levonorgestrel)1
Grade 2 CTCAE v 3.0 Arm 1 (Levonorgestrel)0
Grade 3 CTCAE v 3.0 Arm 1 (Levonorgestrel)0
Grade 4 CTCAE v3.0 Arm 1 Levonorgestrel)0
Grade 5 CTCAE v3.0 Arm I (Levonorgestrel)0
Grade 1 CTCAE 3.0 Arm II (Placebo)0
Grade 2 CTCAE 3.0 Arm II (Placebo)1
Grade 3 CTCAE 3.0 Arm II (Placebo)0
Grade 4 CTCAE 3.0 Arm II (Placebo)0
Grade 5 CTCAE 3.0 Arm II (Placebo)0
Constitutional Symptoms
GroupValue95% CI
Grade 1 CTCAE v 3.0 Arm I (Levonorgestrel)1
Grade 2 CTCAE v 3.0 Arm 1 (Levonorgestrel)0
Grade 3 CTCAE v 3.0 Arm 1 (Levonorgestrel)0
Grade 4 CTCAE v3.0 Arm 1 Levonorgestrel)0
Grade 5 CTCAE v3.0 Arm I (Levonorgestrel)0
Grade 1 CTCAE 3.0 Arm II (Placebo)0
Grade 2 CTCAE 3.0 Arm II (Placebo)1
Grade 3 CTCAE 3.0 Arm II (Placebo)0
Grade 4 CTCAE 3.0 Arm II (Placebo)0
Grade 5 CTCAE 3.0 Arm II (Placebo)0
Cardiac
GroupValue95% CI
Grade 1 CTCAE v 3.0 Arm I (Levonorgestrel)1
Grade 2 CTCAE v 3.0 Arm 1 (Levonorgestrel)0
Grade 3 CTCAE v 3.0 Arm 1 (Levonorgestrel)0
Grade 4 CTCAE v3.0 Arm 1 Levonorgestrel)0
Grade 5 CTCAE v3.0 Arm I (Levonorgestrel)0
Grade 1 CTCAE 3.0 Arm II (Placebo)0
Grade 2 CTCAE 3.0 Arm II (Placebo)0
Grade 3 CTCAE 3.0 Arm II (Placebo)0
Grade 4 CTCAE 3.0 Arm II (Placebo)0
Grade 5 CTCAE 3.0 Arm II (Placebo)0
Dermatology/Skin
GroupValue95% CI
Grade 1 CTCAE v 3.0 Arm I (Levonorgestrel)2
Grade 2 CTCAE v 3.0 Arm 1 (Levonorgestrel)0
Grade 3 CTCAE v 3.0 Arm 1 (Levonorgestrel)0
Grade 4 CTCAE v3.0 Arm 1 Levonorgestrel)0
Grade 5 CTCAE v3.0 Arm I (Levonorgestrel)0
Grade 1 CTCAE 3.0 Arm II (Placebo)1
Grade 2 CTCAE 3.0 Arm II (Placebo)0
Grade 3 CTCAE 3.0 Arm II (Placebo)0
Grade 4 CTCAE 3.0 Arm II (Placebo)0
Grade 5 CTCAE 3.0 Arm II (Placebo)0
Endocrine
GroupValue95% CI
Grade 1 CTCAE v 3.0 Arm I (Levonorgestrel)1
Grade 2 CTCAE v 3.0 Arm 1 (Levonorgestrel)0
Grade 3 CTCAE v 3.0 Arm 1 (Levonorgestrel)0
Grade 4 CTCAE v3.0 Arm 1 Levonorgestrel)0
Grade 5 CTCAE v3.0 Arm I (Levonorgestrel)0
Grade 1 CTCAE 3.0 Arm II (Placebo)2
Grade 2 CTCAE 3.0 Arm II (Placebo)1
Grade 3 CTCAE 3.0 Arm II (Placebo)0
Grade 4 CTCAE 3.0 Arm II (Placebo)0
Grade 5 CTCAE 3.0 Arm II (Placebo)0
Gastrointestinal
GroupValue95% CI
Grade 1 CTCAE v 3.0 Arm I (Levonorgestrel)1
Grade 2 CTCAE v 3.0 Arm 1 (Levonorgestrel)0
Grade 3 CTCAE v 3.0 Arm 1 (Levonorgestrel)0
Grade 4 CTCAE v3.0 Arm 1 Levonorgestrel)0
Grade 5 CTCAE v3.0 Arm I (Levonorgestrel)0
Grade 1 CTCAE 3.0 Arm II (Placebo)0
Grade 2 CTCAE 3.0 Arm II (Placebo)1
Grade 3 CTCAE 3.0 Arm II (Placebo)0
Grade 4 CTCAE 3.0 Arm II (Placebo)0
Grade 5 CTCAE 3.0 Arm II (Placebo)0
Renal/Genitourinary
GroupValue95% CI
Grade 1 CTCAE v 3.0 Arm I (Levonorgestrel)2
Grade 2 CTCAE v 3.0 Arm 1 (Levonorgestrel)0
Grade 3 CTCAE v 3.0 Arm 1 (Levonorgestrel)0
Grade 4 CTCAE v3.0 Arm 1 Levonorgestrel)0
Grade 5 CTCAE v3.0 Arm I (Levonorgestrel)0
Grade 1 CTCAE 3.0 Arm II (Placebo)0
Grade 2 CTCAE 3.0 Arm II (Placebo)0
Grade 3 CTCAE 3.0 Arm II (Placebo)0
Grade 4 CTCAE 3.0 Arm II (Placebo)0
Grade 5 CTCAE 3.0 Arm II (Placebo)0
Hemorrhage/Bleeding
GroupValue95% CI
Grade 1 CTCAE v 3.0 Arm I (Levonorgestrel)3
Grade 2 CTCAE v 3.0 Arm 1 (Levonorgestrel)0
Grade 3 CTCAE v 3.0 Arm 1 (Levonorgestrel)0
Grade 4 CTCAE v3.0 Arm 1 Levonorgestrel)0
Grade 5 CTCAE v3.0 Arm I (Levonorgestrel)0
Grade 1 CTCAE 3.0 Arm II (Placebo)1
Grade 2 CTCAE 3.0 Arm II (Placebo)0
Grade 3 CTCAE 3.0 Arm II (Placebo)0
Grade 4 CTCAE 3.0 Arm II (Placebo)0
Grade 5 CTCAE 3.0 Arm II (Placebo)0
Proportion of Proliferation as Measured by Ki-67 Secondary · Time of surgery (4 to 6 weeks after entry)
GroupValue95% CI
Arm I (Levenorgestrel).0030 – .008
Arm II (Placebo).008.002 – .028
Patients With High Expression of Transforming Growth Factor-beta 1 Secondary · Baseline to time of surgery (4 to 6 weeks)
GroupValue95% CI
Arm I (Levenorgestrel)6
Arm II (Placebo)3
Median Proportion Cells That Are Apoptotic in Fallopian Tube Tissue Secondary · Surgical specimen (4-6 weeks after entry)

The median proportion of cells that are considered to be apoptotic are counted in the fallopian tube tissue sample, among the total number of cells available in the sample slide

GroupValue95% CI
Arm I (Levenorgestrel).205.07 – .395
Arm II (Placebo).079.01 – .25

Adverse events — posted to ClinicalTrials.gov

Time frame: Study Treatment - 4 - 6 weeks from enrollment. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Arm I (Levenorgestrel)
Serious: 0/33 (0%)
Deaths:
Arm II (Placebo)
Serious: 0/31 (0%)
Deaths:
Other adverse events (35 terms — click to expand)

ReactionSystemArm I (Levenorgestrel)Arm II (Placebo)
HemoglobinBlood and lymphatic system disorders
Hemorrhage, Gu - VaginaVascular disorders
LeukocytesBlood and lymphatic system disorders
AcneSkin and subcutaneous tissue disorders
Hot FlashesEndocrine disorders
Pain: Head/HeadacheGeneral disorders
Vaginal DischargeReproductive system and breast disorders
Allergy/Immunology - OtherImmune system disorders
RhinitisImmune system disorders
NeutrophilsBlood and lymphatic system disorders
Blood/Bone Marrow - OtherBlood and lymphatic system disorders
HypertensionCardiac disorders
SweatingGeneral disorders
FeverGeneral disorders
Dermatology/Skin - OtherSkin and subcutaneous tissue disorders
HyperthyroidismEndocrine disorders
FlatulenceGastrointestinal disorders
DistentionGastrointestinal disorders
ConstipationGastrointestinal disorders
Infection - OtherInfections and infestations
Inf Unknown Anc: BronchusInfections and infestations
Inf Unknown Anc: Urinary Tract NosInfections and infestations
Inf Unknown Anc: ColonInfections and infestations
HypocalcemiaMetabolism and nutrition disorders
HyperglycemiaMetabolism and nutrition disorders
HypokalemiaMetabolism and nutrition disorders
DizzinessNervous system disorders
Pain: Chest /Thorax NosGeneral disorders
Pain: BackGeneral disorders
Pain: BladderGeneral disorders
Pain: Abdominal Pain NosGeneral disorders
DyspneaRespiratory, thoracic and mediastinal disorders
Urinary RetentionRenal and urinary disorders
Urinary FrequencyRenal and urinary disorders
Sexual/Reproductive Function: OtherReproductive system and breast disorders

Data from ClinicalTrials.gov NCT00445887 adverse events section.

Sponsor's own description

This randomized phase II trial is studying how well levonorgestrel works in preventing ovarian cancer in patients at high risk for ovarian cancer. Chemoprevention is the use of certain drugs to keep cancer from forming. The use of levonorgestrel may prevent ovarian cancer.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Hormone response in ovarian cancer: time to reconsider as a clinical target?
    Modugno F, Laskey R, Smith AL, Andersen CL, et al · · 2012 · cited 107× · PMID 23045324 · DOI 10.1530/erc-12-0175
  2. Lessons from the Failure to Complete a Trial of Denosumab in Women With a Pathogenic BRCA1/2 Variant Scheduling Risk-Reducing Salpingo-Oophorectomy.
    Trivedi MS, Arber N, Friedman E, Garber JE, et al · · 2022 · cited 4× · PMID 36001346 · DOI 10.1158/1940-6207.capr-22-0051
  3. IDEA: Integrated Drug Expression Analysis-Integration of Gene Expression and Clinical Data for the Identification of Therapeutic Candidates.
    Ung MH, Varn FS, Cheng C. · · 2015 · cited 3× · PMID 26312165 · DOI 10.1002/psp4.51

Verify or expand the search:

Other trials of Laboratory Biomarker Analysis

Trials testing the same drug.

Other recruiting trials for Ovarian Carcinoma

Currently open trials in the same condition.

Other Gynecologic Oncology Group trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00445887.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing