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NCT03462212: MITO25

Carboplatin-Paclitaxel-Bevacizumab vs Carbo-Pacli-Beva-Rucaparib vs Carbo-Pacli-Ruca, Selected According to HRD Status, in Patients With Advanced Ovarian, Primary Peritoneal and Fallopian Tube Cancer, Preceded by a Phase I Dose Escalation Study on Ruca-Beva Combination

Status unknown Phase 1, PHASE2 Last updated 27 August 2021
What this trial tests

Phase 1, PHASE2 trial testing Carboplatin in Advanced (Stage IIIB-C-IV) Ovarian, Primary Peritoneal and Fallopian Tube Cancer in 290 participants. Status unknown.

Timeline
17 March 2021
Primary endpoint
1 March 2025
1 March 2025

Quick facts

Lead sponsorFondazione Policlinico Universitario Agostino Gemelli IRCCS
PhasePhase 1, PHASE2
StatusStatus unknown
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment290
Start date17 March 2021
Primary completion1 March 2025
Estimated completion1 March 2025
Sites7 locations across Italy

Drugs / interventions tested

Conditions studied

Sponsor

Fondazione Policlinico Universitario Agostino Gemelli IRCCS

Who can join

18 and older, female only, with Advanced (Stage IIIB-C-IV) Ovarian, Primary Peritoneal and Fallopian Tube Cancer. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

This trial is a randomized, open-label Phase I-2 multi-center study designed to evaluate the effect of Carboplatin-Paclitaxel-Bevacizumab (in combination and maintenance) vs Carboplatin-Paclitaxel-Bevacizumab-Rucaparib (Rucaparib only in maintenance) vs Carboplatin-Paclitaxel-Rucaparib (Rucaparib only in maintenance) on progression-free survival in patients with advanced high grade ovarian cancer treated according to HRD status . The trial will test the hypothesis that Carboplatin-Paclitaxel-Bevacizumab-Rucaparib and the Carboplatin-Paclitaxel-Rucaparib arms will improve the progression-free survival in comparison to standard Carboplatin-Paclitaxel-Bevacizumab in HRD negative (HR proficient) patients and that Carboplatin-Paclitaxel-Bevacizumab-Rucaparib will improve PFS with respect to Carboplatin-Paclitaxel-Rucaparib in HRD positive patients. The randomized phase of the study will be preceded by a single arm Phase I study which will be conducted only in the National Cancer Institute of Milan, aiming at evaluating the MTD of the combination Rucaparib-Bevacizumab. Once the MTD has been reached, the randomized study will start.

Publications & conference data

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

  1. Exploring and comparing adverse events between PARP inhibitors.
    LaFargue CJ, Dal Molin GZ, Sood AK, Coleman RL. · · 2019 · cited 367× · PMID 30614472 · DOI 10.1016/s1470-2045(18)30786-1
  2. Tumor Microenvironment in Ovarian Cancer: Function and Therapeutic Strategy.
    Yang Y, Yang Y, Yang J, Zhao X, et al · · 2020 · cited 168× · PMID 32850861 · DOI 10.3389/fcell.2020.00758
  3. Targeted therapies in gynecological cancers: a comprehensive review of clinical evidence.
    Wang Q, Peng H, Qi X, Wu M, et al · · 2020 · cited 114× · PMID 32728057 · DOI 10.1038/s41392-020-0199-6
  4. Targeting DNA repair pathway in cancer: Mechanisms and clinical application.
    Wang M, Chen S, Ao D. · · 2021 · cited 84× · PMID 34977872 · DOI 10.1002/mco2.103
  5. Current status and future prospects of PARP inhibitor clinical trials in ovarian cancer.
    Jiang X, Li W, Li X, Bai H, et al · · 2019 · cited 75× · PMID 31191001 · DOI 10.2147/cmar.s200524
  6. Bevacizumab use in the frontline, maintenance and recurrent settings for ovarian cancer.
    Haunschild CE, Tewari KS. · · 2020 · cited 72× · PMID 31746224 · DOI 10.2217/fon-2019-0042
  7. Current Ovarian Cancer Maintenance Strategies and Promising New Developments.
    Gogineni V, Morand S, Staats H, Royfman R, et al · · 2021 · cited 58× · PMID 33391401 · DOI 10.7150/jca.49406
  8. Treatment of patients with recurrent epithelial ovarian cancer for whom platinum is still an option.
    Buechel M, Herzog TJ, Westin SN, Coleman RL, et al · · 2019 · cited 58× · PMID 30887020 · DOI 10.1093/annonc/mdz104

Verify or expand the search:

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