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Brief Title: Erlotinib or Observation in Treating Patients Who Have Undergone First-Line Chemotherapy for Ovarian Cancer, Peritoneal Cancer, or Fallopian Tube Cancer
Official Title: A Randomized, Multicenter, Phase III Study of Erlotinib Versus Observation in Patients With no Evidence of Disease Progression After First Line, Platinum-Based Chemotherapy For High-Risk Ovarian Epithelial, Primary Peritoneal, or Fallopian Tube Cancer
Study ID: NCT00263822
Brief Summary: RATIONALE: Erlotinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Sometimes after treatment, the tumor may not need additional treatment until it progresses. In this case, observation may be sufficient. It is not yet known whether erlotinib is more effective than observation after first-line chemotherapy in treating patients with ovarian cancer, peritoneal cancer, or fallopian tube cancer. PURPOSE: This randomized phase III trial is studying erlotinib to see how well it works compared to observation in treating patients who have undergone first-line chemotherapy for ovarian cancer, peritoneal cancer, or fallopian tube cancer.
Detailed Description: OBJECTIVES: Primary * Compare the benefits, in terms of progression-free survival, of maintenance therapy comprising erlotinib vs observation in patients with responding or stable disease after first-line, platinum-based chemotherapy for high-risk stage I or stage II-IV ovarian epithelial, primary peritoneal, or fallopian tube cancer. Secondary * Compare the overall survival of patients treated with these regimens. * Determine the safety of erlotinib in these patients. * Compare the quality of life of patients treated with these regimens. OUTLINE: This is a randomized, multicenter study. Patients are stratified according to disease stage (I-II vs III-IV), participating center, age (≤ 65 vs \> 65), response to first-line therapy (no evidence of disease/complete response vs partial response vs stable disease), and first-line therapy (platinum-based vs platinum/taxane combination vs platinum-based triplet). Patients are randomized to 1 of 2 treatment arms. * Arm I: Patients receive oral erlotinib once daily for up to 2 years in the absence of disease progression or unacceptable toxicity. * Arm II: Patients undergo observation as per standard of care. Quality of life is assessed at baseline and then every 3 months for up to 2 years. After completion of study treatment, patients are followed periodically. PROJECTED ACCRUAL: A total of 830 patients will be accrued for this study.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: FEMALE
Healthy Volunteers: No
Prince of Wales Private Hospital, Randwick, New South Wales, Australia
Tamworth Base Hospital, Tamworth, New South Wales, Australia
Manning Base Hospital, Taree, New South Wales, Australia
Newcastle Mater Misericordiae Hospital, Waratah, New South Wales, Australia
Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia
Royal Women's Hospital, Carlton, Victoria, Australia
Frankston Hospital, Frankston, Victoria, Australia
Murray Valley Private Hospital and Cancer Treatment Centre, Wodonga, Victoria, Australia
Sir Charles Gairdner Hospital - Nedlands, Nedlands, Western Australia, Australia
Landeskrankenhaus Klagenfurt, Klagenfurt, , Austria
A.o. Bezirkskrankenhaus Kufstein, Kufstein, , Austria
Centre Hospitalier de L' Agglomeration Montargoise, Amilly, , France
Centre Hospitalier General, Amilly, , France
Centre Hospital General Robert Ballanger, Aulnay Sous Bois, , France
Centre Hospitalier Regional de Besancon - Hopital Jean Minjoz, Besancon, , France
Institut Bergonie, Bordeaux, , France
Clinique Tivoli, Bordeaux, , France
Polyclinique Bordeaux Nord Aquitaine, Boucher, , France
Centre Regional Francois Baclesse, Caen, , France
Centre Hospitalier Regional de Chambery, Chambery, , France
Centre Jean Perrin, Clermont-Ferrand, , France
Hopital Louis Pasteur, Colmar, , France
Centre Hospitalier de Dax, Dax, , France
Clinique Pasteur, Evreux, , France
Centre Hospitalier de Gap, Gap, , France
Centre Hospitalier Departemental, La Roche Sur Yon, , France
Clinique Victor Hugo, Le Mans, , France
Centre Hospitalier Bretagne Sud, Lorient, , France
Centre Leon Berard, Lyon, , France
Hopital Saint Joseph, Marseille, , France
Centre Hospitalier General de Mont de Marsan, Mont-de-Marsan, , France
Centre Hospitalier General Andre Boulloche, Montbeliard, , France
Centre Hospitalier de Montlucon, Montlucon, , France
Centre Regional de Lutte Contre le Cancer - Centre Val d'Aurelle, Montpellier, , France
Hotel Dieu de Paris, Paris, , France
Institut Curie Hopital, Paris, , France
Polyclinique Francheville, Perigueux, , France
Centre Hospitalier Lyon Sud, Pierre Benite, , France
CHU Poitiers, Poitiers, , France
Institut Jean Godinot, Reims, , France
Centre Eugene Marquis, Rennes, , France
Clinique Armoricaine De Radiologie, Saint Brieuc, , France
Centre Paul Strauss, Strasbourg, , France
Hopitaux Universitaire de Strasbourg, Strasbourg, , France
Centre Hospitalier Universitaire Bretonneau de Tours, Tours, , France
Centre Hospitalier Valence, Valence, , France
Centre Alexis Vautrin, Vandoeuvre-les-Nancy, , France
Centro di Riferimento Oncologico - Aviano, Aviano, , Italy
Ospedale Sant Anna, Como, , Italy
Ospedale Santa Maria Goretti, Latina, , Italy
Ospedale Niguarda Ca'Granda, Milan, , Italy
Ospedale San Gerardo, Monza, , Italy
Universita di Torino, Turin, , Italy
Azienda Sanitaria Ospedaliera Ordine Mauriziano, Turin, , Italy
Ospedale di Circolo e Fondazione Macchi, Varese, , Italy
Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital, Amsterdam, , Netherlands
Onze Lieve Vrouwe Gasthuis, Amsterdam, , Netherlands
Martini Ziekenhuis, Groningen, , Netherlands
Leiden University Medical Center, Leiden, , Netherlands
Universitair Medisch Centrum St. Radboud - Nijmegen, Nijmegen, , Netherlands
Erasmus MC - Sophia Children's Hospital, Rotterdam, , Netherlands
Hospitais da Universidade de Coimbra (HUC), Coimbra, , Portugal
Institut d'Oncologia Corachan, Barcelona, , Spain
Hospital Universitario San Carlos, Madrid, , Spain
Hospital Universitario 12 de Octubre, Madrid, , Spain
Hospital Universitario Central de Asturias, Oviedo, , Spain
Instituto Valenciano De Oncologia, Valencia, , Spain
Stoke Mandeville Hospital, Aylesbury-Buckinghamshire, England, United Kingdom
North Devon District Hospital, Barnstaple, England, United Kingdom
Royal United Hospital, Bath, England, United Kingdom
City Hospital - Birmingham, Birmingham, England, United Kingdom
Cumberland Infirmary, Carlisle, England, United Kingdom
Queen Elizabeth Hospital, Gateshead, England, United Kingdom
Ipswich Hospital, Ipswich, England, United Kingdom
University College Hospital, London, England, United Kingdom
Mid Kent Oncology Centre at Maidstone Hospital, Maidstone, England, United Kingdom
Queen Elizabeth The Queen Mother Hospital, Margate, England, United Kingdom
Clatterbridge Centre for Oncology, Merseyside, England, United Kingdom
James Cook University Hospital, Middlesbrough, England, United Kingdom
St. Mary's Hospital, Newport, England, United Kingdom
Mount Vernon Cancer Centre at Mount Vernon Hospital, Northwood, England, United Kingdom
Norfolk and Norwich University Hospital, Norwich, England, United Kingdom
Royal Preston Hospital, Preston, England, United Kingdom
Royal Shrewsbury Hospital, Shrewsbury, England, United Kingdom
Wexham Park Hospital, Slough, Berkshire, England, United Kingdom
Southampton General Hospital, Southampton, England, United Kingdom
Staffordshire General Hospital, Stafford, England, United Kingdom
Yeovil District Hospital, Yeovil, England, United Kingdom
Gartnavel General Hospital, Glasgow, Scotland, United Kingdom
Bronglais District General Hospital, Aberystwyth, Wales, United Kingdom
Velindre Cancer Center at Velindre Hospital, Cardiff, Wales, United Kingdom
South West Wales Cancer Institute, Swansea, Wales, United Kingdom
Name: Antonio Jimeno
Affiliation: Hospital Universitario 12 de Octubre
Role: STUDY_CHAIR