Rationale: The administration of prophylactic G-CSF may reduce the toxicity of a weekly paclitaxel/carboplatin regimen in gynaecological cancers. Purpose: This multicenter phase II trial is studying the side effects of weekly paclitaxel/carboplatin when given with prophylactic G-SCF in patients with recurrent epithelial ovarian-, primary peritoneal or fallopian tube cancers, endometrial carcinoma or cervical carcinoma. Data obtained in this trial will be compared with historical data as published earlier. The trial will include 3 cohorts of 36 patients: * Subjects with ovarian, fallopian tube or peritoneal carcinoma * Subjects with endometrial cancer * Subjects with cervical carcinoma Treatment: Subjects will receive Paclitaxel 60 mg/m² followed by Carboplatin AUC 2.7 intravenously weekly during 18 weeks. Filgrastim (Neupogen) will be given to all patients on day 5 and possibly on day 6 of each course. Subjects will be evaluated by CT/MRI scan after 9 cycles of chemotherapy (week 10), after 18 cycles of chemotherapy, then every 6 months for the next 2 years and then if clinically indicated. Subjects who develop disease progression will discontinue therapy. Subjects who have no evidence of disease progression after completion of study therapy will be followed until disease progression, withdrawal of informed consent, or death.
Primary objective: \- To evaluate the occurrence of grade 4 neutropenia during weekly paclitaxel/carboplatin with prophylactic G-CSF Secondary objectives: * To evaluate per cohort the occurrence of grade 4 neutropenia * To evaluate other toxicities * To evaluate the dose reductions or dose delays in the chemotherapy * To determine the progression free survival according to RECIST v1.1 * To evaluate the response rate and overall survival
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
PREVENTION
Masking
NONE
Enrollment
108
All subjects will receive standard treatment with paclitaxel followed by carboplatin intravenously during 18 weeks. Filgrastim (Neupogen) will be given prophylactically on day 5. An additional dose will be given on day 6 in case of severe neutropenia during the course of the trial.
All subjects will receive standard treatment with paclitaxel followed by carboplatin intravenously during 18 weeks. Filgrastim (Neupogen) will be given prophylactically on day 5. An additional dose will be given on day 6 in case of severe neutropenia during the course of the trial.
All subjects will receive standard treatment with paclitaxel followed by carboplatin intravenously during 18 weeks. Filgrastim (Neupogen) will be given prophylactically on day 5. An additional dose will be given on day 6 in case of severe neutropenia during the course of the trial.
Cliniques du Sud-Luxembourg
Arlon, Belgium
Imeldaziekenhuis
Bonheiden, Belgium
AZ Klina
Brasschaat, Belgium
Grand Hôpital de Charleroi
Charleroi, Belgium
St. Maarten Duffel
Duffel, Belgium
UZ Antwerpen
Edegem, Belgium
Jan Yperman Ziekenhuis
Ieper, Belgium
AZ Groeninge
Kortrijk, Belgium
CHU Tivoli
La Louvière, Belgium
UZ Leuven
Leuven, Belgium
...and 7 more locations
Occurrence of grade 4 neutropenia
Time frame: 2.5 years
Occurence of other toxicities
Time frame: 2.5 years
Occurence of dose reductions and dose delays
Time frame: 2.5 years
Progression free survival
Time frame: 3 years, 7 years
Overall survival
Time frame: 3 years, 7 years
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