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Randomized, Double-Blind, Phase III Trial of Chemotherapy Plus the Transcriptional Therapy Hydralazine and Magnesium Valproate Versus Chemotherapy Plus Placebo in Cisplatin-Resistant Recurrent Ovarian Cancer.


Phase 3
18 Years
N/A
Open (Enrolling)
Female
Ovarian Cancer

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Trial Information

Randomized, Double-Blind, Phase III Trial of Chemotherapy Plus the Transcriptional Therapy Hydralazine and Magnesium Valproate Versus Chemotherapy Plus Placebo in Cisplatin-Resistant Recurrent Ovarian Cancer.


Randomized, double-blind phase III trial. A total of 211 patients (alpha 0.5, power 0.8)with
cisplatin-resistant recurrent or persistent cancer will be randomized to topotecan + placebo
or topotecan + hydralazine + valproate for 6 courses every 4 weeks. Patients will receive an
oral dose of hydralazine of 182mg (rapid) or 83mg (slow) according to the acetylator
phenotype in a single daily dose and magnesium valproate at an oral dose of 40mg/Kg t.i.d.
Both drugs in a slow-release formulation. Experimental drugs or placebo will start from
seven days before day 1 of chemotherapy until the end of the sixth course.


Inclusion Criteria:



- Measurable or evaluable disease(evaluable according to CA125 criteria of GCIG)
Cisplatin resistant ovarian cancer

- Persistent or progression to first line platinum-based chemotherapy

- Relapse within 6 months after completing first line platinum-based chemotherapy

- Platinum-sensitive disease who are failed to second line therapy based on platinum.

- Adequate organic function as defined by: hemoglobin >10 g/L, leukocytes >4000/mm3,
platelets >100 000mm3; normal creatinine value and creatinine clearance >60 mL/min;
total bilirubin < 1.5 upper normal limit value

Exclusion Criteria:

- History of allergy to hydralazine or valproate;

- Past or present condition of rheumatic disease, central nervous system disease, heart
failure from aortic stenosis and postural hypotension as diagnosed by a physician;

- Newly diagnosed hypertension patients with or without pharmacological treatment are
allowed as long as their treatment do not include hydralazine.

- Previous use of the experimental drugs (hydralazine and magnesium valproate) as well
as if patients were pregnant or breast-feeding.

Other exclusion criteria are uncontrolled systemic disease or infection.

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment

Outcome Measure:

Progression-Free Survival

Outcome Time Frame:

2-years

Principal Investigator

Dolores Gallardo, MD

Investigator Role:

Principal Investigator

Investigator Affiliation:

Instituto Nacional de Cancerologia, Columbia

Authority:

Mexico: Ethics Committee

Study ID:

006/028/DDI

NCT ID:

NCT00533299

Start Date:

August 2007

Completion Date:

December 2009

Related Keywords:

  • Ovarian Cancer
  • Epigenetics, hydralazine, valproate, ovarian cancer
  • Ovarian Neoplasms

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