carboplatin plus paclitaxel with or without continued low-dose paclitaxel in treating patients with early-stage ovarian cancer

Conditions: Ovarian Cancer

Summary: rationale: drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. combining more than one drug may kill more tumor cells. it is not yet known whether receiving combined carboplatin and paclitaxel plus continued low-dose paclitaxel is more effective than carboplatin and paclitaxel alone for early-stage ovarian cancer. purpose: this randomized phase iii trial is studying carboplatin and paclitaxel alone too see how well they work compared to carboplatin and paclitaxel together with continued low-dose paclitaxel in treating patients with early-stage ovarian cancer.

objectives: * compare the progression-free interval and overall survival of patients with early stage ovarian epithelial cancer treated with carboplatin and paclitaxel with or without low-dose paclitaxel. * assess the frequency and severity of toxic effects of these regimens in these patients. outline: this is a randomized, multicenter study. patients are randomized to 1 of 2 treatment arms. * arm i: patients receive paclitaxel iv over 3 hours followed by carboplatin iv over 30 minutes. treatment repeats every 21 days for 3 courses. four weeks after the completion of paclitaxel and carboplatin, patients receive low-dose paclitaxel iv over 1 hour once a week for 24 weeks. * arm ii: patients receive paclitaxel iv over 3 hours followed by carboplatin iv over 30 minutes. treatment repeats every 21 days for 3 courses. patients then undergo observation. patients are followed every 3 months for 2 years, every 6 months for 3 years, and then annually thereafter. projected accrual: a total of 500 patients will be accrued for this study within 5.5 years.

Eligibility criteria:
disease characteristics: * histologically confirmed ovarian epithelial cancer of one of the following histologic cell types: * serous adenocarcinoma * malignant brenner's tumor * mucinous adenocarcinoma * endometrioid * adenocarcinoma * clear cell adenocarcinoma * undifferentiated carcinoma * transitional cell * mixed epithelial carcinoma * adenocarcinoma - not otherwise specified * meets 1 of the following criteria: * stage ia or ib, grade 3 or clear cell * stage ic or ii, all grades/histologies * complete surgical staging * no tumors of low malignant potential (borderline tumors) patient characteristics: age: * not specified performance status: * gog 0-3 life expectancy: * not specified hematopoietic: * wbc at least 3,000/mm\^3 * platelet count at least 100,000/mm\^3 hepatic: * bilirubin no greater than 1.5 times normal * alkaline phosphatase no greater than 3 times normal * sgot no greater than 3 times normal renal: * creatinine no greater than 2.0 mg/dl other: * no other invasive malignancies within the past 5 years except nonmelanoma skin cancer * no major systemic medical illness expected to affect survival * body surface area no greater than 2.0 prior concurrent therapy: biologic therapy: * not specified chemotherapy: * not specified endocrine therapy: * not specified radiotherapy: * not specified surgery: * see disease characteristics other: * no prior treatment for this malignancy except surgical staging * no prior anticancer therapy that would preclude study participation

Keywords: stage i ovarian epithelial cancer stage ii ovarian epithelial cancer ovarian undifferentiated adenocarcinoma ovarian mixed epithelial carcinoma ovarian serous cystadenocarcinoma ovarian mucinous cystadenocarcinoma ovarian endometrioid adenocarcinoma ovarian clear cell cystadenocarcinoma brenner tumor