ASST Grande Ospedale Metropolitano Niguarda
Milan, Italy
Rare diseases
Investigational molecules
Locations
A plain-language summary of the goals, design and what participants do
This clinical trial is focused on studying treatments for advanced stages of ovarian cancer, primary peritoneal cancer, and Fallopian tube cancer. The study involves several medications, including Carboplatin, Paclitaxel, Bevacizumab, and Rucaparib. Carboplatin and Paclitaxel are chemotherapy drugs, while Bevacizumab is a medication that helps prevent the growth of blood vessels that feed tumors. Rucaparib is a type of drug known as a PARP inhibitor, which helps repair damaged DNA in cancer cells, potentially stopping them from growing.
The purpose of this study is to compare the effectiveness of different combinations of these medications in patients with advanced ovarian, primary peritoneal, and Fallopian tube cancer. The study will explore how well these treatments work based on the Homologous Recombination Deficient (HRD) status of the patients, which is a specific characteristic of the cancer cells that can affect how they respond to treatment. The trial will begin with a phase to determine the safest dose of the combination of Rucaparib and Bevacizumab, followed by a phase to compare the progression-free survival of patients receiving different treatment combinations.
Participants in the study will receive one of the following treatment combinations: Carboplatin, Paclitaxel, and Bevacizumab; Carboplatin, Paclitaxel, Bevacizumab, and Rucaparib; or Carboplatin, Paclitaxel, and Rucaparib. The study will monitor the patients over time to assess how long they live without the cancer getting worse. The trial aims to provide valuable information on the best treatment options for patients with these types of cancer, based on their HRD status.
The trial runs in 5 steps – from screening to follow-up. Each step says what happens and what the team monitors.
8 criteria
4 criteria
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Milan, Italy
Naples, Italy
Bari, Italy
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is a chemotherapy medication used to treat various types of cancer, including ovarian cancer. It works by interfering with the DNA of cancer cells, preventing them from growing and dividing.
is another chemotherapy drug that is used to treat different types of cancer. It helps stop the growth of cancer cells by inhibiting their ability to divide.
is a targeted therapy that works by blocking a protein called VEGF. This protein helps tumors form new blood vessels, which they need to grow. By blocking VEGF, Bevacizumab can help slow or stop the growth of cancer.
is a type of medication known as a PARP inhibitor. It is used to treat certain types of cancer by preventing cancer cells from repairing their DNA, which can lead to their death.
This medication is administered intravenously and is commonly used in chemotherapy. It is well-established in medical literature as a treatment for various cancers, including ovarian cancer. Carboplatin is primarily indicated for advanced ovarian, primary peritoneal, and Fallopian tube cancer. It works by interfering with the DNA of cancer cells, preventing them from dividing and growing. Carboplatin is classified as a platinum-based chemotherapy drug.
Administered intravenously, Paclitaxel is a widely recognized chemotherapy medication. It is used to treat several types of cancer, including advanced ovarian cancer. The drug works by stabilizing the microtubule polymer and protecting it from disassembly, which inhibits cell division. Paclitaxel is classified as a taxane, a type of antineoplastic agent.
This medication is given through intravenous infusion and is used in cancer treatment. It is well-documented in medical literature for its role in treating advanced ovarian cancer. Bevacizumab is indicated for use in combination with other chemotherapy drugs to treat advanced ovarian, primary peritoneal, and Fallopian tube cancer. It works by inhibiting vascular endothelial growth factor (VEGF), which reduces the blood supply to tumors. Bevacizumab is classified as a monoclonal antibody.
Administered orally, Rucaparib is a newer medication in the field of oncology. It is used for treating advanced ovarian cancer, particularly in patients with homologous recombination deficiency (HRD). Rucaparib works by inhibiting the enzyme poly (ADP-ribose) polymerase (PARP), which helps repair DNA damage in cancer cells, leading to cell death. It is classified as a PARP inhibitor.
This is a type of cancer that begins in the ovaries, which are the reproductive glands found in women. It often goes undetected until it has spread within the pelvis and abdomen. In its advanced stages, it can cause symptoms such as abdominal bloating, pelvic pain, and changes in bowel habits. The disease progresses as cancer cells grow and potentially spread to other parts of the body. It is categorized into different stages, with stage III and IV being more advanced, indicating that the cancer has spread beyond the ovaries. The progression of the disease can vary, with some cases advancing more rapidly than others.
This cancer originates in the peritoneum, a thin layer of tissue lining the abdomen. It is similar to ovarian cancer in terms of symptoms and progression. The disease can cause abdominal pain, bloating, and digestive issues as it advances. It often spreads within the abdominal cavity, affecting nearby organs. The progression can be slow or rapid, depending on various factors, including the individual's health and the cancer's characteristics. Like ovarian cancer, it is often diagnosed at an advanced stage due to subtle early symptoms.
This rare cancer starts in the fallopian tubes, which connect the ovaries to the uterus. It shares similarities with ovarian cancer in terms of symptoms and progression. Early signs may include pelvic pain, unusual vaginal discharge, and abdominal discomfort. As the disease progresses, it can spread to nearby organs and tissues. The cancer is often detected at a later stage, making it more challenging to manage. The progression rate can vary, with some cases advancing more quickly than others.
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