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Changes in Brain Function in Patients With Stage I, Stage II, Stage III, or Stage IV Ovarian, Primary Peritoneal, or Fallopian Tube Cancer Who Are Receiving Chemotherapy

G

Gynecologic Oncology Group (GOG)

Status

Completed

Conditions

Stage IV Primary Peritoneal Cancer
Ovarian Serous Cystadenocarcinoma
Ovarian Brenner Tumor
Ovarian Clear Cell Cystadenocarcinoma
Stage IB Ovarian Germ Cell Tumor
Stage IIIC Ovarian Germ Cell Tumor
Ovarian Seromucinous Carcinoma
Stage IA Ovarian Cancer
Stage IIIA Primary Peritoneal Cancer
Stage IIIC Fallopian Tube Cancer
Stage IIIA Ovarian Germ Cell Tumor
Stage IA Ovarian Germ Cell Tumor
Ovarian Choriocarcinoma
Stage IIC Fallopian Tube Cancer
Stage IIA Ovarian Germ Cell Tumor
Stage I Ovarian Cancer
Ovarian Teratoma
Stage IIA Ovarian Cancer
Stage IIB Ovarian Cancer
Ovarian Sarcoma
Ovarian Mucinous Cystadenocarcinoma
Stage IIB Ovarian Germ Cell Tumor
Stage IIIA Fallopian Tube Cancer
Stage IB Fallopian Tube Cancer
Stage IV Fallopian Tube Cancer
Stage IB Ovarian Cancer
Stage IC Ovarian Germ Cell Tumor
Stage IIIC Primary Peritoneal Cancer
Stage IC Ovarian Cancer
Stage IIB Fallopian Tube Cancer
Stage IC Fallopian Tube Cancer
Ovarian Yolk Sac Tumor
Ovarian Mixed Germ Cell Tumor
Malignant Ovarian Epithelial Tumor
Undifferentiated Ovarian Carcinoma
Stage IV Ovarian Cancer
Stage IIIB Ovarian Cancer
Stage IIIB Primary Peritoneal Cancer
Stage IA Fallopian Tube Cancer
Ovarian Polyembryoma
Ovarian Embryonal Carcinoma
Cognitive Side Effects of Cancer Therapy
Stage IIIB Fallopian Tube Cancer
Stage IV Ovarian Germ Cell Tumor
Stage II Ovarian Cancer
Stage IIA Fallopian Tube Cancer
Ovarian Carcinosarcoma
Stage IIC Ovarian Germ Cell Tumor
Stage IIIA Ovarian Cancer
Stage IIIB Ovarian Germ Cell Tumor
Stage IIIC Ovarian Cancer
Stage IIC Ovarian Cancer
Ovarian Endometrioid Adenocarcinoma
Ovarian Dysgerminoma

Treatments

Other: Quality-of-Life Assessment
Procedure: Cognitive Assessment

Study type

Observational

Funder types

NETWORK
NIH

Identifiers

NCT01080521
CDR0000666786
GOG-0256
NCI-2011-02213 (Registry Identifier)
U10CA101165 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

This clinical trial is studying changes in brain function in patients with stage I, stage II, stage III, or stage IV ovarian, primary peritoneal, or fallopian tube cancer who are receiving chemotherapy. Learning about the effects of chemotherapy on brain function may help doctors plan cancer treatments.

Full description

PRIMARY OBJECTIVE:

I. To describe changes in cognitive function among patients with ovarian, primary peritoneal, or fallopian tube cancer receiving front-line chemotherapy as measured by a web-based assessment of cognitive function as measured by the HeadMinder Customized Research Tool (CRT).

SECONDARY OBJECTIVES:

I. To estimate the proportion of these patients who experience possible or probable acute or persistent impairment in cognitive function while receiving chemotherapy as measured by a web-based assessment of cognitive function as measured by the HeadMinder CRT.

II. To explore the association between the patient-reported neurocognitive function as measured by the Patient Assessment of Own Functioning (PAF) scale and web-based assessment of cognitive function as measured by the HeadMinder CRT.

TERTIARY OBJECTIVES:

I. To explore the relationship between patient-reported quality of life as measured by the FACT-O and cognitive function as measured by the web-based and patient-reported assessments, respectively. (Exploratory) II. To explore whether the patient-reported cognitive function or the web-based assessment of cognitive function is associated with anxiety and depression as measured by the Hospital Anxiety and Depression Scale. (Exploratory) III. To explore the changes in cognitive function using the web-assessed (CRT) and self-reported (PAF) assessments, respectively, among patients with advanced ovarian cancer (stage III-IV, optimally debulked disease at enrollment) receiving IV as compared to intraperitoneal treatment. (Exploratory) IV. To explore whether the cognitive impairment as measured with web-based assessment is associated with patient age, hemoglobin, platelet count, patient-reported neurotoxicity symptoms as measured with FACT/GOG-Ntx subscale, or body weight. (Exploratory)

OUTLINE: This is a multicenter study.

Patients receive standard chemotherapy. Treatment repeats for 6 courses. Patients complete neurocognitive evaluations (Patient Assessment and Own Functioning scale and HeadMinder Custom Research Tool) and quality-of-life assessments (Hospital Anxiety and Depression Scale, FACT-O, and FACT/GOG-Ntx subscale) at baseline, before the fourth course of chemotherapy, at 3 weeks after the sixth course of chemotherapy, and at 6 months after the sixth course of chemotherapy.

Enrollment

247 patients

Sex

Female

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

  • Histologically or pathologically confirmed primary diagnosis of stage I-IV ovarian, primary peritoneal, or fallopian tube cancer (any cell type)

  • Planning to receive ≥ 6 courses of front-line chemotherapy

    • Have not yet received the first course of chemotherapy
  • GOG performance status 0-2

  • Able to read and understand English

  • No uncontrolled or severe cardiovascular disease, including any of the following:

    • Myocardial infarction within the past year
    • Uncontrolled hypertension
    • Congestive heart failure
  • No history of head injury with GCS < 13

  • No severe hemiparesis or other condition preventing bimanual keyboard operation

  • No distal neuropathy, action tremor, or other motor dysfunction that would substantially decrease keyboard accuracy

  • No severe motor or mental slowing (i.e., patient who is disoriented/level C on any criterion as assessed by the person-place-time criteria)

  • No other invasive malignancies within the past 5 years except for nonmelanoma skin cancer

  • More than 6 months since prior epoetin alfa, darbepoetin, or any investigational forms of erythropoietin

    • Patients may receive these agents during chemotherapy treatment as needed
  • No prior radiotherapy or chemotherapy

Trial design

247 participants in 1 patient group

Observational (cognitive function during chemotherapy)
Description:
Patients receive standard chemotherapy. Treatment repeats for 6 courses. Patients complete neurocognitive evaluations (Patient Assessment and Own Functioning scale and HeadMinder Custom Research Tool) and quality-of-life assessments (Hospital Anxiety and Depression Scale, FACT-O, and FACT/GOG-Ntx subscale) at baseline, before the fourth course of chemotherapy, at 3 weeks after the sixth course of chemotherapy, and at 6 months after the sixth course of chemotherapy.
Treatment:
Procedure: Cognitive Assessment
Other: Quality-of-Life Assessment

Trial contacts and locations

182

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Data sourced from clinicaltrials.gov

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