Clinical trial · Interventional
Propranolol Hydrochloride and Chemotherapy in Treating Patients With Ovarian, Primary Peritoneal, or Fallopian Tube Cancer
Feasibility Study: Therapeutic Targeting of Stress Factors in Ovarian Cancer Patients
NCT01504126CI-TRIAL-00040321completedEarly Phase 1ClinicalTrials.gov clinicaltrialsProvenance
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
This early phase I trial studies giving propranolol hydrochloride with standard chemotherapy in treating patients with ovarian, primary peritoneal, or fallopian tube cancer. Biological therapies, such as propranolol hydrochloride, blocks certain chemicals that affect the heart and this may stimulate the immune system and allow the chemotherapy to kill more tumor cells.
Conditions
Conditions (35)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Fallopian Tube Clear Cell Adenocarcinoma | Fallopian Tube Clear Cell Adenocarcinoma | ONTOLOGY_EXACT | 0.98 |
| Fallopian Tube Endometrioid Adenocarcinoma | Fallopian Tube Endometrioid Adenocarcinoma | ONTOLOGY_EXACT | 0.98 |
| Fallopian Tube Mucinous Adenocarcinoma | Fallopian Tube Mucinous Adenocarcinoma | ONTOLOGY_EXACT | 0.98 |
| Fallopian Tube Serous Adenocarcinoma | Fallopian Tube Serous Adenocarcinoma | ONTOLOGY_EXACT | 0.98 |
| Fallopian Tube Undifferentiated Carcinoma | Fallopian Tube Undifferentiated Carcinoma | ONTOLOGY_EXACT | 0.98 |
| Ovarian Clear Cell Adenocarcinoma | Ovarian Clear Cell Adenocarcinoma | ONTOLOGY_EXACT | 0.98 |
| Ovarian Endometrioid Adenocarcinoma | Ovarian Endometrioid Adenocarcinoma | ONTOLOGY_EXACT | 0.98 |
| Ovarian Mucinous Adenocarcinoma |
Interventions
Interventions (4)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Chemotherapy | Drug | Chemotherapy | ALIAS |
| Propranolol Hydrochloride | Drug | — | UNRESOLVED |
| Quality-of-Life Assessment | Other | — | UNRESOLVED |
| Therapeutic Conventional Surgery | Procedure | — | UNRESOLVED |
Design
Arms and outcomes
Arms (1)
- type
- EXPERIMENTAL
- label
- Treatment (propranolol hydrochloride)
- description
- Patients receive propranolol hydrochloride PO BID beginning 48-72 hours before treatment. Patients undergoing surgery resume propranolol hydrochloride post-operatively once oral drugs are tolerated and continue until completion of 6 cycles of chemotherapy. Patients undergoing neoadjuvant chemotherapy continue propranolol hydrochloride PO BID during 3 chemotherapy cycles pre-surgery and 3 cycles post-surgery. Treatment repeats every 3 weeks for up to 6 cycles in the absence of disease progression or unacceptable toxicity.
- interventionNames
- Drug: Chemotherapy
- Drug: Propranolol Hydrochloride
- Other: Quality-of-Life Assessment
- Procedure: Therapeutic Conventional Surgery
Primary outcomes (1)
- measure
- Proportion of patients who successfully complete 6 cycles of chemotherapy with propranolol hydrochloride
- timeFrame
- Up to 6 months
- description
- The success rate will be estimated with a 90% credible interval.
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: * Suspected preoperative diagnosis of invasive epithelial ovarian cancer, primary peritoneal carcinoma, fallopian tube cancer based on imaging and cancer antigen (Ca) 125; histologic epithelial cell types are eligible: serous adenocarcinoma, endometrioid adenocarcinoma, mucinous adenocarcinoma, undifferentiated carcinoma, clear cell carcinoma, mixed epithelial carcinoma, or adenocarcinoma not otherwise specified; patients with primarily carcinoma histology but mixed features can be included; the surgically confirmed histologic features must be compatible with primary Mullerian epithelial adenocarcinoma * Stages II-IV of the above cancer * Patients to be scheduled for a planned tumor debulking * Intention for chemotherapy administration at MD Anderson Cancer Center * Zubrod performance status 0-2 * Absolute neutrophil count (ANC) \>= 1500/ml * Platelets \> 100,000/mL * Creatinine clearance (CrCl) \> 50 mL/min * Bilirubin =\< 1.5 x institutional upper limit normal * Serum glutamic oxaloacetic transaminase (SGOT) =\< 2.5 x institutional upper limit normal * Alkaline phosphatase =\< 2.5 x institutional upper limit normal * Neuropathy (sensory and motor) =\< grade 1 according to Common Toxicity Criteria for Adverse Events version 3 (CTCAE) * Prothrombin time (PT) such that international normalized ratio (INR) is =\< 1.5 (or an in-range INR, usually between 2 and 3, if a patient is on a stable dose of therapeutic warfarin for the management of venous thrombosis including pulmonary embolus) * Partial thromboplastin time (PTT) \< 1.2 times institutional upper limit of normal * Pulse \>= 60 beat per minute (bpm) * Systolic blood pressure (SBP) \> 110 mmHg; diastolic blood pressure (DBP) \>= 60 mmHg * Normotensive individuals not already on beta blockers (may be on other anti hypertensives): SBP =\< 140, DBP =\< 90 * Surgery or neoadjuvant chemotherapy must be scheduled at least 72 hours in advance in order for the patient to take at least 48 hours of prescribed propranolol and have stable vital signs confirmed * An approved informed consent and authorization permitting release of personal health information must be signed by patient or guardian * Patients of childbearing age must have a negative pregnancy test * Patients who receive neoadjuvant chemotherapy for their ovarian, primary peritoneal, or fallopian tube cancer Exclusion Criteria: * Patients with non-epithelial ovarian tumors that do not require adjuvant chemotherapy, borderline epithelial ovarian tumor, or recurrent invasive epithelial ovarian, low grade ovarian cancer, primary peritoneal, or fallopian tube cancer treated with surgery only (such as patients with stage IA or IB); patients with a prior diagnosis of a borderline tumor that was surgically resected and who subsequently develop an unrelated new invasive epithelial ovarian, primary peritoneal, or fallopian tube cancer are eligible, provided that they have not received chemotherapy for any tumor; no stromal cancers or germ cell cancers or low malignant potential; patients found post operatively to have ineligible histology will be removed from the study * Patients who have received prior radiotherapy to any portion of the abdominal cavity or pelvis are excluded; prior radiation therapy for localized cancer of the breast, head and neck, or skin is permitted provided that it was completed more than 3 years prior to registration, and the patient remains free of recurrent or metastatic disease * Patients with a synchronous primary endometrial cancer, or a past history of primary endometrial cancer are excluded unless all of the following conditions are met: stage not greater than stage IA; no more than superficial myometrial invasion, without vascular or lymphatic invasion; no poorly differentiated subtypes, including papillary serous, clear cell, or other International Federation of Gynecology and Obstetrics (FIGO) grade 3 lesions * Patients who have received targeted therapy (including but not limited to vaccines, antibodies, tyrosine kinase inhibitors) or hormonal therapy for management of their primary peritoneal, ovarian, or fallopian tube cancer * With the exception of non-melanoma skin cancer and other specific malignancies as noted above, patients with other invasive malignancies who had (or have) any evidence of the other cancer present within the last five years or whose previous cancer treatment contraindicates this protocol therapy are excluded * Metastases to the ovaries from other organs except fallopian tube or primary peritoneal carcinoma * Use of systemic glucocorticoids such as prednisone or Decadron in the last month * Inability to accurately answer questions (e.g. dementia, brain metastases) or speak English or Spanish * Cirrhosis of the liver * Patients with a Zubrod performance status 3 or 4 * Comorbid conditions: Addison's disease, autoimmune hepatitis, hepatitis B, hepatitis C, acquired immunodeficiency syndrome (AIDS) or human immunodeficiency virus (HIV), lupus erythematosus, mixed connective tissue disease, rheumatoid arthritis * Any patients already on beta-blockers or contraindicated to receive beta-blockers * Hypersensitivity to propranolol, or beta-blockers * Uncompensated congestive heart failure * Cardiogenic shock * Severe sinus bradycardia; heart block, second or third degree or sick sinus syndrome (if no artificial pacemaker present) * Severe hyperactive airway disease (chronic obstructive pulmonary disease, asthma) * Any patients planning to receive Avastin or any other anti-angiogenic drugs * Patients with brittle diabetes mellitus (DM); brittle diabetes mellitus is a type of diabetes when a person's blood glucose (sugar) level often swings quickly from high to low and from low to high; also called "unstable diabetes" or "labile diabetes"
References
Publications (0)
Data not yet available
No reference posted for this study.