OncoSignal

Decision brief · what the records say, not our assessment

Trial of Best Supportive Care and Either Cisplatin or Paclitaxel to Treat Patients With Primary Ovarian Cancer, Primary Peritoneal Cancer or Fallopian Tube Cancer and Inoperable Malignant Bowel Obstruction

NCT01083537 · University Health Network, Toronto · PHASE1/PHASE2 · terminated · Open Targets disease: ovarian cancer · Why it stopped

Six questions a reader deciding whether to spend more time on this asks, each answered with flags: yes, no, or not published (hatched), each with its rule and source record. Flags are never added up into a score or a verdict, because published success rates disagree by a factor of two and more.

1. Is the biology right?

  • Targets: Open Targets lists no mechanism-of-action target for Cisplatin, Paclitaxel. · Open Targets Platform
  • Not loaded on this app yet: Normal-tissue expression in vital organs. Source: Human Protein Atlas (ticket 36).
  • Not loaded on this app yet: Pan-essential in cell lines. Source: DepMap (ticket 36).
  • Not loaded on this app yet: Approved drug on this target. Source: Drugs@FDA (ticket 30).

2. Can the result be trusted?

  • Randomised: no · Non-randomised
    Rule: Registry allocation field. Source: ClinicalTrials.gov NCT01083537, 2026-11-12
  • Small denominator: yes · 1 enrolled; each patient moves a rate by 100 ÷ 1 = 100.0 points
    Rule: Enrolment under 30; the arithmetic is shown, not a benchmark. Source: ClinicalTrials.gov NCT01083537, 2026-11-12
  • Primary endpoint is overall survival: no · Overall Safety Profile; Quality of Life Scores at Baseline, Day 30 and Day 90; Time to Resolution of Bowel Obstruction
    Rule: A registered primary outcome measure names overall survival. Source: ClinicalTrials.gov NCT01083537, 2026-11-12
    Published context: Non-OS primary endpoint: odds ratio 2.79 for a positive phase 3 (Otsuka 2021, 400 phase 3 oncology trials, to 2020). Shown with the next figure: a surrogate is easier to hit, and often a weak guide to survival.
    Published context: 52% of surrogate-to-OS correlations are low (Prasad 2015, published to 2014). Shown with the figure above.
  • Results overdue: yes · Primary completion 2012-06, 173 months ago; no results posted
    Rule: Primary completion (actual) more than 12 months ago and no results posted to the registry. Source: ClinicalTrials.gov NCT01083537, 2026-11-12
    Published context: 40.9% of applicable trials report results within a year (Results-reporting studies summarised in spec §11, all therapy areas). All areas, not oncology only.
  • Not loaded on this app yet: Treated and evaluable counts, assessor, confirmed response, follow-up and data cutoff. Source: Readout extraction (ticket 32).
  • Not loaded on this app yet: Primary endpoint changed between registry versions. Source: Registry versions in the store (ticket 32).

3. What must it beat?

  • Not loaded on this app yet: Control-arm result and approved therapies for the same segment, with label links. Source: Drugs@FDA, FDA labels and readouts (tickets 30, 32).

4. Too crowded, or too late?

  • Not loaded on this app yet: Programs on the target by phase and months behind the leader. Source: Programs and Drugs@FDA (ticket 33).

5. Can it be approved, and stay approved?

  • Single-country: yes · The only site is in Canada
    Rule: All listed sites are in one country; the share of US sites is shown. Source: ClinicalTrials.gov NCT01083537, 2026-11-12
  • Caveat: Site counts are not patients per country, and trials registered only outside ClinicalTrials.gov are not covered. Where the sites are is a fact about the record, not a judgement of its quality.
  • Cited case: In February 2022 FDA asked its Oncologic Drugs Advisory Committee whether sintilimab's application, resting on ORIENT-11, a phase 3 run only in China, needed further trials showing it applies to US patients and US practice. One case, not a rule. · FDA, ODAC 10 Feb 2022, draft questions
  • Not loaded on this app yet: Precedent approvals for target, modality and endpoint; accelerated-approval status. Source: Drugs@FDA and FDA accelerated-approval tables (ticket 30).
  • Not loaded on this app yet: Orphan designation, EU paediatric plan, pediatric incentives. Source: No investigational drug was named, so EMA and FDA records were not looked up.

6. Can the sponsor finish?

  • Sponsor: University Health Network, Toronto (academic or other) · ClinicalTrials.gov NCT01083537
  • principal investigator: Amit Oza, Princess Margaret Hospital, Canada · Person page
  • principal investigator: Nicole Chau, Princess Margaret Hospital, Canada · Person page
  • Not loaded on this app yet: Filed cash, quarterly spend and the runway arithmetic. Source: SEC XBRL company facts (ticket 37).
  • Not loaded on this app yet: Sponsor's completed vs stopped oncology trials and results-reporting record. Source: Registry, by company (ticket 37).

What public data cannot tell you

Public records cannot show: sales forecasts; a probability of success for this asset; full deal terms and net prices; FDA designations and action dates before approval (shown only as company-reported); clinical holds unless the company disclosed them; manufacturing; patents on unapproved drugs; whether preclinical findings have been replicated.

Sources: ClinicalTrials.gov NCT01083537 (2026-11-12); Open Targets Platform (2026-11-12); FDA Pediatric Molecular Target List (Listed as February 2026 on the FDA Pediatric Oncology page; the file served is 9.7.22_the_relevant_molecular_target_list.xlsx, whose Summary of Changes sheet is headed 'SEPTEMBER 2022 UPDATE' (footnote date 2022-09-01)) (2026-11-11). JSON: /api/brief/trial/NCT01083537. Not medical advice.