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A Randomized Phase II Trial of Temsirolimus (NCI-Supplied Agent, NSC # 683864, IND # 61010) or the Combination of Hormonal Therapy Plus Temsirolimus in Women With Advanced, Persistent, or Recurrent Endometrial Carcinoma


Phase 2
N/A
N/A
Open (Enrolling)
Female
Recurrent Endometrial Carcinoma, Stage III Endometrial Carcinoma, Stage IV Endometrial Carcinoma

Thank you

Trial Information

A Randomized Phase II Trial of Temsirolimus (NCI-Supplied Agent, NSC # 683864, IND # 61010) or the Combination of Hormonal Therapy Plus Temsirolimus in Women With Advanced, Persistent, or Recurrent Endometrial Carcinoma


PRIMARY OBJECTIVES:

I. To determine the response rate in patients with advanced, persistent, or recurrent
endometrial carcinoma treated with temsirolimus with or without hormonal therapy comprising
megestrol acetate and tamoxifen citrate.

II. To determine the time to progression and number of patients remaining on study therapy
at 24 weeks.

SECONDARY OBJECTIVE:

III. To describe the toxicities of these regimens in these patients.

OUTLINE: This is a multicenter study. Patients are stratified according to prior treatment
for endometrial carcinoma (adjuvant chemotherapy or chemoradiotherapy at the time of initial
diagnosis or for a pelvic recurrence vs no adjuvant chemotherapy or chemoradiotherapy at the
time of initial diagnosis or for a pelvic recurrence). Patients are randomized to 1 of 2
treatment arms (arm II closed to accrual as of 12/21/09).

ARM I: Patients receive temsirolimus IV over 30 minutes once weekly for 6 weeks. Courses
repeat every 6 weeks in the absence of disease progression or unacceptable toxicity.

ARM II (closed to accrual as of 12/21/09): Patients receive temsirolimus as in arm I.
Patients also receive oral megestrol acetate twice daily for 3 weeks alternating with oral
tamoxifen citrate twice daily for 3 weeks.

Courses repeat every 6 weeks in the absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed periodically for 1 year.


Inclusion Criteria:



- Histologically* confirmed endometrial carcinoma

- NOTE: *Histologic documentation of recurrence is not required

- Advanced (FIGO stage III or IV), persistent, or recurrent disease that cannot be
cured by surgery or radiotherapy

- Measurable disease, defined as ≥ 1 unidimensionally measurable lesion ≥ 20 mm by
conventional techniques (e.g., palpation, plain x-ray, CT scan, and MRI) or ≥ 10 mm
by spiral CT scan

- Must have at least one "target lesion" to be used to assess response, as defined by
RECIST criteria

- Tumors within a previouslyirradiated field will be designated as "non-target"
lesions unless progression isdocumented

- No sarcoma, carcinosarcoma, or leiomyosarcoma of the uterine corpus

- GOG performance status 0-2

- Absolute neutrophil count ≥ 1,500/mcL

- Platelet count ≥ 100,000/mcL

- Total bilirubin normal

- AST ≤ 2.5 times upper limit of normal (ULN) (≤ 5 times ULN for patients with liver
metastases)

- Alkaline phosphatase ≤ 2.5 times ULN (≤ 5 times ULN for patients with liver
metastases)

- Creatinine ≤ 1.5 times ULN

- Cholesterol ≤ 350 mg/dL (fasting)

- Triglycerides ≤ 400 mg/dL (fasting)

- Albumin ≥ 3.0 mg/dL

- Not pregnant or nursing

- Negative pregnancy test

- Fertile patients must use effective barrier contraception

- Able to take oral medication

- No known congestive heart failure

- No baseline requirement for oxygen

- No history of unprovoked deep vein thrombosis or pulmonary embolism, unless patient
is maintained on anticoagulation for the duration of the study

- No concurrent serious illness that, in the opinion of the treating physician, would
place the patient at unreasonable risk from study therapy

- No other invasive malignancy within the past 5 years, except non-melanoma skin cancer

- At least 4 weeks since prior major surgery (e.g, hysterectomy or resection of a lung
nodule)

- At least 4 weeks since minor surgery (e.g., port-a-cath placement)

- No more than 1 prior chemotherapy regimen (including chemoradiotherapy)

- No prior chemotherapy for stage IV disease, except in the case where the patient
was without evidence of disease at the completion of chemotherapy and had at
least 6 months of progression-free survival since the completion of chemotherapy

- Prior chemoradiotherapy for a pelvic recurrence is allowed

- Prior chemotherapy in the adjuvant setting for stage I, II, or III disease is
allowed

- No prior chemotherapy for metastatic or recurrent disease except as noted above

- No prior hormonal or biologic therapy for endometrial carcinoma

- No prior cancer treatment that would contraindicate study therapy

- No concurrent enzyme-inducing antiepileptic drugs (EIAEDs) (e.g., phenytoin,
carbamazepine, or phenobarbital) or any other CYP3A4 inducer (e.g., rifampin or St.
John's wort)

- No concurrent maintenance corticosteroids, except for short-term use (i.e., < 5 days)

- No concurrent prophylactic granulocyte colony-stimulating factors

- Concurrent granulocyte colony-stimulating factors for neutropenic fever allowed

- No concurrent oral contraceptives

- No other concurrent investigational agents

- No other concurrent anticancer therapies

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Frequency of complete and partial clinical response, measured using GOG RECIST Criteria

Outcome Time Frame:

Up to 1 year

Safety Issue:

No

Principal Investigator

Gini Fleming

Investigator Role:

Principal Investigator

Investigator Affiliation:

Gynecologic Oncology Group

Authority:

United States: Food and Drug Administration

Study ID:

NCI-2009-01085

NCT ID:

NCT00729586

Start Date:

September 2008

Completion Date:

Related Keywords:

  • Recurrent Endometrial Carcinoma
  • Stage III Endometrial Carcinoma
  • Stage IV Endometrial Carcinoma
  • Carcinoma
  • Adenoma
  • Endometrial Neoplasms

Name

Location

Memorial Sloan Kettering Cancer Center New York, New York  10021
University of Iowa Hospitals and Clinics Iowa City, Iowa  52242
Abington Memorial Hospital Abington, Pennsylvania  19001
Hurley Medical Center Flint, Michigan  48503
Sinai Hospital of Baltimore Baltimore, Maryland  21225
Reading Hospital and Medical Center Reading, Pennsylvania  19612-6052
Rush University Medical Center Chicago, Illinois  60612-3824
North Shore University Hospital Manhasset, New York  11030
Hartford Hospital Hartford, Connecticut  06102-5037
Franklin Square Hospital Center Baltimore, Maryland  21237
William Beaumont Hospital Royal Oak, Michigan  48073
Cancer Institute of New Jersey New Brunswick, New Jersey  08901
Carolinas Medical Center Charlotte, North Carolina  28232-2861
University of Oklahoma Health Sciences Center Oklahoma City, Oklahoma  73104
University of Wisconsin Hospital and Clinics Madison, Wisconsin  53792-0001
MetroHealth Medical Center Cleveland, Ohio  44109
Long Island Jewish Medical Center New Hyde Park, New York  11040
Munson Medical Center Traverse City, Michigan  49684
University of New Mexico Cancer Center Albuquerque, New Mexico  87131-5636
Parkland Memorial Hospital Dallas, Texas  75235
Beebe Medical Center Lewes, Delaware  19958
Mecosta County Medical Center Big Rapids, Michigan  49307
Saint Joseph Mercy Hospital Ann Arbor, Michigan  48106
Menorah Medical Center Overland Park, Kansas  66209
Shawnee Mission Medical Center Shawnee Mission, Kansas  66204
North Kansas City Hospital Kansas City, Missouri  64116
Research Medical Center Kansas City, Missouri  64132
Saint Luke's East - Lee's Summit Lee's Summit, Missouri  64086
Liberty Hospital Liberty, Missouri  64068
Heartland Regional Medical Center Saint Joseph, Missouri  64506
Zale Lipshy University Hospital Dallas, Texas  75235-7786
Union Hospital of Cecil County Elkton MD, Maryland  21921
Presbyterian Hospital Charlotte, North Carolina  28233-3549
Metro Health Hospital Grand Rapids, Michigan  49506
University of Virginia Charlottesville, Virginia  22908
University of North Carolina Chapel Hill, North Carolina  27599
Independence Regional Health Center Independence, Missouri  64050
University of California at San Diego La Jolla, California  92093
University of Massachusetts Medical School Worcester, Massachusetts  01605
Providence Portland Medical Center Portland, Oregon  97213-3635
Indiana University Medical Center Indianapolis, Indiana  46202
University of Texas Southwestern Medical Center Dallas, Texas  
Huntsman Cancer Institute/University of Utah Salt Lake City, Utah  84112
Thomas Jefferson University Hospital Philadelphia, Pennsylvania  19131
Providence Saint Joseph Medical Center Burbank, California  91505-4866
Memorial Health University Medical Center Savannah, Georgia  31404
University of Chicago Comprehensive Cancer Center Chicago, Illinois  60637-1470
University of Cincinnati Cincinnati, Ohio  45267-0502
Saint Francis Hospital and Medical Center Hartford, Connecticut  06105
The Hospital of Central Connecticut New Britain, Connecticut  06050
John B Amos Cancer Center Columbus, Georgia  31904
Saint Vincent Hospital and Health Services Indianapolis, Indiana  46260
Radiation Oncology Practice Corporation Southwest Overland Park, Kansas  66210
Michigan Cancer Research Consortium Community Clinical Oncology Program Ann Arbor, Michigan  48106
Oakwood Hospital Dearborn, Michigan  48123
Saint John Hospital and Medical Center Detroit, Michigan  48236
Green Bay Oncology - Escanaba Escanaba, Michigan  49431
Grand Rapids Clinical Oncology Program Grand Rapids, Michigan  49503
Saint Mary's Health Care Grand Rapids, Michigan  49503
Spectrum Health at Butterworth Campus Grand Rapids, Michigan  49503
Green Bay Oncology - Iron Mountain Iron Mountain, Michigan  49801
Allegiance Health Jackson, Michigan  49201
Sparrow Hospital Lansing, Michigan  48912
Saint Mary Mercy Hospital Livonia, Michigan  48154
Mercy Health Partners-Mercy Campus Muskegon, Michigan  49443
Saint Joseph Mercy Oakland Pontiac, Michigan  48341-2985
Saint Joseph Mercy Port Huron Port Huron, Michigan  48060
Saint Mary's of Michigan Saginaw, Michigan  48601
Saint John Macomb-Oakland Hospital Warren, Michigan  48093
Radiation Oncology Practice Corporation - North Kansas City, Missouri  64154
Saint Luke's Cancer Institute Kansas City, Missouri  64111
Radiation Oncology Practice Corporation South Kansas City, Missouri  64114
Saint Luke's Hospital of Kansas City Kansas City, Missouri  64111
Saint Joseph Health Center Kansas City, Missouri  64114
Liberty Radiation Oncology Clinic Kansas City, Missouri  64116
Truman Medical Center Kansas City, Missouri  64108
Saint John's Hospital Springfield, Missouri  65804
Cooper Hospital University Medical Center Camden, New Jersey  08103
Legacy Good Samaritan Hospital and Medical Center Portland, Oregon  97210
Northwest Cancer Specialists-Rose Quarter Cancer Center Portland, Oregon  97227
Saint Vincent Hospital Green Bay, Wisconsin  54301
Green Bay Oncology Limited at Saint Mary's Hospital Green Bay, Wisconsin  54303
Saint Mary's Hospital Green Bay, Wisconsin  54303
Green Bay Oncology at Saint Vincent Hospital Green Bay, Wisconsin  54301-3526
Bay Area Medical Center Marinette, Wisconsin  54143
Green Bay Oncology - Oconto Falls Oconto Falls, Wisconsin  54154
Green Bay Oncology - Sturgeon Bay Sturgeon Bay, Wisconsin  54235
Cancer Care Associates-Yale Tulsa, Oklahoma  74136-1929
Women and Infants Hospital Providence, Rhode Island  02905
Colorado Gynecologic Oncology Group Aurora, Colorado  80010
Stony Brook University Medical Center Stony Brook, New York  11794
University of Colorado Cancer Center - Anschutz Cancer Pavilion Aurora, Colorado  80045
Saint Paul Hospital Dallas, Texas  75235
Holy Family Memorial Hospital Manitowoc, Wisconsin  54221
Gynecologic Oncology of West Michigan PLLC Grand Rapids, Michigan  49546
Monter Cancer Center Lake Success, New York  11042
Black Hills Obstetrics and Gynecology Rapid City, South Dakota  57701
Carilion Clinic Gynecological Oncology Roanoke, Virginia  24016
University of Minnesota Medical Center-Fairview Minneapolis, Minnesota  55455
Southwest Gynecologic Oncology Associates Inc Albuquerque, New Mexico  87106
Women's Cancer Center of Nevada Las Vegas, Nevada  89109
Saint Luke's South Hospital Overland Park, Kansas  66213
Heartland Hematology and Oncology Associates Incorporated Kansas City, Missouri  64118
Saint Joseph Oncology Inc Saint Joseph, Missouri  64507
Gundersen Lutheran La Crosse, Wisconsin  54601
Stanford University Hospitals and Clinics Stanford, California  94305
Sudarshan K Sharma MD Limted-Gynecologic Oncology Hinsdale, Illinois  60521
Genesys Regional Medical Center-West Flint Campus Flint, Michigan  48532
Christiana Care Health System-Christiana Hospital Newark, Delaware  19718
Bronson Battle Creek Battle Creek, Michigan  49017
Women's Cancer Care Associates LLC Albany, New York  12208
Providence Cancer Center -The Plaza Portland, Oregon  97213