Liposome-Encapsulated Doxorubicin Citrate and Carboplatin in Treating Patients With Advanced or Metastatic Recurrent Endometrial Cancer
Primary Purpose
Endometrial Cancer
Status
Unknown status
Phase
Phase 2
Locations
Austria
Study Type
Interventional
Intervention
carboplatin
liposome-encapsulated doxorubicin citrate
laboratory biomarker analysis
quality-of-life assessment
Sponsored by
About this trial
This is an interventional treatment trial for Endometrial Cancer focused on measuring endometrial clear cell carcinoma, recurrent endometrial carcinoma, stage IIIA endometrial carcinoma, stage IIIB endometrial carcinoma, stage IIIC endometrial carcinoma, stage IVA endometrial carcinoma, stage IVB endometrial carcinoma
Eligibility Criteria
DISEASE CHARACTERISTICS:
Diagnosis of endometrial carcinoma, including any of the following cellular types:
- Mixed Mullerian carcinoma
- Serous carcinoma
- Clear cell carcinoma
- Primary advanced (FIGO stage III or stage IV) or metastatic recurrent disease
- Disease not curable by surgery
- Measurable disease, defined as ≥ 1 unidimensionally measurable lesion ≥ 20 mm with x-ray, physical exam, or non-spiral CT scan OR ≥ 10 mm with spiral CT scan or MRI
- No known cerebral metastases
PATIENT CHARACTERISTICS:
- ECOG performance status 0-2
- Life expectancy ≥ 12 weeks
- Platelet count ≥ 100,000/mm^3
- ANC ≥ 1,500/mm^3
- Hemoglobin ≥ 10 g/dL
- Creatinine ≤ 1.25 times upper limit of normal (ULN)
- Bilirubin ≤ 1.25 times ULN
- AST/ALT < 3 times ULN
- Glomerular filtration rate ≥ 50 mL/min
- LVEF ≥ 50% by ECHO
- Fertile patients must use effective contraception
- No myocardial infarction within the past 6 months
- No NYHA class II-IV congestive heart failure
- No third degree or complete heart block unless a pacemaker is in place
- No other malignancy within the past 5 years
- No concomitant medical illness (e.g., uncontrolled infection, uncontrolled angina, or other relevant illness) that makes the prescribed treatments within this study unfeasible
- No known hypersensitivity to study drugs
- No psychological, familial, sociological, or geographical condition potentially hampering compliance with the study protocol and follow-up schedule
PRIOR CONCURRENT THERAPY:
- No prior chemotherapy for disease recurrence
At least 12 months since prior adjuvant therapy containing anthracyclines with cumulative doses not exceeding the following:
- Epirubicin 600 mg/m²
- Doxorubicin 300 mg/m²
- At least 6 months since prior adjuvant therapy containing platinum
- At least 4 weeks since completion of radiotherapy involving the whole pelvis
- No concurrent radiotherapy or planned radiotherapy after study
- No concurrent endocrine, immunological, or other anticancer therapy
- No concurrent participation in another investigational drug study
Sites / Locations
- Innsbruck UniversitaetsklinikRecruiting
Outcomes
Primary Outcome Measures
Response rate
Secondary Outcome Measures
Duration of progression-free survival
Overall survival
Safety
Feasibility
Full Information
NCT ID
NCT01100359
First Posted
April 7, 2010
Last Updated
August 6, 2013
Sponsor
Medical University Innsbruck
1. Study Identification
Unique Protocol Identification Number
NCT01100359
Brief Title
Liposome-Encapsulated Doxorubicin Citrate and Carboplatin in Treating Patients With Advanced or Metastatic Recurrent Endometrial Cancer
Official Title
Phase II Multicenter Trial of the Austrian AGO With the Combination of Liposomal Doxorubicin (Myocet®) and Carboplatin in Primary Advanced or Metastatic and Recurrent Endometrial Cancer
Study Type
Interventional
2. Study Status
Record Verification Date
February 2011
Overall Recruitment Status
Unknown status
Study Start Date
November 2007 (undefined)
Primary Completion Date
October 2010 (Anticipated)
Study Completion Date
undefined (undefined)
3. Sponsor/Collaborators
Name of the Sponsor
Medical University Innsbruck
4. Oversight
5. Study Description
Brief Summary
RATIONALE: Drugs used in chemotherapy, such as liposome-encapsulated doxorubicin citrate and carboplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing.
PURPOSE: This phase II trial is studying how well liposome-encapsulated doxorubicin citrate given together with carboplatin works in treating patients with advanced or metastatic recurrent endometrial cancer.
Detailed Description
OBJECTIVES:
Primary
To assess activity of the combination of liposome-encapsulated doxorubicin citrate and carboplatin in patients with primary advanced or metastatic recurrent carcinoma of the endometrium.
Secondary
To assess the toxicity and feasibility of this regimen in these patients.
To determine the progression-free survival and overall survival of these patients.
OUTLINE: This is a multicenter study.
Patients receive liposome-encapsulated doxorubicin citrate IV over 1 hour followed by carboplatin IV over 30 minutes on day 1. Treatment repeats every 21 days for 6-9 courses in the absence of disease progression or unacceptable toxicity.
Tissue array and immunohistochemistry analysis are conducted on paraffin-embedded tumor blocks of the primarily operated tissue of all patients for different markers (e.g., progesterone-/estrogen receptor, HER2-receptor, soluble L1-molecule, Topo 2a) to examine tumor characteristics.
Quality of life is assessed at baseline, during study treatment, at completion of study treatment, and then at 1 year after completion of study treatment.
After completion of study therapy, patients are followed up every 3 months for 1 year.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Endometrial Cancer
Keywords
endometrial clear cell carcinoma, recurrent endometrial carcinoma, stage IIIA endometrial carcinoma, stage IIIB endometrial carcinoma, stage IIIC endometrial carcinoma, stage IVA endometrial carcinoma, stage IVB endometrial carcinoma
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Masking
None (Open Label)
Enrollment
39 (Anticipated)
8. Arms, Groups, and Interventions
Intervention Type
Drug
Intervention Name(s)
carboplatin
Intervention Type
Drug
Intervention Name(s)
liposome-encapsulated doxorubicin citrate
Intervention Type
Other
Intervention Name(s)
laboratory biomarker analysis
Intervention Type
Procedure
Intervention Name(s)
quality-of-life assessment
Primary Outcome Measure Information:
Title
Response rate
Secondary Outcome Measure Information:
Title
Duration of progression-free survival
Title
Overall survival
Title
Safety
Title
Feasibility
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS:
Diagnosis of endometrial carcinoma, including any of the following cellular types:
Mixed Mullerian carcinoma
Serous carcinoma
Clear cell carcinoma
Primary advanced (FIGO stage III or stage IV) or metastatic recurrent disease
Disease not curable by surgery
Measurable disease, defined as ≥ 1 unidimensionally measurable lesion ≥ 20 mm with x-ray, physical exam, or non-spiral CT scan OR ≥ 10 mm with spiral CT scan or MRI
No known cerebral metastases
PATIENT CHARACTERISTICS:
ECOG performance status 0-2
Life expectancy ≥ 12 weeks
Platelet count ≥ 100,000/mm^3
ANC ≥ 1,500/mm^3
Hemoglobin ≥ 10 g/dL
Creatinine ≤ 1.25 times upper limit of normal (ULN)
Bilirubin ≤ 1.25 times ULN
AST/ALT < 3 times ULN
Glomerular filtration rate ≥ 50 mL/min
LVEF ≥ 50% by ECHO
Fertile patients must use effective contraception
No myocardial infarction within the past 6 months
No NYHA class II-IV congestive heart failure
No third degree or complete heart block unless a pacemaker is in place
No other malignancy within the past 5 years
No concomitant medical illness (e.g., uncontrolled infection, uncontrolled angina, or other relevant illness) that makes the prescribed treatments within this study unfeasible
No known hypersensitivity to study drugs
No psychological, familial, sociological, or geographical condition potentially hampering compliance with the study protocol and follow-up schedule
PRIOR CONCURRENT THERAPY:
No prior chemotherapy for disease recurrence
At least 12 months since prior adjuvant therapy containing anthracyclines with cumulative doses not exceeding the following:
Epirubicin 600 mg/m²
Doxorubicin 300 mg/m²
At least 6 months since prior adjuvant therapy containing platinum
At least 4 weeks since completion of radiotherapy involving the whole pelvis
No concurrent radiotherapy or planned radiotherapy after study
No concurrent endocrine, immunological, or other anticancer therapy
No concurrent participation in another investigational drug study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Christian Marth, MD, PhD
Organizational Affiliation
Medical University Innsbruck
Official's Role
Study Chair
Facility Information:
Facility Name
Innsbruck Universitaetsklinik
City
Innsbruck
ZIP/Postal Code
A-6020
Country
Austria
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Contact Person
Phone
43-512-504-23050
Email
Christian.marth@i-med.ac.at
12. IPD Sharing Statement
Learn more about this trial
Liposome-Encapsulated Doxorubicin Citrate and Carboplatin in Treating Patients With Advanced or Metastatic Recurrent Endometrial Cancer
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