A Study of Ixabepilone as Second-line Therapy for Locally Advanced, Recurrent, or Metastatic Endometrial Cancer (IXAMPLE2)
Endometrial Cancer
About this trial
This is an interventional treatment trial for Endometrial Cancer
Eligibility Criteria
Key Inclusion Criteria
- Women aged 18 years and older
- Histologic or cytologic diagnosis of endometrial carcinoma
- Evidence that the cancer is advanced, recurrent, or metastatic and not curable by local measures, such as surgery or radiation.
- Karnofsky performance status >=70
Measurable or nonmeasurable disease that has progressed since last treatment.
- If only disease is confined to a solitary lesion, its neoplastic nature must be confirmed by histology or cytology.
- Disease in a previously irradiated field is acceptable as the only site of measurable disease only if there has been clear progression since completion of radiotherapy.
- All therapy directed at endometrial cancer must be discontinued 21 days prior to start of treatment, except for hormonal therapy which must be discontinued at least 1 week prior to start of study treatment. Concurrent administration of hormone replacement therapy is allowed.
- Prior therapy: Participants must have failed 1 prior platinum-based chemotherapeutic regimen for endometrial cancer. May have received 2 prior chemotherapy regimens if 1 regimen was given for stage I or II disease. May have received any number of prior non-cytotoxic regimens such as monoclonal antibodies, cytokines, signal transduction inhibitors, or hormonal therapy. Previous radiation therapy is allowed.
Key Exclusion Criteria
- Carcinosarcoma (malignant mixed mullerian tumor)
- Endometrial leiomyosarcoma and endometrial stromal sarcomas
- Participants who received no prior chemotherapy for endometrial cancer or ≥2 prior chemotherapy regimens (exceptions defined in protocol)
- Known brain metastases
- Receipt of prior ixabepilone therapy
- Concurrent active infection requiring antibiotics or other therapy
- Concurrent unstable disease or other debilitating illness, such as congestive heart failure, unstable angina, myocardial infarction, or other cardiac disease that could jeopardize participation, within the last 6 months
- For participants whose prior therapy did not include an anthracycline and therefore may be randomized to doxorubicin, left ventricular ejection fraction <50% as measured by multigated radionuclide angiography or echocardiography
- History of malignancy, except nonmelanoma skin cancer, carcinoma in situ of the cervix, or carcinoma in situ of the breast, within the last 5 years that has not been treated with chemotherapy
- Known human immunodeficiency viral infection
- Psychiatric disorders or other conditions rendering the participant incapable of complying with protocol requirements
- Absolute neutrophil count <1500/mm^3
- Platelets <100,000/mm^3
- Hemoglobin <9 g/dL
- Total bilirubin >1.5*upper limit of normal (ULN), except for those with Gilbert's disease
- Aspartate aminotransferase or alanine aminotransferase >2.5*ULN
- Serum creatinine >1.5*ULN
- Grade ≥2 neuropathy (sensory or motor)
- No concurrent therapy (chemotherapy, hormonal, or investigational) directed at endometrial cancer during the study
Sites / Locations
- University Of South Alabama
- Rocky Mountain Gynecologic Oncology
- Peter E. Schwartz, Md
- Hematology Oncology, P.C.
- Gynecologic Oncology Assoc.,Inc
- Florida Hospital Cancer Institute
- Sarasota Memorial Health Care System
- H. Lee Moffitt Cancer Center
- Georgia Health Science University
- Sudarshan K. Sharma, Md
- Central Dupage Hospital Cancer Center
- St. Vincent Hospital And Health Care Center, Inc.
- Hematology And Oncology Specialists, Llc
- Women'S Health Specialists
- Sparrow Regional Cancer Center
- University Of Minnesota
- Saint Dominic's Gynecologic Oncology
- Matthew A Powell, Md
- Blumenthal Cancer Center
- Duke University Medical Center
- Peggy And Charles Stephenson Oklahoma Cancer Center
- Tulsa Cancer Institute
- Pennsylvania Oncology Hematology Associates
- Magee-Womens Hospital Of Upmc Laboratory
- Women & Infants Hospital Of Ri
- Cancer Centers Of The Carolinas
- Tennessee Gynecologic Oncology Group, Llc
- University Of Virginia
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Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Ixabepilone, 40 mg/m^2, intravenously (IV)
Control chemotherapy (Paclitaxel or Doxorubicin)
Participants received ixabepilone, 40 mg/m^2, given IV over 3 hours every 21 days until unacceptable toxicity or disease progression
Participants received either paclitaxel, 175 mg/m^2 given IV over 3 hours, or per institutional guidelines but not exceeding 3 hours, every 21 days until disease progression or unacceptable toxicity or doxorubicin, 60 mg/m^2 given IV per institutional guidelines every 21 days, depending on the prior therapy received, until disease progression, unacceptable toxicity, or cumulative dose of 500 mg/m^2.