Combination Chemotherapy Plus Radiation Therapy in Treating Patients With Stage III or Stage IV Endometrial Cancer
Phase I Trial of the Treatment of Advanced Endometrial Cancer With Concurrent Weekly Paclitaxel and Cisplatin and Whole Abdominal Radiation Therapy
4 other identifiers
interventional
35
1 country
1
Brief Summary
This phase I trial is studying the side effects and best dose of combination chemotherapy when given with radiation therapy in treating patients with stage III or stage IV endometrial cancer. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Radiation therapy uses high-energy x-rays to damage tumor cells.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_1
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 2, 2000
CompletedStudy Start
First participant enrolled
July 1, 2000
CompletedFirst Posted
Study publicly available on registry
January 27, 2003
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2009
CompletedDecember 31, 2014
December 1, 2014
9 years
June 2, 2000
December 29, 2014
Conditions
Outcome Measures
Primary Outcomes (2)
Acute toxicity for identification of MTD, using the 21 major categories of the Cancer Therapy Evaluation Program Common Toxicity Criteria (CTEP CTC) v2.0
Calculated using a 90% conditional likelihood-based confidence bound.
Up to 30 days post-radiotherapy
Chronic toxicity based on the NCI CTC Radiation Therapy Oncology Group (RTOG)/European Organization for Research and Treatment of Cancer (EORTC) late radiation morbidity scoring scheme
Up to 6 months post-radiotherapy
Secondary Outcomes (2)
Number of dose level combinations that will have been evaluated prior to MTD establishment
Up to 60 months
Site (local/distant) of treatment failure
Up to 5 years
Study Arms (1)
Treatment (paclitaxel, cisplatin, abdominal radiotherapy)
EXPERIMENTALPatients receive paclitaxel IV over 1 hour and cisplatin IV on days 1, 8, 15, 22, 29, and 36. Patients also undergo whole abdominal radiotherapy for 5 consecutive days weekly for 6 weeks. Cohorts of 3-6 patients receive escalating doses of paclitaxel and cisplatin until the MTD is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. Once the MTD is determined, additional patients are treated at that dose level.
Interventions
Given IV
Undergo whole abdominal radiation therapy
Eligibility Criteria
You may qualify if:
- Histologically confirmed surgical stage III or IV endometrial cancer
- Any stage clear or serous papillary endometrial cancer
- Positive para-aortic lymph nodes allowed
- Tumor must be surgically reduced to 2 cm or less within 8 weeks of study
- Must have had hysterectomy and bilateral salpingo-oophorectomy
- No recurrent disease
- No metastases to lung or liver parenchyma or inguinal or scalene lymph nodes
- Performance status - GOG 0-2
- Absolute neutrophil count greater than 2,000/mm\^3
- Platelet count at least 100,000/mm\^3
- Bilirubin no greater than 1.5 times upper limit of normal (ULN)
- SGOT no greater than 3 times ULN
- Creatinine no greater than 1.5 times ULN
- No other prior or concurrent malignancy in the past 5 years except non-melanoma skin cancer
- No prior chemotherapy
- +4 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Gynecologic Oncology Grouplead
- National Cancer Institute (NCI)collaborator
Study Sites (1)
Gynecologic Oncology Group
Philadelphia, Pennsylvania, 19103, United States
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
D. McMeekin
Gynecologic Oncology Group
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- NETWORK
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 2, 2000
First Posted
January 27, 2003
Study Start
July 1, 2000
Primary Completion
July 1, 2009
Last Updated
December 31, 2014
Record last verified: 2014-12