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Monoclonal Antibodies

Chemotherapy Combinations for Endometrial Cancer

Phase 2
Waitlist Available
Led By Carol Aghajanian
Research Sponsored by National Cancer Institute (NCI)
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Fasting triglycerides =< 2.5 x ULN (CTCAE v3.0 grade 1)
Histologic confirmation of the original primary tumor is required; eligible histologic epithelial cell types include endometrioid adenocarcinoma, serous adenocarcinoma, undifferentiated carcinoma, clear cell adenocarcinoma, mixed epithelial carcinoma, adenocarcinoma not otherwise specified (N.O.S.), mucinous adenocarcinoma, squamous cell carcinoma, and transitional cell carcinoma
Must not have
Prior chemotherapy for abdominal or pelvic tumor within the last three years
History or evidence of central nervous system (CNS) disease exclusion criteria specified
Timeline
Screening 3 weeks
Treatment Varies
Follow Up time from date of study entry to time of death or the date of last contact, assessed up to 5 years
Awards & highlights

Summary

This trial is testing three different combination chemotherapy regimens to treat endometrial cancer.

Who is the study for?
This trial is for adults with advanced (stage III/IV) or recurrent endometrial cancer. Eligible participants may have had hormonal therapy but must not have received chemotherapy, targeted therapy, or radiation outside of specific criteria. They should have a certain level of blood cells and organ function, no serious wounds or bleeding risks, controlled seizures if present, stable heart conditions without recent severe events, and no known allergies to certain biologic drugs.
What is being tested?
The study compares three treatment combinations: Paclitaxel with Carboplatin and Bevacizumab; Paclitaxel with Carboplatin and Temsirolimus; Ixabepilone with Carboplatin and Bevacizumab. It aims to find out which regimen is most effective in stopping tumor growth by killing the cells or preventing them from dividing.
What are the potential side effects?
Possible side effects include allergic reactions to the drugs used, increased risk of infection due to lowered blood cell counts, potential bleeding issues related to Bevacizumab use, nerve damage that could cause pain or numbness (neuropathy), as well as general symptoms like fatigue and digestive problems.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My fasting triglyceride levels are within normal limits.
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My cancer is confirmed and is one of the specified types like endometrioid or serous adenocarcinoma.
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I can take care of myself but might not be able to do heavy physical work.
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My kidney function, measured by creatinine, is within the normal range.
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My fasting cholesterol is below 300 mg/dL.
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My endometrial cancer is at a late stage or has come back.
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My white blood cell count is healthy.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I have had chemotherapy for a tumor in my abdomen or pelvis in the last 3 years.
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I do not have a history of brain or spinal cord diseases.
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I do not have any non-healing wounds, ulcers, or bone fractures.
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I do not have lung inflammation, low oxygen levels, or difficulty breathing.
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I have had radiation therapy to my abdomen or pelvis in the last 3 years.
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I do not have any current bleeding or conditions that increase my risk of bleeding.
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I do not have any major heart conditions.
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My diabetes is not under control and my HgbA1C level is above 8.
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I do not have severe numbness or pain in my hands or feet.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~time from date of study entry to time of death or the date of last contact, assessed up to 5 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and time from date of study entry to time of death or the date of last contact, assessed up to 5 years for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Number of Participants Who Progressed or Died by 25 Months From Enrollment
Secondary study objectives
The Median Duration of Overall Survival for Each of the Three Arms.
The Proportion of Patients With Measurable Disease Who Have Confirmed Objective Tumor Responses by Treatment.

Trial Design

3Treatment groups
Experimental Treatment
Group I: Arm III (ixabepilone, carboplatin, bevacizumab)Experimental Treatment4 Interventions
Patients receive ixabepilone IV over 1 hour, carboplatin IV over 30 minutes, and bevacizumab IV over 30-90 minutes on day 1. Treatment repeats every 21 days for 6 courses in the absence of disease progression or unacceptable toxicity.
Group II: Arm II (paclitaxel, carboplatin, temsirolimus)Experimental Treatment4 Interventions
Patients receive paclitaxel IV over 3 hours and carboplatin IV over 30 minutes on day 1 and temsirolimus IV over 30 minutes on days 1 and 8. Treatment repeats every 21 days for 6 courses in the absence of disease progression or unacceptable toxicity.
Group III: Arm I (paclitaxel, carboplatin, bevacizumab)Experimental Treatment4 Interventions
Patients receive paclitaxel IV over 3 hours, carboplatin IV over 30 minutes, and bevacizumab IV over 30-90 minutes on day 1. Treatment repeats every 21 days for 6 courses in the absence of disease progression or unacceptable toxicity.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Bevacizumab
2013
Completed Phase 4
~5540
Carboplatin
2014
Completed Phase 3
~6120
Ixabepilone
2006
Completed Phase 3
~2270
Paclitaxel
2011
Completed Phase 4
~5810
Temsirolimus
2008
Completed Phase 2
~1940

Find a Location

Who is running the clinical trial?

National Cancer Institute (NCI)Lead Sponsor
13,842 Previous Clinical Trials
41,002,651 Total Patients Enrolled
17 Trials studying Endometrial Carcinoma
8,748 Patients Enrolled for Endometrial Carcinoma
NRG OncologyOTHER
236 Previous Clinical Trials
101,926 Total Patients Enrolled
2 Trials studying Endometrial Carcinoma
133 Patients Enrolled for Endometrial Carcinoma
Carol AghajanianPrincipal InvestigatorNRG Oncology
3 Previous Clinical Trials
1,521 Total Patients Enrolled

Media Library

Bevacizumab (Monoclonal Antibodies) Clinical Trial Eligibility Overview. Trial Name: NCT00977574 — Phase 2
Endometrial Carcinoma Research Study Groups: Arm I (paclitaxel, carboplatin, bevacizumab), Arm II (paclitaxel, carboplatin, temsirolimus), Arm III (ixabepilone, carboplatin, bevacizumab)
Endometrial Carcinoma Clinical Trial 2023: Bevacizumab Highlights & Side Effects. Trial Name: NCT00977574 — Phase 2
Bevacizumab (Monoclonal Antibodies) 2023 Treatment Timeline for Medical Study. Trial Name: NCT00977574 — Phase 2
~22 spots leftby Sep 2025