Endometrial CancerPhase 2NCT01013324
Study of XL147 (SAR245408) in Advanced or Recurrent Endometrial Carcinoma
A Phase 2 study testing XL147 (SAR245408) in people with Endometrial Cancer and Endometrial Neoplasms, run by Sanofi at 13 sites in 2 countries.
Trial summary
There has not been any systemic therapy approved in the United States or in Europe for treating advanced or recurrent endometrial cancer (EC). This study will evaluate the safety and preliminary efficacy of XL147 in advanced or recurrent EC. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Endometrial Cancer, Endometrial Neoplasms
- What is being tested?
- XL147 (SAR245408)
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 67 participants
- Where
- 13 sitesin 2 countries
- Study dates
- Jan 2010to Mar 2013
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- The subject has a histologically confirmed diagnosis of EC (endometrioid, serous, clear cell adenocarcinoma, adenosquamous carcinoma, or mixed histology, any grade) that is advanced (ie, persistent, locally advanced) or recurrent, and is incurable by standard therapies and has received one platinum based chemotherapy regimen for EC.
- The subject is at least 18 years old.
- The subject has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- The subject has at least one measurable lesion
- Tissue samples from archival or fresh tissue, or a tissue block of the subject's tumor
- The subject has adequate organ and marrow function
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- The subject is capable of understanding the informed consent and complying with the protocol and has signed the informed consent document before any study-specific screening procedures or evaluations are performed.
- Sexually active subjects of childbearing potential and their partners must agree to use medically accepted methods of contraception during the course of the study and for 3 months after discontinuation of study drug.
- Subjects of childbearing potential must have a negative pregnancy test at screening.
Who cannot join
- The subject has previously been treated with a selective PI3K inhibitor, mTOR inhibitor, or AKT inhibitor.
- The subject has uterine sarcomas (leiomyosarcoma), mixed Mullerian tumors, squamous carcinoma of the uterus, and/or adenosarcomas of the uterus.
- Certain restrictions on prior treatments apply
- The subject has not recovered from toxicity due to prior therapy to Grade ≤ 1 or to pre-therapy baseline (excluding alopecia and peripheral neuropathy).
- The subject has a known primary brain tumor or brain metastasis.
- The subject has any other diagnosis of malignancy or evidence of malignancy (except non-melanoma skin cancer or in situ carcinoma of the cervix) within 2 years before screening for this study.
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- The subject has a diagnosis of uncontrolled diabetes mellitus or has a fasting plasma glucose > 160 mg/dL.
- The subject is currently receiving anticoagulation with therapeutic doses of warfarin (low-dose warfarin ≤ 1 mg/day is permitted).
- The subject has prothrombin time (PT)/international normalized ratio (INR) or partial thromboplastin time (PTT) test results at screening that are above 1.3 x the laboratory upper limit of normal.
- The subject has uncontrolled, significant intercurrent illness
- The subject has a baseline corrected QT interval ≥ 470 ms.
- The subject is known to be positive for the human immunodeficiency virus (HIV). (Note: Baseline HIV screening is not required.)
- The subject is pregnant or breastfeeding.
- The subject has a previously identified allergy or hypersensitivity to components of the study treatment formulation.
Trial locations and contacts
13 sites in 2 countries.
13 sites in 2 countries
United States10 sites
Investigational Site Number 1132
Abington, Pennsylvania, 19001
Investigational Site Number 1239
Augusta, Georgia, 30912
Investigational Site Number 1133
Boston, Massachusetts, 02115
Investigational Site Number 1325
Columbus, Ohio, 43210
Investigational Site Number 1527
Dallas, Texas, 75230
Investigational Site Number 1526
Newport Beach, California, 92663
Investigational Site Number 1434
Oklahoma City, Oklahoma, 73084
Investigational Site Number 1532
Orlando, Florida, 32806
Investigational Site Number 1134
Philadelphia, Pennsylvania, 19111
Investigational Site Number 1142
Providence, Rhode Island, 02905
Belgium3 sites
Investigational Site Number 3212
Kortrijk, 8500
Investigational Site Number 3211
Leuven, 3000
Investigational Site Number 3218
Wilrijk, 2610
About this study
Official title: A Phase 2 Study of XL147 (SAR245408) in Subjects With Advanced or Recurrent Endometrial Carcinoma
There has not been any systemic therapy approved in the United States or in Europe for treating advanced or recurrent endometrial cancer (EC). This study will evaluate the safety and preliminary efficacy of XL147 in advanced or recurrent EC.
Constitutively active phosphatidylinositol-3 kinase (PI3K)/phosphatase and tensin homolog on chromosome 10 (PTEN) pathway signaling is common in EC and involved in the development and/or progression of the disease. PTEN deficiency and/or activating mutations/amplification in the PIK3CA gene that encodes the p110α catalytic subunit of PI3K have been frequently detected in EC patients. XL147 is a potent and highly selective inhibitor of the Class I PI3K family of lipid kinases. In addition, in vivo preclinical data have demonstrated that XL147 targets both proximal and distal signaling in the PI3K/PTEN pathway. Therefore, XL147 may have utility in the treatment of subjects with advanced or recurrent EC.
- Conditions
- Endometrial Cancer, Endometrial Neoplasms
- Being tested
- XL147 (SAR245408)
- Keywords
- endometrial cancer, endometrial carcinoma, carcinoma of the endometrium, cancer of the endometrium
- Medical subject headings
- Endometrial Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
XL147 (SAR245408)Drug
dosed as capsules taken orally daily
| Study group | Role | What they receive |
|---|---|---|
| Single Arm | Experimental | All subjects will receive single-agent XL147 dosed daily Receives: Drug: XL147 (SAR245408) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Efficacy as defined by overall response rate and progression-free survival (PFS) at 6 months
Measured: every 8-10 weeks
Safety of XL147 in the EC population
Measured: scheduled evaluations every 2-4 weeks
Secondary outcomes (2)
Duration of response and PFS
Measured: every 8-10 weeks
Characterize pharmacokinetic and pharmacodynamic profiles of XL147
Measured: at periodic visits not less than every 4 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Nov 2009 (estimated)
- Study startJan 2010
- Primary completionMar 2013
- Study completionMar 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Endometrial CancerStudies of the same condition, open and under way.
- More trials run by SanofiThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 67 participants (actual)
Sponsor and investigators
- Lead sponsor
- Sanofi
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Sciences & Operations, Study director, Sanofi
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01013324
- Sponsor's protocol ID
- ARD11436
- Other IDs
- XL147-201
- Status last verified
- May 2016
- First submitted
- 10 Nov 2009
- Last updated
- 3 Jun 2016
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 3 Jun 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2 Study of XL147 (SAR245408) in Subjects With Advanced or Recurrent Endometrial Carcinoma
- ClinicalTrials.gov ID
- NCT01013324
- Acronym / sponsor ID
- ARD11436
- Conditions
- Endometrial Cancer, Endometrial Neoplasms
- Keywords
- endometrial cancer, endometrial carcinoma, carcinoma of the endometrium, cancer of the endometrium
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 67 participants (actual)
- Lead sponsor
- SanofiIndustry (pharma, biotech, devices)
- Study start
- Jan 2010
- Primary completion
- Mar 2013 (actual)
- Study completion
- Mar 2013 (actual)
- First posted
- 13 Nov 2009 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
There has not been any systemic therapy approved in the United States or in Europe for treating advanced or recurrent endometrial cancer (EC). This study will evaluate the safety and preliminary efficacy of XL147 in advanced or recurrent EC.
Constitutively active phosphatidylinositol-3 kinase (PI3K)/phosphatase and tensin homolog on chromosome 10 (PTEN) pathway signaling is common in EC and involved in the development and/or progression of the disease. PTEN deficiency and/or activating mutations/amplification in the PIK3CA gene that encodes the p110α catalytic subunit of PI3K have been frequently detected in EC patients. XL147 is a potent and highly selective inhibitor of the Class I PI3K family of lipid kinases. In addition, in vivo preclinical data have demonstrated that XL147 targets both proximal and distal signaling in the PI3K/PTEN pathway. Therefore, XL147 may have utility in the treatment of subjects with advanced or recurrent EC.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Single Arm | Experimental | Drug: XL147 (SAR245408)All subjects will receive single-agent XL147 dosed daily |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- The subject has a histologically confirmed diagnosis of EC (endometrioid, serous, clear cell adenocarcinoma, adenosquamous carcinoma, or mixed histology, any grade) that is advanced (ie, persistent, locally advanced) or recurrent, and is incurable by standard therapies and has received one platinum based chemotherapy regimen for EC.
- The subject is at least 18 years old.
- The subject has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- The subject has at least one measurable lesion
- Tissue samples from archival or fresh tissue, or a tissue block of the subject's tumor
Key exclusion criteria (14 listed)
- The subject has previously been treated with a selective PI3K inhibitor, mTOR inhibitor, or AKT inhibitor.
- The subject has uterine sarcomas (leiomyosarcoma), mixed Mullerian tumors, squamous carcinoma of the uterus, and/or adenosarcomas of the uterus.
- Certain restrictions on prior treatments apply
- The subject has not recovered from toxicity due to prior therapy to Grade ≤ 1 or to pre-therapy baseline (excluding alopecia and peripheral neuropathy).
- The subject has a known primary brain tumor or brain metastasis.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| XL147 (SAR245408)dosed as capsules taken orally daily | Drug | Single Arm |
Primary outcome
Efficacy as defined by overall response rate and progression-free survival (PFS) at 6 months
Time frame: every 8-10 weeks
Safety of XL147 in the EC population
Time frame: scheduled evaluations every 2-4 weeks
2 secondary outcomes
Duration of response and PFS
Time frame: every 8-10 weeks
Characterize pharmacokinetic and pharmacodynamic profiles of XL147
Time frame: at periodic visits not less than every 4 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Jun 2016.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Sciences & Operations study director
Sanofi
13 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing XL147 (SAR245408) in people with Endometrial Cancer and Endometrial Neoplasms, run by Sanofi at 13 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 3 Jun 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 13 sites in United States, Belgium. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Efficacy as defined by overall response rate and progression-free survival (PFS) at 6 months (time frame: every 8-10 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Jun 2016.