Stage III-IV or Recurrent Endometrial CancerPhase 2MITOBEVAEND2NCT01770171
Carboplatin-Paclitaxel ± Bevacizumab in Advanced (Stage III-IV) or Recurrent Endometrial Cancer
A Phase 2 study testing Bevacizumab and Carboplatin AUC 5+Paclitaxel 175 mg/mq q 21 for 6-8 cycles in people with Stage III-IV or Recurrent Endometrial Cancer, run by Catholic University of the Sacred Heart at 1 site in Italy.
Trial summary
Wright et al (Anticancer Res, 2000) reported the results of a retrospective study on 11 patients with advanced/recurrent endometrial cancers. All patients had multi-site disease and were heavily pretreated with a median of 3 prior chemotherapy regimens. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Stage III-IV or Recurrent Endometrial Cancer
- What is being tested?
- Bevacizumab and Carboplatin AUC 5+Paclitaxel 175 mg/mq q 21 for 6-8 cycles
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 108 participants
- Where
- 1 siteItaly
- Study dates
- Apr 2012to Dec 2017
- 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
- ≥18 years of age.
- ECOG Performance Status of 0-2.
- Life expectancy of at least 12 weeks.
- Patients must have advanced stage III or IV, or recurrent histologically-confirmed endometrial cancer.
- Endometrial cancer will include all carcinomas, including endometrioid carcinoma, papillary serous carcinoma, clear cell carcinoma.
- One previous chemotherapy lines is allowed if platinum free interval is more than six mounths (previous radiotherapy is allowed).
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- 7 Measurable and not measurable disease. 8 Adequate renal and hepatic function, defined as:
- Total serum bilirubin ≤ institutional ULN unless patient has Gilbert's syndrome in which case direct bilirubin must be < ULN for the institution.
- AST and/or ALT ≤ 2.5 x ULN for the institution. (or ≤ 5 x ULN if liver metastases are present)
- Alkaline phosphatase < 1.5 x ULN for the institution (if > 1.5 x ULN, then alkaline phosphatase liver fraction must be < 1.5 ULN).
- Serum creatinine ≤ 1.5 x ULN for the institution (or calculated creatinine clearance ≥ 50 mL/min/1.73 m2) 9 Adequate bone marrow function, defined as:
- Total leukocytes ³ 3.0 x 109/L.
- ANC ³ 1.5 x 109/L.
- Platelet count ³ 100 x 109/L. Able to understand and give written informed consent. 10 Females of childbearing potential must have a negative serum pregnancy test within 7 days prior to study enrollment.
Who cannot join
- Previous cytotoxic chemotherapy.
- Women who are pregnant or lactating.
- Presence of brain or other central nervous system metastases.
- Anticancer treatment within 4 weeks prior to randomization.
- Ongoing toxicity associated with prior anticancer therapy.
- Inadequate recovery from any prior surgical procedure or having undergone any major surgical procedure within 4 weeks prior to randomization. Patients who have recovered from placement of a central venous access port within 2 weeks of Cycle 1 Day 1 will be considered eligible.
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- Another primary malignancy within the past five years (except for non-melanoma skin cancer and cervical carcinoma in situ).
- Current or recent (within 10 days prior to the first study drug dose) chronic daily treatment with aspirin (>325 mg/day).
- Current or recent (within 10 days prior to the first study drug dose) use of full-dose oral or parenteral anticoagulant or thrombolytic agent for therapeutic purposes.
- Inadequate coagulation parameters:activated partial thromboplastin time (APTT) >1.5 xULN or INR >1.5.
- Known HIV infection.
- Known hepatitis B or C infection.
- Concurrent treatment with immunosuppressive or investigational agents.
- History or evidence of thrombotic or hemorrhagic disorders; including cerebrovascular accident (CVA) / stroke or transient ischemic attack (TIA) or subarachnoid haemorrhage within _6 months prior to the first study treatment).
- Uncontrolled hypertension (sustained systolic >150 mm Hg and/or diastolic >100 mm Hg despite antihypertensive therapy) or clinically significant (i.e. active) cardiovascular disease, including.
- Myocardial infarction or unstable angina within _6 months prior to the first study treatment.
- New York Heart Association (NYHA) grade II or greater congestive heart failure (CHF).
- Serious cardiac arrhythmia requiring medication (with the exception of atrial fibrillation or paroxysmal supraventricular tachycardia).
- Peripheral vascular disease _grade 3 (i.e.symptomatic and interfering with activities of daily living requiring repair or revision).
- History of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 6 months prior to the first study treatment.
- Non-healing wound, ulcer or bone fracture. Patients with granulating incisions healing by secondary intention with no evidence of facial dehiscence or infection are eligible but require three weekly wound examinations.
- Serious active infection requiring i.v. antibiotics at enrolment.
- Significant traumatic injury during the 4 weeks preceding the first dose of bevacizumab.
- Known hypersensitivity to any of the study drugs or excipients (including cremophor and hamster Ovary cell products).
- Evidence of any other medical conditions (such as psychiatric illness, peptic ulcer, etc.), physical examination or laboratory findings that may interfere with the planned treatment, affect patient compliance or place the patient at high risk from treatment related complications.
Trial locations and contacts
1 site in 1 country.
Catholic University of Sacred Heart . contact
Italy1 site, 1 recruiting
- Recruiting
Catholic University of Sacred Heart Rome,
Rome, Rome, 00100
About this study
Official title: A Randomized Phase II Trial of Carboplatin-Paclitaxel Compared to Carboplatin-Paclitaxel-Bevacizumab in Advanced (Stage III-IV) or Recurrent Endometrial Cancer
Wright et al (Anticancer Res, 2000) reported the results of a retrospective study on 11 patients with advanced/recurrent endometrial cancers. All patients had multi-site disease and were heavily pretreated with a median of 3 prior chemotherapy regimens. All received bevacizumab combination therapy which was well-tolerated. Two patients had partial responses, 3 had stable disease, while 5 patients progressed. One subject was not assessable for response. The median progression-free interval was 5.4 months for the entire cohort and 8.7 months for those who achieved clinical benefit (PR or SD). The authors concluded that Bevacizumab was well-tolerated and displayed promising anti-neoplastic activity in patients with endometrial cancer.The rationale for combining anti-angiogenic agents, including anti-VEGF antibodies, with cytotoxic chemotherapy stems from a number of preclinical studies showing additive and synergistic anti-tumour activity in a number of solid tumour types. By combining VEGF-targeting agents such as bevacizumab with conventional chemotherapies, it is hoped that these agents will act synergistically, thereby enhancing their anti-tumour efficacy and controlling disease progression.
The addition of bevacizumab to chemotherapy has been shown to improve PFS and/or OS in a series of large, randomized Phase III clinical trials in a wide range of tumour types, including mCRC, non-squamous NSCLC, metastatic BC (mBC) and mRCC.
- Being tested
- Bevacizumab, Carboplatin AUC 5+Paclitaxel 175 mg/mq q 21 for 6-8 cycles
- Keywords
- endometrial cancer, recurrent endometrial cancer, bevacizumab
- Medical subject headings
- Endometrial Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BevacizumabDrug
Carboplatin AUC 5+ Paclitaxel 175 mg/mq+Bevacizumab 15 mg/kg q 21 for 6 -8 cycles + Bevacizumab 15 mg/kg
Carboplatin AUC 5+Paclitaxel 175 mg/mq q 21 for 6-8 cyclesDrug
Carboplatin AUC 5+Paclitaxel 175 mg/mq q 21 for 6-8 cycles
| Study group | Role | What they receive |
|---|---|---|
| Carboplatin-paclitaxel-bevacizumab | Experimental | Carboplatin AUC 5+ Paclitaxel 175 mg/mq+Bevacizumab 15 mg/kg q 21 for 6 -8 cycles + Bevacizumab 15 mg/kg every 3 weeks until disease progression Receives: Drug: Bevacizumab |
| carboplatin-paclitaxel | Active comparator | Carboplatin AUC 5+Paclitaxel 175 mg/mq q 21 for 6-8 cycles Receives: Drug: Carboplatin AUC 5+Paclitaxel 175 mg/mq q 21 for 6-8 cycles |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free survival
- Progression-free survival, defined as the time from the date of randomization to the date of documented progressive disease, recurrence or death (whichever occurs first)
Measured: 3 months
Secondary outcomes (4)
Overall survival
- Overall survival defined as the time from the date of randomization to the date of death
Measured: 3 months
Best target lesion response
Best target lesion response, defined as best change in sum of the target lesions from baseline to disease progression.
Measured: 6 months
Duartion of Response
Duration of response Safety and tolerability
Measured: 3 months
Quality of life
Changes Quality of Life parameters as measured using EORTC QLQ-30 \& EORTC-QLQ-EN-24
Measured: 3 cycle
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Jan 2013 (estimated)
- Study startApr 2012
- Primary completionDec 2017 (estimated)
- Study completionDec 2017 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Stage III-IV or Recurrent Endometrial CancerStudies of the same condition, open and under way.
- 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
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 108 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Catholic University of the Sacred Heart
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Prof. Giovanni Scambia, Catholic University of the Sacred Heart
- Investigators
- Giovanni Scambia, Prof, Principal investigator, Catholic University of Sacred HeartDomenica Lorusso, MD, Principal investigator, National Cancer Institute, Milan
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01770171
- Sponsor's protocol ID
- MITOBEVAEND2
- Acronym
- MITOBEVAEND2
- Status last verified
- Dec 2012
- First submitted
- 10 Dec 2012
- Last updated
- 17 Jan 2013
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 17 Jan 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized Phase II Trial of Carboplatin-Paclitaxel Compared to Carboplatin-Paclitaxel-Bevacizumab in Advanced (Stage III-IV) or Recurrent Endometrial Cancer
- ClinicalTrials.gov ID
- NCT01770171
- Acronym / sponsor ID
- MITOBEVAEND2 / MITOBEVAEND2
- Keywords
- endometrial cancer, recurrent endometrial cancer, bevacizumab
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 108 participants (estimated)
- Lead sponsor
- Catholic University of the Sacred HeartUniversity, hospital or other
- Study start
- Apr 2012
- Primary completion
- Dec 2017 (estimated)
- Study completion
- Dec 2017 (estimated)
- First posted
- 17 Jan 2013 (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.
Wright et al (Anticancer Res, 2000) reported the results of a retrospective study on 11 patients with advanced/recurrent endometrial cancers. All patients had multi-site disease and were heavily pretreated with a median of 3 prior chemotherapy regimens. All received bevacizumab combination therapy which was well-tolerated. Two patients had partial responses, 3 had stable disease, while 5 patients progressed. One subject was not assessable for response. The median progression-free interval was 5.4 months for the entire cohort and 8.7 months for those who achieved clinical benefit (PR or SD). The authors concluded that Bevacizumab was well-tolerated and displayed promising anti-neoplastic activity in patients with endometrial cancer.The rationale for combining anti-angiogenic agents, including anti-VEGF antibodies, with cytotoxic chemotherapy stems from a number of preclinical studies showing additive and synergistic anti-tumour activity in a number of solid tumour types. By combining VEGF-targeting agents such as bevacizumab with conventional chemotherapies, it is hoped that these agents will act synergistically, thereby enhancing their anti-tumour efficacy and controlling disease progression.
The addition of bevacizumab to chemotherapy has been shown to improve PFS and/or OS in a series of large, randomized Phase III clinical trials in a wide range of tumour types, including mCRC, non-squamous NSCLC, metastatic BC (mBC) and mRCC.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Carboplatin-paclitaxel-bevacizumab | Experimental | Drug: BevacizumabCarboplatin AUC 5+ Paclitaxel 175 mg/mq+Bevacizumab 15 mg/kg q 21 for 6 -8 cycles + Bevacizumab 15 mg/kg every 3 weeks until disease progression |
| carboplatin-paclitaxel | Active comparator | Drug: Carboplatin AUC 5+Paclitaxel 175 mg/mq q 21 for 6-8 cyclesCarboplatin AUC 5+Paclitaxel 175 mg/mq q 21 for 6-8 cycles |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (14 listed)
- ≥18 years of age.
- ECOG Performance Status of 0-2.
- Life expectancy of at least 12 weeks.
- Patients must have advanced stage III or IV, or recurrent histologically-confirmed endometrial cancer.
- Endometrial cancer will include all carcinomas, including endometrioid carcinoma, papillary serous carcinoma, clear cell carcinoma.
Key exclusion criteria (25 listed)
- Previous cytotoxic chemotherapy.
- Women who are pregnant or lactating.
- Presence of brain or other central nervous system metastases.
- Anticancer treatment within 4 weeks prior to randomization.
- Ongoing toxicity associated with prior anticancer therapy.
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 |
|---|---|---|
| BevacizumabCarboplatin AUC 5+ Paclitaxel 175 mg/mq+Bevacizumab 15 mg/kg q 21 for 6 -8 cycles + Bevacizumab 15 mg/kg | Drug | Carboplatin-paclitaxel-bevacizumab |
| Carboplatin AUC 5+Paclitaxel 175 mg/mq q 21 for 6-8 cyclesCarboplatin AUC 5+Paclitaxel 175 mg/mq q 21 for 6-8 cycles | Drug | carboplatin-paclitaxel |
Primary outcome
Progression-free survival
Time frame: 3 months
• Progression-free survival, defined as the time from the date of randomization to the date of documented progressive disease, recurrence or death (whichever occurs first)
4 secondary outcomes
Overall survival
Time frame: 3 months
Best target lesion response
Time frame: 6 months
Duartion of Response
Time frame: 3 months
Quality of life
Time frame: 3 cycle
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Jan 2013.
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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.
Catholic University of Sacred Heart . contact
Giovanni Scambia, Prof principal investigator
Catholic University of Sacred Heart
Domenica Lorusso, MD principal investigator
National Cancer Institute, Milan
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Bevacizumab and Carboplatin AUC 5+Paclitaxel 175 mg/mq q 21 for 6-8 cycles in people with Stage III-IV or Recurrent Endometrial Cancer, run by Catholic University of the Sacred Heart at 1 site in Italy.
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 14 inclusion and 25 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: status not confirmed, as of the sponsor's last update on 17 Jan 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Italy. 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?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Catholic University of Sacred Heart . (+39 0630156279), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-free survival (time frame: 3 months). 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 17 Jan 2013.