Evaluation of Carboplatin/Paclitaxel With and Without Trastuzumab (Herceptin) in Uterine Serous Cancer

This study is currently recruiting participants.
Verified May 2013 by Yale University
Sponsor:
Collaborator:
Genentech
Information provided by (Responsible Party):
Alessandro Santin, Yale University
ClinicalTrials.gov Identifier:
NCT01367002
First received: May 26, 2011
Last updated: May 9, 2013
Last verified: May 2013
  Purpose

The primary objective of this study is to estimate whether the addition of trastuzumab to paclitaxel and carboplatin chemotherapy improves progression free survival when compared to paclitaxel and carboplatin alone in Uterine Serous Papillary Carcinoma (USPC) patients overexpressing Her2/neu at 3+ level by immunohistochemistry (IHC)or positive by fluorescence in situ hybridization (FISH).


Condition Intervention Phase
Endometrial Cancer
Drug: Carboplatin/Paclitaxel
Drug: Trastuzumab
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Randomized Phase II Evaluation of Carboplatin/Paclitaxel With and Without Trastuzumab (Herceptin) in HER2/Neu+ Patients With Advance/Recurrent Uterine Serous Papillary Carcinoma

Resource links provided by NLM:


Further study details as provided by Yale University:

Primary Outcome Measures:
  • Progression free survival differences between Arm A versus Arm B. [ Time Frame: 4 years ] [ Designated as safety issue: Yes ]
    Progression free survival differences between Arm A versus Arm B.


Secondary Outcome Measures:
  • To assess the safety profile of trastuzumab in USPC patients by CTCAE v4.0 [ Time Frame: 4 years ] [ Designated as safety issue: Yes ]
    To assess the safety profile of trastuzumab in USPC patients by CTCAE v4.0.


Estimated Enrollment: 100
Study Start Date: June 2011
Estimated Study Completion Date: July 2015
Estimated Primary Completion Date: July 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Carboplatin/Paclitaxel
Chemotherapy
Drug: Carboplatin/Paclitaxel
Paclitaxel 175 mg/m2 will administered intravenously every 21 days for 6 cycles. Carboplatin AUC 5 will be administered intravenously every 21 days for 6 cycles. 100% of patients will receive Carboplatin/Paclitaxel.
Other Names:
  • Taxus brevifolia
  • cis-Diammine
Experimental: Trastuzumab
Monoclonal antibody
Drug: Trastuzumab
Paclitaxel 175 mg/m2 will be administered intravenously every 21 days for 6 cycles. Carboplatin AUC 5 will be administered intravenously every 21 days for 6 cycles. On day 1, an 8 mg/kg loading dose of trastuzumab will be administered over a 90 minute period. Beginning on day 21, patients will receive 6mg/kg of trastuzumab, administered intravenously every 21 days and continued indefinitely every 21 days after 6 cycles of cytotoxic therapy are completed and until progression of the disease or prohibitive toxicities occur. 50% of patients will receive Carboplatin/Paclitaxel with the addition of Trastuzumab.
Other Name: Herceptin

Detailed Description:

The purpose of this study is to perform a randomized Phase II evaluation of Carboplatin/Paclitaxel with or without Trastuzumab (Herceptin) in patients with HER2/neu+ advanced stage/recurrent disease with an emphasis on determining the progression free survival in USPC patients and assessing immunologic markers predictive of trastuzumab response.

  Eligibility

Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients must have advanced (stage III-IV) or recurrent histologically confirmed USPC with measurable disease.
  • Patients must harbor a tumor HER2/neu+ based upon IHC staining score of 3+ or 2+ with confirmed gene amplification by FISH

Exclusion Criteria:

  • Patients with a history of other invasive malignancies, with the exception of non-melanoma skin cancers, significant history of cardiac disease, uncontrolled hypertension, unstable medical issue, brain leptomeningeal, prior therapy with trastuzumab, uncontrolled seizure disorder, seropositive for HIV, active hepatitis, hemorrhagic diathesis or requiring supplemental oxygen.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01367002

Contacts
Contact: Alessandro D Santin, M.D. 203-737-4450 alessandro.santin@yale.edu
Contact: Martha Luther, R.N. 203-737-2781 martha.luther@yale.edu

Locations
United States, Arizona
St. Joseph's Hospital and Medical Center Recruiting
Pheonix, Arizona, United States, 85013
Contact: Dana Chase, M.D.     602-406-7730     dana.chase@dignityhealth.org    
Contact: Kelli Williamson, RN, MPH     602-406-689     kelli.williamson@dignityhealth.org    
Principal Investigator: Dana Chase, M.D.            
United States, California
John Muir Clinical Research Center Recruiting
Concord, California, United States, 94520
Contact: Babak Edraki, M.D.     925-674-2580     babak.edraki@johnmuirhealth.com    
Contact: Peggy Newsom     925-674-2198     peggy.newsom@johhmuirhealth.com    
Principal Investigator: Babak Edraki, M.D.            
University of California at Los Angeles Not yet recruiting
Los Angeles, California, United States, 90095
Contact: Gottfried Konecny, M.D.     310-586-2652     gkonecny@mednet.ucla.edu    
Contact: Christy Palodichuk            
Principal Investigator: Gottfried Konecny, M.D.            
United States, Connecticut
University of Connecticut Health Center Recruiting
Farmington, Connecticut, United States, 06030
Contact: Molly A. Brewer, DVM, MD, MS     860-679-1731     mbrewer@uchc.edu    
Contact: Paige C. Dunion, MS, CCRP     860-679-6571        
Principal Investigator: Molly A. Brewer, DVM, MD, MS            
Smilow Cancer Hospital at Yale New Haven Recruiting
New Haven, Connecticut, United States, 06510
Contact: Alessandro D Santin, M.D.     203-737-4450     alessandro.santin@yale.edu    
Contact: Martha Luther, R.N.     203-737-2781     martha.luther@yale.edu    
Principal Investigator: Alessandro Santin, M.D.            
United States, Maryland
Greater Baltimore Medical Center Recruiting
Baltimore, Maryland, United States, 21204
Contact: Amanda Nickles-Fader, M.D.     443-803-0235     amandafader@gmail.com    
Contact: Tahisa Hamwright, B.S.     443-849-3123     thamwright@gbmc.org    
Principal Investigator: Amanda Nickles-Fader, M.D.            
Holy Cross Hospital Not yet recruiting
Silver Springs, Maryland, United States, 20910
Contact: Cheryl Aylesworth, M.D.     301-754-7552     cheryl.aylesworth@gmail.com    
Contact: Lyudmila Kalnitskaya     301-754-7552     kalnitsl@holycrosshealth.org    
Principal Investigator: Cheryl Aylesworth, M.D.            
United States, New Jersey
Jersey Shore University Medical Center Recruiting
Neptune, New Jersey, United States, 07753
Contact: Karim El-Sahwi, M.D.     732-776-3790     kelsahwi@meridianhealth.com    
Contact: Diane Russomanno     732-776-3790     drussomanno@meridianhealth.com    
Principal Investigator: Karim El-Sahwi, M.D.            
United States, New York
Montefiore Medical Center Recruiting
Bronx, New York, United States, 10461
Contact: June Hou, M.D.     718-405-8082     yhou@montefiore.org    
Contact: Randy Teeter     718-405-8395     rteeter@montefiore.org    
Principal Investigator: June Hou, M.D.            
United States, North Carolina
University of North Carolina Recruiting
Chapel Hill, North Carolina, United States, 27514
Contact: Paola Gehrig, M.D.     919-966-2131     paola_gehrig@med.unc.edu    
Contact: Ellen M. Cohen, Ph.D.     919-843-2448     ellen_cohen@med.unc.edu    
Principal Investigator: Paola Gehrig, M.D.            
Duke University School of Medicine Recruiting
Durham, North Carolina, United States, 27710
Contact: Laura J. Havrilesky, M.D.     919-684-3765     laura.havrilesky@duke.edu    
Contact: Sonja G. Hunter, AAS     919-684-9074     sonja.hunter@duke.edu    
Principal Investigator: Laura J Havrilesky, M.D.            
United States, Ohio
The Ohio State University Recruiting
Hilliard, Ohio, United States, 43026
Contact: David O'Malley, M.D.     614-293-7642     david.o'malley@osumc.edu    
Contact: Michele Vaughan, B.S.     614-366-9088     michele.vaughan@osumc.edu    
Principal Investigator: David O'Malley, M.D.            
United States, Virginia
University of Virginia Recruiting
Charlottesville, Virginia, United States, 22908
Contact: Heather Lothamer, M.S.N., C.C.R.P.     434-924-9924     hll5y@hscmail.mcc.virginia.edu    
Sub-Investigator: Leigh Cantrell, M.D.            
Sponsors and Collaborators
Yale University
Genentech
Investigators
Principal Investigator: Alessandro D Santin, M.D. Yale University
  More Information

Publications:

Responsible Party: Alessandro Santin, M.D., Yale University
ClinicalTrials.gov Identifier: NCT01367002     History of Changes
Other Study ID Numbers: 1012007786
Study First Received: May 26, 2011
Last Updated: May 9, 2013
Health Authority: United States: Institutional Review Board

Keywords provided by Yale University:
Uterine serous papillary carcinoma
Type II endometrial cancer
HER2/neu
Paclitaxel, Carboplatin, Trastuzumab

Additional relevant MeSH terms:
Endometrial Neoplasms
Carcinoma, Papillary
Adenoma
Uterine Neoplasms
Genital Neoplasms, Female
Urogenital Neoplasms
Neoplasms by Site
Neoplasms
Uterine Diseases
Genital Diseases, Female
Carcinoma
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Neoplasms, Squamous Cell
Trastuzumab
Carboplatin
Paclitaxel
Antineoplastic Agents
Therapeutic Uses
Pharmacologic Actions
Tubulin Modulators
Antimitotic Agents
Mitosis Modulators
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents, Phytogenic

ClinicalTrials.gov processed this record on May 22, 2013