Doxorubicin and Cisplatin With or Without Paclitaxel in Treating Patients With Locally Advanced, Metastatic, and/or Relapsed Endometrial Cancer - Full Text View

Purpose

RATIONALE: Drugs used in chemotherapy work in different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells. It is not yet known whether doxorubicin and cisplatin are more effective with or without paclitaxel in treating endometrial cancer.

PURPOSE: Randomized phase II trial to compare the effectiveness of combining doxorubicin and cisplatin with or without paclitaxel in treating patients who have locally advanced, metastatic, and/or relapsed endometrial cancer.

Condition	Intervention	Phase
Endometrial Cancer	Drug: cisplatin Drug: doxorubicin hydrochloride Drug: paclitaxel	Phase 2


Study Type:	Interventional
Study Design:	Allocation: Randomized Masking: Open Label Primary Purpose: Treatment
Official Title:	Randomized Trial Of Adriamycin (A) Cisplatin (P) Chemotherapy Versus Paclitaxel (T) Adriamycin (A) And Cisplatin (P) In Patients With Metastatic/Relapsed Or Locally Advanced Inoperable Endometrial Cancer

Resource links provided by NLM:

Drug Information available for: Cisplatin Doxorubicin Paclitaxel

U.S. FDA Resources

Further study details as provided by European Organisation for Research and Treatment of Cancer - EORTC:

Primary Outcome Measures:

Progression-free survival as measured by Kaplan Meier and RECIST at 18 months

Secondary Outcome Measures:

Overall survival as measured by Kaplan Meier after each course, every 3 months for 2 years, every 6 months for 3 years, and then annually thereafter
Toxicity as measured by NCIC Common Toxicity Criteria v2.0 after each course


Enrollment:	141
Study Start Date:	September 2002
Primary Completion Date:	September 2006 (Final data collection date for primary outcome measure)

Detailed Description:

OBJECTIVES:

Compare the overall survival of patients with locally advanced, metastatic, and/or relapsed endometrial cancer treated with doxorubicin and cisplatin with or without paclitaxel.
Compare the toxicity of these regimens in these patients.
Compare the progression-free survival at 18 months of patients treated with these regimens.
Compare quality of life of patients treated with these regimens.

OUTLINE: This is a randomized, open-label, multicenter study. Patients are stratified according to performance status (0 vs 1 vs 2), metastatic disease (M0 vs M1), prior pelvic radiotherapy for pelvic recurrence (yes vs no), and participating center. Patients are randomized to 1 of 2 treatment arms.

Arm I: Patients receive doxorubicin IV over 30 minutes, paclitaxel IV over 3 hours, and cisplatin IV over 1 hour on day 1. Treatment repeats every 21 days for up to 6 courses in the absence of disease progression or unacceptable toxicity.
Arm II: Patients receive doxorubicin and cisplatin as in arm I. Quality of life is assessed at baseline, before each course, after courses 3 and 6, every 3 months for 2 years, every 6 months for 3 years, and then annually thereafter. In the event of progressive disease, quality of life is assessed every 3 months.

Patients are followed every 3 months for 2 years, every 6 months for 3 years, and then annually thereafter. In the event of progressive disease, patients are followed every 3 months.

PROJECTED ACCRUAL: A total of 140 patients will be accrued for this study.

Eligibility


Ages Eligible for Study:	18 Years and older (Adult, Senior)
Sexes Eligible for Study:	Female
Accepts Healthy Volunteers:	No

Criteria

DISEASE CHARACTERISTICS:

Histologically confirmed endometrial epithelial carcinoma meeting at least 1 of the following criteria:
- Advanced metastatic and/or relapsed disease
- Locally advanced inoperable or unresectable disease
No mixed mesodermal tumor and/or tumors showing evidence of sarcomatous elements
Uterine papillary serous carcinoma allowed

PATIENT CHARACTERISTICS:

Age

18 and over

Performance status

WHO 0-2

Life expectancy

Not specified

Hematopoietic

Neutrophil count greater than 1,500/mm^3
Platelet count at least 100,000/mm^3
Hemoglobin greater than 10 g/dL (transfusions allowed)

Hepatic

ALT and AST less than 2 times upper limit of normal (ULN)
Alkaline phosphatase less than 2 times ULN
Bilirubin less than 1.5 times ULN

Renal

Creatinine less than 1.5 times ULN
Creatinine clearance greater than 50 mL/min

Cardiovascular

Normal baseline EKG
Normal baseline LVEF on MUGA or echocardiogram for patients who received prior anthracyclines

Other

Able to tolerate high-dose dexamethasone
Must be considered fit for chemotherapy
No uncontrolled infection
No other malignancy within the past 5 years except successfully treated basal cell skin cancer or carcinoma in situ of the cervix
No prior nervous or psychiatric disorder that would preclude study compliance
No psychological, familial, sociological, or geographic condition that would preclude study participation
Not pregnant or nursing
Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY:

Biologic therapy

Not specified

Chemotherapy

At least 12 months since prior adjuvant chemotherapy
Total dose of prior doxorubicin no greater than 200 mg/m^2
Total dose of prior epirubicin no greater than 300 mg/m^2

Endocrine therapy

At least 28 days since prior hormonal therapy for patients with partial or complete response after first-line treatment

Radiotherapy

No prior radiotherapy to any area other than pelvis
No concurrent radiotherapy

Surgery

Not specified

Other

No other concurrent anticancer medications

Contacts and Locations

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00052312

Show 35 Study Locations

Sponsors and Collaborators

European Organisation for Research and Treatment of Cancer - EORTC

Investigators


Study Chair:	Nicholas S. Reed, MD	University of Glasgow
Study Chair:	Giorgio Bolis, MD	Fondazione IRCCS Istituto Nazionale dei Tumori, Milano

More Information


Responsible Party:	European Organisation for Research and Treatment of Cancer - EORTC
ClinicalTrials.gov Identifier:	NCT00052312 History of Changes
Other Study ID Numbers:	EORTC-55984
Study First Received:	January 24, 2003
Last Updated:	September 20, 2012

Keywords provided by European Organisation for Research and Treatment of Cancer - EORTC:


recurrent endometrial carcinoma stage III endometrial carcinoma stage IV endometrial carcinoma endometrial papillary serous carcinoma

Additional relevant MeSH terms:


Endometrial Neoplasms Uterine Neoplasms Genital Neoplasms, Female Urogenital Neoplasms Neoplasms by Site Neoplasms Uterine Diseases Genital Diseases, Female Doxorubicin Liposomal doxorubicin Cisplatin Paclitaxel	Albumin-Bound Paclitaxel Antibiotics, Antineoplastic Antineoplastic Agents Topoisomerase II Inhibitors Topoisomerase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Antineoplastic Agents, Phytogenic Tubulin Modulators Antimitotic Agents Mitosis Modulators

ClinicalTrials.gov processed this record on June 26, 2017