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Paclitaxel and Carboplatin in Treating Patients With Persistent or Recurrent Stage III or Stage IV Uterine Cancer

Phase 2
Completed
Conditions
Sarcoma
Interventions
Registration Number
NCT00112489
Lead Sponsor
Gynecologic Oncology Group
Brief Summary

RATIONALE: Drugs used in chemotherapy, such as paclitaxel and carboplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving more than one drug (combination chemotherapy) may kill more tumor cells.

PURPOSE: This phase II trial is studying how well giving paclitaxel together with carboplatin works in treating patients with persistent or recurrent stage III or stage IV uterine cancer.

Detailed Description

OBJECTIVES:

* Determine the antitumor activity of paclitaxel and carboplatin in patients with persistent or recurrent stage III or IV uterine carcinosarcoma.

* Determine the nature and degree of toxicity of this regimen in these patients.

OUTLINE: This is a non-randomized, multicenter study.

Patients receive paclitaxel IV over 3 hours followed by carboplatin IV over 30 minutes on day 1. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed every 3 months for 2 years and then every 6 months for 3 years.

PROJECTED ACCRUAL: Approximately 14-47 patients will be accrued for this study within 20 months.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
55
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Taxol-CarbocarboplatinPaclitaxel 175 mg/m2 IV over 3 hours followed by carboplatin AUC = 6 IV over 30 minutes every 21 days until disease progression or adverse effects prohibit further therapy
Taxol-CarbopaclitaxelPaclitaxel 175 mg/m2 IV over 3 hours followed by carboplatin AUC = 6 IV over 30 minutes every 21 days until disease progression or adverse effects prohibit further therapy
Primary Outcome Measures
NameTimeMethod
Nature and Degree of ToxicityDuring study treatment and up to 30 days after stopping study treatment

Number of patients who experienced grade 1 or higher serious adverse event (term or group) regardless of attribution using CTCAE v3.0

Response Evaluation Criteria in Solid Tumors Criteria (RECIST) 1.0 Best ResponseResponse was measured every other cycle (q 6 weeks) until disease progression is documented.

Primary outcome measured according to RECIST v1.0 Best Response:

Complete Response (CR) is disappearance of all target and non-target lesions and no evidence of new lesions documented by two disease assessments at least 4 weeks apart Disease Progression is at least a 20% increase in the sum of LD of target lesions taking as references the smallest sum LD or the appearance of new lesions within 8 weeks of study entry.

Partial Response (PR) is at least a 30% decrease in the sum of longest dimensions (LD) of all target measurable lesions taking as reference the baseline sum of LD. There can be no unequivocal progression of nontarget lesions and no new lesions. Documentation by two disease assessments at least 4 weeks apart is required Stable Disease is any condition not meeting the above criteria. Indeterminate is defined as having no repeat tumor assessments following initiation of study therapy for reasons unrelated to symptoms or signs of disease.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (110)

Fox Chase Cancer Center CCOP Research Base

🇺🇸

Philadelphia, Pennsylvania, United States

Mount Carmel Health - West Hospital

🇺🇸

Columbus, Ohio, United States

Case Comprehensive Cancer Center

🇺🇸

Cleveland, Ohio, United States

St. Vincent Indianapolis Hospital

🇺🇸

Indianapolis, Indiana, United States

St. Vincent's Medical Center

🇺🇸

Jacksonville, Florida, United States

Tunnell Cancer Center at Beebe Medical Center

🇺🇸

Lewes, Delaware, United States

Holland Community Hospital

🇺🇸

Holland, Michigan, United States

Oakwood Cancer Center at Oakwood Hospital and Medical Center

🇺🇸

Dearborn, Michigan, United States

Metro Health Hospital

🇺🇸

Grand Rapids, Michigan, United States

Joliet Oncology-Hematology Associates, Limited - West

🇺🇸

Joliet, Illinois, United States

Union Hospital Cancer Program at Union Hospital

🇺🇸

Elkton, Maryland, United States

University of Chicago Cancer Research Center

🇺🇸

Chicago, Illinois, United States

George Bray Cancer Center at the Hospital of Central Connecticut - New Britain Campus

🇺🇸

New Britain, Connecticut, United States

Curtis and Elizabeth Anderson Cancer Institute at Memorial Health University Medical Center

🇺🇸

Savannah, Georgia, United States

MBCCOP - Medical College of Georgia Cancer Center

🇺🇸

Augusta, Georgia, United States

Mount Sinai Medical Center

🇺🇸

New York, New York, United States

CCOP - Christiana Care Health Services

🇺🇸

Newark, Delaware, United States

Holden Comprehensive Cancer Center at University of Iowa

🇺🇸

Iowa City, Iowa, United States

Rush-Copley Cancer Care Center

🇺🇸

Aurora, Illinois, United States

Battle Creek Health System Cancer Care Center

🇺🇸

Battle Creek, Michigan, United States

University of Illinois Cancer Center

🇺🇸

Chicago, Illinois, United States

Seton Cancer Institute at Saint Mary's - Saginaw

🇺🇸

Saginaw, Michigan, United States

Carle Cancer Center at Carle Foundation Hospital

🇺🇸

Urbana, Illinois, United States

Saint Anthony Memorial Health Centers

🇺🇸

Michigan City, Indiana, United States

Mercy Regional Cancer Center at Mercy Hospital

🇺🇸

Port Huron, Michigan, United States

Siteman Cancer Center at Barnes-Jewish St. Peters Hospital - Saint Louis

🇺🇸

Saint Louis, Missouri, United States

West Michigan Cancer Center

🇺🇸

Kalamazoo, Michigan, United States

University of Mississippi Cancer Clinic

🇺🇸

Jackson, Mississippi, United States

Sparrow Regional Cancer Center

🇺🇸

Lansing, Michigan, United States

Kinki University School of Medicine

🇯🇵

Osaka, Osaka, Japan

Cleveland Clinic Taussig Cancer Center

🇺🇸

Cleveland, Ohio, United States

University Cancer Center at University of Washington Medical Center

🇺🇸

Seattle, Washington, United States

Shikoku Cancer Center

🇯🇵

Matsuyama, Japan

Avera Cancer Institute

🇺🇸

Sioux Falls, South Dakota, United States

Rosenfeld Cancer Center at Abington Memorial Hospital

🇺🇸

Abington, Pennsylvania, United States

Jersey Shore Cancer Center at Jersey Shore University Medical Center

🇺🇸

Neptune, New Jersey, United States

Kagoshima City Hospital

🇯🇵

Kagoshima City, Kagoshima, Japan

Hackley Hospital

🇺🇸

Muskegon, Michigan, United States

Saint Mary's Health Center

🇺🇸

Saint Louis, Missouri, United States

Iwate Medical University Hospital

🇯🇵

Morioka, Iwate, Japan

Presbyterian Cancer Center at Presbyterian Hospital

🇺🇸

Charlotte, North Carolina, United States

Hillcrest Cancer Center at Hillcrest Hospital

🇺🇸

Mayfield Heights, Ohio, United States

Lake/University Ireland Cancer Center

🇺🇸

Mentor, Ohio, United States

Arthur G. James Cancer Hospital and Solove Research Institute at Ohio State University Medical Center

🇺🇸

Columbus, Ohio, United States

Cleveland Clinic Cancer Center at Fairview Hospital

🇺🇸

Cleveland, Ohio, United States

Fred Hutchinson Cancer Research Center

🇺🇸

Seattle, Washington, United States

Kobe Medical Center

🇯🇵

Kobe, Japan

Tottori University Hospital

🇯🇵

Tottori, Japan

Charles M. Barrett Cancer Center at University Hospital

🇺🇸

Cincinnati, Ohio, United States

Duke Comprehensive Cancer Center

🇺🇸

Durham, North Carolina, United States

Lurleen Wallace Comprehensive Cancer at University of Alabama - Birmingham

🇺🇸

Birmingham, Alabama, United States

Barbara Ann Karmanos Cancer Institute

🇺🇸

Detroit, Michigan, United States

National Kyushu Cancer Center

🇯🇵

Minami-ku, Japan

National Hospital Organization - Medical Center of Kure

🇯🇵

Kure, Japan

Tohoku University Graduate School of Medicine

🇯🇵

Sendai, Japan

Keio University School of Medicine

🇯🇵

Shinjuku-ku, Japan

St. John's Regional Health Center

🇺🇸

Springfield, Missouri, United States

Hulston Cancer Center at Cox Medical Center South

🇺🇸

Springfield, Missouri, United States

Mecosta County Medical Center

🇺🇸

Big Rapids, Michigan, United States

Genesys Hurley Cancer Institute

🇺🇸

Flint, Michigan, United States

Butterworth Hospital at Spectrum Health

🇺🇸

Grand Rapids, Michigan, United States

Van Elslander Cancer Center at St. John Hospital and Medical Center

🇺🇸

Grosse Pointe Woods, Michigan, United States

Munson Medical Center

🇺🇸

Traverse City, Michigan, United States

St. John Macomb Hospital

🇺🇸

Warren, Michigan, United States

Jonsson Comprehensive Cancer Center at UCLA

🇺🇸

Los Angeles, California, United States

CCOP - Carle Cancer Center

🇺🇸

Urbana, Illinois, United States

Lacks Cancer Center at Saint Mary's Health Care

🇺🇸

Grand Rapids, Michigan, United States

Bronson Methodist Hospital

🇺🇸

Kalamazoo, Michigan, United States

Hope A Women's Cancer Center

🇺🇸

Asheville, North Carolina, United States

MetroHealth Cancer Care Center at MetroHealth Medical Center

🇺🇸

Cleveland, Ohio, United States

Riverside Methodist Hospital Cancer Care

🇺🇸

Columbus, Ohio, United States

David L. Rike Cancer Center at Miami Valley Hospital

🇺🇸

Dayton, Ohio, United States

Morgan Cancer Center at Lehigh Valley Hospital - Cedar Crest

🇺🇸

Allentown, Pennsylvania, United States

Fox Chase Cancer Center - Philadelphia

🇺🇸

Philadelphia, Pennsylvania, United States

Black Hills Obstetrics & Gynecology LLP

🇺🇸

Rapid City, South Dakota, United States

Hall and Martin, M.Ds., PC

🇺🇸

Knoxville, Tennessee, United States

University of Texas Medical Branch

🇺🇸

Galveston, Texas, United States

Carilion Gynecologic Oncology Associates

🇺🇸

Roanoke, Virginia, United States

Hinsdale Hematology Oncology Associates

🇺🇸

Hinsdale, Illinois, United States

Cancer Institute of New Jersey at Cooper - Voorhees

🇺🇸

Voorhees, New Jersey, United States

Cancer Care Associates - Midtown Tulsa

🇺🇸

Tulsa, Oklahoma, United States

Oklahoma University Cancer Institute

🇺🇸

Oklahoma City, Oklahoma, United States

Woman's Hospital

🇺🇸

Baton Rouge, Louisiana, United States

St. Mary Mercy Hospital

🇺🇸

Livonia, Michigan, United States

CCOP - Cancer Research for the Ozarks

🇺🇸

Springfield, Missouri, United States

CCOP - Grand Rapids

🇺🇸

Grand Rapids, Michigan, United States

St. Joseph Mercy Oakland

🇺🇸

Pontiac, Michigan, United States

Hurley Medical Center

🇺🇸

Flint, Michigan, United States

Borgess Medical Center

🇺🇸

Kalamazoo, Michigan, United States

Blumenthal Cancer Center at Carolinas Medical Center

🇺🇸

Charlotte, North Carolina, United States

Foote Memorial Hospital

🇺🇸

Jackson, Michigan, United States

Harrington Cancer Center

🇺🇸

Amarillo, Texas, United States

Parkland Memorial Hospital

🇺🇸

Dallas, Texas, United States

Hokkaido University Hospital

🇯🇵

Sapporo, Japan

Women and Infants Hospital of Rhode Island

🇺🇸

Providence, Rhode Island, United States

Simmons Comprehensive Cancer Center at University of Texas Southwestern Medical Center - Dallas

🇺🇸

Dallas, Texas, United States

Fletcher Allen Health Care - University Health Center Campus

🇺🇸

Burlington, Vermont, United States

SUNY Downstate Medical Center

🇺🇸

Brooklyn, New York, United States

James Graham Brown Cancer Center at University of Louisville

🇺🇸

Louisville, Kentucky, United States

Saint Joseph Mercy Cancer Center

🇺🇸

Ann Arbor, Michigan, United States

CCOP - Michigan Cancer Research Consortium

🇺🇸

Ann Arbor, Michigan, United States

Piedmont Hematology-Oncology Associates

🇺🇸

Winston-Salem, North Carolina, United States

Wake Forest University Comprehensive Cancer Center

🇺🇸

Winston-Salem, North Carolina, United States

Methodist Estabrook Cancer Center

🇺🇸

Omaha, Nebraska, United States

Medical College of Wisconsin Cancer Center

🇺🇸

Milwaukee, Wisconsin, United States

Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill

🇺🇸

Chapel Hill, North Carolina, United States

Froedtert Hospital and Medical College of Wisconsin

🇺🇸

Milwaukee, Wisconsin, United States

Lucille P. Markey Cancer Center at University of Kentucky

🇺🇸

Lexington, Kentucky, United States

Virginia Commonwealth University Massey Cancer Center

🇺🇸

Richmond, Virginia, United States

University of Wisconsin Paul P. Carbone Comprehensive Cancer Center

🇺🇸

Madison, Wisconsin, United States

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