Clinical Trials /

ONC201 in Recurrent or Metastatic Type II Endometrial Cancer Endometrial Cancer



This is a a Simon's two-stage, non-randomized, open label, 2-arm Phase II trial of ONC201 in women with metastatic or recurrent Type II endometrial cancer who failed at least 1 prior chemotherapy regimen.

Related Conditions:
  • Endometrial Adenosquamous Carcinoma
  • Endometrial Clear Cell Adenocarcinoma
  • Endometrial Mixed Adenocarcinoma
  • Endometrial Serous Adenocarcinoma
Recruiting Status:



Phase 2

Trial Eligibility



  • Brief Title: ONC201 in Recurrent or Metastatic Type II Endometrial Cancer Endometrial Cancer
  • Official Title: A Phase II Study of ONC201 in Recurrent or Metastatic Type II Endometrial Cancer

Clinical Trial IDs

  • NCT ID: NCT03485729


  • Endometrial Cancer Recurrent




This is a a Simon's two-stage, non-randomized, open label, 2-arm Phase II trial of ONC201 in women with metastatic or recurrent Type II endometrial cancer who failed at least 1 prior chemotherapy regimen.

Trial Arms

  • ONC201
  • ONC201
Dosing twice per week on two consecutive daysExperimental
  • ONC201

Eligibility Criteria

        Inclusion Criteria:

          -  Histologically confirmed metastatic or recurrent Type II EC (serous, clear cell,
             carcinosarcoma, adenosquamous and mixed histologies).

          -  Patients must have measurable disease, defined as at least one lesion that can be
             accurately measured in at least one dimension in accordance with RECIST criteria

          -  Availability of at least 12 unstained slides from archival FFPE tumor tissue.

          -  For Arm A, patients must have disease that is amenable to biopsy and must be willing
             to provide consent for a tumor biopsy at baseline (within 30 days of beginning ONC201)
             and at least 1 on-treatment tumor biopsy.

          -  Must have radiographic disease progression after at least 1 line of systemic cytotoxic
             therapy for metastatic disease or with progression within 12 months of completing
             adjuvant chemotherapy.

          -  Age > 18 years.

          -  ECOG performance status of 0, 1, or 2.

          -  Patients must have adequate bone marrow, hepatic and renal function as defined below:

               -  Leukocytes > 3,000/mcL

               -  Absolute neutrophil count > 1,500/mcL

               -  Platelets > 100,000/mcL

               -  Total bilirubin ≤1.5 ULN

               -  AST/ALT (SGOT/SGPT) < 2 ULN

               -  Creatinine ≤1.5 ULN OR

               -  Creatinine clearance > 60 Ml/min/1.73 m2 for patients with creatinine levels
                  above ULN calculated using Calvert formula

          -  Life expectancy at least 3 months.

          -  Ability to understand and willingness to sign a written informed consent and HIPAA
             consent document.

          -  Patients must be surgically sterile or be postmenopausal, or must agree to use
             effective contraception during the period of the trial and for at least 90 days after
             completion of treatment.

        Exclusion Criteria:

          -  No prior treatment with ONC201.

          -  Patients who have had chemotherapy or radiotherapy within 4 weeks prior to entering
             the study or those who have not recovered from adverse events due to agents
             administered more than 4 weeks earlier.

          -  The subjects who have not recovered to baseline or CTCAE ≤ Grade 1 from related
             toxicity to all prior therapies will be excluded. Patients with Non-serious adverse
             events such as alopecia, fatigue, weakness, loss of appetite and nausea that are
             non-significant will not be excluded.

          -  Any other prior malignancy from which the patient has been disease free for less than
             3 years, with the exception of adequately treated and cured basal or squamous cell
             skin cancer, superficial bladder cancer, carcinoma in situ of any site.

          -  The subject is unable to swallow capsules.

          -  Impairment of gastrointestinal (GI) function or GI disease that may significantly
             alter the absorption of ONC201 (uncontrolled nausea, vomiting, diarrhea, malabsorption
             syndrome, or small bowel resection).

          -  Patients receiving any other investigational agents.

          -  Patients with symptomatic brain metastases are excluded. Patients with asymptomatic
             and treated CNS metastases may participate in this trial. The patient must have
             completed any prior treatment for CNS metastases > 28 days prior to study entry
             including radiotherapy or surgery. Steroids for the treatment of brain metastasis are
             not permitted, and patients must be stable off steroid treatment for 4 weeks prior to

          -  Uncontrolled intercurrent illness including, but not limited to ongoing or active
             infection. Any of the following in the previous 6 months: myocardial infarction,
             severe/unstable angina, coronary/peripheral artery bypass graft, cerebrovascular
             accident, transient ischemic attack or symptomatic pulmonary embolism.

          -  Active inflammatory gastrointestinal disease, chronic diarrhea (unless related to
             underlying malignancy or prior related treatment) or history of abdominal fistula,
             gastrointestinal perforation, peptic ulcer disease, or intra-abdominal abscess within
             6 months prior to study enrollment. Gastroesophageal reflux disease under treatment
             with proton pump inhibitors is allowed.

          -  Known HIV-positive patients on combination antiretroviral therapy.

          -  Known history of HBV or HCV infection.

          -  Other severe acute or chronic medical or psychiatric condition or laboratory
             abnormality that may increase the risk associated with study participation or study
             drug administration, or may interfere with the interpretation of study results, or in
             the judgment of the investigator would make the patient inappropriate for entry into
             the study.

          -  Pregnant or breast feeding.
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:Female
Healthy Volunteers:No

Primary Outcome Measures

Measure:Progress-free survival
Time Frame:2 months
Safety Issue:


Phase:Phase 2
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Chimerix

Last Updated

May 6, 2021