Description:
This study seeks to determine the effectiveness of Rucaparib as maintenance therapy for
metastatic and recurrent endometrial cancer, after 1-2 prior lines of therapy.
Title
- Brief Title: Rucaparib vs Placebo Maintenance Therapy in Metastatic and Recurrent Endometrial Cancer
- Official Title: A Phase II, Randomized, Double-Blind Study of the Use of Rucaparib vs. Placebo Maintenance Therapy in Metastatic and Recurrent Endometrial Cancer
Clinical Trial IDs
- ORG STUDY ID:
18-0567.cc
- SECONDARY ID:
P30CA046934
- NCT ID:
NCT03617679
Conditions
- Metastatic Endometrial Cancer
Interventions
Drug | Synonyms | Arms |
---|
Rucaparib | | Active Ingredient |
Placebo Oral Tablet | | Placebo |
Purpose
This study seeks to determine the effectiveness of Rucaparib as maintenance therapy for
metastatic and recurrent endometrial cancer, after 1-2 prior lines of therapy.
Detailed Description
This is a phase II clinical trial, that administers a maintenance treatment after first line
chemotherapy is complete. It is designed to have a 1:1 randomization technique. Half the
participants who enter the study will receive the active ingredient, Rucaparib, while the
other half will receive a placebo. Treatment will be until progression with follow up until
death.
Trial Arms
Name | Type | Description | Interventions |
---|
Active Ingredient | Active Comparator | 1:1 Randomization. Participants in this arm receive the active ingredient medication. | |
Placebo | Placebo Comparator | 1:1 Randomization. Participants in this arm receive the placebo medication. (Placebos do not contain active ingredients). | |
Eligibility Criteria
Inclusion Criteria:
In order to be eligible to participate in this study, an individual must meet all of the
following criteria:
1. Provision to sign and date the consent form.
2. Stated willingness to comply with all study procedures and be available for the
duration of the study.
3. Be a female aged 18-89.
4. Patients with a primary Stage III/IV or recurrent endometrial cancer.
5. Patients have received at least one prior chemotherapy regimen and no more than two
prior cytotoxic regimens (including hormonal therapy).
6. Primary chemotherapy regimen must have consisted of at least 4 completed cycles and no
more than 8 completed cycles.
7. Previous cytotoxic regimen at least 4 weeks before initiation and no more than 8 weeks
from initiation after last dose of previous therapy.
8. Patients who receive radiation to the whole pelvis or at least 50% of the spine must
complete radiation therapy and have at least 4 weeks' time elapse prior to initiation
of drug.
9. ECOG performance status of 0, 1 or 2.
10. ANC > or = 1500 cells/microliters
11. Platelet count > 100,000 microliters
12. Hemoglobin > or = 9.0 g/dL
13. Serum albumin > or = 2.5 g/dL
14. Total bilirubin ≤ 1.5 x ULN
15. AST and ALT ≤ 3.0 x ULN
16. Serum Creatinine ≤ 1.5x ULN
Exclusion Criteria:
An individual who meets any of the following criteria will be excluded from participation
in this study:
1. Inability to comply with study and follow-up procedures
2. Significant cardiovascular disease, such as New York Heart Association cardiac disease
(Class II or greater), myocardial infarction within the past 3 months, unstable
arrhythmias, or unstable angina
3. Known clinically significant liver disease defined as AST and ALT > 3.0 x ULN and/or
Total bilirubin > or = 1.5 x ULN, or documented history of active viral, alcoholic, or
other hepatitis, cirrhosis, and inherited liver disease
4. Participation in investigational clinical trial within last 30 days
5. History of significant chronic disease including HIV/AIDS or hepatitis C
6. Inability to provide informed consent
7. Known CNS malignancy or CNS metastases
8. Patients with previous malignancy, other than endometrial, within the past 2 years
from cycle 1, day 1, with the exception of those with negligible risk of metastasis or
death, such as adequately controlled basal cell carcinoma or squamous cell carcinoma
of the skin or carcinoma in situ of the breast.
9. History of stroke or transient ischemic attack (TIA) within 3 months prior to cycle 1
day 1(C1D1)
10. Women with prognosis for survival less than 6 months
11. Patients who have progressed or have stable disease (SD) through most recent
chemotherapy regimen
12. Patients deemed otherwise clinically unfit for clinical trial per Investigator's
discretion
13. Patients with duodenal stent or other GI disorder/defect that would interfere with
absorption of oral medication
14. Female patients who maintain fertility potential and refuse to comply to use
contraception and be followed for pregnancy by pregnancy testing
15. Minor surgical procedure < or = 14 days or major surgeries < or = 28 days prior to
first dose of treatment
Maximum Eligible Age: | 89 Years |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | Female |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Progression Free Survival (PFS) |
Time Frame: | Start of study to end of study, or death, whichever comes first, up to 48 months. |
Safety Issue: | |
Description: | Progression free survival is defined as cycle 1 day 1 (C1D1) till the time of progression as determined by RECIST 1.1 criteria or death. |
Secondary Outcome Measures
Measure: | Overall Survival (OS) |
Time Frame: | Start of study to death, up to 48 months. |
Safety Issue: | |
Description: | Overall survival is defined as cycle 1 day 1 (C1D1) till the time of death. |
Measure: | Overall Response Rate (ORR) |
Time Frame: | Start of study to end of study, or death, whichever comes first, up to 48 months. |
Safety Issue: | |
Description: | ORR is defined as how well the tumor responds to the medication based on RECIST 1.1 evaluation. |
Measure: | Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability] |
Time Frame: | Start of study to end of study, or death, whichever comes first, up to 48 months. |
Safety Issue: | |
Description: | Safety and tolerability analysis of Rucaparib will be summarized by dose and severity as assessed by the Common Toxicity Criteria for Adverse Events (CTCAE) version 5 and relationship to study drug. |
Details
Phase: | Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | University of Colorado, Denver |
Trial Keywords
- Rucaparib
- Placebo
- Randomized
- Double Blind
- Stage III/IV
Last Updated
April 30, 2021