Full Text View
Tabular View
No Study Results Posted
Related Studies
Mifepristone for Patients With Endometrial Cancer and LGESS
This study is ongoing, but not recruiting participants.
First Received: July 19, 2007   Last Updated: January 16, 2008   History of Changes
Sponsored by: M.D. Anderson Cancer Center
Information provided by: M.D. Anderson Cancer Center
ClinicalTrials.gov Identifier: NCT00505739
  Purpose

Primary Objectives:

  1. To determine the antitumor activity of Mifepristone (RU-486) in patients with advanced or recurrent endometrioid adenocarcinoma or low grade endometrial stromal sarcoma (LGESS).
  2. To evaluate the quantitative and qualitative toxicities of Mifepristone in this patient population.
  3. To evaluate at a tissue level the effect of Mifepristone on estrogen and progesterone receptors post treatment and to evaluate other markers that may reflect effects of Mifepristone on cancer cell growth.
  4. To evaluate the effect of the agent and dosing schedule on the patient's quality of life.

Condition Intervention Phase
Endometrial Cancer
Drug: Mifepristone
Phase II

Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study
Official Title: Phase II Study of Mifepristone (RU-486) in the Treatment of PR Positive Advanced/Recurrent Endometrioid Adenocarcinoma and Low Grade Endometrial Stromal Sarcoma (LGESS)

Resource links provided by NLM:


Further study details as provided by M.D. Anderson Cancer Center:

Primary Outcome Measures:
  • The goal of this clinical research study is to see if the drug Mifepristone can shrink or slow the growth of endometrial cancer. [ Time Frame: 8 Years ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • The safety of Mifepristone will also be studied. [ Time Frame: 8 Years ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 37
Study Start Date: September 2001
Estimated Study Completion Date: September 2009
Estimated Primary Completion Date: September 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental
Mifepristone
Drug: Mifepristone
200 mg PO Daily x 4 Weeks

Detailed Description:

Mifepristone is a drug that has been approved for use in the termination of pregnancy. It has been studied in women with breast and ovarian cancer.

Before treatment starts, patients will have a complete checkup, blood tests, a CT scan, and a chest x-ray. Women able to have children must have a negative urine pregnancy test. Blood tests and a complete checkup will also be done within 3 days of starting each course of therapy and a month after treatment ends. Tumors will be measured by CT scans once every 2-3 months and at the end of treatment.

Patients in this study will take Mifepristone in the form of a pill by mouth every day. Each course of therapy is 4 weeks long. Patients will see their doctor for an exam and blood tests before they begin each 4 week course of therapy. The dose of Mifepristone may be lowered if the patient has side effects. Patients who have a complete response (there is no evidence of cancer by physical exam or x-ray) will continue taking Mifepristone for 2 years after this response is documented. Other patients will take Mifepristone for as long as it benefits them.

This is an investigational study. At least 12 and as many as 37 patients will take part in this study. Patients from MD Anderson Cancer Center and Gynecologic Oncology of Houston, P.A. will be enrolled.

  Eligibility

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

Inclusion Criteria:

  1. Histologic diagnosis of advanced/recurrent endometrioid adenocarcinoma or low grade endometrial stromal sarcoma (LGESS) not amenable to curative surgery or radiotherapy.
  2. Patients should have previously undergone radical surgery (minimum of total abdominal hysterectomy and bilateral salpingoophorectomy) definitive radiation therapy, or not be candidates for such procedures.
  3. The primary (including archived specimens) or recurrent tumor must be PR positive. Hormone receptor positivity is defined as PR positivity in >/+10% cells by immunohistochemistry.
  4. Prior radiotherapy must have been completed at least 2 weeks prior to the initiation of Mifepristone and patients must have recovered from the acute side effects of such treatment.
  5. Performance status < Zubrod 2.
  6. Estimated life expectancy of at least 12 weeks.
  7. Prior chemotherapy for recurrent or metastatic endometrial cancer is permitted.
  8. Patients must have measurable disease as defined by the presence of bidimensionally measurable lesions with clearly defined margins on x-ray, scan (CT or MRI) or physical exam.
  9. Adequate bone marrow reserve: granulocyte count > 1.5 x 109/L, hemoglobin > 9 g/dL (transfusion-independent) and platelets > 100,000 K/UL.
  10. Adequate liver and renal function as defined as: total bilirubin value < 1.5 mg/dL; SGPT < 2x the upper limit of normal or < 5x the upper limit of normal when liver metastases are present; serum creatinine value of < 1.8 mg/dL. All qualifying laboratory parameters must be determined within one week of first treatment.
  11. Patient compliance and geographic proximity that allows adequate follow-up.
  12. Signed informed consent.

Exclusion Criteria:

  1. Patients with serous or clear cell carcinomas of the endometrium.
  2. Patients whose tumor is known to be PR negative.
  3. Uncontrolled hypercalcemia.
  4. Patients taking phenytoin, phenobarbital or carbamazepine.
  5. Known predisposition to thromboembolic disorder, which in the investigator's judgment would put the patient at unacceptable risk for thromboembolic complications.
  6. Patients who have received treatment for brain metastases may be enrolled provided they have remained stable for at least 6 months after surgery or radiation.
  7. Women taking estrogen, progestin or antiprogestins. Patients taking these drugs must have discontinued their use at least 3 weeks prior to beginning treatment with Mifepristone.
  8. History of other malignancy (except adequately treated non-melanomatous carcinoma of the skin or cervical carcinoma in situ) unless in complete remission and off all therapy for that disease for a minimum of 5 years.
  9. Use of any chemotherapy or investigational agent within 3 weeks prior to taking study drug.
  10. Concurrent serious infection.
  11. Patients with serious intercurrent medical illness.
  12. Serious concomitant systemic disorders incompatible with the study (at the discretion of the investigator).
  13. Patients whom absorption of drugs is likely to be impaired due to either concomitant medications or prior surgery.
  14. Overt psychosis or mental disability or otherwise incompetent to give informed consent.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00505739

Locations
United States, Texas
U.T.M.D. Anderson Cancer Center
Houston, Texas, United States, 77030
Sponsors and Collaborators
M.D. Anderson Cancer Center
Investigators
Principal Investigator: Lois M. Ramondetta, MD U.T.M.D. Anderson Cancer Center
  More Information

No publications provided

Responsible Party: U.T.M.D. Anderson Cancer Center ( Lois M. Ramondetta, MD/Associate Professor )
Study ID Numbers: ID01-212
Study First Received: July 19, 2007
Last Updated: January 16, 2008
ClinicalTrials.gov Identifier: NCT00505739     History of Changes
Health Authority: United States: Institutional Review Board

Keywords provided by M.D. Anderson Cancer Center:
Endometrial Cancer
Low Grade Endometrial Stromal Sarcoma
RU-486
Mifepristone
LGESS

Study placed in the following topic categories:
Sarcoma, Endometrial Stromal
Contraceptive Agents
Gonadal Disorders
Hormone Antagonists
Contraceptives, Oral
Hormones, Hormone Substitutes, and Hormone Antagonists
Contraceptive Agents, Female
Urogenital Neoplasms
Endometrial Cancer
Ovarian Diseases
Hormones
Carcinoma, Endometrioid
Genital Diseases, Female
Neoplasms, Connective and Soft Tissue
Endometrial Neoplasms
Soft Tissue Sarcomas
Uterine Neoplasms
Ovarian Cancer
Endometrial Stromal Sarcoma
Ovarian Neoplasms
Genital Neoplasms, Female
Uterine Diseases
Endocrine System Diseases
Mifepristone
Contraceptives, Postcoital
Endometrial Stromal Tumors
Recurrence
Carcinoma
Malignant Mesenchymal Tumor
Sarcoma

Additional relevant MeSH terms:
Contraceptives, Postcoital, Synthetic
Sarcoma, Endometrial Stromal
Contraceptive Agents
Gonadal Disorders
Hormone Antagonists
Physiological Effects of Drugs
Contraceptives, Oral
Hormones, Hormone Substitutes, and Hormone Antagonists
Contraceptive Agents, Female
Urogenital Neoplasms
Reproductive Control Agents
Ovarian Diseases
Carcinoma, Endometrioid
Genital Diseases, Female
Neoplasms, Connective and Soft Tissue
Endometrial Neoplasms
Neoplasms by Site
Therapeutic Uses
Abortifacient Agents
Menstruation-Inducing Agents
Uterine Neoplasms
Contraceptives, Oral, Synthetic
Abortifacient Agents, Steroidal
Neoplasms by Histologic Type
Ovarian Neoplasms
Genital Neoplasms, Female
Uterine Diseases
Endocrine System Diseases
Mifepristone
Luteolytic Agents

ClinicalTrials.gov processed this record on September 11, 2009