Trial Search Results

Phase 2 Study of MLN0128, Combination of MLN0128 With MLN1117, Paclitaxel and Combination of MLN0128 With Paclitaxel in Women With Endometrial Cancer

The purpose of this Phase 2, open-label study is to test the safety and efficacy of two investigational agents, MLN0128 and MLN1117, in adult women with advanced endometrial cancer. Efficacy will be compared to the standard treatment, paclitaxel. Patients will be enrolled into one of four treatment arms: paclitaxel alone, paclitaxel with MLN0128, MLN0128 alone, and a combination of MLN0128+ MLN1117. The primary focus will be whether any treatment extends progression free survival over paclitaxel alone.

Stanford is currently not accepting patients for this trial.

Lead Sponsor:

Millennium Pharmaceuticals, Inc.

Collaborator: European Network of Individualized Treatment in Endometrial Cancer - ENITEC

Stanford Investigator(s):

Intervention(s):

  • Drug: Paclitaxel
  • Drug: MLN0128
  • Drug: MLN1117

Phase:

Phase 2

Eligibility


Inclusion Criteria:

   1. Histologic or cytologic diagnosis of endometrial carcinoma (including endometrioid,
   serous, mixed adenocarcinoma, clear-cell carcinoma, or carcinosarcoma).

   2. Evidence that the endometrial cancer is advanced, recurrent, or persistent and has
   relapsed or is refractory to curative therapy or established treatments.

   3. At least 1 prior platinum-based chemotherapeutic regimen, but not more than 2 prior
   chemotherapeutic regimens, for management of endometrial carcinoma. Prior treatment
   may include chemotherapy, chemotherapy/radiation therapy, and/or
   consolidation/maintenance therapy. Chemotherapy administered in conjunction with
   primary radiation as a radio-sensitized therapy will be considered a systemic
   chemotherapy regimen.

   4. Measureable disease by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1,
   defined as at least 1 lesion that can be accurately measured in at least 1 dimension
   (longest diameter to be recorded). Each lesion must be greater than or equal to (>=)
   10 millimeter (mm) in long axis when measured by computed tomography (CT), magnetic
   resonance imaging (MRI), or caliper measurement by clinical exam. Lymph nodes must be
   >= 15 mm in short axis when measured by CT or MRI.

   5. Tumor accessible and participant consents to undergo fresh tumor biopsies.

   6. Female participants 18 years or older.

   7. Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2

   8. Female participants who:

      - Are postmenopausal for at least 1 year before the screening visit, OR

      - Are surgically sterile, OR

      - If they are of childbearing potential, agree to practice 1 highly effective
      method of contraception and 1 additional effective (barrier) method at the same
      time, from the time of signing the informed consent through 90 days (or longer,
      as mandated by local labeling [example, United States Prescribing Information
      (USPI), Summary of Product Characteristics (SmPC), etc.]) after the last dose of
      study drug, OR

      - Agree to practice true abstinence, when this is in line with the preferred and
      usual lifestyle of the subject. (Periodic abstinence [example, calendar,
      ovulation, symptothermal, postovulation methods], withdrawal, spermicides only,
      and lactational amenorrhea are not acceptable methods of contraception. Female
      and male condoms should not be used together.)

   9. Clinical laboratory values as specified below within 4 weeks before the first dose of
   study drug:

      - Bone marrow reserve consistent with absolute neutrophil count (ANC) >= 1500 per
      micro liter (/mcL); platelet count >= 100,000/mcL; hemoglobin A1c (HbA1c) less
      than (<) 6.5 percent (%).

      - Total bilirubin must be less than or equal to (<=) 1.5 * the upper limit of
      normal (ULN).

      - Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) must be <= 2.5
      * the upper limit of the normal range. AST and ALT may be elevated up to 5 times
      the ULN if their elevation can be reasonably ascribed to the presence of
      metastatic disease in liver.

      - Creatinine clearance >= 50 milliliter per minute per 1.73 square meter
      (mL/min/1.73 m^2) based either on Cockcroft-Gault estimate or based on a 12- or
      24-hour urine collection.

      - Fasting serum glucose < 130 milligram per deciliter (mg/dL) and fasting
      triglycerides <= 300 mg/dL.

10. Ability to swallow oral medications, willingness to perform mucositis prophylaxis, and
   suitable venous access for the study-required blood sampling.

11. Voluntary written consent must be given before performance of any study-related
   procedure not part of standard medical care, with the understanding that consent may
   be withdrawn by the participant at any time without prejudice to future medical care.

Exclusion Criteria:

   1. Positive serum pregnancy test during the screening period or a positive urine
   pregnancy test on Day 1 before first dose of study drug. Women who are lactating and
   breastfeeding are not eligible.

   2. Previous treatment with any weekly taxane regimen.

   3. History of severe hypersensitivity reactions to paclitaxel or any of its excipients.

   4. Previous treatment with phosphoinositide 3-kinase (PI3K), serine/threonine-specific
   protein kinase (AKT), dual PI3K/ mammalian (or mechanistic) target of rapamycin (mTOR)
   inhibitors, target of rapamycin complex 1/2 (TORC1/2) inhibitors or TORC1 inhibitors.

   5. Initiation of treatment with hematopoietic growth factors, transfusions of blood and
   blood products, or systemic corticosteroids (either intravenous [IV] or oral steroids,
   excluding inhalers) within 1 week before administration of the first dose of study
   drug (participants already receiving erythropoietin on a chronic basis for >=4 weeks
   are eligible).

   6. Participants who are taking proton pump inhibitors (PPIs) within 7 days of the first
   dose of study drug or who require treatment with PPIs throughout the trial or those
   who are taking H2 receptor antagonists within 24 hours of the first dose of study
   drug.

   7. A prothrombin time (PT) or activated partial thromboplastin time (aPTT) above the ULN
   or a history of a coagulopathy or bleeding disorder.

   8. Known hepatitis B surface antigen-positive, or known or suspected active hepatitis C
   infection.

   9. Sensory or motor neuropathy >= Grade 2.

10. Central nervous system (CNS) metastasis, endometrial leiomyosarcoma, or endometrial
   stromal sarcoma.

11. Manifestations of malabsorption due to prior gastrointestinal surgery,
   gastrointestinal disease, or for some other reason that may alter the absorption of
   MLN0128 or MLN1117. In addition, participants with enteric stomata are also excluded.

12. Other clinically significant co-morbidities, such as uncontrolled pulmonary disease,
   active CNS disease, active infection, or any other condition that could compromise
   participation of the participant in the study.

13. Known human immunodeficiency virus infection.

14. History of any of the following within the last 6 months before administration of the
   first dose of study drug:

      - Ischemic myocardial event, including angina requiring therapy and artery
      revascularization procedures.

      - Ischemic cerebrovascular event, including transient ischemic attack and artery
      revascularization procedures.

      - Requirement for inotropic support (excluding digoxin) or serious (uncontrolled)
      cardiac arrhythmia (including atrial flutter/fibrillation, ventricular
      fibrillation, or ventricular tachycardia).

      - Placement of a pacemaker for control of rhythm.

      - New York Heart Association Class III or IV heart failure.

      - Pulmonary embolism.

15. Significant active cardiovascular or pulmonary disease before administration of the
   first dose of study drug, including:

      - Uncontrolled hypertension (that is, either systolic blood pressure > 180
      millimeter of mercury [mm Hg] or diastolic blood pressure > 95 mm Hg).

      - Pulmonary hypertension.

      - Uncontrolled asthma or oxygen saturation < 90% by arterial blood gas analysis or
      pulse oximetry on room air.

      - Significant valvular disease; severe regurgitation or stenosis by imaging
      independent of symptom control with medical intervention; or history of valve
      replacement.

      - Medically significant (symptomatic) bradycardia.

      - History of arrhythmia requiring an implantable cardiac defibrillator.

      - Baseline prolongation of the rate-corrected QT interval (QTc; example, repeated
      demonstration of QTc interval > 480 millisecond [ms], or history of congenital
      long QT syndrome, or torsades de pointes).

16. Diagnosed or treated for another malignancy within 2 years before administration of
   the first dose of study drug or previously diagnosed with another malignancy and have
   any evidence of residual disease. Participants with non-melanoma skin cancer or
   carcinoma in situ of any type are not excluded if they have undergone complete
   resection.

17. Participants with endometrioid histology and histologically confirmed expression of
   estrogen receptors (ER) and/or progesterone receptors (PgR) who have not received
   prior endocrine therapy and for whom endocrine therapy is currently indicated.

Ages Eligible for Study

18 Years - N/A

Genders Eligible for Study

Female

Not currently accepting new patients for this trial

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
CCTO
650-498-7061
Not Recruiting