Adjuvant Chemotherapy for High Risk Uterine Leiomyosarcoma

Overview[ - collapse ][ - ]

Purpose The purpose of this trial is to study the benefits of giving chemotherapy to women after they have had surgical resection of their primary disease and have no evidence of disease remaining(known as adjuvant therapy). The major objective of this study is to determine the progression free survival. The goal is to prevent relapse or recurrence of their uterine leiomyosarcoma.
ConditionLeiomyosarcoma
Uterine Neoplasm
InterventionDrug: gemcitabine, docetaxel, doxorubicin
PhasePhase 2
SponsorSarcoma Alliance for Research through Collaboration
Responsible PartySarcoma Alliance for Research through Collaboration
ClinicalTrials.gov IdentifierNCT00282087
First ReceivedJanuary 24, 2006
Last UpdatedJanuary 26, 2012
Last verifiedJanuary 2012

Tracking Information[ + expand ][ + ]

First Received DateJanuary 24, 2006
Last Updated DateJanuary 26, 2012
Start DateJanuary 2006
Estimated Primary Completion DateJanuary 2012
Current Primary Outcome Measuresdetermine two-year progression-free survival among women treated with this adjuvant regimen for high risk uterine LMS [Time Frame: Every 3 months] [Designated as safety issue: Yes]
Current Secondary Outcome Measures
  • determine tolerability/toxicity of this regimen [Time Frame: Every 28 days during dosing and then every 3 months therafter] [Designated as safety issue: Yes]
  • Improve understanding of behavior of uterine LMS through data collection [Time Frame: Ongoing throughout study] [Designated as safety issue: No]

Descriptive Information[ + expand ][ + ]

Brief TitleAdjuvant Chemotherapy for High Risk Uterine Leiomyosarcoma
Official TitleAdjuvant Treatment of High Risk Uterine Leiomyosarcoma With Gemcitabine/Docetaxel Followed by Doxorubicin: A Phase II Trial
Brief Summary
The purpose of this trial is to study the benefits of giving chemotherapy to women after
they have had surgical resection of their primary disease and have no evidence of disease
remaining(known as adjuvant therapy). The major objective of this study is to determine the
progression free survival. The goal is to prevent relapse or recurrence of their uterine
leiomyosarcoma.
Detailed Description
Patients with a diagnosis of early-stage uterine leiomyosarcoma have a 70% chance of relapse
or recurrence of their disease. Patients enrolled in this trial will receive 4 cycles of
gemcitabine and docetaxel followed by 4 cycles of adriamycin. Following completion of
chemotherapy, they will be have repeat imaging at regular intervals to monitor for disease
recurrence along with periodic clinical evaluations.
Study TypeInterventional
Study PhasePhase 2
Study DesignAllocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Condition
  • Leiomyosarcoma
  • Uterine Neoplasm
InterventionDrug: gemcitabine, docetaxel, doxorubicin
Cycles = 28 days
Study Arm (s)Not Provided

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment47
Estimated Completion DateJanuary 2012
Estimated Primary Completion DateJanuary 2012
Eligibility Criteria
Inclusion Criteria:

- ≥ 18 years of age

- high risk uterine LMS, FIGO stage I or II

- pathology review of LMS high grade and /or mitotic rate greater than or equal to 5
mitoses/10 hpf

- no longer than 12 weeks from surgical resection of cancer

- no evidence of residual disease

- ECOG 0 or 1

- ANC ≥ 1,500, hemoglobin ≥ 8.0, platelets ≥100,000

- creatinine ≤ 1.5 x institutional upper limits of normal

- adequate liver function

- neuropathy (sensory and motor) ≤ CTC grade 1

- negative pregnancy test

- signed consent

Exclusion Criteria:

- patients with other invasive malignancies

- prior therapy with gemcitabine or docetaxel or doxorubicin

- hypersensitivity reaction to docetaxel or other drugs formulated with polysorbate 80

- women who are breast feeding

- cardiac ejection fraction <50%

- prior pelvic irradiation

- treatment with hormone replacement or anti-hormonal agents or other cytotoxic agents
GenderFemale
Ages18 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesUnited States

Administrative Information[ + expand ][ + ]

NCT Number NCT00282087
Other Study ID NumbersSARC005
Has Data Monitoring CommitteeNot Provided
Information Provided BySarcoma Alliance for Research through Collaboration
Study SponsorSarcoma Alliance for Research through Collaboration
CollaboratorsNot Provided
Investigators Principal Investigator: Martee L. Hensley, MD Memorial Sloan-Kettering Cancer Center
Verification DateJanuary 2012

Locations[ + expand ][ + ]

Washington Cancer Institute/Washington Hospital Center (Medstar)
Washington, District of Columbia, United States, 20010
H. Lee Moffitt Cancer Center and Research Institute
Tampa, Florida, United States, 33612
Winship Cancer Institute at Emory University
Atlanta, Georgia, United States, 30308
University of Chicago
Chicago, Illinois, United States, 60637
St. Vincent Gynecologic Oncology
Indianapolis, Indiana, United States, 46260
Dana Farber Cancer Institute
Boston, Massachusetts, United States, 01225
Massachusetts General
Boston, Massachusetts, United States, 02114
University of Michigan
Ann Arbor, Michigan, United States, 48109
Nebraska Methodist Hospital
Omaha, Nebraska, United States, 68114
Memorial Sloan Kettering Cancer Center
New York, New York, United States, 10021
Pennsylvania Oncology Hematology Associates
Philadelphia, Pennsylvania, United States, 19106
MD Anderson Cancer Center
Houston, Texas, United States, 77030