Study on Letrozole and RAD001 for Advanced or Recurrent Endometrial Cancer

Sponsor: M.D. Anderson Cancer Center

Sponsor score: 0

ClinicalTrials ID:NCT01068249

This clinical trial is exploring whether a combination of two drugs, RAD001 (everolimus) and Femara (letrozole), can help control endometrial cancer that has returned or is progressing. The study will also assess the safety of this drug combination.

Patient Parameters

Program Overview

The purpose of this study is to find out if using RAD001 (everolimus) and Femara (letrozole) together can help manage endometrial cancer that has come back or is getting worse. Researchers will also look at how safe this combination is for patients.

Description

Study Drugs:

  • Everolimus: This drug is designed to stop cancer cells from growing and may also prevent new blood vessels from forming, which can help kill tumor cells.
  • Letrozole: This drug works by blocking pathways that tumors need to grow.

How to Take the Study Drugs:

  • If you join the study, you will take 2 pills of everolimus by mouth once a day. Do not open the pills until you are ready to take them, as they are sensitive to light and moisture.
  • You will also take 1 pill of letrozole by mouth once a day, at the same time as everolimus.
  • Everolimus should be taken at the same time every day, either on an empty stomach or after a light, fat-free meal. Avoid fatty foods for at least 1 hour after taking it.
  • If you cannot swallow the pills, you can dissolve them in water and drink the mixture.
  • If you vomit after taking the pills, do not take another dose that day. If you miss a dose, do not double up the next day; contact your doctor for advice.
  • You will keep a diary to record your daily doses and bring it to each visit.
  • Avoid grapefruit and certain medications during the study; consult your doctor before taking any new drugs.

Study Visits:

  • Every 4 weeks, you will have a physical exam, blood tests, and your pills will be counted. You will also be asked about any side effects.
  • At Week 8, you will have additional scans to check the status of your cancer.
  • After Week 8, further tests will be done every 12 weeks if your cancer is stable or responding to treatment.

Length of Study:

  • You may continue treatment as long as it is beneficial and you do not experience severe side effects.

End of Treatment Visit:

  • Within 4 weeks after your last dose, you will have a final visit with exams and tests to check your health.

Long Term Follow-up:

  • After the study, you will have regular check-ups with your doctor to monitor your health.

Investigational Status:

  • Everolimus is not yet FDA approved for this use and is only available through research. Letrozole is FDA approved for breast and ovarian cancer, but their combination for endometrial cancer is investigational. Up to 42 patients will participate in this study.

Eligibility Criteria

Inclusion Criteria

  • Signed informed consent.
  • Confirmed diagnosis of endometrial cancer that is progressing or has returned.
  • No more than two prior chemotherapy treatments for advanced cancer.
  • Measurable disease as per medical criteria.
  • Good overall health with a performance status of 0, 1, or 2.
  • Not of childbearing potential (surgically sterile or postmenopausal).
  • Adequate blood cell counts and organ function.
  • At least 18 years old.

Exclusion Criteria

  • Intact ovarian function.
  • Previous treatment with RAD001 or letrozole.
  • Uterine sarcomas or certain other tumors.
  • Isolated recurrences treatable with surgery or radiation.
  • Severe concurrent diseases.
  • Recent chemotherapy or radiation.
  • Chronic steroid use.
  • Recent live vaccines.
  • Recent or active infections.
  • Heart disease or lung function issues.
  • Allergies to study drugs.
  • Pregnant or breastfeeding.
  • Untreated brain metastases.
  • Recent blood clots.
  • HIV infection.
  • Gastrointestinal issues affecting drug absorption.

Locations

FACILITYZIPCITYSTATE
Morristown Memorial Hospital, Women's Cancer Center07962MorristownNew Jersey
University of Texas MD Anderson Cancer Center77030HoustonTexas

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