Radiation Therapy, Paclitaxel, and Carboplatin in Treating Patients With Uterine Cancer
Conditions
Stage IA Uterine Sarcoma - Stage IB Uterine Sarcoma - Stage IC Uterine Sarcoma - Stage IIA Uterine Sarcoma - Stage IIB Uterine Sarcoma - Stage IIIA Uterine Sarcoma - Stage IIIB Uterine Sarcoma - Stage IIIC Uterine Sarcoma - Stage IVA Uterine Sarcoma - Stage IVB Uterine Sarcoma - Uterine Carcinosarcoma
Conditions: official terms
Carcinosarcoma - Mixed Tumor, Mullerian - Sarcoma - Uterine Neoplasms
Study Type
Interventional
Study Phase
N/A
Study Design
Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Intervention
Name: paclitaxel Type: Drug
Name: carboplatin Type: Drug
Name: external beam radiation therapy Type: Radiation
Name: brachytherapy Type: Radiation
Name: intensity-modulated radiation therapy Type: Radiation
Name: laboratory biomarker analysis Type: Other
Overall Status
Recruiting
Summary
This pilot clinical trial studies radiation therapy, paclitaxel, and carboplatin in treating patients with uterine cancer. Radiation therapy uses high-energy x-rays to kill tumor cells. Drugs used in chemotherapy, such as paclitaxel and carboplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or stopping them from dividing. Giving radiation with chemotherapy may kill more tumor cells.
Detailed Description
PRIMARY OBJECTIVES:

I. To assess the one year recurrence-free survival in patients with uterine carcinosarcoma treated with "sandwich" therapy-including defining the patterns of recurrence in patients with carcinosarcoma who were treated with this regimen.

II. To evaluate the toxicity and tolerability of pelvic radiation "sandwiched" between cycles of paclitaxel/carboplatin chemotherapy in patients with uterine carcinosarcoma.

III. To correlate surrogate endpoint biomarkers with progression-free survival and prognosis.

OUTLINE:

CHEMOTHERAPY (weeks 1-9, 14-22): Patients receive paclitaxel intravenously (IV) over 3 hours and carboplatin IV over 30 minutes on day 1. Treatment repeats every 21 days for 3 courses during weeks 1-9 and 14-22.

RADIATION THERAPY (weeks 8-16): Patients undergo external beam pelvic radiation therapy once a day, 5 days a week for 5 weeks during weeks 8-13. Patients then undergo high dose radiation (HDR) brachytherapy or intensity-modulated radiation therapy (IMRT) once weekly during weeks 14-16.

After completion of study treatment, patients are followed up every 3 months for 2 years, every 6 months for 3 years, and then annually thereafter.
Criteria for eligibility
Healthy Volunteers: No
Maximum Age: N/A
Minimum Age: 18 Years
Gender: Female
Criteria: Inclusion Criteria:

- Histologically documented uterine carcinosarcoma with no visible residual disease

- Surgical staging to include total abdominal hysterectomy, bilateral salpingo-oophorectomy, peritoneal washings, and lymph node samplings

- Patients must be entered no more than 12 weeks post operatively

- Eastern Cooperative Oncology Group (ECOG) performance status of < 2

- Written voluntary informed consent

Exclusion Criteria:

- Serum glutamic oxaloacetic transaminase (SGOT) and /or serum glutamate pyruvate transaminase (SGPT) > 2.5 times the institutional upper limit of normal

- Total serum bilirubin > 1.5 mg/dl

- History of chronic or active hepatitis

- Serum creatinine > 2.0 mg/dl

- Platelets < 100,000/mm3

- Absolute neutrophil count (ANC) < 1500/mm3

- Hemoglobin < 8.0 g/dl (the patient may be transfused prior to study entry)

- Patient has severe or uncontrolled concurrent medical disease (e.g. uncontrolled diabetes, unstable angina, myocardial infarction within 6 months, congestive heart failure, etc.)

- Patient with any prior chemotherapy or radiotherapy for pelvic malignancy

- Patients with any history of cancer with the exception of non-melanoma skin cancer are excluded if there is any evidence of other malignancy being present within the past five years

- Patients with dementia or altered mental status that would prohibit the giving and understanding of informed consent at the time of study entry
Location
Albert Einstein College of Medicine
Bronx, New York, United States
Status: Recruiting
Contact: Merieme Klobocista - 718-405-8082 - mkloboci@montefiore.org
Start Date
May 2011
Sponsors
Albert Einstein College of Medicine of Yeshiva University
Source
Albert Einstein College of Medicine of Yeshiva University
Record processing date
ClinicalTrials.gov processed this data on July 28, 2015
ClinicalTrials.gov page