Endometrial NeoplasmsPhase 2NCT02725268
A Study of Sapanisertib, Combination of Sapanisertib With MLN1117, Paclitaxel and Combination of Sapanisertib With Paclitaxel in Women With Endometrial Cancer
A Phase 2 study testing Paclitaxel, Sapanisertib and MLN1117 in people with Endometrial Neoplasms, run by Millennium Pharmaceuticals, Inc. at 78 sites in 10 countries.
Trial summary
The primary purpose of this study is to determine if sapanisertib in combination with weekly paclitaxel improves progression-free survival (PFS) compared to weekly paclitaxel alone. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Endometrial Neoplasms
- What is being tested?
- Paclitaxel, Sapanisertib and MLN1117
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 241 participants
- Where
- 78 sitesin 10 countries
- Study dates
- 1 Apr 2016to 30 Oct 2020
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologic or cytologic diagnosis of endometrial carcinoma (including endometrioid, serous, mixed adenocarcinoma, clear-cell carcinoma, or carcinosarcoma).
- Evidence that the endometrial cancer is advanced, recurrent, or persistent and has relapsed or is refractory to curative therapy or established treatments.
- 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.
- Measurable 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.
- Tumor accessible and participant consents to undergo fresh tumor biopsies.
- Female participants 18 years or older.
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- Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2
- 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 participant. (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.)
- 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.
- Ability to swallow oral medications, willingness to perform mucositis prophylaxis, and suitable venous access for the study-required blood sampling.
- 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.
Who cannot join
- 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.
- Previous treatment with any weekly taxane regimen.
- History of severe hypersensitivity reactions to paclitaxel or any of its excipients.
- 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.
- 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).
- 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.
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- A prothrombin time (PT) or activated partial thromboplastin time (aPTT) above the ULN or a history of a coagulopathy or bleeding disorder.
- Known hepatitis B surface antigen-positive, or known or suspected active hepatitis C infection.
- Sensory or motor neuropathy >= Grade 2.
- Central nervous system (CNS) metastasis, endometrial leiomyosarcoma, or endometrial stromal sarcoma.
- Manifestations of malabsorption due to prior gastrointestinal surgery, gastrointestinal disease, or for some other reason that may alter the absorption of sapanisertib or MLN1117. In addition, participants with enteric stomata are also excluded.
- 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.
- Known human immunodeficiency virus infection.
- 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.
- 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).
- 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.
- 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.
Trial locations and contacts
78 sites in 10 countries.
78 sites in 10 countries
United States21 sites
Augusta University
Augusta, Georgia, 30912
University of Alabama Comprehensive Cancer Center
Birmingham, Alabama, 35294-3300
Massachusetts General Hospital Cancer Center
Boston, Massachusetts, 02114
Levine Cancer Institute
Charlotte, North Carolina, 28204
University of Texas Southwestern Medical Center
Dallas, Texas, 75390
Marin Cancer Care
Greenbrae, California, 94904
Franciscan St. Francis Health
Indianapolis, Indiana, 46237
University of California San Diego Medical Center
La Jolla, California, 92093-1503
Sarah Cannon Research Institute
Nashville, Tennessee, 37203
NYU Langone Medical Center Clinic
New York, New York, 10016
Memorial Sloan Kettering Cancer Center
New York, New York, 10065-6094
Oklahoma University Health Sciences Center
Oklahoma City, Oklahoma, 73104
Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111
University of Arizona Cancer Center
Phoenix, Arizona, 85013
University of Pittsburgh Medical Center Cancer Center at Magee-Womens Hospital
Pittsburgh, Pennsylvania, 15232
University of California at San Francisco (PARENT)
San Francisco, California, 94115
Washington University
St Louis, Missouri, 63108
Stanford School of Medicine
Stanford, California, 94305
H. Lee Moffitt Cancer Center and Research Institute, Inc
Tampa, Florida, 33612-9416
Florida Cancer Specialists
West Palm Beach, Florida, 33401
University of Kansas Medical Center Research Institute, Inc.
Westwood, Kansas, 66205
Italy10 sites
Spedali Civili di Brescia
Brescia, 25123
Ente Ospedaliero Ospedali Galliera
Genova, 16128
Istituto Scientifico Romagnolo Per Lo Studio e La Cura Dei Tumori
Meldola, Forli - Cesena, 47014
Fondazione IRCCS Istituto Nazionale dei Tumori
Milan, 20133
IEO Istituto Europeo di Oncologia
Milan, 20141
Istituto Tumori Napoli Fondazione G. Pascale
Naples, 80131
Azienda Unita Sanitaria Locale di Ravenna
Ravenna, 48121
Istituto Nationale Tumori Regina Elena
Roma, 00144
Universita degli Studi di Roma "La Sapienza" - Umberto I Policlinico di Roma
Roma, 00161
Fondazione Policlinico Universitario Agostino Gemelli
Roma, 00168
United Kingdom9 sites
Bristol Haematology and Oncology Centre
Bristol, Avon, BS2 8ED
University Hospital Coventry
Coventry, CV2 2DX
Royal Devon and Exeter Hospital (Wonford)
Exeter, Devon, EX2 5DW
Beatson West of Scotland Cancer Centre
Glasgow, G12 0YN
University College London Hospitals
London, Greater London, NW1 2BU
Royal Marsden Hospital
London, Greater London, SW3 6JJ
Hammersmith Hospital
London, Greater London, W12 0HS
The Christie
Manchester, Greater Manchester, M20 4BX
Royal Marsden Hospital
Sutton, Surrey, SM2 5PT
Australia7 sites
Monash Medical Centre Clayton
Clayton, Victoria, 3168
Sunshine Hospital
Footscray, Victoria, 3011
Royal Brisbane and Women's Hospital
Herston, Queensland, 4029
St George Hospital
Kogarah, New South Wales, 2217
Cabrini Hospital Malvern
Malvern, Victoria, 3144
Peter MacCallum Cancer Centre-East Melbourne
Melbourne, Victoria, 3000
Westmead Hospital
Westmead, New South Wales, 2145
Spain7 sites
Hospital Universitari Vall d'Hebron
Barcelona, 08035
MD Anderson Cancer Centre
Madrid, 28033
Hospital Universitario Ramon y Cajal
Madrid, 28034
Hospital Universitario Clinico San Carlos
Madrid, 28040
Hospital Universitario La Paz
Madrid, 28046
Centro Integral Oncologico Clara Campal
Madrid, 28050
Instituto Valenciano de Oncologia IVO
Valencia, 46009
Canada6 sites
Tom Baker Cancer Centre
Calgary, Alberta, T2N 4N2
Juravinski Cancer Clinic
Hamilton, Ontario, L8V 5C2
LHSC - Victoria Hospital
London, Ontario, N6A 4L6
CHUM Hopital Notre-Dame
Montreal, Quebec, H2X 3E4
Ottawa Hospital Cancer Centre
Ottawa, Ontario, K1H 8L6
University Health Network - Princess Margaret Cancer Centre
Toronto, Ontario, M5G 2M9
Belgium5 sites
Cliniques Universitaires Saint-Luc
Brussels, 1200
UZ Antwerpen
Edegem, Antwerpen, 2650
UZ Leuven
Leuven, 3000
Centre Hospitalier Universitaire de Liege Site Sart Tilman
Liège, 4000
GasthuisZusters Antwerpen Sint-Augustinus
Wilrijk, 2610
Germany5 sites
Charite - Universitaetsmedizin Berlin - Campus Virchow-Klinikum
Berlin, 13353
Universitaetsklinikum Carl Gustav Carus TU Dresden
Dresden, Saxony, 01307
Universitaetsmedizin Greifswald
Greifswald, Mecklenburg-Vorpommern, 17489
Medizinische Hochschule Hannover
Hanover, Lower Saxony, 30625
Universitaetsklinikum Schleswig-Holstein - Campus Luebeck
Lübeck, Schleswig-Holstein, 23538
Netherlands5 sites
Academisch Medisch Centrum
Amsterdam, North Holland, 1105 AZ
Universitair Medisch Centrum Groningen
Groningen, 9700 RB
Maastricht Universitair Medisch Centrum
Maastricht, Limburg, 6229 HX
Erasmus Medisch Centrum Daniel den Hoed
Rotterdam, South Holland, 3015 GD
Universitair Medisch Centrum Utrecht
Utrecht, 3584 CX
Norway3 sites
Haukeland universitetssykehus, Kvinneklinikken
Bergen, 5021
Radiumhospitalet
Oslo, 0310
Stavanger University Hospital
Stavanger, 4011
About this study
Official title: A Phase 2, Randomized Study of MLN0128 (a Dual TORC1/2 Inhibitor), MLN0128+MLN1117 (a PI3Kα Inhibitor), Weekly Paclitaxel, or the Combination of Weekly Paclitaxel and MLN0128 in Women With Advanced, Recurrent, or Persistent Endometrial Cancer
The primary purpose of this study is to determine if sapanisertib in combination with weekly paclitaxel improves progression-free survival (PFS) compared to weekly paclitaxel alone.
Read the detailed description
The drugs being evaluated in this study are sapanisertib and MLN1117. Sapanisertib is being evaluated as a single agent and in combination with paclitaxel or MLN1117 to treat women with advanced, recurrent, or persistent endometrial cancer. This study will evaluate the efficacy and safety of each drug or drug combination.
The study will enroll approximately 241 participants. Participants will be randomly assigned (by chance, like flipping a coin) to one of 4 treatment groups:
- Paclitaxel 80 mg/m^2
- Paclitaxel 80 mg/m^2 + Sapanisertib 4 mg
- Sapanisertib 30 mg
- Sapanisertib 4 mg + MLN1117 200 mg
Participants will receive either paclitaxel intravenous (IV) weekly, Paclitaxel IV along with sapanisertib orally, sapanisertib orally, or sapanisertib and MLN1117 orally.
This is a multicenter, multinational trial. Participants will make multiple visits to the clinic, with an end of treatment visit (EOT) which will occur 30 to 40 days after receiving their last dose of study drug or before the start of any subsequent anticancer therapy. After EOT, participants will be followed for PFS and overall survival (OS).
- Conditions
- Endometrial Neoplasms
- Being tested
- Paclitaxel, Sapanisertib, MLN1117
- Keywords
- Drug Therapy
- Medical subject headings
- Endometrial Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PaclitaxelDrug
Paclitaxel intravenous solution.
SapanisertibDrug
Also called MLN0128, INK128, TAK-228
Sapanisertib capsules.
MLN1117Drug
Also called TAK-117, INK1117
MLN1117 capsules.
| Study group | Role | What they receive |
|---|---|---|
| Paclitaxel 80 mg/m^2 | Experimental | Paclitaxel 80 milligrams per square meter (mg/m^2), IV, weekly on Days 1, 8, and 15 of a 28-day cycle until disease progression, unacceptable toxicity, or withdraw consent (the median exposure was up to approximately 13 weeks). Receives: Drug: Paclitaxel |
| Paclitaxel 80 mg/m^2 + Sapanisertib 4 mg | Experimental | Paclitaxel 80 mg/m^2, IV, weekly on Days 1, 8, and 15 of a 28-day cycle along with sapanisertib 4 milligrams (mg), capsule, orally on Days 2-4, 9-11, 16-18, and 23-25 of a 28-day cycle until disease progression, unacceptable toxicity, or withdraw consent (the median exposure was up to approximately 20 weeks). Receives: Drug: Paclitaxel; Drug: Sapanisertib |
| Sapanisertib 30 mg | Experimental | Sapanisertib 30 mg, capsule, orally, once weekly on Days 1, 8, 15, and 22 of a 28-day cycle until disease progression, unacceptable toxicity, or withdraw consent (the median exposure was up to approximately 6 weeks). Receives: Drug: Sapanisertib |
| Sapanisertib 4 mg + MLN1117 200 mg | Experimental | Sapanisertib 4 mg, capsule, orally and MLN1117 200 mg, capsule, orally on Days 1-3, 8-10, 15-17, and 22-24 of a 28-day cycle until disease progression, unacceptable toxicity, or withdraw consent (the median exposure was up to approximately 8 weeks). Receives: Drug: Sapanisertib; Drug: MLN1117 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression Free Survival (PFS)
PFS is defined as the time in months from the date of randomization to the date of first documentation of progressive disease (PD) or death due to any cause, whichever occurs first. Per RECIST v1.1, PD was defined as at least a 20% increase in the sum of the longest diameter (LD) of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions.
Measured: Up to approximately 30 months
Secondary outcomes (6)
Number of Participants Who Experienced at Least One Treatment-emergent Adverse Event (TEAE)
An Adverse Event (AE) is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. A TEAE is defined as an adverse event with an onset that occurs after receiving study drug.
Measured: From the first dose of study drug through 30 days after the last dose of study drug (Up to approximately 54 months)
Overall Survival (OS)
OS is defined as the time in months from the date of randomization to the date of death.
Measured: Up to approximately 54 months
Time to Tumor Progression (TTP)
TTP is defined as the time in months from the date of randomization to the date of first documentation of progression. Per RECIST 1.1, PD was defined as at least a 20% increase in the sum of the longest diameter (LD) of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions.
Measured: Up to 30 months
Overall Response Rate (ORR)
ORR is defined as the percentage of participants who achieved a best response of a complete response (CR) or partial response (PR). Per RECIST v1.1, CR was defined as disappearance of all target lesions, non-target lesions, no new lesions, and normalization of tumor marker level. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, no progression in non-target lesion, and no new lesions.
Measured: Up to 30 months
Clinical Benefit Rate (CBR)
CBR is defined as the percentage of participants with CR or PR or SD (SD of any duration). Per RECIST v1.1, CR was defined as disappearance of all target lesions, non-target lesions, no new lesions, and normalization of tumor marker level. PR is defined as at least a 30% decrease in the sum of diameters of target lesions, no progression in non-target lesion, and no new lesions. SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. PD was defined as at least a 20% increase in the sum of the longest diameter (LD) of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions.
Measured: Up to 30 months
Clinical Benefit Rate (CBR) at Week 16 (CBR-16)
CBR-16 is defined as the percentage of participants who achieved CR or PR of any duration or have SD with a duration of at least 16 weeks. Per RECIST v1.1, CR was defined as disappearance of all target lesions, non-target lesions, no new lesions, and normalization of tumor marker level. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, no progression in non-target lesion, and no new lesions. SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. PD was defined as at least a 20% increase in the sum of the longest diameter (LD) of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions.
Measured: Week 16
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 Mar 2016 (estimated)
- Study start1 Apr 2016
- Primary completion2 Jul 2019
- Study completion30 Oct 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Endometrial NeoplasmsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 241 participants (actual)
Sponsor and investigators
- Lead sponsor
- Millennium Pharmaceuticals, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- European Network of Translational Research in Ovarian Cancer - EUTROC, European Network of Individualized Treatment in Endometrial Cancer - ENITEC
- Responsible party
- Sponsor
- Investigators
- Medical Director Clinical Science, Study director, Millennium Pharmaceuticals, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02725268
- Sponsor's protocol ID
- C31004
- Other IDs
- U1111-1168-1824, 2014-005394-37, 02725268, 2014
- Status last verified
- Oct 2021
- First submitted
- 28 Mar 2016
- Last updated
- 24 Nov 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Takeda makes patient-level, de-identified data sets and associated documents available for all interventional studies after applicable marketing approvals and commercial availability have been received (or program is completely terminated), an opportunity for the primary publication of the research and final report development has been allowed, and other criteria have been met as set forth in Takeda's Data Sharing Policy (see www.TakedaClinicalTrials.com for details). To obtain access, researchers must submit a legitimate academic research proposal for adjudication by an independent review panel, who will review the scientific merit of the research and the requestor's qualifications and conflict of interest that can result in potential bias. Once approved, qualified researchers who sign a data sharing agreement are provided access to these data in a secure research environment.
Publications
Han SN, Oza A, Colombo N, Oaknin A, Raspagliesi F, Wenham RM, Braicu EI, Jewell A, Makker V, Krell J, Alia EMG, Baurain JF, Su Z, Neuwirth R, Vincent S, Sedarati F, Faller DV, Scambia G. A randomized phase 2 study of sapanisertib in combination with paclitaxel versus paclitaxel alone in women with advanced, recurrent, or persistent endometrial cancer. Gynecol Oncol. 2023 Nov;178:110-118. doi: 10.1016/j.ygyno.2023.09.013. Epub 2023 Oct 14.
PubMed 37839313
Study at a glance
From the registry record, last updated by the sponsor on 24 Nov 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2, Randomized Study of MLN0128 (a Dual TORC1/2 Inhibitor), MLN0128+MLN1117 (a PI3Kα Inhibitor), Weekly Paclitaxel, or the Combination of Weekly Paclitaxel and MLN0128 in Women With Advanced, Recurrent, or Persistent Endometrial Cancer
- ClinicalTrials.gov ID
- NCT02725268
- Acronym / sponsor ID
- C31004
- Conditions
- Endometrial Neoplasms
- Keywords
- Drug Therapy
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 241 participants (actual)
- Lead sponsor
- Millennium Pharmaceuticals, Inc.Industry (pharma, biotech, devices)
- Collaborators
- European Network of Translational Research in Ovarian Cancer - EUTROC, European Network of Individualized Treatment in Endometrial Cancer - ENITEC
- Study start
- 1 Apr 2016 (actual)
- Primary completion
- 2 Jul 2019 (actual)
- Study completion
- 30 Oct 2020 (actual)
- First posted
- 31 Mar 2016 (estimated)
- Results
- Posted 9 Jun 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary purpose of this study is to determine if sapanisertib in combination with weekly paclitaxel improves progression-free survival (PFS) compared to weekly paclitaxel alone.
Detailed description
The drugs being evaluated in this study are sapanisertib and MLN1117. Sapanisertib is being evaluated as a single agent and in combination with paclitaxel or MLN1117 to treat women with advanced, recurrent, or persistent endometrial cancer. This study will evaluate the efficacy and safety of each drug or drug combination.
The study will enroll approximately 241 participants. Participants will be randomly assigned (by chance, like flipping a coin) to one of 4 treatment groups:
- Paclitaxel 80 mg/m^2
- Paclitaxel 80 mg/m^2 + Sapanisertib 4 mg
- Sapanisertib 30 mg
- Sapanisertib 4 mg + MLN1117 200 mg
Participants will receive either paclitaxel intravenous (IV) weekly, Paclitaxel IV along with sapanisertib orally, sapanisertib orally, or sapanisertib and MLN1117 orally.
This is a multicenter, multinational trial. Participants will make multiple visits to the clinic, with an end of treatment visit (EOT) which will occur 30 to 40 days after receiving their last dose of study drug or before the start of any subsequent anticancer therapy. After EOT, participants will be followed for PFS and overall survival (OS).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Paclitaxel 80 mg/m^2 | Experimental | Drug: PaclitaxelPaclitaxel 80 milligrams per square meter (mg/m^2), IV, weekly on Days 1, 8, and 15 of a 28-day cycle until disease progression, unacceptable toxicity, or withdraw consent (the median exposure was up to approximately 13 weeks). |
| Paclitaxel 80 mg/m^2 + Sapanisertib 4 mg | Experimental | Drug: Paclitaxel, Drug: SapanisertibPaclitaxel 80 mg/m^2, IV, weekly on Days 1, 8, and 15 of a 28-day cycle along with sapanisertib 4 milligrams (mg), capsule, orally on Days 2-4, 9-11, 16-18, and 23-25 of a 28-day cycle until disease progression, unacceptable toxicity, or withdraw consent (the median exposure was up to approximately 20 weeks). |
| Sapanisertib 30 mg | Experimental | Drug: SapanisertibSapanisertib 30 mg, capsule, orally, once weekly on Days 1, 8, 15, and 22 of a 28-day cycle until disease progression, unacceptable toxicity, or withdraw consent (the median exposure was up to approximately 6 weeks). |
| Sapanisertib 4 mg + MLN1117 200 mg | Experimental | Drug: Sapanisertib, Drug: MLN1117Sapanisertib 4 mg, capsule, orally and MLN1117 200 mg, capsule, orally on Days 1-3, 8-10, 15-17, and 22-24 of a 28-day cycle until disease progression, unacceptable toxicity, or withdraw consent (the median exposure was up to approximately 8 weeks). |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (20 listed)
- Histologic or cytologic diagnosis of endometrial carcinoma (including endometrioid, serous, mixed adenocarcinoma, clear-cell carcinoma, or carcinosarcoma).
- Evidence that the endometrial cancer is advanced, recurrent, or persistent and has relapsed or is refractory to curative therapy or established treatments.
- 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.
- Measurable 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.
- Tumor accessible and participant consents to undergo fresh tumor biopsies.
Key exclusion criteria (30 listed)
- 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.
- Previous treatment with any weekly taxane regimen.
- History of severe hypersensitivity reactions to paclitaxel or any of its excipients.
- 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.
- 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).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PaclitaxelPaclitaxel intravenous solution. | Drug | Paclitaxel 80 mg/m^2, Paclitaxel 80 mg/m^2 + Sapanisertib 4 mg |
| SapanisertibAlso: MLN0128, INK128, TAK-228Sapanisertib capsules. | Drug | Paclitaxel 80 mg/m^2 + Sapanisertib 4 mg, Sapanisertib 30 mg, Sapanisertib 4 mg + MLN1117 200 mg |
| MLN1117Also: TAK-117, INK1117MLN1117 capsules. | Drug | Sapanisertib 4 mg + MLN1117 200 mg |
Primary outcome
Progression Free Survival (PFS)
Time frame: Up to approximately 30 months
PFS is defined as the time in months from the date of randomization to the date of first documentation of progressive disease (PD) or death due to any cause, whichever occurs first. Per RECIST v1.1, PD was defined as at least a 20% increase in the sum of the longest diameter (LD) of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions.
6 secondary outcomes
Number of Participants Who Experienced at Least One Treatment-emergent Adverse Event (TEAE)
Time frame: From the first dose of study drug through 30 days after the last dose of study drug (Up to approximately 54 months)
Overall Survival (OS)
Time frame: Up to approximately 54 months
Time to Tumor Progression (TTP)
Time frame: Up to 30 months
Overall Response Rate (ORR)
Time frame: Up to 30 months
Clinical Benefit Rate (CBR)
Time frame: Up to 30 months
Clinical Benefit Rate (CBR) at Week 16 (CBR-16)
Time frame: Week 16
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Nov 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 37839313Han SN, Oza A, Colombo N, Oaknin A, Raspagliesi F, Wenham RM, Braicu EI, Jewell A, Makker V, Krell J, Alia EMG, Baurain JF, Su Z, Neuwirth R, Vincent S, Sedarati F, Faller DV, Scambia G. A randomized phase 2 study of sapanisertib in combination with paclitaxel versus paclitaxel alone in women with advanced, recurrent, or persistent endometrial cancer. Gynecol Oncol. 2023 Nov;178:110-118. doi: 10.1016/j.ygyno.2023.09.013. Epub 2023 Oct 14.
- Individual participant dataSharing planned: Yes. Takeda makes patient-level, de-identified data sets and associated documents available for all interventional studies after applicable marketing approvals and commercial availability have been received (or program is completely terminated), an opportunity for the primary publication of the research and final report development has been allowed, and other criteria have been met as set forth in Takeda's Data Sharing Policy (see www.TakedaClinicalTrials.com for details). To obtain access, researchers must submit a legitimate academic research proposal for adjudication by an independent review panel, who will review the scientific merit of the research and the requestor's qualifications and conflict of interest that can result in potential bias. Once approved, qualified researchers who sign a data sharing agreement are provided access to these data in a secure research environment.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Director Clinical Science study director
Millennium Pharmaceuticals, Inc.
78 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Paclitaxel, Sapanisertib and MLN1117 in people with Endometrial Neoplasms, run by Millennium Pharmaceuticals, Inc. at 78 sites in 10 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 20 inclusion and 30 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 24 Nov 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 78 sites in United States, Italy, United Kingdom, Australia, Spain and 5 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 9 Jun 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression Free Survival (PFS) (time frame: Up to approximately 30 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02725268, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Nov 2021.