Status:
COMPLETED
Carboplatin and Paclitaxel With or Without Cediranib Maleate in Treating Patients With Metastatic or Recurrent Cervical Cancer That Cannot Be Removed by Surgery
Lead Sponsor:
University of Glasgow
Conditions:
Cervical Cancer
Eligibility:
FEMALE
18+ years
Phase:
PHASE2
Brief Summary
RATIONALE: Drugs used in chemotherapy, such as carboplatin and paclitaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Cedi...
Detailed Description
OBJECTIVES: Primary * To provide preliminary evidence regarding whether the addition of cediranib maleate to a combination of carboplatin and paclitaxel will increase the progression-free survival b...
Eligibility Criteria
Inclusion
- DISEASE CHARACTERISTICS:
- Histologically confirmed carcinoma of the cervix, including any of the following subtypes:
- Squamous cell carcinoma
- Adenocarcinoma
- Adenosquamous cell carcinoma
- Must meet one of the following criteria:
- Persistent or relapsed inoperable disease after radical radiotherapy within the irradiated pelvis
- Relapse after radical hysterectomy (after radical radiotherapy to pelvis, if appropriate)
- Extra pelvic metastases
- Primary stage IVB disease
- Not suitable for potentially curative surgical procedure
- Measurable disease in ≥ 1 marker site
- No CNS disease, including brain metastases, within the past 6 months
- PATIENT CHARACTERISTICS:
- ECOG performance status 0-1
- Life expectancy \> 12 weeks
- Hemoglobin ≥ 10 g/dL
- ANC ≥ 1,500/mm³
- Platelet count ≥ 100,000/mm³
- Calculated creatinine clearance ≥ 35 mL/min
- No proteinuria \> 1+ on dipstick (on 2 consecutive dipsticks not less than 1 week apart), unless urinary protein is \< 1.5 g in a 24-hour period
- Bilirubin ≤ 1.5 times upper limit of normal (ULN)
- ALT or AST ≤ 2.5 times ULN (≤ 5 times ULN if hepatic metastases present)
- Alkaline phosphatase ≤ 2.5 times ULN (≤ 5 times ULN if hepatic metastases present)
- Prothrombin ratio (PTR)/INR ≤ 1.5 OR PTR/INR 2.0-3.0 for patients on stable dose of anticoagulant
- Partial thromboplastin time \< 1.2 times control
- No history of a nervous or psychiatric disorder that would prevent informed consent and compliance
- No prior malignancy within the past 5 years, except for successfully treated basal cell skin cancer or in-situ breast cancer
- Not pregnant or nursing
- Fertile patients must use effective contraception during and for ≥ 6 months after completion of study treatment
- No uncontrolled infection, defined as infection that cannot be resolved readily with antibiotics prior to trial entry
- No history of significant gastrointestinal impairment, as judged by the Investigator, that would significantly affect the absorption of cediranib maleate
- No history of pelvic fistula
- No history of inflammatory bowel disease
- No sub-acute or acute intestinal obstruction
- No significant traumatic injury within the past 4 weeks
- No non-healing wound, ulcer, or bone fracture
- No active bleeding
- No history or evidence of thrombotic or hemorrhagic disorders
- No uncontrolled seizures, cerebrovascular accident, transient ischemic attack, or subarachnoid hemorrhage within the past 6 months
- No significant cardiovascular disease, including any of the following:
- Arterial thrombotic event within the past 12 months
- Angina within the past 6 months
- History of poorly controlled or uncontrolled hypertension or resting BP \> 150/100 mm Hg in the presence or absence of a stable regimen of anti-hypertensive therapy within the past 6 months
- NYHA class II-IV congestive heart failure
- Peripheral vascular disease ≥ grade 3 or cardiac arrhythmia requiring medication
- Prolonged QTc (corrected) interval of \> 470 ms on ECG or a family history of long QT syndrome
- Patients with rate-controlled atrial fibrillation are eligible
- Not requiring intravenous nutritional support
- No preexisting sensory or motor neuropathy ≥ grade 2
- No history or clinical suspicion of spinal cord compression
- No known hypersensitivity to carboplatin or paclitaxel
- No evidence of any other disease, metabolic dysfunction, physical examination finding, or laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of an investigational drug or puts the patient at high risk for treatment-related complications
- PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
- No unresolved toxicity ≥ CTC grade 2 from prior systemic anti-cancer therapy, except hematological toxicity or alopecia
- No prior chemotherapy, except cisplatin administered along with radiotherapy as primary treatment
- No major surgery within 28 days or anticipated while on study
- More than 2 weeks since prior and no concurrent potent inhibitors of CYP3A4 and 2C8, including any of the following:
- Amiodarone
- Clarithromycin
- Erythromycin
- Simvastatin
- Atorvastatin
- Lovastatin
- Montelukast sodium
- Verapamil
- Ketoconazole
- Miconazole
- Indinavir (and other antivirals)
- Diltiazem
- No concurrent grapefruit juice or St. John wort
Exclusion
Key Trial Info
Start Date :
June 1 2010
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
December 1 2012
Estimated Enrollment :
130 Patients enrolled
Trial Details
Trial ID
NCT01229930
Start Date
June 1 2010
End Date
December 1 2012
Last Update
August 26 2013
Active Locations (5)
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1
Leicester Royal Infirmary
Leicester, England, United Kingdom, LE19 4LF
2
Cancer Research UK and University College London Cancer Trials Centre
London, England, United Kingdom, W1T 4TJ
3
Christie Hospital
Manchester, England, United Kingdom, M20 4BX
4
Royal Marsden - Surrey
Sutton, England, United Kingdom, SM2 5PG