ClinicalTrials.gg
CompletedNCT00408655Updated Jun 19, 2014

Temsirolimus, Carboplatin, and Paclitaxel in Treating Patients With Advanced Solid Tumors

A Phase 1 interventional study of paclitaxel and carboplatin in Ovarian Sarcoma, Ovarian Stromal Cancer and Recurrent Endometrial Carcinoma, sponsored by National Cancer Institute (NCI). Completed at 1 site in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-06-19.

Sponsored by National Cancer Institute (NCI) · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
38
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 48 studies in Endometrial Neoplasms by National Cancer Institute (NCI) — 6 open to participants now, 14 under way, 3 of them phase 3. Endometrial Neoplasms · National Cancer Institute (NCI).

Enrollment
30th of 37
38 · median 56
Started
2007
with 2 others
Phase 1
13 of 48
1 open now
Registered
22nd of 48
by date

Among the 48 studies in Endometrial Neoplasms by National Cancer Institute (NCI), this one is the 30th largest by enrollment of the 37 interventional ones, is one of 3 that started in 2007, is one of 13 in phase 1, and was the 22nd registered.

By phase

48 studies; the count open now beside each. This study's row is marked.

Phase 221 · 3 open
Phase 1this study13 · 1 open
Observational9 · 0 open
Phase 33 · 1 open
Phase 1/22 · 1 open

By the year they started

First in 1995; this study’s year is marked. 3 started in 2007.

Size and results

Median enrollment 56 across the 37 interventional studies, 6,086 across the 9 observational. Of the 34 that completed or were terminated, 11 (32%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 48 studies in Endometrial Neoplasms by National Cancer Institute (NCI), or all of them as a file.
02

Study summary

This phase I trial is studying the side effects and best dose of temsirolimus, carboplatin, and paclitaxel in treating patients with advanced solid tumors. Temsirolimus may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. 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. Giving temsirolimus together with chemotherapy may kill more tumor cells.

Read the detailed description

PRIMARY OBJECTIVES:

I. Determine the maximum tolerated dose (MTD) and recommended phase II dose of temsirolimus, carboplatin, and paclitaxel in patients with advanced solid tumors.

SECONDARY OBJECTIVES:

I. Determine the frequency and severity of toxic effects of this regimen in these patients.

II. Document any evidence of objective antitumor activity of this regimen in patients with measurable disease.

III. Determine the pharmacokinetic profile of carboplatin and paclitaxel alone, temsirolimus alone, and carboplatin, paclitaxel, and temsirolimus in combination in these patients.

OUTLINE: This is a multicenter, open-label, dose-escalation study. Patients receive treatment in either part A or part B.

PART A: Patients receive paclitaxel IV over 3 hours followed by carboplatin IV over 30-60 minutes on day 1 and temsirolimus IV over 30 minutes on days 8 and 15. Treatment repeats every 21 days for up to 8 courses in the absence of disease progression or unacceptable toxicity.

PART B: Patients receive paclitaxel and carboplatin as in part A. They also receive temsirolimus IV over 30 minutes on days 1 and 8. Treatment repeats every 21 days for up to 8 courses in the absence of disease progression or unacceptable toxicity.

Cohorts of 3-6 patients in parts A and B receive escalating doses of temsirolimus, carboplatin, and paclitaxel until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. The recommended phase II dose (RPTD) is the dose that is one dose level below the MTD. Once the RPTD is determined in part A, patients are enrolled in part B. An expanded cohort of up to 10 patients with endometrial or ovarian cancer are treated at the RPTD determined in part B (final RPTD).

After completion of study treatment, patients are followed at 4 weeks and then every 3 months thereafter.

03

Conditions studied

  • Ovarian Sarcoma
  • Ovarian Stromal Cancer
  • Recurrent Endometrial Carcinoma
  • Recurrent Ovarian Epithelial Cancer
  • Recurrent Ovarian Germ Cell Tumor
  • Stage III Endometrial Carcinoma
  • Stage III Ovarian Epithelial Cancer
  • Stage III Ovarian Germ Cell Tumor
  • Stage IV Endometrial Carcinoma
  • Stage IV Ovarian Epithelial Cancer
  • Stage IV Ovarian Germ Cell Tumor
  • Unspecified Adult Solid Tumor, Protocol Specific
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Criteria:

  • confirmed solid tumors
  • Measurable or nonmeasurable disease: No serum tumor marker elevation as the only evidence of disease; Patients with ovarian or endometrial cancer must have , defined as >= 1 lesion >= 20 mm by conventional techniques OR >= 10 mm by spiral CT scan
  • Advanced disease; to standard therapy OR no standard therapy is available
  • Carboplatin and paclitaxel considered reasonable therapeutic option
  • No known
  • performance status 0-1
  • >= 12 weeks
  • Absolute granulocyte count >= 1,500/mm\^3
  • count >= 100,000/mm\^3
  • =\< 1.5 times (ULN)
  • and ALT =\< 3 times ULN (5 times ULN if documented liver )
  • Fasting serum cholesterol =\< 9.0 mmol/L
  • Fasting triglycerides =\< 4.56 mmol/L
  • Creatinine normal OR >= 50 mL/min
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective
  • Accessible for treatment and follow up
  • No serious cardiovascular illness, including any of the following:

myocardial infarction within the past 6 months, congestive heart failure (even if medically controlled), unstable angina, active cardiomyopathy, cardiac arrhythmia, uncontrolled hypertension

  • No preexisting sensory or motor neuropathy >= grade 2 due to previous chemotherapy; Local or regional neurological findings related to previous injury or disease allowed
  • No hearing loss >= grade 2 from any cause
  • No history of allergic reactions attributed to compounds of similar chemical or biological composition to temsirolimus
  • No serious illness or medical condition that would preclude study treatment including, but not limited to, any of the following: History of significant neurologic or psychiatric disorder that would impair the ability to obtain consent or limit study compliance, Active uncontrolled infection or nonhealing wounds, OR;
  • At least 4 weeks since prior radiotherapy (except low-dose, palliative radiotherapy) and recovered
  • At least 4 weeks since prior chemotherapy and recovered
  • No more than 2 prior chemotherapy regimens
  • Prior therapy with carboplatin and/or paclitaxel allowed provided the patient has no persistent related toxicity >= grade 1 AND retreatment with the combination is clinically indicated (e.g., therapy for ovarian cancer with > 6-month treatment-free interval)
  • At least 21 days since prior major surgery and recovered
  • No prior mTOR inhibitor
  • No concurrent prophylactic hematopoietic colony-stimulating factors
  • No other concurrent anticancer therapy or agents
  • Active peptic ulcer disease, Any other medical condition that might be aggravated by treatment
Terms in these criteria, in plain language(15)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
38 participants (actual)

Study arms

  • Experimental
    Arm I

    PART A: Patients receive paclitaxel IV over 3 hours followed by carboplatin IV over 30-60 minutes on day 1 and temsirolimus IV over 30 minutes on days 8 and 15. Treatment repeats every 21 days for up to 8 courses in the absence of disease progression or unacceptable toxicity. PART B: Patients receive paclitaxel and carboplatin as in part A. They also receive temsirolimus IV over 30 minutes on days 1 and 8. Treatment repeats every 21 days for up to 8 courses in the absence of disease progression or unacceptable toxicity.

    Drug: paclitaxel · Drug: carboplatin · Drug: temsirolimus

Interventions

  • Given IV

    Also known as: Anzatax, Asotax, TAX, Taxol

  • Given IV

    Also known as: Carboplat, CBDCA, JM-8, Paraplat, Paraplatin

  • Given IV

    Also known as: CCI-779, cell cycle inhibitor 779, Torisel

06

What researchers measure

Primary outcomes

  1. Recommended phase II dose of temsirolimus, carboplatin, and paclitaxel

    Time frame: Up to 3 years

  2. Safety

    Time frame: Up to 3 years

  3. Tolerability

    Time frame: Up to 3 years

  4. Dose-limiting toxicities

    Time frame: Up to 3 years

Secondary outcomes

  1. Efficacy

    Time frame: Up to 3 years

07

Study locations

1 site
  • National Cancer Institute of Canada Clinical Trials Group
    Kingston, Ontario K7L 3N6, Canada
08

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Feb 2007 and a primary completion of Jan 2012. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 6, 2006
First posted
Dec 7, 2006
Start
Feb 2007
Primary completionActual
Jan 2012
Last update
Jun 19, 2014
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 19, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00408655
Responsible party
Sponsor
First posted
Dec 7, 2006
Start date
Feb 2007
Primary completion
Jan 2012
Last update
Jun 19, 2014

Study contacts

Amit Oza
principal investigator · Canadian Cancer Trials Group
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2014. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Temsirolimus

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