ClinicalTrials.gg
CompletedNCT03285802Updated Feb 5, 2020

Treatment Plan for an Individual Patient With Recurrent Uterine Papillary Serous Carcinoma (UPSC) With PIK3CA Gene Mutation

A Phase 2/3 interventional study of Letrozole and Everolimus in Uterine Cancer, sponsored by Greater Baltimore Medical Center. Completed at 1 site in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-02-05.

Sponsored by Greater Baltimore Medical Center · Phase 2/3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Feb 2019, 7 years 9 months ago, and no results have been posted to the registry.
Phase
Phase 2/3
Study type
Interventional
Enrollment
1
Allocation
Not applicable
Ages
18 Years and older
Sex
Female
01

Where this study stands

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

Among 159 studies in Uterine Neoplasms with a site in United States — 31 open to participants now, 41 under way, 3 of them phase 3. Uterine Neoplasms · United States.

Enrollment
121st of 125
1 · median 40
Started
2017
with 4 others
Phase 2/3
Only one
of the 159
Registered
80th of 159
by date

Among the 159 studies in Uterine Neoplasms with a site in United States, this one is the 121st largest by enrollment of the 125 interventional ones, is one of 5 that started in 2017, is the only one in phase 2/3, and was the 80th registered.

By phase

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

Phase 244 · 7 open
No phase38 · 5 open
Observational32 · 7 open
Phase 119 · 4 open
Phase 1/214 · 4 open
Phase 35 · 3 open
Phase 44 · 1 open
Other kind2 · 0 open
Phase 2/3this study1 · 0 open

By the year they started

First in 1994; this study’s year is marked. 5 started in 2017.

Size and results

Median enrollment 40 across the 125 interventional studies, 167 across the 32 observational. Of the 104 that completed or were terminated, 40 (38%) have results posted.

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02

Study summary

This is an open-label treatment program following basic prescribing information for patients with recurrent UPSC (Uterine Papillary Serous Carcinoma) to provide access to everolimus and limited treatment alternatives.

Read the detailed description

The objective is to provide access to everolimus for patients with Recurrent UPSC and limited treatment alternatives.

Letrozole 2.5mg daily q 30 days Everolimus 10mg daily q 28 days

03

Conditions studied

  • Uterine Cancer

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04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Patient has adequate bone marrow and coagulation function as shown by: (ANC) ≥ 1.5 × 109/L; ≥ 100 × 109/L; (Hgb) ≥ 9.0 g/dL.
  2. Patient has adequate liver function as shown by:

    1. total serum ≤2.0 mg/dL,
    2. and AST ≤2.5x (≤5x ULN in patients with liver ),
    3. ≤2;.
  3. Patient has adequate renal function as shown by serum creatinine ≤ 1.5 × ULN.
  4. Patient has fasting serum cholesterol ≤ 300mg/dl or 7.75mmol/L AND fasting triglycerides ≤ 2.5 × ULN. NOTE: In case one or both of these thresholds are exceeded, the patient can only be included after initiation of appropriate lipid lowering medication.
  5. Patient will give a written obtained according to local guidelines.
  6. Sexually active males must use a condom during intercourse while taking everolimus for treatment, for 8 weeks after stopping treatment, or their female partners should use highly effective during this specified time period.
  7. Women of must have had a negative serum pregnancy test 14 days prior to the start of everolimus treatment plus a negative local urine pregnancy test prior to treatment and must be willing to use highly effective methods of contraception during the study and for 8 weeks after study drug administration.

Exclusion criteria

Exclusion Criteria:

  1. Patient has had prior therapy with mTOR inhibitors (e.g. sirolimus, temsirolimus, deforolimus).
  2. Patient has a known intolerance or to everolimus or other rapamycin analogs (e.g. sirolimus, temsirolimus).
  3. Patient has uncontrolled diabetes mellitus as defined by fasting serum glucose > 1.5 × despite adequate therapy. Patients with a known history of impaired fasting glucose or diabetes mellitus (DM) may be included, however blood glucose and antidiabetic treatment must be monitored closely throughout participation in the program and adjusted as necessary.
  4. Patient has any severe and/or uncontrolled medical conditions such as:

    1. unstable angina pectoris, symptomatic congestive heart failure, myocardial infarction ≤6 months prior to randomization, serious uncontrolled cardiac arrhythmia,
    2. active or uncontrolled severe infection,
    3. liver disease such as cirrhosis, decompensated liver disease, and chronic hepatitis (i.e. quantifiable and/or positive HbsAg, quantifiable ),
    4. known severely impaired lung function (spirometry and DLCO 50% or less of normal and O2 saturation 88% or less at rest on room air),
    5. active, bleeding diathesis.
  5. Chronic treatment with or other agents.
  6. Patient has a known history of seropositivity.
  7. Patient is a woman of , unless she is using highly effective methods.

    • Women of child-bearing potential (WOCBP) is defined as all women physiologically capable of becoming pregnant, including women whose career, lifestyle, or sexual orientation precludes intercourse with a male partner and women whose partner has been sterilized by vasectomy or other means.
    • Highly effective contraception, defined as one that results in an annual pregnancy rate \<1% when used correctly, comprises one of the following methods:
    • Total abstinence (when this is in line with the preferred and usual lifestyle of the subject. Periodic abstinence (e.g., calendar, ovulation, symptothermal, post-ovulation methods) and withdrawal are not acceptable methods of contraception)
    • Male/female sterilization
    • Use of oral, injected or implanted hormonal methods of contraception or placement of an intrauterine device (IUD) or intrauterine system (IUS) or other forms of hormonal contraception that have comparable efficacy (failure rate \<1%), for example hormone vaginal ring or transdermal hormone contraception
  8. Patient is unwilling to or unable to comply with the treatment plan.
Terms in these criteria, in plain language(17)

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.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

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.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

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.

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.

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.

Metastases

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

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
1 participant (actual)

Study arms

  • Experimental
    Letrozole and Everolimus

    Letrozole 2.5mg daily q 30 days Everolimus 10mg daily q 28 days

    Drug: Letrozole · Drug: Everolimus

Interventions

  • Letrozole 2.5mg will be taken daily q 30 days

    Also known as: Femara

  • Everolimus 10mg daily q 28 days

    Also known as: Afinitor

06

What researchers measure

Primary outcomes

  1. Single Arm Trial With Combination of Everolimus and Letrozole in Treatment With Recurrent Uterine Papillary Serous Carcinoma (UPSC) With PIK3CA Gene Mutation; Tumor Response to treatment with Everolimus and Letrozole using RECIST Criteria

    Tumor Response to treatment with Everolimus and Letrozole using RECIST Criteria

    Time frame: Baseline, Then every 12 weeks while on Everolimus and Letrozole up to 36 months;

Secondary outcomes

  1. Single Arm Trial With Combination of Everolimus and Letrozole in Treatment With Recurrent Uterine Papillary Serous Carcinoma (UPSC) With PIK3CA Gene Mutation; Overall survival of patients treated with the combination of letrozole and everolimus

    Overall survival of patients treated with the combination of letrozole and everolimus

    Time frame: From randomization until date of death, assessed up to 36 months

07

Study locations

1 site
  • Greater Baltimore Medical Center
    Baltimore, Maryland 21204, United States
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Sep 2017 to primary completion in Feb 2019, 17 months.

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

Registered
Sep 7, 2017
First posted
Sep 18, 2017
StartActual
Sep 7, 2017
Primary completionActual
Feb 12, 2019
CompletionActual
Feb 12, 2019
Last update
Feb 5, 2020
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.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
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 Feb 5, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03285802
Lead sponsor
Greater Baltimore Medical Center
Responsible party
Melissa Loomis, CCRP (Gynecologic Oncologist, Greater Baltimore Medical Center) — Principal investigator
First posted
Sep 18, 2017
Start date
Sep 7, 2017
Primary completion
Feb 12, 2019
Completion
Feb 12, 2019
Last update
Feb 5, 2020

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2020. You cannot join it, but the record below documents what was studied.

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Studies of the drugs tested here: Letrozole · Everolimus

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