A Phase 2 interventional study of Computed Tomography and Magnetic Resonance Imaging in Recurrent Endometrial Endometrioid Adenocarcinoma, Recurrent Malignant Uterine Corpus Neoplasm and Recurrent Ovarian Carcinoma, sponsored by National Cancer Institute (NCI). Active, not recruiting at 582 sites in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-15.
Sponsored by National Cancer Institute (NCI) · Phase 2, Interventional, and Treatment
This phase II trial studies how well tazemetostat works in treating patients with ovarian or endometrial cancer that has come back (recurrent). Chemotherapy drugs, such as tazemetostat, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading.
PRIMARY OBJECTIVES:
I. To assess the clinical activity (overall response rate) of tazemetostat in patients with recurrent or persistent endometrioid or clear cell ovarian carcinoma, and patients with recurrent or persistent endometrioid endometrial adenocarcinoma.
II. To assess the clinical activity (response frequency) of tazemetostat in patients with recurrent or persistent clear cell ovarian carcinoma with an ARID1A mutation.
SECONDARY OBJECTIVES:
I. To examine the nature and degree of toxicity in patients with this regimen. II. To examine the progression free survival and overall survival for this patient population receiving tazemetostat.
III. To examine the 6 month clinical benefit rate in patients treated with this regimen. (20-OCT-2021) IV. To evaluate BAF250a expression in patient samples as an indicator of ARID1A mutation status and correlation with the clinical response to study drug. Note: this only applies to patients enrolled prior to the 20-OCT-2021 version date. (20-OCT-2021)
EXPLORATORY OBJECTIVES:
I. Whether or not the patient has an ARID1A mutation. (08/13/2019) Note: this only applies to patients enrolled prior to the 20-OCT-2021 version date. (20-OCT-2021) (Translational Research Integrated Objective) II. To examine the correlation between ARID1A mutation and BAF250a expression and to identify potential mutations predictive of response in patients with preserved BAF250a expression. Note: this only applies to patients enrolled prior to the 20-OCT-2021 version date. (20-OCT-2021)
OUTLINE:
Patients receive tazemetostat orally (PO) twice daily (BID) on days 1-28. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients also undergo computed tomography (CT) scans and magnetic resonance imaging (MRI) on study.
After completion of study treatment, patients are followed up every 3 months for 2 years and then every 6 months for 3 years.
Pathologically (histologically or cytologically) proven diagnosis of recurrent or persistent ovarian endometrioid or clear cell carcinoma, OR recurrent or persistent endometrioid endometrial adenocarcinoma; patients with recurrent endometrial cancer must have mismatch repair (MMR) immunohistochemistry completed; if they are found to be mismatch repair deficient, they should be offered treatment with immune checkpoint inhibition before consideration for treatment on trial; primary ovarian tumors must be at least 50% endometrioid or clear cell morphology, or have histologically documented recurrence with at least 50% endometrioid or clear cell morphology; institutional pathology reports must be provided indicating at least 50% endometrioid or clear cell morphology for ovarian tumors (primary or recurrent lesions)
Patients must have completed prior therapy:
Chemotherapy: cytotoxic
Chemotherapy: nitrosoureas
Chemotherapy: non-cytotoxic (e.g. small molecule inhibitor)
Monoclonal antibody(ies)
Immunotherapy
Radiotherapy (RT)
Appropriate stage for study entry based on the following diagnostic workup:
Exclusion Criteria:
Patients receive tazemetostat PO BID on days 1-28. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients also undergo CT scans and MRI on study.
Procedure: Computed Tomography · Procedure: Magnetic Resonance Imaging · Drug: Tazemetostat
Undergo CT scan
Also known as: CAT, CAT Scan, Computed Axial Tomography, Computerized Axial Tomography, Computerized axial tomography (procedure), Computerized Tomography, Computerized Tomography (CT) scan, CT, CT Scan, Diagnostic CAT Scan, Diagnostic CAT Scan Service Type, tomography
Undergo MRI
Also known as: Magnetic Resonance, Magnetic Resonance Imaging (MRI), Magnetic resonance imaging (procedure), Magnetic Resonance Imaging Scan, Medical Imaging, Magnetic Resonance / Nuclear Magnetic Resonance, MR, MR Imaging, MRI, MRI Scan, MRIs, NMR Imaging, NMRI, Nuclear Magnetic Resonance Imaging, sMRI, Structural MRI
Given PO
Also known as: E 7438, E-7438, E7438, EPZ 6438, EPZ-6438, EPZ6438
Tumor Response
Will be defined by Response Evaluation Criteria in Solid Tumors (RECIST) version (v) 1.1. The statistic reported is the response rate (i.e. (total responses / total at risk) \* 100).
Time frame: Up to 6 months
Tumor Response in Patients With ARID1A Mutations Using Tumor Response (Removed as of Version Date 20-OCT-2021)
Will be defined by RECIST v 1.1.
Time frame: Up to 6 months
6-month Progression Free Survival (Clinical Benefit Rate)
Six-month progression free survival (clinical benefit rate). The clinical benefit rate is the total number (or percentage) of patients who had a complete response, or a partial response or who had stable disease for six months or more.
Time frame: Up to 6 months
Number of Patients With a Grade 3 (or Higher) Adverse Events
Will be assessed according to grade of toxicity by organ or organ system. This will be reported by group (Endometrial or Ovarian). This study reported adverse events by CTCAE v5.0.
Time frame: Adverse events were collected for a maximum of 23.5 months (interquartile range: 1.4 months, 3.9 months).
Progression-free Survival
Will be characterized by quartiles and the median of the distribution with confidence intervals. Kaplan-Meier plots will show an estimate of the survival function for these populations.
Time frame: Progression-free survival times were collected for a maximum of 30.0 months (interquartile range: 1.8 months, 5.5 months).
Overall Survival
Will be characterized by quartiles and the median of the distribution with confidence intervals. Kaplan-Meier plots will show an estimate of the survival function for these populations.
Time frame: Overall survival times were collected for a maximum of 51.6 months (interquartile range: 4.3 months, 19.0 months).
ARID1A Mutational Status
Associations between BAF250a and ARID1A mutations may be examined with contingency table analysis (e.g. potentially including Chi-square analyses or Spearman's correlation).
Time frame: Up to 6 months
BAF250a Expression
Will be assessed by immunohistochemistry. Associations between BAF250a and ARID1A mutations may be examined with contingency table analysis (e.g. potentially including Chi-square analyses or Spearman's correlation).
Time frame: Up to 6 months
| Milestone | Arm I: Treatment (Tazemetostat) in Endometrial Cancer Patients | Arm II: Treatment (Tazemetostat) Ovarian in Cancer Patients |
|---|---|---|
| Started | 19 | 43 |
| Completed | 16 | 42 |
| Not completed | 3 | 1 |
| Withdrew: Not eligible, no treatment | 0 | 1 |
| Withdrew: Not eligible, treated | 2 | 0 |
| Withdrew: Eligible, no treatment | 1 | 0 |
Will be defined by Response Evaluation Criteria in Solid Tumors (RECIST) version (v) 1.1. The statistic reported is the response rate (i.e. (total responses / total at risk) \* 100).
| Response/Patient (Percentage) | Arm I: Treatment (Tazemetostat) in Endometrial Cancer Patients | Arm II: Treatment (Tazemetostat) Ovarian in Cancer Patients |
|---|---|---|
| Tumor Response | 0 (0 to 15) | 4.7 (0.6 to 15.8) |
Will be defined by RECIST v 1.1.
Results for this outcome have not been posted.
Six-month progression free survival (clinical benefit rate). The clinical benefit rate is the total number (or percentage) of patients who had a complete response, or a partial response or who had stable disease for six months or more.
| Percentage with 6-month PFS | Arm I: Treatment (Tazemetostat) in Endometrial Cancer Patients | Arm II: Treatment (Tazemetostat) Ovarian in Cancer Patients |
|---|---|---|
| 6-month Progression Free Survival (Clinical Benefit Rate) | 25 (7.3 to 52.4) | 19 (8.6 to 34.1) |
Will be assessed according to grade of toxicity by organ or organ system. This will be reported by group (Endometrial or Ovarian). This study reported adverse events by CTCAE v5.0.
| Participants | Arm I: Treatment (Tazemetostat) in Endometrial Cancer Patients | Arm II: Treatment (Tazemetostat) Ovarian in Cancer Patients |
|---|---|---|
| Number of Patients With a Grade 3 (or Higher) Adverse Events | 6 | 20 |
Will be characterized by quartiles and the median of the distribution with confidence intervals. Kaplan-Meier plots will show an estimate of the survival function for these populations.
| months | Arm I: Treatment (Tazemetostat) in Endometrial Cancer Patients | Arm II: Treatment (Tazemetostat) Ovarian in Cancer Patients |
|---|---|---|
| Progression-free Survival | 2.05 (1.84 to 5.49) | 3.04 (2.04 to 4.37) |
Will be characterized by quartiles and the median of the distribution with confidence intervals. Kaplan-Meier plots will show an estimate of the survival function for these populations.
| months | Arm I: Treatment (Tazemetostat) in Endometrial Cancer Patients | Arm II: Treatment (Tazemetostat) Ovarian in Cancer Patients |
|---|---|---|
| Overall Survival | 25.3 (3.8 to NA) | 13.7 (8.0 to 22.4) |
Associations between BAF250a and ARID1A mutations may be examined with contingency table analysis (e.g. potentially including Chi-square analyses or Spearman's correlation).
Results for this outcome have not been posted.
Will be assessed by immunohistochemistry. Associations between BAF250a and ARID1A mutations may be examined with contingency table analysis (e.g. potentially including Chi-square analyses or Spearman's correlation).
Results for this outcome have not been posted.
Collected over Adverse events were collected for a maximum of 23.5 months (interquartile range: 1.4 months, 3.9 months). All-Cause Mortality monitored/assessed up to 51.6 months (interquartile range: 4.3 months, 19.0 months).. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Arm I: Treatment (Tazemetostat) in Endometrial Cancer Patients | 11/16 (68.8%) | 3/16 (18.8%) | 15/16 (93.8%) |
| Arm II: Treatment (Tazemetostat) Ovarian in Cancer Patients | 28/42 (66.7%) | 12/42 (28.6%) | 40/42 (95.2%) |
| Event | Arm I: Treatment (Tazemetostat) in Endometrial Cancer Patients | Arm II: Treatment (Tazemetostat) Ovarian in Cancer Patients |
|---|---|---|
| NauseaGastrointestinal disorders | 2/16 | 3/42 |
| Abdominal painGastrointestinal disorders | 1/16 | 2/42 |
| Colonic obstructionGastrointestinal disorders | 1/16 | 0/42 |
| VomitingGastrointestinal disorders | 1/16 | 0/42 |
| Disease progressionGeneral disorders | 1/16 | 2/42 |
| FatigueGeneral disorders | 1/16 | 0/42 |
| ArthralgiaMusculoskeletal and connective tissue disorders | 1/16 | 0/42 |
| MyalgiaMusculoskeletal and connective tissue disorders | 1/16 | 0/42 |
| AtaxiaNervous system disorders | 1/16 | 0/42 |
| ParesthesiaNervous system disorders | 1/16 | 0/42 |
| Event | Arm I: Treatment (Tazemetostat) in Endometrial Cancer Patients | Arm II: Treatment (Tazemetostat) Ovarian in Cancer Patients |
|---|---|---|
| NauseaGastrointestinal disorders | 6/16 | 23/42 |
| FatigueGeneral disorders | 7/16 | 20/42 |
| AnemiaBlood and lymphatic system disorders | 7/16 | 16/42 |
| DiarrheaGastrointestinal disorders | 6/16 | 9/42 |
| Abdominal painGastrointestinal disorders | 5/16 | 9/42 |
| VomitingGastrointestinal disorders | 3/16 | 13/42 |
| AnorexiaMetabolism and nutrition disorders | 3/16 | 12/42 |
| DyspneaRespiratory, thoracic and mediastinal disorders | 1/16 | 11/42 |
| DysgeusiaNervous system disorders | 4/16 | 6/42 |
| HeadacheNervous system disorders | 4/16 | 4/42 |
All enrolled patients
| Age, Customized(Participants) | Arm I: Treatment (Tazemetostat) in Endometrial Cancer Patients | Arm II: Treatment (Tazemetostat) Ovarian in Cancer Patients | Total |
|---|---|---|---|
| 20-29 years | 0 | 1 | 1 |
| 30-39 years | 0 | 1 | 1 |
| 40-49 years | 0 | 6 | 6 |
| 50-59 years | 5 | 16 | 21 |
| 60-69 years | 11 | 16 | 27 |
| 70-79 years | 1 | 3 | 4 |
| >= 80 years | 2 | 0 | 2 |
| Sex: Female, Male(Participants) | Arm I: Treatment (Tazemetostat) in Endometrial Cancer Patients | Arm II: Treatment (Tazemetostat) Ovarian in Cancer Patients | Total |
|---|---|---|---|
| Female | 19 | 43 | 62 |
| Male | 0 | 0 | 0 |
| Ethnicity (NIH/OMB)(Participants) | Arm I: Treatment (Tazemetostat) in Endometrial Cancer Patients | Arm II: Treatment (Tazemetostat) Ovarian in Cancer Patients | Total |
|---|---|---|---|
| Hispanic or Latino | 0 | 2 | 2 |
| Not Hispanic or Latino | 19 | 40 | 59 |
| Unknown or Not Reported | 0 | 1 | 1 |
| Race (NIH/OMB)(Participants) | Arm I: Treatment (Tazemetostat) in Endometrial Cancer Patients | Arm II: Treatment (Tazemetostat) Ovarian in Cancer Patients | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 |
| Asian | 0 | 2 | 2 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 3 | 2 | 5 |
| White | 16 | 37 | 53 |
| More than one race | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 2 | 2 |
Showing the first 100 of 582 sites.
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Plan to share: Yes — NCI is committed to sharing data in accordance with NIH policy. For more details on how clinical trial data is shared, access the link to the NIH data sharing policy page
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