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NCT03206177 · REGISTRY CONDITION SEARCH

Paclitaxel/Carboplatin + Galunisertib for Patients With Carcinosarcoma of the Uterus or Ovary

Found through the registry condition index, not selected as a treatment recommendation. This discovery collection was restricted to studies with posted results.

Phase
PHASE1
Status at capture
COMPLETED
Registry last update
2024-08-07

This is a Phase 1 B feasibility trial with Galunsertib, a TGFβ inhibitor, in combination with carboplatin/paclitaxel in patients with newly diagnosed, persistent or recurrent carcinosarcoma of the uterus or ovary. The objective of the study is to determine whether this drug combination is safe for this patient population and to see if it is effective in shrinking cancers, keeping them from growing or helping patients live longer.

Open the original ClinicalTrials.gov record → · Download preserved record

What did the study report?

Outcomes, safety and baseline populations are separate source sections. Quality-of-life measures appear under their original outcome titles.

Who could take part
eligibility Criteria
Inclusion Criteria: 1. Women ≥ 18 years old with a diagnosis of primary, recurrent or progressive uterine, ovarian, fallopian tube or peritoneal carcinosarcoma, for whom treatment with combination paclitaxel and carboplatin is recommended. 2. Written informed consent/assent prior to any study-specific procedures 3. Eastern Cooperative Oncology Group (ECOG) performance status 0-2 4. Tissue available for translational study (paraffin block or new biopsy) . 5. Adequate bone marrow, renal, and hepatic function as defined per protocol. 6. No disease-modifying therapy, including investigational treatments, within 28 days prior to initiation of study treatment. 7. Ability to swallow tablets 8. For Women of child-bearing potential:Willingness to use a highly effective method of contraception during the study and for 6 months following the last dose of galunisertib. Negative beta human chorionic gonadotropin pregnancy test documented within 7 days prior to initiation of study drug. 9. Patient must have measurable disease before the treatment Exclusion Criteria: 1. Planned radiotherapy during or after the study chemotherapy prior to disease progression. 2. Receipt of chemotherapy or radiation within 28 days of study treatment 3. Have had a major surgical procedure or a significant traumatic injury within 28 days prior to study treatment; Minor procedures such as biopsy within 7 days prior to study treatment are allowed. 4. Active infection that would preclude receipt of chemotherapy 5. Moderate or severe cardiovascular disease per protocol 6. Active pregnancy or lactation 7. Second primary malignancy for which treatment during the study period would be recommended if this cancer were not also present. 8. Prior malignancy requiring treatment within the last 3 years 9. Use of another investigational product or device within 4 weeks of study entry or during study participation.
gender Based
true
gender Description
The patient population for this study only applies to females.
healthy Volunteers
false
maximum Age
99 Years
minimum Age
18 Years
sex
FEMALE
std Ages
  1. ADULT
  2. OLDER_ADULT
Treatment arms and interventions
arm Groups
  1. description
    Patients will receive the following in every cycle (1 cycle=28days). * Paclitaxel - 175 mg/m2 over 3 hours via IV on Day 1 * Carboplatin - AUC 6\* (or AUC 5\*) over 1 hour via IV on Day 1 * Galunisertib - 150mg orally twice a day on Days 4-17
    intervention Names
    1. Drug: Galunisertib
    2. Drug: Paclitaxel
    3. Drug: Carboplatin
    label
    Paclitaxel/Carboplatin + Galunisertib
    type
    EXPERIMENTAL
interventions
  1. arm Group Labels
    1. Paclitaxel/Carboplatin + Galunisertib
    description
    Galunisertib 150mg po BID day 4-17
    name
    Galunisertib
    type
    DRUG
  2. arm Group Labels
    1. Paclitaxel/Carboplatin + Galunisertib
    description
    IV Day 1: Paclitaxel 175 mg/m2 over 3 hours
    name
    Paclitaxel
    type
    DRUG
  3. arm Group Labels
    1. Paclitaxel/Carboplatin + Galunisertib
    description
    IV Day 1: Carboplatin AUC 6\* over 1 hour (or 5\* if prior radiation therapy)
    name
    Carboplatin
    type
    DRUG
Study design
allocation
NA
intervention Model
SINGLE_GROUP
masking Info
masking
NONE
primary Purpose
TREATMENT
Enrollment
count
26
type
ACTUAL
Registered outcome plans (not posted results)
primary Outcomes
  1. description
    Completion of 4 cycles of CT + GB- completion of a cycle will be defined as receiving both carboplatin/paclitaxel and taking ≥75% of the doses of GB for the cycle.
    measure
    Proportion of Patients With Completion of 4 Cycles of CT + GB
    time Frame
    2 years
secondary Outcomes
  1. description
    Progression free survival is defined as time from when the patient is registered on the study until RECIST v1.1 documented disease progression as per the protocol or death.
    measure
    Median Progression Free Survival (Months)
    time Frame
    through study completion, an average of 3 years
  2. description
    Overall survival defined as time from study entry to death
    measure
    Median Overall Survival (Months)
    time Frame
    through study completion, an average of 3 years
  3. description
    Proportion of patients who had RECIST documented partial or complete response. Measurable disease is defined as at least one lesion that can be accurately measured in at least one dimension (longest dimension to be recorded). Each lesion must be ≥ 10 mm when measured by CT and MRI; or ≥ 20 mm when measured by conventional techniques, including plain x-ray. Response was documented per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions.
    measure
    Objective Response
    time Frame
    within three years of study entry
Full study description
brief Summary
This is a Phase 1 B feasibility trial with Galunsertib, a TGFβ inhibitor, in combination with carboplatin/paclitaxel in patients with newly diagnosed, persistent or recurrent carcinosarcoma of the uterus or ovary. The objective of the study is to determine whether this drug combination is safe for this patient population and to see if it is effective in shrinking cancers, keeping them from growing or helping patients live longer.
detailed Description
Patients who consent to this study will receive treatment for four 28 day cycles unless they are unable to continue study treatment due to toxicity or disease progression. Paclitaxel and carboplatin will be given intravenously on day 1 of each cycle and galunisertib in pill form on days 4-17. No medicine will be given on days 17-28 of each cycle. Patients may have the option of continuing treatment with the study drug if they complete the 4 cycles the study requires. Subjects will receive tests and procedures that are part of regular cancer care as well as those required for the purposes of the study. Blood samples will be taken to monitor the level of study drug in the blood. Patients will have the option of allowing blood and tumor samples to be used for future research.
Source references
Source notices and limitations
    Discovery and provenance
    1. release id
      ctgov-registry-1336d216cbd1bbff780dac70
      edge id
      nct-edge-b6027153b27de9872a5b
      requested nct id
      NCT03206177
      primary nct id
      NCT03206177
      source kind
      ctgov_condition_query
      source record id
      Source null
      source file sha256
      21b84c01b125d04528c86b8a2e80343ce07b200dcda51c3b1328a536daf43d89
      payload sha256
      4ff6914ecdf83bc0064051df16e372bde669f726bc7b28711ebc60fb5ea56a93
      payload
      clinical indication matching status
      condition_index_match_asserted_by_registry_not_reviewed
      end exclusive
      true
      id
      nct-edge-b6027153b27de9872a5b
      link basis
      returned_by_explicit_condition_and_posted_results_filter_query
      nct id
      NCT03206177
      occurrences
      1. context exact
        NCT03206177
        end
        11
        exact text
        NCT03206177
        start
        0
      offset unit
      unicode_code_points
      query cond
      Uterine Sarcoma
      query disease state id
      ds-uterine-sarcoma
      source file
      /Users/arunverma/Documents/ChatGPT/Cancer Statistics Website/research-data/2026-09-10/clinicaltrials-condition/round-0000/raw/cond-uterine-sarcoma-000.json
      source file sha256
      21b84c01b125d04528c86b8a2e80343ce07b200dcda51c3b1328a536daf43d89
      source json pointer
      /studies/5/protocolSection/identificationModule/nctId
      source kind
      ctgov_condition_query
      source record id
      Source null
      source string basis
      parsed_JSON_string_unmodified
      source string sha256
      9754b627058ee6f70dd7457d6717562353ee7f308775a3b3586b39ea38692331

    Preserved source evidence · Not medical advice