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NCT00942357

Carboplatin and Paclitaxel With or Without Cisplatin and Radiation Therapy in Treating Patients With Stage I, Stage II, Stage III, or Stage IVA Endometrial Cancer

Status unknown Phase 3 Results posted Last updated 19 October 2021
What this trial tests

Phase 3 trial testing Carboplatin in Endometrial Clear Cell Adenocarcinoma in 813 participants. Status unknown.

Timeline
29 June 2009
Primary endpoint
15 February 2016
28 July 2024

Quick facts

Lead sponsorGynecologic Oncology Group
PhasePhase 3
StatusStatus unknown
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment813
Start date29 June 2009
Primary completion15 February 2016
Estimated completion28 July 2024
Sites670 locations across Canada, United States, South Korea

Drugs / interventions tested

Conditions studied

Sponsor

Gynecologic Oncology Group — full company profile →

Who can join

18 and older, female only, with Endometrial Clear Cell Adenocarcinoma or Endometrial Serous Adenocarcinoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Recurrence, Progression or Death Primary · Disease was to be assessed at baseline, end of treatment and every 6 months for two years, and annually up to 5 years.

Number of participants enrolled with recurrence or progression of disease or death up to date of last contact. Progression is defined using Response Evaluation Criteria in Solid Tumors Criteria (RECIST v1.0) as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion or the appearance of new lesions.

GroupValue95% CI
Arm I (Cisplatin, Radiation Therapy, Paclitaxel, Carboplatin)132
Arm II (Paclitaxel and Carboplatin)139
Number of Participants With Acute Adverse Effects as Graded by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events Version (CTCAE) Version 3.0 Secondary · Assessed throughout the treatment period and for 21-30 days after discontinuation of treatment

The maximum grade of all treatment emergent adverse events without regard to attribution. General guidelines for severity of adverse events are as follows: Grade 1 is mild, Grade 2 is moderate, Grade 3 is severe, Grade 4 is life threatening and Grade 5 is death.

Grade 1
GroupValue95% CI
Arm I (Cisplatin, Radiation Therapy, Paclitaxel, Carboplatin)5
Arm II (Paclitaxel and Carboplatin)15
Grade 2
GroupValue95% CI
Arm I (Cisplatin, Radiation Therapy, Paclitaxel, Carboplatin)139
Arm II (Paclitaxel and Carboplatin)118
Grade 3
GroupValue95% CI
Arm I (Cisplatin, Radiation Therapy, Paclitaxel, Carboplatin)154
Arm II (Paclitaxel and Carboplatin)119
Grade 4
GroupValue95% CI
Arm I (Cisplatin, Radiation Therapy, Paclitaxel, Carboplatin)48
Arm II (Paclitaxel and Carboplatin)105
Grade 5
GroupValue95% CI
Arm I (Cisplatin, Radiation Therapy, Paclitaxel, Carboplatin)0
Arm II (Paclitaxel and Carboplatin)3
Number of Participants With Late Adverse Events as Graded by the NCI CTCAE Version 3.0 Secondary · Assessed every 6 months for 3 years

The maximum grade of Adverse events reported during follow-up until progression of disease, a change of therapy or otherwise off study for a maximum of 3 years without regard to attribution. General guidelines for severity of adverse events are as follows: Grade 1 is mild, Grade 2 is moderate, Grade 3 is severe, Grade 4 is life threatening and Grade 5 is death.

Grade 1
GroupValue95% CI
Arm I (Cisplatin, Radiation Therapy, Paclitaxel, Carboplatin)85
Arm II (Paclitaxel and Carboplatin)96
Grade 2
GroupValue95% CI
Arm I (Cisplatin, Radiation Therapy, Paclitaxel, Carboplatin)71
Arm II (Paclitaxel and Carboplatin)79
Grade 3
GroupValue95% CI
Arm I (Cisplatin, Radiation Therapy, Paclitaxel, Carboplatin)45
Arm II (Paclitaxel and Carboplatin)33
Grade 4
GroupValue95% CI
Arm I (Cisplatin, Radiation Therapy, Paclitaxel, Carboplatin)14
Arm II (Paclitaxel and Carboplatin)7
Grade 5
GroupValue95% CI
Arm I (Cisplatin, Radiation Therapy, Paclitaxel, Carboplatin)1
Arm II (Paclitaxel and Carboplatin)4
Patient-reported Peripheral Neuropathy Symptoms Secondary · Prior to study treatment (baseline), Arm 1: 1 week post completion of radiation therapy, Arm 2: Prior to cycle 3 (6 weeks post starting of study treatment), 18 weeks post the starting of study treatement, 70 weeks post the starting of study treatment

Patient reported peripheral neuropathy symptoms was measured with the Functional Assessment of Cancer Therapy/Gynecologic Oncology Group - neurotoxicity subscale (short version) (FACT/GOG-Ntx subscale). The FACT/GOG-Ntx subscale contains 4 items. Each item was scored using a 5-point scale (0=not at all; 1=a little bit; 2=somewhat; 3=quite a bit; 4=very much). For the negative items, reversal was performed prior to score calculation. According to the FACIT measurement system, the Ntx score was the summation of the individual item scores if more than 50% of subscale items were answered. When una

Baseline
GroupValue95% CI
Arm I (Cisplatin, Radiation Therapy, Paclitaxel, Carboplatin)14.9± 0.1
Arm II (Paclitaxel and Carboplatin)15.0± 0.1
6 weeks
GroupValue95% CI
Arm I (Cisplatin, Radiation Therapy, Paclitaxel, Carboplatin)14.4± 0.4
Arm II (Paclitaxel and Carboplatin)12.4± 0.4
18 weeks
GroupValue95% CI
Arm I (Cisplatin, Radiation Therapy, Paclitaxel, Carboplatin)10.4± 0.4
Arm II (Paclitaxel and Carboplatin)9.9± 0.5
70 weeks
GroupValue95% CI
Arm I (Cisplatin, Radiation Therapy, Paclitaxel, Carboplatin)11.8± 0.4
Arm II (Paclitaxel and Carboplatin)11.6± 0.4
Patient-reported Quality of Life (QOL) Secondary · Prior to study treatment (baseline), Arm 1: 1 Week post completion of radiation therapy, Arm 2: Prior to cycle 3 (6 weeks post starting of study treatment), 18 weeks post the starting of study treatment, 70 weeks post the starting of study treatment

Patient reported quality of life was measured with the Treatment Outcome Index of the Functional Assessment of Cancer Therapy for endometrial cancer (FACT-En TOI). It is a scale for assessing general QOL of endometrial cancer patients. It consists of three subscales: Physical Well Being (7 items), Functional Well Being (7 items), and Endometrium Cancer subscale (16 items). Each item was scored using a 5-point scale (0=not at all; 1=a little bit; 2=somewhat; 3=quite a bit; 4=very much). According to the FACIT measurement system, a subscale score was the summation of the individual item scores i

Baseline
GroupValue95% CI
Arm I (Cisplatin, Radiation Therapy, Paclitaxel, Carboplatin)98.4± 0.8
Arm II (Paclitaxel and Carboplatin)97.6± 0.8
6 weeks
GroupValue95% CI
Arm I (Cisplatin, Radiation Therapy, Paclitaxel, Carboplatin)89.5± 2.1
Arm II (Paclitaxel and Carboplatin)90.9± 2.0
18 weeks
GroupValue95% CI
Arm I (Cisplatin, Radiation Therapy, Paclitaxel, Carboplatin)87.8± 2.1
Arm II (Paclitaxel and Carboplatin)93.0± 2.0
70 weeks
GroupValue95% CI
Arm I (Cisplatin, Radiation Therapy, Paclitaxel, Carboplatin)96.0± 2.2
Arm II (Paclitaxel and Carboplatin)99.4± 2.1

Adverse events — posted to ClinicalTrials.gov

Time frame: All Adverse Events (AEs) occurring during treatment and up to 30 days after stopping the study treatment are reported. Also reported are Serious Adverse Events (SAEs) considered to be treatment related for up to 5 years after stopping study treatment.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Arm I (Cisplatin, Radiation Therapy, Paclitaxel, Carboplatin)
Serious: 78/346 (23%)
Deaths: 0
Arm II (Paclitaxel and Carboplatin)
Serious: 61/361 (17%)
Deaths: 0

Serious adverse events (63 terms)

ReactionSystemArm I (Cisplatin, Radiatio…Arm II (Paclitaxel and Car…
NeutrophilsBlood and lymphatic system disorders
DiarrheaGastrointestinal disorders
LymphopeniaBlood and lymphatic system disorders
Thrombosis/Thrombus/EmbolismVascular disorders
HemoglobinBlood and lymphatic system disorders
Allergic Reaction/HypersensitivityImmune system disorders
Obstruction, Gi - Small Bowel NosGastrointestinal disorders
Infection - OtherInfections and infestations
Renal FailureRenal and urinary disorders
PlateletsBlood and lymphatic system disorders
S/N Arrhythmia: Atrial FibrillationCardiac disorders
FeverGeneral disorders
DehydrationGastrointestinal disorders
Inf W/Nml Or Gr 1 Or 2 Anc: BloodInfections and infestations
Febrile NeutropeniaInfections and infestations
Inf Unknown Anc: BloodInfections and infestations
HyponatremiaMetabolism and nutrition disorders
HypokalemiaMetabolism and nutrition disorders
Muscle Weakness - Extremity-LowerMusculoskeletal and connective tissue disorders
SyncopeNervous system disorders
Pain: BackGeneral disorders
Pain: Abdominal Pain NosGeneral disorders
Auditory/Ear - OtherEar and labyrinth disorders
Blood/Bone Marrow - OtherBlood and lymphatic system disorders
S/N Arrhythmia: Sinus TachycardiaCardiac disorders
Other adverse events (325 terms — click to expand)

ReactionSystemArm I (Cisplatin, Radiatio…Arm II (Paclitaxel and Car…
HemoglobinBlood and lymphatic system disorders
FatigueGeneral disorders
LeukocytesBlood and lymphatic system disorders
Hair Loss/Alopecia (Scalp Or Body)Skin and subcutaneous tissue disorders
DiarrheaGastrointestinal disorders
Neuropathy-SensoryNervous system disorders
NeutrophilsBlood and lymphatic system disorders
NauseaGastrointestinal disorders
PlateletsBlood and lymphatic system disorders
ConstipationGastrointestinal disorders
AnorexiaGastrointestinal disorders
VomitingGastrointestinal disorders
Pain: JointGeneral disorders
Pain: MuscleGeneral disorders
Pain: Abdominal Pain NosGeneral disorders
HyperglycemiaMetabolism and nutrition disorders
DyspneaRespiratory, thoracic and mediastinal disorders
HypomagnesemiaMetabolism and nutrition disorders
Pain: BoneGeneral disorders
InsomniaGeneral disorders
Pain: Extremity-LimbGeneral disorders
Urinary FrequencyRenal and urinary disorders
DizzinessNervous system disorders
Edema: LimbBlood and lymphatic system disorders
Pain: Head/HeadacheGeneral disorders
LymphopeniaBlood and lymphatic system disorders
HypokalemiaMetabolism and nutrition disorders
RashSkin and subcutaneous tissue disorders
HypertensionCardiac disorders
CoughRespiratory, thoracic and mediastinal disorders
Weight LossGeneral disorders
Mood Alteration - AnxietyNervous system disorders
Alkaline PhosphataseMetabolism and nutrition disorders
CreatinineMetabolism and nutrition disorders
HyponatremiaMetabolism and nutrition disorders
Hot FlashesEndocrine disorders
Taste AlterationGastrointestinal disorders
Mood Alteration - DepressionNervous system disorders
Muscle Weakness - Whole Body/GeneralizedMusculoskeletal and connective tissue disorders
HypocalcemiaMetabolism and nutrition disorders

Most-reported serious reactions: Neutrophils, Diarrhea, Lymphopenia, Thrombosis/Thrombus/Embolism, Hemoglobin, Allergic Reaction/Hypersensitivity, Obstruction, Gi - Small Bowel Nos, Infection - Other.

Data from ClinicalTrials.gov NCT00942357 adverse events section.

Sponsor's own description

This randomized phase III trial studies carboplatin and paclitaxel to see how well they work with or without cisplatin and radiation therapy in treating patients with stage I-IVA endometrial cancer. Drugs used in chemotherapy, such as carboplatin, paclitaxel, and cisplatin, 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. Radiation therapy uses high-energy x-rays to kill tumor cells. Giving chemotherapy and radiation therapy after surgery may kill any tumor cells that remain after surgery. It is not yet known whether carboplatin and paclitaxel are more effective with or without cisplatin and radiation therapy in treating patients with endometrial cancer.

Publications & conference data

7 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Adjuvant Chemotherapy plus Radiation for Locally Advanced Endometrial Cancer.
    Matei D, Filiaci V, Randall ME, Mutch D, et al · · 2019 · cited 334× · PMID 31189035 · DOI 10.1056/nejmoa1813181
  2. Recent Advances in Endometrial Cancer.
    Tran AQ, Gehrig P. · · 2017 · cited 42× · PMID 28184290 · DOI 10.12688/f1000research.10020.1
  3. Determinants of Sensitivity to Radiotherapy in Endometrial Cancer.
    Sorolla MA, Parisi E, Sorolla A. · · 2020 · cited 22× · PMID 32679719 · DOI 10.3390/cancers12071906
  4. Molecular classification of endometrial cancers (EC) and association with relapse-free survival (RFS) and overall survival (OS) outcomes: Ancillary analysis of GOG-0258.
    Clements A, Enserro D, Strickland KC, Previs R, et al · · 2025 · cited 15× · PMID 39854806 · DOI 10.1016/j.ygyno.2025.01.006
  5. Long-Term Follow-Up and Overall Survival in NRG258, a Randomized Phase III Trial of Chemoradiation Versus Chemotherapy for Locally Advanced Endometrial Carcinoma.
    Matei DE, Enserro DM, Randall ME, Mutch D, et al · · 2025 · cited 7× · PMID 39700442 · DOI 10.1200/jco.24.01121
  6. Patient reported outcomes for cisplatin and radiation followed by carboplatin/paclitaxel versus carboplatin/paclitaxel for locally advanced endometrial carcinoma: An NRG oncology study.
    Matulonis UA, Huang HQ, Filiaci VL, Randall M, et al · · 2022 · cited 6× · PMID 34903380 · DOI 10.1016/j.ygyno.2021.11.021
  7. Highlights from the Gynecologic Oncology Track at the 2017 Annual Meeting of the American Society of Clinical Oncology.
    Wolford JE, Tewari KS. · · 2017 · cited 3× · PMID 28758380 · DOI 10.3802/jgo.2017.28.e74

Verify or expand the search:

Other trials of Carboplatin

Trials testing the same drug.

Other recruiting trials for Endometrial Clear Cell Adenocarcinoma

Currently open trials in the same condition.

Other Gynecologic Oncology Group trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00942357.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing