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NCT03099499

Single Agent ONC201 in Recurrent or Metastatic Endometrial Cancer

Terminated Phase 2 Last updated 24 December 2024
What this trial tests

Phase 2 trial testing ONC201 in Endometrial Cancer in 19 participants. Terminated before completion.

Timeline
8 June 2017
Primary endpoint
9 September 2020
9 September 2020

Quick facts

Lead sponsorFox Chase Cancer Center
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment19
Start date8 June 2017
Primary completion9 September 2020
Estimated completion9 September 2020
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Fox Chase Cancer Center — full company profile →

Who can join

18 and older, female only, with Endometrial Cancer. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

ONC201 is a small molecule which selectively targets the G protein-coupled receptor DRD2. Downstream of target engagement, ONC201 activates the integrated stress response (ISR) in tumor cell leading to inactivation of Akt and extracellular signal-regulated kinase (ERK) signaling as well as induction of the TRAIL pathway. ONC201 also inhibits dopamine receptor 2 (DRD2), resulting in anti-tumor responses in preclinical models. Single agent ONC201 has been examined in open-label Phase I studies in patients with advanced, treatment refractory solid malignancies. Due to its differential anti-proliferative and pro-apoptotic response in tumor cells, treatment was overall well tolerated, and the recommended phase II dose of ONC201 was set at 625mg every three weeks. An additional dose-escalation phase I study (NCT02609230) is further evaluating weekly versus three week dosing in patients with advanced solid tumors and multiple myeloma. Preliminary data from these phase I studies suggests a possible clinical benefit in patients with advanced, chemo-refractory endometrial cancers, with at least one mixed response noted in a patient with clear cell histology. Hypothesis: Single agent ONC201 will demonstrate clinical benefit in women with recurrent or metastatic endometrial cancers, especially in those women with alterations in the Phosphoinositide 3 kinase (PI3K)/Akt/mammalian target of Rapamycin (mTOR) pathway.

Publications & conference data

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

  1. Targeting apoptosis in cancer therapy.
    Carneiro BA, El-Deiry WS. · · 2020 · cited 1823× · PMID 32203277 · DOI 10.1038/s41571-020-0341-y
  2. Developing TRAIL/TRAIL death receptor-based cancer therapies.
    Yuan X, Gajan A, Chu Q, Xiong H, et al · · 2018 · cited 200× · PMID 29541897 · DOI 10.1007/s10555-018-9728-y
  3. ONC201 and imipridones: Anti-cancer compounds with clinical efficacy.
    Prabhu VV, Morrow S, Rahman Kawakibi A, Zhou L, et al · · 2020 · cited 137× · PMID 33142238 · DOI 10.1016/j.neo.2020.09.005
  4. Novel Apoptosis-Inducing Agents for the Treatment of Cancer, a New Arsenal in the Toolbox.
    Lim B, Greer Y, Lipkowitz S, Takebe N. · · 2019 · cited 61× · PMID 31370269 · DOI 10.3390/cancers11081087
  5. Safety and enhanced immunostimulatory activity of the DRD2 antagonist ONC201 in advanced solid tumor patients with weekly oral administration.
    Stein MN, Malhotra J, Tarapore RS, Malhotra U, et al · · 2019 · cited 60× · PMID 31118108 · DOI 10.1186/s40425-019-0599-8
  6. Dopamine Receptor D5 is a Modulator of Tumor Response to Dopamine Receptor D2 Antagonism.
    Prabhu VV, Madhukar NS, Gilvary C, Kline CLB, et al · · 2019 · cited 51× · PMID 30559168 · DOI 10.1158/1078-0432.ccr-18-2572
  7. Mechanisms of imipridones in targeting mitochondrial metabolism in cancer cells.
    Bonner ER, Waszak SM, Grotzer MA, Mueller S, et al · · 2021 · cited 50× · PMID 33336683 · DOI 10.1093/neuonc/noaa283
  8. A review of current therapeutics targeting the mitochondrial protease ClpP in diffuse midline glioma, H3 K27-altered.
    Jackson ER, Persson ML, Fish CJ, Findlay IJ, et al · · 2024 · cited 30× · PMID 37589388 · DOI 10.1093/neuonc/noad144

Verify or expand the search:

Other trials of ONC201

Trials testing the same drug.

Other recruiting trials for Endometrial Cancer

Currently open trials in the same condition.

Other Fox Chase Cancer Center trials

Trials by the same sponsor.

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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/NCT03099499.

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