Recurrent Endometrial Carcinoma Clinical Trial
Official title:
A Translational Companion Protocol to GOG229O: A Randomized Phase II Study With a Safety Lead-In to Assess the Antitumor Efficacy of the MEK Inhibitor Trametinib Alone or in Combination With GSK2141795, an AKT Inhibitor, in Patients With Recurrent or Persistent Endometrial Cancer
This trial assesses blood and tumor samples for the effect of trametinib with or without uprosertib on biomarkers in patients enrolled on trial GOG02290 with endometrial cancer that is persistent or has come back. Biomarkers found in the blood and tissue may be related to the reaction or response to the study drugs.
PRIMARY OBJECTIVES:
I. To explore the impact of trametinib alone or in combination with uprosertib (GSK2141795)
on RAF-MEK-ERK and PI3K pathway signaling.
SECONDARY OBJECTIVES:
I. To examine associations with early changes in functional proteomic biomarkers in tumor
biopsies before and after treatment and tumor response in two subgroups of patients with
recurrent or persistent endometrial cancer who are treated with trametinib alone or in
combination with GSK2141795.
II. To examine levels of circulating tumor cells in blood samples before and after treatment
and correlate with tumor response in two subgroups of patients with recurrent or persistent
endometrial cancer who are treated with trametinib alone or in combination with GSK2141795.
III. To examine the bRaf/cRaf dimer or Raf/KSR/Mek1 dimers in paraffin sections from these
patients before treatment by proximity ligation assay (PLA) assays.
IV. To quantify exosomes from these patients before and after treatment by enzyme-linked
immunosorbent assay (ELISA) assay with CD63 antibody and explore bRaf/cRaf dimer or
Raf/KSR/Mek1 dimers in exosomes from these patients before and after treatment by PLA assays.
OUTLINE:
Patients undergo collection of blood at screening, between days 3 and 5, 28, and 56. Patients
also undergo collection of tumor biopsy at screening and day 28.
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