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Clinical Trial Summary

This phase II trial studies how well temsirolimus and bevacizumab work in treating patients with advanced endometrial, ovarian, liver, carcinoid, or islet cell cancer. Temsirolimus may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Monoclonal antibodies, such as bevacizumab, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them. Bevacizumab may also stop the growth of cancer by blocking blood flow to the tumor. Giving temsirolimus together with bevacizumab may kill more tumor cells.


Clinical Trial Description

PRIMARY OBJECTIVES:

I. To determine the response rate and progression-free survival at 6 months in patients with endometrial, ovarian, hepatocellular carcinoma, carcinoid or islet cell cancer.

II. To determine the toxicity of the combination of temsirolimus and bevacizumab in patients with endometrial, ovarian, hepatocellular carcinoma, carcinoid or islet cell cancer.

SECONDARY OBJECTIVES:

I. To collect blood and tumor specimens from all patients entered on the trial for possible future analysis.

OUTLINE:

Patients receive temsirolimus intravenously (IV) on days 1, 8, 15, and 22, and bevacizumab IV over 30-90 minutes on days 1 and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed up for 3 years. ;


Study Design


Related Conditions & MeSH terms

  • Adenocarcinoma
  • Adenocarcinoma, Papillary
  • Adenoma
  • Adult Hepatocellular Carcinoma
  • Advanced Adult Hepatocellular Carcinoma
  • Carcinoid Tumor
  • Carcinoma
  • Carcinoma, Endometrioid
  • Carcinoma, Hepatocellular
  • Carcinoma, Islet Cell
  • Carcinoma, Neuroendocrine
  • Carcinosarcoma
  • Endometrial Serous Adenocarcinoma
  • Fallopian Tube Neoplasms
  • Gastrinoma
  • Gastrointestinal Neoplasms
  • Glucagonoma
  • Insulinoma
  • Intestinal Neoplasms
  • Liver Neoplasms
  • Localized Non-Resectable Adult Liver Carcinoma
  • Lung Carcinoid Tumor
  • Malignant Carcinoid Syndrome
  • Malignant Pancreatic Gastrinoma
  • Malignant Pancreatic Glucagonoma
  • Malignant Pancreatic Insulinoma
  • Malignant Pancreatic Somatostatinoma
  • Metastatic Digestive System Neuroendocrine Tumor G1
  • Mixed Tumor, Mullerian
  • Neoplasms
  • Neoplasms, Glandular and Epithelial
  • Neuroendocrine Tumors
  • Ovarian Carcinosarcoma
  • Ovarian Endometrioid Adenocarcinoma
  • Ovarian Neoplasms
  • Ovarian Seromucinous Carcinoma
  • Ovarian Serous Surface Papillary Adenocarcinoma
  • Pancreatic Alpha Cell Adenoma
  • Pancreatic Beta Cell Adenoma
  • Pancreatic Delta Cell Adenoma
  • Pancreatic G-Cell Adenoma
  • Pancreatic Neoplasms
  • Pancreatic Polypeptide Tumor
  • Peritoneal Neoplasms
  • Recurrent Adult Liver Carcinoma
  • Recurrent Digestive System Neuroendocrine Tumor G1
  • Recurrent Fallopian Tube Carcinoma
  • Recurrent Ovarian Carcinoma
  • Recurrent Pancreatic Neuroendocrine Carcinoma
  • Recurrent Primary Peritoneal Carcinoma
  • Recurrent Uterine Corpus Carcinoma
  • Regional Digestive System Neuroendocrine Tumor G1
  • Somatostatinoma
  • Stage IIIA Fallopian Tube Cancer
  • Stage IIIA Ovarian Cancer
  • Stage IIIA Primary Peritoneal Cancer
  • Stage IIIA Uterine Corpus Cancer
  • Stage IIIB Fallopian Tube Cancer
  • Stage IIIB Ovarian Cancer
  • Stage IIIB Primary Peritoneal Cancer
  • Stage IIIB Uterine Corpus Cancer
  • Stage IIIC Fallopian Tube Cancer
  • Stage IIIC Ovarian Cancer
  • Stage IIIC Primary Peritoneal Cancer
  • Stage IIIC Uterine Corpus Cancer
  • Stage IV Fallopian Tube Cancer
  • Stage IV Ovarian Cancer
  • Stage IV Primary Peritoneal Cancer
  • Stage IVA Uterine Corpus Cancer
  • Stage IVB Uterine Corpus Cancer
  • Stomach Neoplasms
  • Uterine Carcinosarcoma
  • Uterine Neoplasms

NCT number NCT01010126
Study type Interventional
Source National Cancer Institute (NCI)
Contact
Status Completed
Phase Phase 2
Start date September 8, 2009
Completion date March 13, 2017

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