Phase II trial to study the effectiveness of thalidomide in treating patients who have recurrent or persistent cancer of the uterus. Thalidomide may stop the growth of cancer by stopping blood flow to the tumor.
PRIMARY OBJECTIVES: I. Determine the antitumor cytostatic activity of thalidomide, as measured by the probability of progression-free survival (PFS) for at least 6 months, in patients with recurrent or persistent uterine leiomyosarcoma. II. Determine the nature and degree of the toxicity of this drug in these patients. III. Determine the partial and complete response rates in patients treated with this drug. IV. Determine the duration of PFS and overall survival of patients treated with this drug. V. Determine the effect of this drug on initial performance status in these patients. VI. Determine the effects of this drug at 4 weeks on endogenous angiogenesis factors (vascular endothelial growth factor and basic fibroblast growth factor) in plasma and urine of these patients. VII. Assess the association of endogenous angiogenesis factors with clinical outcome (PFS) in patients treated with this drug. OUTLINE: This is a multicenter study. Patients receive oral thalidomide once daily on days 1-28. Courses repeat every 4 weeks in the absence of disease progression or unacceptable toxicity. Patients are followed every 3 months for 2 years, every 6 months for 3 years, and then annually thereafter.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
60
Given PO
Correlative studies
Gynecologic Oncology Group
Philadelphia, Pennsylvania, United States
Progression-free survival
Time frame: 6 months
Frequency and severity of adverse effects as assessed by CTC
Time frame: Up to 7 years
Duration of progression-free survival
Time frame: Up to 7 years
Duration of overall survival
Time frame: Up to 7 years
Frequency of clinical response (partial and complete response)
Time frame: Up to 7 years
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