Trial Outcomes & Findings for Letrozole and RAD001 With Advanced or Recurrent Endometrial Cancer (NCT NCT01068249)

NCT ID: NCT01068249

Last Updated: 2025-11-18

Results Overview

Objective response or stable disease rate monitored as patients accrue and are evaluated following the example of Thall and Simon. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR

Recruitment status

ACTIVE_NOT_RECRUITING

Study phase

PHASE2

Target enrollment

42 participants

Primary outcome timeframe

at 8 weeks of treatment, then every 12 weeks, up to 2 years

Results posted on

2025-11-18

Participant Flow

All recruitments were done in a medical clinic setting.

42 participants signed the consent, 3 participants were screen failures

Participant milestones

Participant milestones
Measure
RAD001 + Letrozole
RAD001 10 mg oral tablet daily + Letrozole 2.5 oral tablet daily for 28 days
Overall Study
STARTED
39
Overall Study
COMPLETED
35
Overall Study
NOT COMPLETED
4

Reasons for withdrawal

Reasons for withdrawal
Measure
RAD001 + Letrozole
RAD001 10 mg oral tablet daily + Letrozole 2.5 oral tablet daily for 28 days
Overall Study
Death
1
Overall Study
Withdrawal by Subject
3

Baseline Characteristics

Letrozole and RAD001 With Advanced or Recurrent Endometrial Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
RAD001 + Letrozole
n=42 Participants
RAD001 10 mg oral tablet daily + Letrozole 2.5 oral tablet daily for 28 days
Age, Categorical
<=18 years
0 Participants
n=202 Participants
Age, Categorical
Between 18 and 65 years
27 Participants
n=202 Participants
Age, Categorical
>=65 years
15 Participants
n=202 Participants
Age, Continuous
59.9 years
n=202 Participants
Sex: Female, Male
Female
42 Participants
n=202 Participants
Sex: Female, Male
Male
0 Participants
n=202 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=202 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
37 Participants
n=202 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=202 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=202 Participants
Race (NIH/OMB)
Asian
1 Participants
n=202 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=202 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=202 Participants
Race (NIH/OMB)
White
36 Participants
n=202 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=202 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=202 Participants
Region of Enrollment
United States
42 participants
n=202 Participants

PRIMARY outcome

Timeframe: at 8 weeks of treatment, then every 12 weeks, up to 2 years

Objective response or stable disease rate monitored as patients accrue and are evaluated following the example of Thall and Simon. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR

Outcome measures

Outcome measures
Measure
RAD001 + Letrozole
n=35 Participants
RAD001 10 mg oral tablet daily + Letrozole 2.5 oral tablet daily for 28 days
Number of Participants With Objective Response Rate
Complete Response (CR)
9 Participants
Number of Participants With Objective Response Rate
Partial Response (PR)
2 Participants

SECONDARY outcome

Timeframe: from study entry (1st treatment) to date of tumor progression, date of death, or, for patients alive without tumor progression, date of last follow-up, assessed up to 2 years

PFS is the time from first dose of study treatment until the first date of either objective disease progression or death due to any cause. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as a 30% 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. Median PFS was estimated using the Kaplan-Meier method.

Outcome measures

Outcome measures
Measure
RAD001 + Letrozole
n=35 Participants
RAD001 10 mg oral tablet daily + Letrozole 2.5 oral tablet daily for 28 days
Median Progression Free Survival (PFS)
3 months
Interval 1.9 to 15.7

SECONDARY outcome

Timeframe: from (1st treatment) to death or, for living patients, date of last contact, up to 24.4 months

OS is defined as the interval from first dose of study treatment to the date of death, irrespective of the cause of death; subjects still alive will be censored at the date of the last contact

Outcome measures

Outcome measures
Measure
RAD001 + Letrozole
n=35 Participants
RAD001 10 mg oral tablet daily + Letrozole 2.5 oral tablet daily for 28 days
Median Overall Survival (OS)
14 months
Interval 9.5 to 24.4

SECONDARY outcome

Timeframe: from study entry (1st treatment) to date of tumor progression, date of death, or, for patients alive without tumor progression, date of last follow-up, up to 2 years

Outcome measures

Outcome measures
Measure
RAD001 + Letrozole
n=35 Participants
RAD001 10 mg oral tablet daily + Letrozole 2.5 oral tablet daily for 28 days
Number of Participants With Disease Progression
31 Participants

SECONDARY outcome

Timeframe: Adverse events were reported from first dose of study treatment until end of study treatment plus 30 days post treatment

Toxicity was assessed using the National Cancer Institute Common Terminology Criteria for Adverse Events (version 3.0).

Outcome measures

Outcome measures
Measure
RAD001 + Letrozole
n=35 Participants
RAD001 10 mg oral tablet daily + Letrozole 2.5 oral tablet daily for 28 days
Number of Participants With Adverse Events (All Grades)
28 Participants

Adverse Events

RAD001 + Letrozole

Serious events: 0 serious events
Other events: 28 other events
Deaths: 1 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
RAD001 + Letrozole
n=35 participants at risk
RAD001 10 mg oral tablet daily + Letrozole 2.5 oral tablet daily for 28 days
Nervous system disorders
Neuropathy- sensory
34.3%
12/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Skin and subcutaneous tissue disorders
Rash: acneiform
40.0%
14/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Respiratory, thoracic and mediastinal disorders
Dyspnea
22.9%
8/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
General disorders
Fatigue
80.0%
28/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Metabolism and nutrition disorders
Hypertriglyceridemia
80.0%
28/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Metabolism and nutrition disorders
Hypercholesterolemia
77.1%
27/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Gastrointestinal disorders
Mucositis
71.4%
25/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Blood and lymphatic system disorders
Anemia
65.7%
23/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Metabolism and nutrition disorders
Hyperglycemia
60.0%
21/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Gastrointestinal disorders
Nausea
57.1%
20/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Gastrointestinal disorders
Vomiting
28.6%
10/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Gastrointestinal disorders
Anorexia
45.7%
16/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Blood and lymphatic system disorders
Thrombocytopenia
31.4%
11/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Investigations
Elevated AST
5.7%
2/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Investigations
Elevated ALT
40.0%
14/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Investigations
Hypomagnesemia
37.1%
13/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Investigations
Hypokalemia
31.4%
11/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Gastrointestinal disorders
Diarrhea
34.3%
12/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Respiratory, thoracic and mediastinal disorders
Cough
37.1%
13/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Blood and lymphatic system disorders
Edema: limbs
31.4%
11/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Nervous system disorders
Headache
42.9%
15/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Blood and lymphatic system disorders
Leukopenia
37.1%
13/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Skin and subcutaneous tissue disorders
Pruritus
25.7%
9/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Gastrointestinal disorders
Taste alteration
25.7%
9/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Metabolism and nutrition disorders
Weight loss
22.9%
8/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Gastrointestinal disorders
Abdominal pain
14.3%
5/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
General disorders
Chills
14.3%
5/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Nervous system disorders
Dizziness
14.3%
5/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Skin and subcutaneous tissue disorders
Dry Skin
17.1%
6/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
General disorders
Fever
14.3%
5/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Respiratory, thoracic and mediastinal disorders
Hemorrhage - nasal
14.3%
5/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
General disorders
Insomnia
14.3%
5/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Musculoskeletal and connective tissue disorders
Myalgia
14.3%
5/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Skin and subcutaneous tissue disorders
Nail Disorder
17.1%
6/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Blood and lymphatic system disorders
Neutrophils decreased
14.3%
5/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Musculoskeletal and connective tissue disorders
Pain - extremities
20.0%
7/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Musculoskeletal and connective tissue disorders
Pain - other
14.3%
5/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
General disorders
Sweating
20.0%
7/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Infections and infestations
Urinary Tract infection
14.3%
5/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Gastrointestinal disorders
Dry mouth
14.3%
5/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Investigations
Alkaline phosphatase increased
2.9%
1/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Psychiatric disorders
Anxiety
2.9%
1/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Ear and labyrinth disorders
Auditory/ear (other)
2.9%
1/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Musculoskeletal and connective tissue disorders
Back pain
2.9%
1/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Hepatobiliary disorders
Bladder pain
2.9%
1/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Blood and lymphatic system disorders
Blood/bone marrow (other)
2.9%
1/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Injury, poisoning and procedural complications
Bruising
2.9%
1/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Cardiac disorders
Cardiac arrhythmia (other)
2.9%
1/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Psychiatric disorders
Confusion
2.9%
1/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Metabolism and nutrition disorders
Dehydration
2.9%
1/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Skin and subcutaneous tissue disorders
Dermatology/skin (other)
2.9%
1/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Gastrointestinal disorders
Dysphagia
2.9%
1/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Endocrine disorders
Endocrine (other)
2.9%
1/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Gastrointestinal disorders
Enteritis
2.9%
1/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Gastrointestinal disorders
GI (other)
2.9%
1/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Infections and infestations
Infection
2.9%
1/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Infections and infestations
Infection (other)
2.9%
1/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Musculoskeletal and connective tissue disorders
Joint pain
2.9%
1/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Musculoskeletal and connective tissue disorders
Muscle weakness
2.9%
1/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Respiratory, thoracic and mediastinal disorders
Nasal congestion
2.9%
1/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Respiratory, thoracic and mediastinal disorders
Paranasal sinus infection
2.9%
1/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal pain
2.9%
1/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Respiratory, thoracic and mediastinal disorders
Pulmonary hemorrhage
2.9%
1/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Metabolism and nutrition disorders
Serum glucose decreased
2.9%
1/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Metabolism and nutrition disorders
Serum potassium increased
2.9%
1/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Cardiac disorders
Sinus tachycardia
2.9%
1/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Infections and infestations
Sinusitis
2.9%
1/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Injury, poisoning and procedural complications
Stomal ulcer
2.9%
1/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months
Eye disorders
Watering eyes
2.9%
1/35 • Adverse events were reported from first dose of study treatment until end of study treatment at 28 days plus 30 days post treatment, assessed up to 24.4 months

Additional Information

Dr. Pamela Soliman,Professor, Gyn Onc & Reproductive Med

UT MD Anderson Cancer Center

Phone: (713) 745-2352

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place