Can a common breast cancer drug slow uterine sarcoma?
NCT ID NCT05649956
First seen Jun 27, 2026 · Last updated Jul 31, 2026 · Updated 2 times
Summary
This phase 2 trial tests whether the drug letrozole can extend the time before uterine leiomyosarcoma returns after initial treatment. About 40 women with early-stage disease will be randomly assigned to take letrozole daily or to be observed without treatment. The main goal is to see if letrozole improves progression-free survival.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- letrozole
- What this could lead to
- If it works, this could offer a way to delay cancer recurrence after initial treatment for uterine leiomyosarcoma.
- What could go wrong
- This is a small early-phase trial with only 40 participants, so results may not apply broadly. Letrozole may not improve outcomes and could have side effects.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 40 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2024
- Expected to finish
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Jul 2029
An estimate. End dates often move.
- Lead sponsor
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A research network
The lead sponsor is a research network or cooperative group.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Patient or a legally authorized representative must have signed an approved informed consent and authorization permitting the release of personal health information. 2. Patient must have histologically confirmed newly diagnosed uterine leiomyosarcoma with disease limited to the uterus (FIGO 2009 Stage I). Submission of pathology report documenting uterine leiomyosarcoma histology is required in the IRT Source Document Portal following randomization. 3. Patient tumors must express ER positivity by immunohistochemistry (ER expression greater than 10% by immunohistochemistry). ER status test results must be provided at enrollment. Sites are required to report results of ER status testing in the IRT Source Document Portal. 4. Patient must have completed hysterectomy and bilateral salpingo-oopherectomy no more than 12 weeks from enrollment. 5. All patients must have NO measurable disease as defined by RECIST 1.1 within 6 weeks of enrollment. Measurable disease is defined as at least one lesion that can be accurately measured in at least one dimension (longest diameter to be recorded). Each lesion must be greater than or equal to 10 mm when measured by CT, MRI or caliper measurement by clinical exam; or greater than or equal to 20 mm when measured by chest x-ray. Lymph nodes must be greater than or equal to 15 mm in short axis when measured by CT or MRI. 6. Patients must have an ECOG performance status of 0, 1, or 2. 7. Patients must have adequate organ and marrow function as defined below: NOTE: Institutional/laboratory upper limit of normal = ULN Institutional/laboratory lower limit of normal = LLN Bone marrow function: * Absolute neutrophil count (ANC) greater than or equal to 1500 cells/mcl * Platelet count greater than or equal to 100,000 cells/mcl * Hemoglobin greater than or equal to 9.0 g/dL (Patients may receive erythrocyte transfusions to achieve this hemoglobin level at the discretion of the Investigator. Initial treatment must not begin earlier than the day after erythrocyte transfusion). Renal function: • Serum creatinine less than or equal to 1.5 x ULN Hepatic function: * AST (aspartate aminotransferase) and ALT (alanine aminotransferase) less than or equal to 3.0 x ULN * Serum albumin greater than or equal to 2.5 g/dL 8. Patient must be at least 18 years of age. 9. Patient must be able to swallow oral medication. Exclusion Criteria: Exclusion Criteria 1. Patients who do not have pure uterine sarcomas (i.e., no mixed malignant mullerian tumors are permitted). 2\. Patients with any other severe concurrent disease, which would make the patient inappropriate for entry into this study, including significant hepatic, renal, or gastrointestinal diseases. 3\. Patients with concomitant invasive malignancy or a history of prior malignancy except non-melanoma skin cancer, in situ cervical cancer, or other cancer for which the patient has been disease-free for at least three years. Patients are also excluded if their previous cancer treatment contraindicates this protocol. 4\. Patients who have a history of taking any aromatase inhibitor within the past 5 years. 5\. Patients with active or uncontrolled systemic infection. 6. Patients with history of uncontrolled cardiac disease, i.e., uncontrolled hypertension (defined as systolic greater than 150 mm Hg or diastolic greater than 90 mm HR despite antihypertensive medications), unstable angina, recent myocardial infarction (within prior 6 months), uncontrolled congestive heart failure (NYHA Class II or greater), clinically significant cardiac arrhythmias, and cardiomyopathy with an ejection fraction under 40%. 7\. Patients currently receiving chemotherapy or radiation therapy. 8. Patients with severe hepatic impairment and/or cirrhosis. 9. Patients with duodenal stent or other GI disorder/defect that would interfere with absorption of oral medication. 10\. Patients deemed otherwise clinically unfit for clinical trial per investigators discretion. 11\. Patients with known hypersensitivity to any of the excipients of letrozole. 12. Patients who are pregnant or breast-feeding. 13. Patients who are currently part of or have participated in any clinical investigation with an investigational drug within 30 days of prior to enrollment. 14\. Patients currently using systemic estrogens, including herbals and supplements with estrogenic properties. The use of vaginal estrogen is permitted if symptoms are refractory to moisturizers and lubricants.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
34 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Asplundh Cancer Pavilion
RECRUITINGWillow Grove, Pennsylvania, 19090, United States
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Atlantic Health System
RECRUITINGMorristown, New Jersey, 07960, United States
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Bay Park Hospital
RECRUITINGOregon, Ohio, 43616, United States
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Broward Health Medical Center
RECRUITINGFort Lauderdale, Florida, 33316, United States
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East Carolina University Health Medical Center
RECRUITINGGreenville, North Carolina, 27834, United States
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Endeavor Health - Kellogg Cancer Center
RECRUITINGEvanston, Illinois, 60201, United States
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Highlands Ranch Hospital
RECRUITINGHighlands Ranch, Colorado, 80129, United States
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Indiana University Melvin and Bren Simon Comprehensive Cancer Center
RECRUITINGIndianapolis, Indiana, 46202, United States
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LSU Health Sciences Center
RECRUITINGNew Orleans, Louisiana, 70112, United States
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Mount Sinai Comprehensive Cancer Center
RECRUITINGMiami Beach, Florida, 33140, United States
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OhioHealth Arthur G.H. Bing, MD Cancer Center
RECRUITINGColumbus, Ohio, 43214, United States
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OhioHealth Grant Medical Center
RECRUITINGColumbus, Ohio, 43215, United States
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OhioHealth Marion General Hospital
RECRUITINGMarion, Ohio, 43302, United States
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OhioHealth Research Institute
RECRUITINGColumbus, Ohio, 43214, United States
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OhioHealth Riverside Methodist Hospital
RECRUITINGColumbus, Ohio, 43214, United States
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Overlook Medical Center
RECRUITINGSummit, New Jersey, 07901, United States
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ProMedica Charles and Virginia Hickman Hospital,
RECRUITINGAdrian, Michigan, 49221, United States
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ProMedica Defiance Regional Hospital
RECRUITINGDefiance, Ohio, 43512, United States
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ProMedica Flower Hospital
RECRUITINGSylvania, Ohio, 43560, United States
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ProMedica Fostoria Community Hospital
RECRUITINGFostoria, Ohio, 44830, United States
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ProMedica Laboratories Perrysburg
RECRUITINGPerrysburg, Ohio, 43551, United States
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ProMedica Memorial Hospital
RECRUITINGFremont, Ohio, 43420, United States
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ProMedica Monroe Regional Hospital
RECRUITINGMonroe, Michigan, 48162, United States
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ProMedica Toledo Hospital
RECRUITINGToledo, Ohio, 43606, United States
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University of Colorado Cancer Center - Anschutz Cancer Pavilion
RECRUITINGAurora, Colorado, 80045, United States
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University of Massachusetts Memorial Medical Center
RECRUITINGWorcester, Massachusetts, 01605, United States
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University of Minnesota
RECRUITINGMinneapolis, Minnesota, 55455, United States
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University of New Mexico Comprehensive Cancer Center
RECRUITINGAlbuquerque, New Mexico, 87131, United States
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University of Oklahoma Health Stephenson Cancer Center
RECRUITINGOklahoma City, Oklahoma, 73104, United States
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WK Physician Network-Gynecologic Oncology Associates
RECRUITINGShreveport, Louisiana, 71103, United States
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Winship Cancer Institute, Emory Hospital
RECRUITINGAtlanta, Georgia, 30322, United States
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Woman and Infants Hospital of Rhode Island
RECRUITINGProvidence, Rhode Island, 02905, United States
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Women's Cancer Center of Nevada
RECRUITINGLas Vegas, Nevada, 89106, United States
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Women's Cancer Center of Nevada
RECRUITINGLas Vegas, Nevada, 89511, United States
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