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GYNET : A randomized, multicenter, open label, Phase I/II study to evaluate the safety (Phase I - safety run in), clinical and biological activity (Phase II) of a humanized monoclonal antibody targeting Netrin-1 (NP137) in combination with carboplatin plus paclitaxel and/or pembrolizumab in patients with locally advanced/metastatic endometrial carcinoma or cervix carcinoma progressing/relapsing after at least one prior systemic chemotherapy

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2024-510714-32-00
Acronym
ET-20-049
Enrollment
240
Registered
2024-09-05
Start date
2020-12-10
Completion date
Unknown
Last updated
2025-08-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Patiens with locally advanced/metastatic endometrial carcinoma or cervix carcinoma progressing/relapsing after at least one prior systemic chemotherapy.

Brief summary

Phase II part: Overall response Rate (ORR) after 3 months (ORR3m) is defined as the rate of patients with CR or PR. Response will be evaluated as per RECIST 1.1 (Eisenhauer et al., 2009) by BICR after 3 months of treatment.

Detailed description

Part II part, both part safety endpoints: Safety will be assessed by the following assessments: adverse events (AEs), vital signs, ECG, physical examination, laboratory safety assessments (hematological and biochemical parameters). All AEs will be graded according to NCI-CTCAE V5.0. In case of Infusion Related Reaction, blood samples will be collected to monitor the PK profile and Immunogenicity using ADA for NP137 assays., Phase II part, both part efficacy endpoints: Objective response Rate (ORR) after 3 months of treatment will be also assessed as per modified criteria for immunotherapies iRECIST. Overall objective response Rate beyond 3 months of treatment will be assessed as per RECIST V1.1 and iRECIST (assessment by both BICR and investigator). Duration of Response (DoR). *Best Overall Response Rate. *Clinical Benefit Rate (CBR). *Progression-free survival (PFS). *Overall survival (OS), Pharmacokinetic endpoints: The following PK parameters will be determined for NP137 treated patients during the safety run in period only: Cmax, tmax, AUCt, AUC, CL, t½ based on both individual PK and popPK models.

Interventions

DRUGCARBOPLATIN
DRUGPACLITAXEL
DRUGNP137
DRUGKEYTRUDA 25 mg/mL concentrate for solution for infusion

Sponsors

Netris Pharma
Lead SponsorINDUSTRY

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Design outcomes

Primary

MeasureTime frame
Phase II part: Overall response Rate (ORR) after 3 months (ORR3m) is defined as the rate of patients with CR or PR. Response will be evaluated as per RECIST 1.1 (Eisenhauer et al., 2009) by BICR after 3 months of treatment.

Secondary

MeasureTime frame
Part II part, both part safety endpoints: Safety will be assessed by the following assessments: adverse events (AEs), vital signs, ECG, physical examination, laboratory safety assessments (hematological and biochemical parameters). All AEs will be graded according to NCI-CTCAE V5.0. In case of Infusion Related Reaction, blood samples will be collected to monitor the PK profile and Immunogenicity using ADA for NP137 assays., Phase II part, both part efficacy endpoints: Objective response Rate (ORR) after 3 months of treatment will be also assessed as per modified criteria for immunotherapies iRECIST. Overall objective response Rate beyond 3 months of treatment will be assessed as per RECIST V1.1 and iRECIST (assessment by both BICR and investigator). Duration of Response (DoR). *Best Overall Response Rate. *Clinical Benefit Rate (CBR). *Progression-free survival (PFS). *Overall survival (OS), Pharmacokinetic endpoints: The following PK parameters will be determined for NP137 t

Countries

France

Outcome results

None listed

Source: EU CTIS · Data processed: Feb 4, 2026