Cervical Cancer
Conditions
Brief summary
This is an open-label, multicenter, randomized phase II trial to evaluate the safety and efficacy of atezolizumab in patients with recurrent cervical cancer in second line therapy. A total of 48 patients will be randomized in 3 arms, each arm consisting of 16 patients: Arm A: atezolizumab monotherapy q3w Arm B: atezolizumab combined with doxorubicin q3w Arm C: doxorubicin monotherapy q3w
Interventions
atezolizumab
Doxorubicin
Sponsors
Study design
Eligibility
Inclusion criteria
* Squamous cell or adenocarcinoma of the cervix * At least one prior chemotherapy regimen for recurrent or advanced disease with a platinum-taxane combination, but not more than two lines of chemotherapy or targeted therapy in recurrent/advanced setting * Measurable disease * ECOG≤2 * Adequate pretreatment hematologic, renal and hepatic function test * Patients are allowed to have had bevacizumab during their prior treatment * Evidence of non-childbearing status for women of childbearing potential
Exclusion criteria
* History of invasive malignancy other than cervical cancer unless there is no recurrence of these other primary tumors the last 3 years. * Previous anthracycline-based chemotherapy * Central nerve system metastases and leptomeningeal disease * Active or history of autoimmune disease * Prior allogenic bone marrow transplantation or prior solid organ transplantation * History of idiopathic pulmonary fibrosis * Known positive test for HIV, or active hepatitis B or hepatitis C * Known active tuberculosis * Severe infection within 4 weeks prior to initiation of study treatment * Prior immunotherapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Progression free survival | after 9 months | after 9 months in the different arms by RECIST v1.1-criteria (doxorubicin, Atezolizumab and the combination of both) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall survival | after 24 months | Overall survival in the different arms (doxorubicin, Atezolizumab and the combination of both) |
Countries
Belgium