Carcinoma
Conditions
Keywords
Endometrial cancer, Dostarlimab, Carboplatin, Paclitaxel
Brief summary
The goal of this clinical trial is to understand the effectiveness of dostarlimab and carboplatin-paclitaxel followed by dostarlimab monotherapy in participants with endometrial cancer
Interventions
BIOLOGICALDostarlimab
Dostarlimab is administered via intravenous (IV) infusion at a dose of 500 milligram (mg) for first 6 cycles (each cycle is of 21 days) followed by 1,000 mg from cycle 7 (each cycle is of 42 days)
DRUGCarboplatin
Carboplatin is administered IV at a dose of Area under the concentration time curve (AUC) 5 milligram\*millilitre/ minute (mg•mL/min) for cycles 1 to 6 (each cycle is of 21 days)
DRUGPaclitaxel
Paclitaxel is administered IV at a dose of 175 milligram per meter square (mg/m2) for cycles 1 to 6 (each cycle is of 21 days)
Sponsors
GlaxoSmithKline
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Participant has histologically or cytologically proven endometrial cancer with recurrent or advanced disease. 2. Participant has molecular subtype of defective mismatch repair/microsatellite instability high (dMMR/MSI-H) or mismatch repair proficient/microsatellite stable (MMRp/MSS) determined. 3. Participant must have primary Stage III or Stage IV disease or first recurrent endometrial cancer with a low potential for cure by radiation therapy or surgery alone or in combination, and presence of at least one measurable lesion per RECIST 1.1 based on Investigator's assessment. 4. Participant is not pregnant or breastfeeding and agrees to use a highly effective contraceptive method during the study period if a woman of childbearing potential (WOCBP). 5. Participant has an Eastern Cooperative Oncology Group Performance status (ECOG PS) of 0 or 1. 6. Participant has adequate organ function, as assessed by hematologic, renal, hepatic and coagulation parameters.
Exclusion criteria
1. Participant has a concomitant malignancy, or participant has a prior non-endometrial invasive malignancy who has been disease-free for \<3 years or who received any active treatment in the last 3 years for that malignancy. Non-melanoma skin cancer is allowed. 2. Participant has any medical history of interstitial lung disease or pneumonitis. 3. Participant has cirrhosis or current unstable liver or biliary disease. 4. Participant has known uncontrolled central nervous system metastases, carcinomatosis meningitis, or both. 5. Participant has a diagnosis of immunodeficiency. 6. Participant has received prior therapy with an anti- Programmed death protein 1 (PD-1), anti- Programmed death ligand 1 (PD-L1), anti- Programmed death ligand 2 (PD-L2), or anti- Cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) agent. 7. Participant has not recovered adequately from AEs. 8. Participant has received prior anticancer therapy (chemotherapy, targeted therapies, hormonal therapy, radiotherapy, or immunotherapy) within 21 days or \<5 times the half-life of the most recent therapy prior to the first dose of study intervention, whichever is shorter. 9. Participant has received any live vaccine within 30 days of the first dose of study intervention. Vaccination against coronavirus disease 2019 (COVID-19) using vaccines that are authorized via the appropriate regulatory mechanisms are not exclusionary. 10. Participant has HBsAg positive, or HCV RNA positive. 11. Participant is known HIV infection. 12. Participant is currently participating and receiving study intervention or has participated in a study of an investigational agent and received study intervention or used an investigational device within 4 weeks of the first dose of treatment. 13. Participant with contraindication to carboplatin and paclitaxel.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Durable response rate for 12 months (DRR12) assessed by Blinded independent central review (BICR) | Approximately 18 months | DRR12 is defined as the proportion of participants with Complete Response (CR) or Partial Response (PR) lasting greater than or equal to (≥) 12 months, per Response Evaluation Criteria in Solid Tumors, version 1.1 (RECIST 1.1) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Progression-free survival (PFS) per RECIST 1.1, assessed by BICR and investigator | Up to approximately 3 years | PFS is defined as the time from the date of first dose to the earlier date of assessment of progression or death by any cause |
| Overall survival (OS) | Up to approximately 3 years | OS is defined as time from first dose of study intervention to death from any cause |
| Overall response rate (ORR) per RECIST 1.1 assessed by BICR | Up to approximately 3 years | ORR is achieving a best overall response (BOR) of CR or PR. BOR is defined as the best confirmed response \[CR \> PR \> Stable disease (SD) \> Progressive Disease (PD) \> Not evaluable (NE)\] from treatment start date until disease progression, death or initiation of next line of therapy, whichever is earlier |
| ORR per RECIST 1.1 assessed by investigator | Up to approximately 3 years | — |
| Disease control rate (DCR) per RECIST 1.1 assessed by BICR | Up to approximately 3 years | Achieving a BOR of CR, PR, or SD, defined as the best confirmed response (CR \> PR \> SD) from treatment start date until disease progression, death or initiation of next line of therapy, whichever is earlier |
| DCR per RECIST 1.1 assessed by investigator | Up to approximately 3 years | — |
| DRR12 per RECIST 1.1, assessed by investigator | Approximately 18 months | — |
| DOR per RECIST 1.1 assessed by investigator | Up to approximately 3 years | — |
| Maximum concentration (Cmax) for dostarlimab | Up to 67 weeks | — |
| Minimum concentration (Cmin) for dostarlimab | Up to 67 weeks | — |
| Number of participants with adverse events (AEs), Immune-related adverse events (irAEs), and serious adverse events (SAEs) by severity | Up to approximately 3 years | — |
| Number of participants AEs, irAEs, and SAEs leading to dose modifications such as dose delay or study intervention discontinuation | Up to approximately 3 years | — |
| Number of participants with AEs leading to death | Up to approximately 3 years | — |
| Duration of response (DOR) per RECIST 1.1 assessed by BICR | Up to approximately 3 years | DOR is defined as the time from the date of first documented objective response to the date of first documented PD or death, whichever comes first |
Countries
Japan
Outcome results
None listed