Study on Pembrolizumab with Chemotherapy and Possible Radiotherapy for Newly Diagnosed Endometrial Cancer After Surgery

Sponsor: Merck Sharp & Dohme LLC

Sponsor score: 40

ClinicalTrials ID:NCT04634877

This clinical trial is comparing the effectiveness of pembrolizumab combined with chemotherapy, with or without radiotherapy, against a placebo combined with chemotherapy in patients who have recently had surgery for endometrial cancer. The study aims to see which treatment helps patients live longer without the cancer returning and improves overall survival.

Patient Parameters

Program Overview

The purpose of this study is to find out if pembrolizumab, when used with chemotherapy and possibly radiotherapy, is better than a placebo with chemotherapy in helping patients with newly diagnosed endometrial cancer live longer without the disease coming back. The study will also look at overall survival rates to see if this combination treatment is more effective.

Eligibility Criteria

Inclusion Criteria

  • Have a confirmed new diagnosis of Endometrial Carcinoma or Carcinosarcoma.
  • Have had surgery to remove the uterus and ovaries with the intent to cure the cancer.
  • Be at high risk for the cancer returning after surgery, based on specific medical criteria.
  • Be free of any signs of cancer after surgery and on imaging tests.
  • Have not received any prior radiation or systemic therapy for endometrial cancer.
  • Have a performance status score of 0 or 1, indicating full activity or some restriction in strenuous activities.
  • Provide a tumor tissue sample for analysis.
  • Have adequate organ function based on recent tests.

Exclusion Criteria

  • Have recurrent endometrial cancer or carcinosarcoma.
  • Have a different type of uterine tumor, such as endometrial stromal sarcoma or leiomyosarcoma.
  • Have early-stage endometrial cancer of a specific type without certain genetic changes.
  • Have a specific genetic mutation known as POLE mutation.
  • Have advanced stage cancer (Stage IVB) even if no disease is present after surgery.
  • Have any remaining tumor after surgery.
  • Have a history of another cancer unless treated and cancer-free for 3 years, with some exceptions.
  • Have received prior treatment with certain immune therapies.
  • Have received a live vaccine within 30 days before starting the study treatment.
  • Have an intolerance to the study treatment.
  • Be participating in another clinical trial or have used an investigational device recently.
  • Have any contraindication to the use of carboplatin or paclitaxel.
  • Have a diagnosis of immunodeficiency or be on high-dose steroid therapy.
  • Have severe allergies to pembrolizumab or its components.
  • Have an active autoimmune disease requiring treatment in the past 2 years.
  • Have a history of lung inflammation requiring steroids or current lung inflammation.
  • Have an active infection needing treatment.
  • Have a known history of HIV, Hepatitis B, or active Hepatitis C.
  • Have a psychiatric or substance abuse disorder affecting study participation.
  • Have had a tissue or organ transplant.
  • Have not fully recovered from surgery or its complications.
  • Be breastfeeding.

Locations

FACILITYZIPCITYSTATE
University of Alabama - Birmingham ( Site 3061)35249BirminghamAlabama
University of South Alabama, Mitchell Cancer Institute ( Site 3058)36604MobileAlabama
HonorHealth Research Institute - Biltmore ( Site 3043)85016PhoenixArizona
Arizona Oncology Associates PC- HOPE ( Site 3049)85711TucsonArizona
UCSD Moores Cancer Center ( Site 3053)92093-0698La JollaCalifornia
University Of Colorado ( Site 3051)80045AuroraColorado
Smilow Cancer Hospital at Yale New Haven ( Site 3070)06511New HavenConnecticut
Mount Sinai Cancer Center ( Site 3081)33140Miami BeachFlorida
Northside Hospital ( Site 3036)30342AtlantaGeorgia
Northwestern Memorial Hospital ( Site 3044)60611ChicagoIllinois

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