- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05112601
Testing Nivolumab With or Without Ipilimumab in Deficient Mismatch Repair System (dMMR) Recurrent Endometrial Carcinoma
A Randomized Phase II Trial of Nivolumab and Ipilimumab Compared to Nivolumab Monotherapy in Patients With Deficient Mismatch Repair System Recurrent Endometrial Carcinoma
Study Overview
Status
Conditions
- Endometrial Clear Cell Adenocarcinoma
- Endometrial Dedifferentiated Carcinoma
- Endometrial Endometrioid Adenocarcinoma
- Endometrial Mixed Cell Adenocarcinoma
- Endometrial Undifferentiated Carcinoma
- Recurrent Endometrial Carcinoma
- Endometrial Adenocarcinoma
- Endometrioid Adenocarcinoma
- Endometrial Mucinous Adenocarcinoma
Detailed Description
PRIMARY OBJECTIVE:
I. To assess efficacy in terms of progression-free survival (PFS) for immunotherapy with dual immune checkpoint blockade (nivolumab/ipilimumab) versus (vs.) monotherapy (nivolumab) in patients with recurrent mismatch repair (MMR) deficient endometrial carcinoma with measurable or non-measurable (detectable) disease.
SECONDARY OBJECTIVES:
I. To evaluate the overall survival (OS) as estimated from time of enrollment to last follow-up or death.
II. To evaluate the objective response rate by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 in those with measurable disease at start of treatment.
III. To evaluate progression-free survival at 6 months. IV. To evaluate the nature, frequency and degree of toxicity as assessed by the Common Terminology Criteria for Adverse Events (CTCAE) version (v) 5.0.
V. To evaluate PFS and objective response rate in patients with prior anti-PD1/PDL1 therapy and compare efficacy of dual immune checkpoint inhibition vs. anti-PD1 monotherapy.
OUTLINE: Patients are randomized into 1 of 2 arms.
ARM I: Patients receive nivolumab intravenously (IV) over 30 minutes on day 1 of each cycle and ipilimumab IV over 90 minutes on day 1 of every other cycle. Cycles repeat every three weeks. Treatment with nivolumab and ipilimumab repeats for up to 8 cycles in the absence of disease progression, unacceptable toxicity, or complete response (CR). Patients then receive nivolumab alone on day 1 of each cycle. Cycles repeat every 4 weeks in the absence of disease progression, unacceptable toxicity, or CR.
ARM II: Patients receive nivolumab IV over 30 minutes on day 1 of each cycle. Treatment repeats every 3 weeks for up to 8 cycles, then every 4 weeks thereafter in the absence of disease progression, unacceptable toxicity, or CR.
MAINTENANCE THERAPY: Patients achieving CR on Arm I or II receive nivolumab for an additional 12 months in the absence of disease progression or unacceptable toxicity.
Additionally, all patients may optionally undergo collection of tissue samples on study as well as blood samples throughout the trial. All patients also undergo computed tomography (CT) scan and/or magnetic resonance imaging (MRI) throughout the trial.
Patients are followed every 3 months for 2 years, and then, every 6 months for 3 years.
Study Type
Enrollment (Estimated)
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
Alabama
-
Birmingham, Alabama, United States, 35233
- Recruiting
- University of Alabama at Birmingham Cancer Center
-
Principal Investigator:
- Michael D. Toboni
-
Contact:
- Site Public Contact
- Email: gingerreeves@uabmc.edu
-
-
Georgia
-
Athens, Georgia, United States, 30607
- Recruiting
- University Cancer and Blood Center LLC
-
Principal Investigator:
- Sharad A. Ghamande
-
Contact:
- Site Public Contact
- Email: research@universitycancer.com
-
Augusta, Georgia, United States, 30912
- Recruiting
- Augusta University Medical Center
-
Principal Investigator:
- Sharad A. Ghamande
-
Contact:
- Site Public Contact
- Phone Number: 706-721-2388
- Email: ga_cares@augusta.edu
-
-
Idaho
-
Boise, Idaho, United States, 83712
- Recruiting
- Saint Luke's Cancer Institute - Boise
-
Principal Investigator:
- Dan S. Zuckerman
-
Contact:
- Site Public Contact
- Phone Number: 208-381-2774
- Email: eslinget@slhs.org
-
Boise, Idaho, United States, 83706
- Suspended
- Saint Alphonsus Cancer Care Center-Boise
-
Caldwell, Idaho, United States, 83605
- Suspended
- Saint Alphonsus Cancer Care Center-Caldwell
-
Coeur d'Alene, Idaho, United States, 83814
- Recruiting
- Kootenai Health - Coeur d'Alene
-
Principal Investigator:
- John M. Schallenkamp
-
Contact:
- Site Public Contact
- Phone Number: 406-969-6060
- Email: mccinfo@mtcancer.org
-
Fruitland, Idaho, United States, 83619
- Recruiting
- Saint Luke's Cancer Institute - Fruitland
-
Principal Investigator:
- Dan S. Zuckerman
-
Contact:
- Site Public Contact
- Phone Number: 208-381-2774
- Email: eslinget@slhs.org
-
Meridian, Idaho, United States, 83642
- Recruiting
- Saint Luke's Cancer Institute - Meridian
-
Principal Investigator:
- Dan S. Zuckerman
-
Contact:
- Site Public Contact
- Phone Number: 208-381-2774
- Email: eslinget@slhs.org
-
Nampa, Idaho, United States, 83687
- Recruiting
- Saint Luke's Cancer Institute - Nampa
-
Principal Investigator:
- Dan S. Zuckerman
-
Contact:
- Site Public Contact
- Phone Number: 208-381-2774
- Email: eslinget@slhs.org
-
Nampa, Idaho, United States, 83687
- Suspended
- Saint Alphonsus Cancer Care Center-Nampa
-
Post Falls, Idaho, United States, 83854
- Recruiting
- Kootenai Clinic Cancer Services - Post Falls
-
Principal Investigator:
- John M. Schallenkamp
-
Contact:
- Site Public Contact
- Phone Number: 406-969-6060
- Email: mccinfo@mtcancer.org
-
Sandpoint, Idaho, United States, 83864
- Recruiting
- Kootenai Clinic Cancer Services - Sandpoint
-
Principal Investigator:
- John M. Schallenkamp
-
Contact:
- Site Public Contact
- Phone Number: 406-969-6060
- Email: mccinfo@mtcancer.org
-
-
Illinois
-
Chicago, Illinois, United States, 60612
- Suspended
- University of Illinois
-
Danville, Illinois, United States, 61832
- Recruiting
- Carle at The Riverfront
-
Contact:
- Site Public Contact
- Phone Number: 800-446-5532
- Email: Research@carle.com
-
Principal Investigator:
- Pratima Chalasani
-
Effingham, Illinois, United States, 62401
- Recruiting
- Carle Physician Group-Effingham
-
Contact:
- Site Public Contact
- Phone Number: 800-446-5532
- Email: Research@carle.com
-
Principal Investigator:
- Pratima Chalasani
-
Mattoon, Illinois, United States, 61938
- Recruiting
- Carle Physician Group-Mattoon/Charleston
-
Contact:
- Site Public Contact
- Phone Number: 800-446-5532
- Email: Research@carle.com
-
Principal Investigator:
- Pratima Chalasani
-
Normal, Illinois, United States, 61761
- Recruiting
- Carle BroMenn Medical Center
-
Contact:
- Site Public Contact
- Phone Number: 800-446-5532
- Email: Research@carle.com
-
Principal Investigator:
- Pratima Chalasani
-
Normal, Illinois, United States, 61761
- Recruiting
- Carle Cancer Institute Normal
-
Contact:
- Site Public Contact
- Phone Number: 800-446-5532
- Email: Research@carle.com
-
Principal Investigator:
- Pratima Chalasani
-
Urbana, Illinois, United States, 61801
- Recruiting
- Carle Cancer Center
-
Contact:
- Site Public Contact
- Phone Number: 800-446-5532
- Email: Research@carle.com
-
Principal Investigator:
- Pratima Chalasani
-
-
Indiana
-
Carmel, Indiana, United States, 46032
- Recruiting
- IU Health North Hospital
-
Contact:
- Site Public Contact
- Phone Number: 317-278-5632
- Email: iutrials@iu.edu
-
Principal Investigator:
- Jessica E. Parker
-
Crown Point, Indiana, United States, 46307
- Recruiting
- Northwest Cancer Center - Crown Point
-
Principal Investigator:
- Pratima Chalasani
-
Contact:
- Site Public Contact
- Phone Number: 219-836-6879
- Email: CancerResearch@powershealth.org
-
Dyer, Indiana, United States, 46311
- Recruiting
- Northwest Oncology LLC
-
Contact:
- Site Public Contact
- Phone Number: 219-924-8178
-
Principal Investigator:
- Pratima Chalasani
-
Hobart, Indiana, United States, 46342
- Recruiting
- Northwest Cancer Center - Hobart
-
Contact:
- Site Public Contact
- Phone Number: 219-947-1795
-
Principal Investigator:
- Pratima Chalasani
-
Hobart, Indiana, United States, 46342
- Recruiting
- Saint Mary Medical Center
-
Principal Investigator:
- Pratima Chalasani
-
Contact:
- Site Public Contact
- Phone Number: 219-836-6875
- Email: CancerResearch@COMHS.org
-
Indianapolis, Indiana, United States, 46202
- Recruiting
- Indiana University/Melvin and Bren Simon Cancer Center
-
Contact:
- Site Public Contact
- Phone Number: 317-278-5632
- Email: iutrials@iu.edu
-
Principal Investigator:
- Jessica E. Parker
-
Indianapolis, Indiana, United States, 46312
- Recruiting
- Saint Catherine Hospital
-
Principal Investigator:
- Pratima Chalasani
-
Contact:
- Site Public Contact
- Phone Number: 412-339-5294
- Email: Roster@nrgoncology.org
-
Munster, Indiana, United States, 46321
- Recruiting
- The Community Hospital
-
Contact:
- Site Public Contact
- Phone Number: 219-836-3349
-
Principal Investigator:
- Pratima Chalasani
-
Munster, Indiana, United States, 46321
- Recruiting
- Women's Diagnostic Center - Munster
-
Contact:
- Site Public Contact
- Phone Number: 219-934-8869
- Email: mnicholson@comhs.org
-
Principal Investigator:
- Pratima Chalasani
-
Valparaiso, Indiana, United States, 46383
- Recruiting
- Northwest Cancer Center - Valparaiso
-
Principal Investigator:
- Pratima Chalasani
-
Contact:
- Site Public Contact
- Phone Number: 219-836-6875
- Email: CancerResearch@COMHS.org
-
-
Iowa
-
Iowa City, Iowa, United States, 52242
- Recruiting
- University of Iowa/Holden Comprehensive Cancer Center
-
Contact:
- Site Public Contact
- Phone Number: 800-237-1225
-
Principal Investigator:
- David P. Bender
-
-
Kentucky
-
Louisville, Kentucky, United States, 40202
- Recruiting
- The James Graham Brown Cancer Center at University of Louisville
-
Contact:
- Site Public Contact
- Phone Number: 502-562-3429
-
Principal Investigator:
- Jason A. Chesney
-
Louisville, Kentucky, United States, 40245
- Recruiting
- UofL Health Medical Center Northeast
-
Contact:
- Site Public Contact
- Phone Number: 502-852-2755
- Email: ctoinfo@louisville.edu
-
Principal Investigator:
- Jason A. Chesney
-
-
Maine
-
Scarborough, Maine, United States, 04074
- Recruiting
- MaineHealth Maine Medical Center- Scarborough
-
Principal Investigator:
- Leslie S. Bradford
-
Contact:
- Site Public Contact
- Phone Number: 207-396-8670
- Email: clinicalresearch@mainehealth.org
-
-
Michigan
-
Battle Creek, Michigan, United States, 49017
- Recruiting
- Bronson Battle Creek
-
Contact:
- Site Public Contact
- Phone Number: 616-391-1230
- Email: crcwm-regulatory@crcwm.org
-
Principal Investigator:
- Kathleen Y. Butler
-
Grand Rapids, Michigan, United States, 49503
- Recruiting
- Trinity Health Grand Rapids Hospital
-
Contact:
- Site Public Contact
- Phone Number: 616-391-1230
- Email: crcwm-regulatory@crcwm.org
-
Principal Investigator:
- Kathleen Y. Butler
-
Grand Rapids, Michigan, United States, 49503
- Recruiting
- Corewell Health Grand Rapids Hospitals - Butterworth Hospital
-
Contact:
- Site Public Contact
- Phone Number: 616-391-1230
- Email: crcwm-regulatory@crcwm.org
-
Principal Investigator:
- Kathleen Y. Butler
-
Kalamazoo, Michigan, United States, 49007
- Recruiting
- Bronson Methodist Hospital
-
Contact:
- Site Public Contact
- Phone Number: 616-391-1230
- Email: crcwm-regulatory@crcwm.org
-
Principal Investigator:
- Kathleen Y. Butler
-
Kalamazoo, Michigan, United States, 49007
- Recruiting
- West Michigan Cancer Center
-
Contact:
- Site Public Contact
- Phone Number: 616-391-1230
- Email: crcwm-regulatory@crcwm.org
-
Principal Investigator:
- Kathleen Y. Butler
-
Kalamazoo, Michigan, United States, 49009
- Recruiting
- Beacon Kalamazoo Cancer Center
-
Principal Investigator:
- Kathleen Y. Butler
-
Contact:
- Site Public Contact
- Phone Number: 574-647-7370
-
Muskegon, Michigan, United States, 49444
- Recruiting
- Trinity Health Muskegon Hospital
-
Contact:
- Site Public Contact
- Phone Number: 616-391-1230
- Email: crcwm-regulatory@crcwm.org
-
Principal Investigator:
- Kathleen Y. Butler
-
Niles, Michigan, United States, 49120
- Recruiting
- Corewell Health Lakeland Hospitals - Niles Hospital
-
Contact:
- Site Public Contact
- Phone Number: 616-391-1230
-
Principal Investigator:
- Kathleen Y. Butler
-
Norton Shores, Michigan, United States, 49444
- Recruiting
- Cancer and Hematology Centers of Western Michigan - Norton Shores
-
Contact:
- Site Public Contact
- Phone Number: 616-391-1230
- Email: connie.szczepanek@crcwm.org
-
Principal Investigator:
- Kathleen Y. Butler
-
Reed City, Michigan, United States, 49677
- Recruiting
- Corewell Health Reed City Hospital
-
Contact:
- Site Public Contact
- Phone Number: 616-391-1230
- Email: crcwm-regulatory@crcwm.org
-
Principal Investigator:
- Kathleen Y. Butler
-
Saint Joseph, Michigan, United States, 49085
- Recruiting
- Corewell Health Lakeland Hospitals - Marie Yeager Cancer Center
-
Contact:
- Site Public Contact
- Phone Number: 616-391-1230
- Email: crcwm-regulatory@crcwm.org
-
Principal Investigator:
- Kathleen Y. Butler
-
Saint Joseph, Michigan, United States, 49085
- Recruiting
- Corewell Health Lakeland Hospitals - Saint Joseph Hospital
-
Contact:
- Site Public Contact
- Phone Number: 616-391-1230
- Email: crcwm-regulatory@crcwm.org
-
Principal Investigator:
- Kathleen Y. Butler
-
Traverse City, Michigan, United States, 49684
- Recruiting
- Munson Medical Center
-
Contact:
- Site Public Contact
- Phone Number: 616-391-1230
- Email: crcwm-regulatory@crcwm.org
-
Principal Investigator:
- Kathleen Y. Butler
-
Wyoming, Michigan, United States, 49519
- Recruiting
- University of Michigan Health - West
-
Contact:
- Site Public Contact
- Phone Number: 616-391-1230
- Email: crcwm-regulatory@crcwm.org
-
Principal Investigator:
- Kathleen Y. Butler
-
-
Minnesota
-
Coon Rapids, Minnesota, United States, 55433
- Recruiting
- Mercy Hospital
-
Contact:
- Site Public Contact
- Phone Number: 952-993-1517
- Email: mmcorc@healthpartners.com
-
Principal Investigator:
- Adrianne Mallen
-
Deer River, Minnesota, United States, 56636
- Recruiting
- Essentia Health - Deer River Clinic
-
Contact:
- Site Public Contact
- Phone Number: 218-786-3308
- Email: CancerTrials@EssentiaHealth.org
-
Principal Investigator:
- Bret E. Friday
-
Duluth, Minnesota, United States, 55805
- Recruiting
- Essentia Health Cancer Center
-
Contact:
- Site Public Contact
- Phone Number: 218-786-3308
- Email: CancerTrials@EssentiaHealth.org
-
Principal Investigator:
- Bret E. Friday
-
Duluth, Minnesota, United States, 55805
- Recruiting
- Miller-Dwan Hospital
-
Contact:
- Site Public Contact
- Phone Number: 218-786-3308
- Email: CancerTrials@EssentiaHealth.org
-
Principal Investigator:
- Bret E. Friday
-
Edina, Minnesota, United States, 55435
- Recruiting
- Fairview Southdale Hospital
-
Contact:
- Site Public Contact
- Phone Number: 952-993-1517
- Email: mmcorc@healthpartners.com
-
Principal Investigator:
- Adrianne Mallen
-
Hibbing, Minnesota, United States, 55746
- Recruiting
- Essentia Health Hibbing Clinic
-
Principal Investigator:
- Bret E. Friday
-
Contact:
- Site Public Contact
- Phone Number: 218-786-3308
-
Minneapolis, Minnesota, United States, 55407
- Recruiting
- Abbott-Northwestern Hospital
-
Contact:
- Site Public Contact
- Phone Number: 952-993-1517
- Email: mmcorc@healthpartners.com
-
Principal Investigator:
- Adrianne Mallen
-
Saint Louis Park, Minnesota, United States, 55416
- Recruiting
- Park Nicollet Clinic - Saint Louis Park
-
Contact:
- Site Public Contact
- Phone Number: 952-993-1517
- Email: mmcorc@healthpartners.com
-
Principal Investigator:
- Adrianne Mallen
-
Saint Paul, Minnesota, United States, 55101
- Recruiting
- Regions Hospital
-
Contact:
- Site Public Contact
- Phone Number: 952-993-1517
- Email: mmcorc@healthpartners.com
-
Principal Investigator:
- Adrianne Mallen
-
Saint Paul, Minnesota, United States, 55102
- Recruiting
- United Hospital
-
Contact:
- Site Public Contact
- Phone Number: 952-993-1517
- Email: mmcorc@healthpartners.com
-
Principal Investigator:
- Adrianne Mallen
-
Sandstone, Minnesota, United States, 55072
- Recruiting
- Essentia Health Sandstone
-
Contact:
- Site Public Contact
- Phone Number: 218-786-3308
- Email: CancerTrials@EssentiaHealth.org
-
Principal Investigator:
- Bret E. Friday
-
Shakopee, Minnesota, United States, 55379
- Recruiting
- Saint Francis Regional Medical Center
-
Contact:
- Site Public Contact
- Phone Number: 952-993-1517
- Email: mmcorc@healthpartners.com
-
Principal Investigator:
- Adrianne Mallen
-
Virginia, Minnesota, United States, 55792
- Recruiting
- Essentia Health Virginia Clinic
-
Contact:
- Site Public Contact
- Phone Number: 218-786-3308
- Email: CancerTrials@EssentiaHealth.org
-
Principal Investigator:
- Bret E. Friday
-
-
Missouri
-
Columbia, Missouri, United States, 65212
- Recruiting
- MU Health - University Hospital/Ellis Fischel Cancer Center
-
Contact:
- Site Public Contact
- Phone Number: 573-882-7440
-
Principal Investigator:
- Arwa M. Mohammad
-
St Louis, Missouri, United States, 63110
- Recruiting
- Washington University School of Medicine
-
Contact:
- Site Public Contact
- Phone Number: 800-600-3606
- Email: info@siteman.wustl.edu
-
Principal Investigator:
- Premal H. Thaker
-
-
Montana
-
Anaconda, Montana, United States, 59711
- Recruiting
- Community Hospital of Anaconda
-
Principal Investigator:
- John M. Schallenkamp
-
Contact:
- Site Public Contact
- Phone Number: 406-969-6060
- Email: mccinfo@mtcancer.org
-
Billings, Montana, United States, 59101
- Recruiting
- Billings Clinic Cancer Center
-
Principal Investigator:
- John M. Schallenkamp
-
Contact:
- Site Public Contact
- Phone Number: 800-996-2663
- Email: research@billingsclinic.org
-
Billings, Montana, United States, 59102
- Recruiting
- Saint Vincent Frontier Cancer Center
-
Contact:
- Site Public Contact
- Phone Number: 800-648-6274
-
Principal Investigator:
- Megan Petersen
-
Billings, Montana, United States, 59106
- Recruiting
- Intermountain Health West End Clinic
-
Contact:
- Site Public Contact
- Phone Number: 406-238-6685
-
Principal Investigator:
- Megan Petersen
-
Bozeman, Montana, United States, 59715
- Recruiting
- Bozeman Health Deaconess Hospital
-
Principal Investigator:
- John M. Schallenkamp
-
Contact:
- Site Public Contact
- Phone Number: 406-969-6060
- Email: mccinfo@mtcancer.org
-
Great Falls, Montana, United States, 59405
- Recruiting
- Benefis Sletten Cancer Institute
-
Principal Investigator:
- John M. Schallenkamp
-
Contact:
- Site Public Contact
- Phone Number: 406-969-6060
- Email: mccinfo@mtcancer.org
-
Kalispell, Montana, United States, 59901
- Recruiting
- Logan Health Medical Center
-
Principal Investigator:
- John M. Schallenkamp
-
Contact:
- Site Public Contact
- Phone Number: 406-969-6060
- Email: mccinfo@mtcancer.org
-
Missoula, Montana, United States, 59804
- Recruiting
- Community Medical Center
-
Principal Investigator:
- John M. Schallenkamp
-
Contact:
- Site Public Contact
- Phone Number: 406-969-6060
- Email: mccinfo@mtcancer.org
-
-
Nebraska
-
Omaha, Nebraska, United States, 68114
- Recruiting
- Nebraska Methodist Hospital
-
Contact:
- Site Public Contact
- Phone Number: 402-354-5144
-
Principal Investigator:
- Brent J. Tierney
-
-
Nevada
-
Las Vegas, Nevada, United States, 89106
- Recruiting
- Women's Cancer Center of Nevada
-
Principal Investigator:
- Nicola M. Spirtos
-
Contact:
- Site Public Contact
- Phone Number: 702-851-4672
-
-
New Mexico
-
Albuquerque, New Mexico, United States, 87106
- Recruiting
- University of New Mexico Cancer Center
-
Contact:
- Site Public Contact
- Phone Number: 505-925-0348
- Email: HSC-ClinicalTrialInfo@salud.unm.edu
-
Principal Investigator:
- Carolyn Y. Muller
-
-
New York
-
Buffalo, New York, United States, 14263
- Active, not recruiting
- Roswell Park Cancer Institute
-
Rochester, New York, United States, 14642
- Recruiting
- University of Rochester
-
Contact:
- Site Public Contact
- Phone Number: 585-275-5830
-
Principal Investigator:
- Rachael Turner
-
Syracuse, New York, United States, 13210
- Recruiting
- State University of New York Upstate Medical University
-
Contact:
- Site Public Contact
- Phone Number: 315-464-5476
-
Principal Investigator:
- Mary J. Cunningham
-
Webster, New York, United States, 14580
- Recruiting
- Wilmot Cancer Institute at Webster
-
Contact:
- Site Public Contact
- Email: WCICTOresearch@urmc.rochester.edu
-
Principal Investigator:
- Rachael Turner
-
-
North Carolina
-
Durham, North Carolina, United States, 27710
- Recruiting
- Duke University Medical Center
-
Principal Investigator:
- Angeles A. Secord
-
Contact:
- Site Public Contact
- Phone Number: 888-275-3853
-
Raleigh, North Carolina, United States, 27607
- Recruiting
- Duke Women's Cancer Care Raleigh
-
Principal Investigator:
- Angeles A. Secord
-
Contact:
- Site Public Contact
- Phone Number: 919-785-4878
-
-
North Dakota
-
Fargo, North Dakota, United States, 58103
- Recruiting
- Essentia Health Cancer Center-South University Clinic
-
Contact:
- Site Public Contact
- Phone Number: 218-786-3308
- Email: CancerTrials@EssentiaHealth.org
-
Principal Investigator:
- Bret E. Friday
-
-
Ohio
-
Beachwood, Ohio, United States, 44122
- Recruiting
- UHHS-Chagrin Highlands Medical Center
-
Contact:
- Site Public Contact
- Phone Number: 800-641-2422
- Email: CTUReferral@UHhospitals.org
-
Principal Investigator:
- Amy Armstrong
-
Centerville, Ohio, United States, 45459
- Recruiting
- Miami Valley Hospital South
-
Contact:
- Site Public Contact
- Phone Number: 937-528-2900
- Email: clinical.trials@daytonncorp.org
-
Principal Investigator:
- Michael S. Guy
-
Chardon, Ohio, United States, 44024
- Recruiting
- Geauga Hospital
-
Contact:
- Site Public Contact
- Phone Number: 800-641-2422
- Email: CTUReferral@UHhospitals.org
-
Principal Investigator:
- Amy Armstrong
-
Cincinnati, Ohio, United States, 45220
- Recruiting
- Good Samaritan Hospital - Cincinnati
-
Principal Investigator:
- Shahzad Siddique
-
Contact:
- Site Public Contact
- Phone Number: 720-874-1881
- Email: ResearchInstituteInquiries@CommonSpirit.org
-
Cleveland, Ohio, United States, 44195
- Recruiting
- Cleveland Clinic Foundation
-
Contact:
- Site Public Contact
- Phone Number: 866-223-8100
- Email: TaussigResearch@ccf.org
-
Principal Investigator:
- Peter G. Rose
-
Cleveland, Ohio, United States, 44106
- Recruiting
- Case Western Reserve University
-
Contact:
- Site Public Contact
- Phone Number: 800-641-2422
- Email: CTUReferral@UHhospitals.org
-
Principal Investigator:
- Amy Armstrong
-
Cleveland, Ohio, United States, 44111
- Recruiting
- Cleveland Clinic Cancer Center/Fairview Hospital
-
Contact:
- Site Public Contact
- Phone Number: 866-223-8100
- Email: TaussigResearch@ccf.org
-
Principal Investigator:
- Peter G. Rose
-
Columbus, Ohio, United States, 43210
- Recruiting
- Ohio State University Comprehensive Cancer Center
-
Contact:
- Site Public Contact
- Phone Number: 800-293-5066
- Email: Jamesline@osumc.edu
-
Principal Investigator:
- Floor Backes
-
Mayfield Heights, Ohio, United States, 44124
- Recruiting
- Hillcrest Hospital Cancer Center
-
Contact:
- Site Public Contact
- Phone Number: 866-223-8100
- Email: TaussigResearch@ccf.org
-
Principal Investigator:
- Peter G. Rose
-
Mentor, Ohio, United States, 44060
- Recruiting
- UH Seidman Cancer Center at Lake Health Mentor Campus
-
Contact:
- Site Public Contact
- Phone Number: 800-641-2422
- Email: CTUReferral@UHhospitals.org
-
Principal Investigator:
- Amy Armstrong
-
Parma, Ohio, United States, 44129
- Recruiting
- University Hospitals Parma Medical Center
-
Contact:
- Site Public Contact
- Phone Number: 800-641-2422
- Email: CTUReferral@UHhospitals.org
-
Principal Investigator:
- Amy Armstrong
-
Westlake, Ohio, United States, 44145
- Recruiting
- UH Seidman Cancer Center at Saint John Medical Center
-
Contact:
- Site Public Contact
- Phone Number: 800-641-2422
- Email: CTUReferral@UHhospitals.org
-
Principal Investigator:
- Amy Armstrong
-
-
Oklahoma
-
Oklahoma City, Oklahoma, United States, 73104
- Recruiting
- University of Oklahoma Health Sciences Center
-
Contact:
- Site Public Contact
- Phone Number: 405-271-8777
- Email: ou-clinical-trials@ouhsc.edu
-
Principal Investigator:
- Christina Washington
-
Tulsa, Oklahoma, United States, 74146
- Recruiting
- Oklahoma Cancer Specialists and Research Institute-Tulsa
-
Contact:
- Site Public Contact
- Phone Number: 918-505-3200
-
Principal Investigator:
- Katherine M. Moxley
-
-
Oregon
-
Ontario, Oregon, United States, 97914
- Suspended
- Saint Alphonsus Cancer Care Center-Ontario
-
Portland, Oregon, United States, 97213
- Recruiting
- Providence Portland Medical Center
-
Principal Investigator:
- Dan S. Zuckerman
-
Contact:
- Site Public Contact
- Phone Number: 503-215-2614
- Email: CanRsrchStudies@providence.org
-
Portland, Oregon, United States, 97225
- Recruiting
- Providence Saint Vincent Medical Center
-
Principal Investigator:
- Dan S. Zuckerman
-
Contact:
- Site Public Contact
- Phone Number: 503-215-2614
- Email: CanRsrchStudies@providence.org
-
-
Pennsylvania
-
Beaver, Pennsylvania, United States, 15009
- Recruiting
- UPMC-Heritage Valley Health System Beaver
-
Contact:
- Site Public Contact
- Phone Number: 412-389-5208
- Email: haneydl@upmc.edu
-
Principal Investigator:
- Alexander B. Olawaiye
-
Butler, Pennsylvania, United States, 16001
- Recruiting
- UPMC Hillman Cancer Center at Butler Health System
-
Contact:
- Site Public Contact
- Phone Number: 412-389-5208
- Email: haneydl@upmc.edu
-
Principal Investigator:
- Alexander B. Olawaiye
-
Cranberry Township, Pennsylvania, United States, 16066
- Recruiting
- UPMC Hillman Cancer Center - Passavant - Cranberry
-
Contact:
- Site Public Contact
- Phone Number: 412-389-5208
- Email: haneydl@upmc.edu
-
Principal Investigator:
- Alexander B. Olawaiye
-
Erie, Pennsylvania, United States, 16505
- Recruiting
- UPMC Hillman Cancer Center Erie
-
Principal Investigator:
- Alexander B. Olawaiye
-
Contact:
- Site Public Contact
- Phone Number: 412-864-7716
- Email: ClinicalResearchServices@upmc.edu
-
Farrell, Pennsylvania, United States, 16121
- Recruiting
- UPMC Cancer Center at UPMC Horizon
-
Contact:
- Site Public Contact
- Phone Number: 412-339-5294
- Email: Roster@nrgoncology.org
-
Principal Investigator:
- Alexander B. Olawaiye
-
Greensburg, Pennsylvania, United States, 15601
- Recruiting
- UPMC Cancer Centers - Arnold Palmer Pavilion
-
Contact:
- Site Public Contact
- Phone Number: 724-838-1900
-
Principal Investigator:
- Alexander B. Olawaiye
-
Indiana, Pennsylvania, United States, 15701
- Recruiting
- IRMC Cancer Center
-
Contact:
- Site Public Contact
- Phone Number: 412-389-5208
- Email: haneydl@upmc.edu
-
Principal Investigator:
- Alexander B. Olawaiye
-
Johnstown, Pennsylvania, United States, 15901
- Recruiting
- UPMC-Johnstown/John P. Murtha Regional Cancer Center
-
Contact:
- Site Public Contact
- Phone Number: 814-534-4724
-
Principal Investigator:
- Alexander B. Olawaiye
-
McKeesport, Pennsylvania, United States, 15132
- Recruiting
- UPMC Cancer Center at UPMC McKeesport
-
Contact:
- Site Public Contact
- Phone Number: 412-647-8073
-
Principal Investigator:
- Alexander B. Olawaiye
-
Mechanicsburg, Pennsylvania, United States, 17050
- Recruiting
- UPMC Hillman Cancer Center at Rocco And Nancy Ortenzio Cancer Pavilion
-
Contact:
- Site Public Contact
- Phone Number: 412-389-5208
- Email: haneydl@upmc.edu
-
Principal Investigator:
- Alexander B. Olawaiye
-
Monroeville, Pennsylvania, United States, 15146
- Recruiting
- UPMC Hillman Cancer Center - Monroeville
-
Principal Investigator:
- Alexander B. Olawaiye
-
Contact:
- Site Public Contact
- Phone Number: 412-864-7716
- Email: ClinicalResearchServices@upmc.edu
-
Moon Township, Pennsylvania, United States, 15108
- Recruiting
- UPMC Hillman Cancer Center in Coraopolis
-
Contact:
- Site Public Contact
- Phone Number: 412-389-5208
- Email: haneydl@upmc.edu
-
Principal Investigator:
- Alexander B. Olawaiye
-
Mount Pleasant, Pennsylvania, United States, 15666
- Recruiting
- UPMC Hillman Cancer Center - Part of Frick Hospital
-
Contact:
- Site Public Contact
- Phone Number: 412-389-5208
- Email: haneydl@upmc.edu
-
Principal Investigator:
- Alexander B. Olawaiye
-
N. Huntingdon, Pennsylvania, United States, 15642
- Recruiting
- Arnold Palmer Cancer Center Medical Oncology Norwin
-
Principal Investigator:
- Alexander B. Olawaiye
-
Contact:
- Site Public Contact
- Phone Number: 412-864-7716
- Email: ClinicalResearchServices@upmc.edu
-
Natrona Heights, Pennsylvania, United States, 15065
- Recruiting
- UPMC Cancer Center-Natrona Heights
-
Contact:
- Site Public Contact
- Phone Number: 724-230-3030
-
Principal Investigator:
- Alexander B. Olawaiye
-
New Castle, Pennsylvania, United States, 16105
- Recruiting
- UPMC Hillman Cancer Center - New Castle
-
Contact:
- Site Public Contact
- Phone Number: 412-389-5208
- Email: haneydl@upmc.edu
-
Principal Investigator:
- Alexander B. Olawaiye
-
Pittsburgh, Pennsylvania, United States, 15232
- Recruiting
- University of Pittsburgh Cancer Institute (UPCI)
-
Contact:
- Site Public Contact
- Phone Number: 412-647-8073
-
Principal Investigator:
- Alexander B. Olawaiye
-
Pittsburgh, Pennsylvania, United States, 15213
- Recruiting
- UPMC-Magee Womens Hospital
-
Contact:
- Site Public Contact
- Phone Number: 412-647-2811
-
Principal Investigator:
- Alexander B. Olawaiye
-
Pittsburgh, Pennsylvania, United States, 15215
- Recruiting
- UPMC-Saint Margaret
-
Contact:
- Site Public Contact
- Phone Number: 412-784-4900
-
Principal Investigator:
- Alexander B. Olawaiye
-
Pittsburgh, Pennsylvania, United States, 15219
- Recruiting
- UPMC-Mercy Hospital
-
Contact:
- Site Public Contact
- Phone Number: 800-533-8762
-
Principal Investigator:
- Alexander B. Olawaiye
-
Pittsburgh, Pennsylvania, United States, 15237
- Recruiting
- UPMC-Passavant Hospital
-
Contact:
- Site Public Contact
- Phone Number: 412-367-6454
-
Principal Investigator:
- Alexander B. Olawaiye
-
Pittsburgh, Pennsylvania, United States, 15243
- Recruiting
- UPMC-Saint Clair Hospital Cancer Center
-
Contact:
- Site Public Contact
- Phone Number: 412-502-3920
-
Principal Investigator:
- Alexander B. Olawaiye
-
Seneca, Pennsylvania, United States, 16346
- Recruiting
- UPMC Cancer Center at UPMC Northwest
-
Contact:
- Site Public Contact
- Phone Number: 814-676-7900
-
Principal Investigator:
- Alexander B. Olawaiye
-
Washington, Pennsylvania, United States, 15301
- Recruiting
- UPMC Cancer Center-Washington
-
Contact:
- Site Public Contact
- Phone Number: 412-339-5294
- Email: Roster@nrgoncology.org
-
Principal Investigator:
- Alexander B. Olawaiye
-
West Mifflin, Pennsylvania, United States, 15122
- Recruiting
- UPMC West Mifflin-Cancer Center Jefferson
-
Contact:
- Site Public Contact
- Phone Number: 412-653-8100
-
Principal Investigator:
- Alexander B. Olawaiye
-
-
Rhode Island
-
Providence, Rhode Island, United States, 02905
- Recruiting
- Women and Infants Hospital
-
Contact:
- Site Public Contact
- Phone Number: 401-274-1122
-
Principal Investigator:
- Cara A. Mathews
-
-
Texas
-
Dallas, Texas, United States, 75390
- Recruiting
- UT Southwestern/Simmons Cancer Center-Dallas
-
Contact:
- Site Public Contact
- Phone Number: 214-648-7097
- Email: canceranswerline@UTSouthwestern.edu
-
Principal Investigator:
- David S. Miller
-
Dallas, Texas, United States, 75235
- Recruiting
- Parkland Memorial Hospital
-
Contact:
- Site Public Contact
- Phone Number: 214-590-5582
- Email: canceranswerline@UTSouthwestern.edu
-
Principal Investigator:
- David S. Miller
-
Fort Worth, Texas, United States, 76104
- Recruiting
- UT Southwestern/Simmons Cancer Center-Fort Worth
-
Contact:
- Site Public Contact
- Phone Number: 214-648-7097
- Email: canceranswerline@UTSouthwestern.edu
-
Principal Investigator:
- David S. Miller
-
Richardson, Texas, United States, 75080
- Recruiting
- UT Southwestern Clinical Center at Richardson/Plano
-
Contact:
- Site Public Contact
- Phone Number: 972-669-7044
- Email: Suzanne.cole@utsouthwestern.edu
-
Principal Investigator:
- David S. Miller
-
-
Virginia
-
Charlottesville, Virginia, United States, 22908
- Recruiting
- University of Virginia Cancer Center
-
Contact:
- Site Public Contact
- Phone Number: 434-243-6303
- Email: uvacancertrials@hscmail.mcc.virginia.edu
-
Principal Investigator:
- Linda R. Duska
-
Richmond, Virginia, United States, 23229
- Recruiting
- Henrico Doctor's Hospital
-
Principal Investigator:
- Andrew S. Kennedy
-
Contact:
- Site Public Contact
- Phone Number: 804-591-4152
-
Richmond, Virginia, United States, 23298
- Recruiting
- VCU Massey Comprehensive Cancer Center
-
Principal Investigator:
- Chelsea Salyer
-
Contact:
- Site Public Contact
- Phone Number: 804-628-6430
- Email: CTOclinops@vcu.edu
-
-
Washington
-
Edmonds, Washington, United States, 98026
- Recruiting
- Swedish Cancer Institute-Edmonds
-
Principal Investigator:
- Dan S. Zuckerman
-
Contact:
- Site Public Contact
- Phone Number: 206-215-2343
- Email: PCRC-NCORP@Swedish.org
-
Issaquah, Washington, United States, 98029
- Recruiting
- Swedish Cancer Institute-Issaquah
-
Principal Investigator:
- Dan S. Zuckerman
-
Contact:
- Site Public Contact
- Phone Number: 206-215-2343
- Email: PCRC-NCORP@Swedish.org
-
Seattle, Washington, United States, 98122
- Recruiting
- Swedish Medical Center-First Hill
-
Principal Investigator:
- Dan S. Zuckerman
-
Contact:
- Site Public Contact
- Phone Number: 206-215-2343
- Email: PCRC-NCORP@Swedish.org
-
Seattle, Washington, United States, 98109
- Active, not recruiting
- Fred Hutchinson Cancer Center
-
-
Wisconsin
-
Ashland, Wisconsin, United States, 54806
- Recruiting
- Duluth Clinic Ashland
-
Contact:
- Site Public Contact
- Phone Number: 218-786-3308
- Email: CancerTrials@EssentiaHealth.org
-
Principal Investigator:
- Bret E. Friday
-
Ashland, Wisconsin, United States, 54806
- Recruiting
- Northwest Wisconsin Cancer Center
-
Contact:
- Site Public Contact
- Phone Number: 218-786-3308
- Email: CancerTrials@EssentiaHealth.org
-
Principal Investigator:
- Bret E. Friday
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients with measurable or non-measurable (detectable) recurrent endometrial cancer
- Measurable disease will be defined and monitored by RECIST v 1.1. Measurable disease is defined per RECIST 1.1 criteria as at least one lesion that can be accurately measured in at least one dimension (longest diameter to be recorded). Each lesion must be >= 10 mm when measured by computed tomography (CT) or magnetic resonance imaging (MRI). Lymph nodes must be >= 15 mm in short axis when measured by CT or MRI
Non-measurable (detectable) disease in a patient is defined in this protocol per RECIST 1.1 criteria as one who does not have measurable disease but has at least one of the following conditions:
- All other lesions (or sites of disease), including small lesions (longest diameter <10 mm or pathological lymph nodes with >= 10 to < 15 mm short axis), are considered non-measurable disease
- Ascites and/or pleural effusion attributed to tumor
- Solid and/or cystic abnormalities on radiographic imaging that do not meet RECIST 1.1 definitions for target lesions
Patients must have endometrial cancer with deficient mismatch repair system. All patients must have institutional immunohistochemistry (IHC) and/or microsatellite instability (MSI) testing to determine mismatch repair (MMR) status. MMR deficiency is defined as lack of expression of one or more mismatch repair proteins (MLH1, PMS2, MSH2, MSH6, EPCAM) by immunohistochemistry and/or presence of microsatellite instability high using the National Cancer Institute (NCI)-5plex and Promega v1.2 assays, or institutional standards (e.g. next-generation sequencing [NGS] panel)
- Method(s) of detection of MMR deficiency will be recorded for each patient. An institutional pathology report, and additional reports if available, documenting these results must be submitted. Patients with "equivocal" results on MMR testing by immunohistochemistry may be eligible if they have documented evidence of microsatellite instability by MSI testing or by next generation sequencing assays. MMR testing by IHC may be used to resolve equivocal/indeterminate MSI results
- Histologic confirmation of the original primary tumor is required (submission of pathology report(s) is required). Patients with the following histologic types are eligible: Endometrioid adenocarcinoma, mucinous adenocarcinoma, dedifferentiated/undifferentiated carcinoma, clear cell adenocarcinoma, mixed epithelial carcinoma, adenocarcinoma not otherwise specified (N.O.S.)
Patients may have received 1-2 prior lines of systemic therapy:
- Prior anti-PD1/PD-L1 therapy is allowed if given in combination with chemotherapy or radiation therapy in adjuvant or primary metastatic/recurrent settings. Patients must have had a complete response and have disease progression/relapse with treatment-free interval of 12 months or more from last dose of therapy with immune check inhibition
- Patients may have received prior radiation therapy for treatment of endometrial cancer. Prior radiation therapy may have included pelvic radiation therapy, extended field pelvic/para aortic radiation therapy, intravaginal brachytherapy, and/or palliative radiation therapy. All radiation therapy must be completed at least 4 weeks prior to registration
- Patients may have received prior hormonal therapy for treatment of endometrial cancer. All hormonal therapy must be discontinued at least three weeks prior to registration
- Any other prior therapy directed at the malignant tumor including chemotherapy, targeted agents, biologic agents, immunologic agents, and any investigational agents, must be discontinued at least 4 weeks prior to registration (6 weeks for nitrosoureas or mitomycin C)
- Age >= 18
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0, 1, or 2
- Platelets >= 100,000/mcl
- Absolute neutrophil count (ANC) >= 1,500/mcl
- Creatinine =< 1.5 x institutional/laboratory upper limit of normal (ULN)
- Total serum bilirubin level =< 1.5 x ULN (patients with known Gilbert's disease who have bilirubin level =<3 x ULN may be enrolled)
- Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) =< 3 x ULN
- Adequate oxygen saturation via pulse oximeter (CTCAE v.5.0 hypoxia < grade 2 within 28 days prior to registration)
- Thyroid-stimulating hormone (TSH) within normal limits (TSH < ULN allowed in euthyroid patients on thyroid replacement therapy). TSH testing is only required if clinically indicated
- Patients must have recovered from effects of recent surgery, radiotherapy or chemotherapy. At least 4 weeks must have elapsed since major surgery
- As clinically indicated, patients with known history or current symptoms of cardiac disease, or history of treatment with cardiotoxic agents, should have a clinical risk assessment of cardiac function using the New York Heart Association Functional Classification. To be eligible for this trial, patients should be class 2B or better and have a corrected QT (QTc) interval < 450 msec
The effects of nivolumab, and ipilimumab on the developing human fetus are unknown. For this reason and because nivolumab and ipilimumab are known to be teratogenic, women of child-bearing potential (WOCBP) must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry and for 5 months after the last dose of investigational drug. Women of childbearing potential must have a negative serum or urine pregnancy test (minimum sensitivity 25 IU/L or equivalent units of human chorionic gonadotropin [HCG]) within 24 hours prior to the start of nivolumab. Women must not be breastfeeding. Women who are not of childbearing potential (i.e., who are postmenopausal or surgically sterile) do not require contraception
- WOCBP is defined as any female who has experienced menarche and who has not undergone surgical sterilization (hysterectomy or bilateral oophorectomy) or who is not postmenopausal. Menopause is defined clinically as 12 months of amenorrhea in a woman over 45 in the absence of other biological or physiological causes. In addition, women under the age of 55 must have a documented serum follicle stimulating hormone (FSH) level less than 40 mIU/mL
- Patients with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen are eligible for this trial
- Human immunodeficiency virus (HIV)-infected patients on effective anti-retroviral therapy with undetectable viral load within 6 months of registration are eligible for this trial
- Patients with evidence of chronic hepatitis B virus (HBV) infection must have an undetectable HBV viral load on suppressive therapy, if indicated
- Patients with a history of hepatitis C virus (HCV) infection must have been treated and cured. For patients with HCV infection who are currently on treatment, they are eligible if they have an undetectable HCV viral load
- Patients with treated brain metastases are eligible if follow-up brain imaging after central nervous system (CNS)-directed therapy shows no evidence of progression and the patient is stable off steroids for at least one month
- The patient or a legally authorized representative must provide study-specific informed consent prior to study entry and, for patients treated in the United States (U.S.), authorization permitting release of personal health information
- Patients with vitiligo, endocrine deficiencies including thyroiditis managed with replacement hormones including physiologic corticosteroids are eligible
- Patients with rheumatoid arthritis and other arthropathies, Sjogren's syndrome and psoriasis controlled with topical medication and patients with positive serology, such as antinuclear antibodies (ANA), anti-thyroid antibodies should be evaluated for the presence of target organ involvement and potential need for systemic treatment but should otherwise be eligible
Exclusion Criteria:
- Patients with a diagnosis of endometrial serous carcinoma or carcinosarcoma
- Patients who received prior anti-PD1/PD-L1 therapy and had grade 3-4 or recurring grade 2 immune-related toxicities that led to dose delay or discontinuation of immunotherapy due to those toxicities
- Patients who received anti-CTLA-4 therapy or other immunotherapeutic agents
- Patients on chronic steroid therapy except those on replacement therapy at a daily dose of 10mg or less prednisone or equivalent
Patients on immunosuppressive therapy, with the exception of:
- Intra-nasal, inhaled, topical or local steroid injections
- Premedication for hypersensitivity reaction
- Patients with active autoimmune disease or history of autoimmune disease that might recur, which may affect vital organ function or require immune suppressive treatment including systemic corticosteroids, should be excluded. These include but are not limited to patients with a history of immune related neurologic disease, multiple sclerosis, autoimmune (demyelinating) neuropathy, Guillain-Barre syndrome, myasthenia gravis; systemic autoimmune disease such as systemic lupus erythematosus (SLE), connective tissue diseases, scleroderma, inflammatory bowel disease (IBD), Crohn's, ulcerative colitis, hepatitis; and patients with a history of toxic epidermal necrolysis (TEN), Stevens-Johnson syndrome, or phospholipid syndrome should be excluded because of the risk of recurrence or exacerbation of disease
- Patients with known immune impairment who may be unable to respond to anti-CTLA-4 antibody
- Patients with uncontrolled intercurrent illness including, but not limited to: ongoing or active infection (except for uncomplicated urinary tract infection), interstitial lung disease or active, non-infectious pneumonitis, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
- Women who are pregnant or unwilling to discontinue nursing
- Prior therapy with CTLA-4 inhibitors, or any other antibody or drug specifically targeting T-cell co-stimulation or immune checkpoint pathways
- History of allergic reactions attributed to compounds of similar chemical or biologic composition to nivolumab, and/or ipilimumab including severe hypersensitivity reactions to any monoclonal antibody
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Arm I (nivolumab and ipilimumab)
Patients receive nivolumab IV over 30 minutes on day 1 of each cycle and ipilimumab IV over 90 minutes on day 1 of every other cycle. Cycles repeat every three weeks. Treatment with nivolumab and ipilimumab repeats for up to 8 cycles in the absence of disease progression, unacceptable toxicity, or CR. Patients then receive nivolumab alone on day 1 of each cycle. Cycles repeat every 4 weeks in the absence of disease progression, unacceptable toxicity, or CR. MAINTENANCE THERAPY: Patients achieving CR receive nivolumab for an additional 12 months in the absence of disease progression or unacceptable toxicity. Additionally, patients may optionally undergo collection of tissue samples on study as well as blood samples throughout the trial. Patients also undergo CT scan and/or MRI throughout the trial. |
Given IV
Other Names:
Undergo MRI
Other Names:
Given IV
Other Names:
Undergo CT
Other Names:
Undergo collection of tissue and/or blood samples
Other Names:
|
|
Active Comparator: Arm II (nivolumab)
Patients receive nivolumab IV over 30 minutes on day 1 of each cycle. Treatment repeats every 3 weeks for up to 8 cycles, then every 4 weeks thereafter in the absence of disease progression, unacceptable toxicity, or CR. MAINTENANCE THERAPY: Patients achieving CR receive nivolumab for an additional 12 months in the absence of disease progression or unacceptable toxicity. Additionally, patients may optionally undergo collection of tissue samples on study as well as blood samples throughout the trial. Patients also undergo CT scan and/or MRI throughout the trial. |
Given IV
Other Names:
Undergo MRI
Other Names:
Undergo CT
Other Names:
Undergo collection of tissue and/or blood samples
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Progression-free survival (PFS)
Time Frame: From study entry to time of progression or death, whichever occurs first, or date of last contact if neither progression nor death has occurred, assessed up to 5 years after randomization
|
The statistical test used for decision making is the stratified, standardized log-rank test (Z) based on PFS.
For the safety lead-in analysis, the primary endpoint is the observation of at least one dose-limiting toxicity (DLT) in the first 3 cycles of treatment.
Patients are classified as having a DLT in 3 cycles or receiving adequate treatment.
|
From study entry to time of progression or death, whichever occurs first, or date of last contact if neither progression nor death has occurred, assessed up to 5 years after randomization
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Overall survival (OS)
Time Frame: Up to 5 years after randomization
|
Will be assessed when the PFS data are mature.
The null hypothesis will be that the hazard of death in regimen 1 is equal to the hazard of death in regimen 2. That is, Ho: HR = 1.00.
The alternative will be that Ha: HR < 1.00 (regimen 1 to 2).
The number of deaths is unknown.
|
Up to 5 years after randomization
|
|
Objective tumor response (ORR)
Time Frame: Up to 5 years after randomization
|
Defined as the frequency of patients who have either a partial or complete response by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1.
The number of patients with responses will be tabulated by the treatment they were randomized to.
Fisher's Exact Test will be used to test the hypothesis that the probabilities of response in each arm is the same.
ORR will be evaluated only in patients who had measurable disease per RECIST 1.1 before starting treatment.
|
Up to 5 years after randomization
|
|
Progression-free survival (PFS) at 6 months
Time Frame: From study entry to time of progression or death, whichever occurs first, or date of last contact if neither progression nor death has occurred, assessed at 6 months after randomization
|
A patient who survives at least 6 months progression-free will be considered to have had a successful outcome.
Those who progress or die within 6 months are considered treatment failures, and those who survive progression-free for less than 6 months will be considered to have an unknown outcome or indeterminate.
If the patient's status cannot be determined, she will be moved to the "failure" status for analysis.
Like tumor response, the hypothesis of equivalent probabilities will be assessed with Fisher's Exact Test.
|
From study entry to time of progression or death, whichever occurs first, or date of last contact if neither progression nor death has occurred, assessed at 6 months after randomization
|
|
Incidence of adverse events
Time Frame: Up to 5 years after randomization
|
Will be assessed by Common Terminology Criteria for Adverse Events (CTCAE).
Will be tabulated by frequency and severity by treatment regimen.
The treatment regimens will be compared by classifying the toxicities as severe or not and tested for equivalent probabilities by Fisher's Exact Test or whether the estimated probabilities of severe toxicities diverge by more than 10%.
|
Up to 5 years after randomization
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Haider S Mahdi, NRG Oncology
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urogenital Diseases
- Genital Diseases
- Endocrine System Diseases
- Urogenital Neoplasms
- Neoplasms by Site
- Neoplasms
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Neoplasms by Histologic Type
- Uterine Diseases
- Genital Diseases, Female
- Neoplasms, Glandular and Epithelial
- Adenocarcinoma
- Ovarian Diseases
- Adnexal Diseases
- Genital Neoplasms, Female
- Gonadal Disorders
- Carcinoma
- Uterine Neoplasms
- Ovarian Neoplasms
- Endometrial Neoplasms
- Carcinoma, Endometrioid
- Amino Acids, Peptides, and Proteins
- Proteins
- Investigative Techniques
- Clinical Laboratory Techniques
- Diagnostic Techniques and Procedures
- Diagnosis
- Biological Factors
- Antibodies, Monoclonal, Humanized
- Antibodies, Monoclonal
- Antibodies
- Immunoglobulins
- Immunoproteins
- Blood Proteins
- Serum Globulins
- Globulins
- Chemistry Techniques, Analytical
- Spectrum Analysis
- Receptors, Cell Surface
- Membrane Proteins
- Antigens
- Antigens, Surface
- Biomarkers
- Receptors, Immunologic
- Antigens, Differentiation, T-Lymphocyte
- Antigens, Differentiation
- Immune Checkpoint Proteins
- Costimulatory and Inhibitory T-Cell Receptors
- Nivolumab
- Ipilimumab
- Specimen Handling
- Magnetic Resonance Spectroscopy
- CTLA-4 Antigen
Other Study ID Numbers
- NCI-2021-11881 (Registry Identifier: CTRP (Clinical Trial Reporting Program))
- U10CA180868 (U.S. NIH Grant/Contract)
- NRG-GY025 (Other Identifier: CTEP)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Endometrial Clear Cell Adenocarcinoma
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Gynecologic Oncology GroupNational Cancer Institute (NCI)CompletedRecurrent Uterine Corpus Carcinoma | Endometrial Clear Cell Adenocarcinoma | Endometrial Serous Adenocarcinoma | Endometrial Undifferentiated Carcinoma | Endometrial Adenocarcinoma | Endometrial Transitional Cell Carcinoma | Endometrial Mucinous Adenocarcinoma | Endometrial Mixed Adenocarcinoma | Endometrial...United States
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Gynecologic Oncology GroupNational Cancer Institute (NCI)CompletedRecurrent Uterine Corpus Carcinoma | Endometrial Clear Cell Adenocarcinoma | Endometrial Serous Adenocarcinoma | Endometrial Undifferentiated Carcinoma | Endometrial Adenocarcinoma | Endometrial Transitional Cell Carcinoma | Endometrial Mucinous Adenocarcinoma | Endometrial Mixed Adenocarcinoma | Endometrial...United States
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University of OklahomaImmunoGen, Inc.WithdrawnEndometrial Cancer | Endometrial Clear Cell Adenocarcinoma | Endometrial Serous Adenocarcinoma | Endometrial AdenocarcinomaUnited States
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Gynecologic Oncology GroupNational Cancer Institute (NCI)CompletedStage III Uterine Corpus Cancer | Stage IV Uterine Corpus Cancer | Endometrial Clear Cell Adenocarcinoma | Endometrial Serous Adenocarcinoma | Endometrial AdenocarcinomaUnited States
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Gynecologic Oncology GroupNational Cancer Institute (NCI)CompletedRecurrent Uterine Corpus Carcinoma | Endometrial Clear Cell Adenocarcinoma | Endometrial Serous Adenocarcinoma | Endometrial Undifferentiated Carcinoma | Endometrial Adenocarcinoma | Endometrial Transitional Cell Carcinoma | Endometrial Mucinous Adenocarcinoma | Endometrial Squamous Cell Carcinoma | Malignant Uterine Corpus Mixed Epithelial and Mesenchymal NeoplasmUnited States
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Gynecologic Oncology GroupNational Cancer Institute (NCI)CompletedRecurrent Uterine Corpus Carcinoma | Endometrial Clear Cell Adenocarcinoma | Endometrial Adenocarcinoma | Endometrial Adenosquamous CarcinomaUnited States
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National Cancer Institute (NCI)NRG OncologyCompletedRecurrent Uterine Corpus Carcinoma | Endometrial Clear Cell Adenocarcinoma | Endometrial Adenocarcinoma | Endometrial Adenosquamous CarcinomaUnited States
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National Cancer Institute (NCI)NRG OncologyCompletedRecurrent Uterine Corpus Carcinoma | Endometrial Clear Cell Adenocarcinoma | Endometrial Serous Adenocarcinoma | Endometrial Adenocarcinoma | Endometrial Adenosquamous CarcinomaUnited States
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National Cancer Institute (NCI)NRG OncologyCompletedEndometrial Clear Cell Adenocarcinoma | Endometrial Mixed Cell Adenocarcinoma | Endometrial Serous Adenocarcinoma | Endometrial Undifferentiated Carcinoma | Endometrial Adenocarcinoma | Recurrent Uterine Corpus CancerUnited States
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Gynecologic Oncology GroupNational Cancer Institute (NCI)CompletedStage III Uterine Corpus Cancer | Stage IV Uterine Corpus Cancer | Endometrial Clear Cell Adenocarcinoma | Endometrial Serous AdenocarcinomaUnited States
Clinical Trials on Nivolumab
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Universitair Ziekenhuis BrusselRecruiting
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Brown UniversityBristol-Myers Squibb; The Miriam Hospital; Rhode Island Hospital; Women and Infants...Terminated
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Baptist Health South FloridaBristol-Myers Squibb; NovoCure Ltd.TerminatedRecurrent GlioblastomaUnited States
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Bristol-Myers SquibbActive, not recruitingMelanomaSpain, Greece, Italy, United States, Chile
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National Health Research Institutes, TaiwanNational Taiwan University Hospital; Mackay Memorial Hospital; China Medical... and other collaboratorsCompletedHepatocellular Carcinoma (HCC)Taiwan
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Blokhin's Russian Cancer Research CenterEnrolling by invitationGastric Cancer | Colorectal CancerRussia
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Dan ZandbergArray BioPharmaActive, not recruitingMelanoma | Renal Cell Carcinoma | Solid Tumor | Non-small Cell Lung Cancer | Head and Neck Squamous Cell CarcinomaUnited States
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HUYABIO International, LLC.Bristol-Myers SquibbActive, not recruitingUnresectable or Metastatic Melanoma | Progressive Brain MetastasisNew Zealand, Spain, United States, Belgium, France, Germany, Singapore, Australia, Japan, South Africa, Italy, Brazil, Czechia, Austria, United Kingdom, South Korea, Puerto Rico
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Michael B. Atkins, MDBristol-Myers Squibb; Hoosier Cancer Research NetworkCompletedAdvanced Renal Cell CarcinomaUnited States
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Case Comprehensive Cancer CenterWithdrawnYttrium-90 Radioembolization + Nivolumab for Liver + Extra-hepatic Metastases From Colorectal CancerMetastatic Colorectal Cancer