Adjuvant Checkpoint Blockade Plus Radiation In Locally Advanced, Mismatch Repair Deficient/Microsatellite Instability-High (MMR-D/MSI-H) Endometrial Cancer

Who is this study for? Patients with Endometrial Cancer
What treatments are being studied? Intensity Modulated Radiation Therapy (IMRT)+TSR-042
Status: Recruiting
Location: See all (7) locations...
Intervention Type: Drug, Radiation
Study Type: Interventional
Study Phase: Phase 2
SUMMARY

This study will test whether the combination of radiation and Dostarlimab is an effective treatment for women with MMR-D/MSI-H endometrial cancer who have recently undergone surgery.

Eligibility
Participation Requirements
Sex: Female
Minimum Age: 18
Healthy Volunteers: f
View:

• Age 18 years or older

• ECOG performance status 0-1

• Endometrial cancer: all histologies (submission of pathology report is required for all patients who underwent surgery outside of MSK)

• MMR-D or MSI-H (submission of report\[s\] required for. patients who underwent testing outside of MSK

‣ Patients with hypermethylation of MMR gene promoters (MLH1, MSH2, MSH6 or PMS2) will be included

⁃ POLE-mutated endometrial cancers will be included

⁃ Patients with stage IIIB and IIIC2 are not eligible

• Must have undergone a complete surgical staging and have stage III/IVA disease.

‣ Patients with measurable disease (RECIST 1.1) after surgery are NOT eligible.

⁃ PatienSurgery completed between 3 weeks and 12 weeks (inclusive) before cycle 1 day 1 of therapy, and must have adequately recovered from surgery and any complications of surgery.ts with isolated tumor cells in lymph nodes found on surgery will be counted as clinical stage III disease

• Surgery completed between 3 weeks and 12 weeks (inclusive) before cycle 1 day 1 of therapy, and must have adequately recovered from surgery and any complications of surgery.

• Has a negative serum pregnancy test within 7 days prior to taking study treatment if of childbearing potential, and agrees use an adequate method of contraception from screening through 150 days after the last dose of study treatment, or is of nonchildbearing potential. Nonchildbearing potential is defined as follows (by other than medical reasons):

• °≥45 years of age and has not had menses for \>1 year

⁃ Patients who have been amenorrhoeic for \<2 years without history of a hysterectomy and oophorectomy must have a follicle stimulating hormone value in the postmenopausal range upon screening evaluation

⁃ Post-hysterectomy, post-bilateral oophorectomy, or post-tubal ligation. Documented hysterectomy or oophorectomy must be confirmed with medical records of the actual procedure or confirmed by an ultrasound. Tubal ligation must be confirmed with medical records of the actual procedure, otherwise the patient must be willing to use an adequate birth control method throughout the study, starting with the screening visit through 150 days after the last dose of study treatment. See list of acceptable birth control methods. Information must be captured appropriately within the site's source documents. Note: Abstinence is acceptable if this is the established and preferred contraception for the patient.

• Participant must agree to not breastfeed during the study or for 150 days after the last dose of study treatment.

• Demonstrate adequate organ function as defined below. All screening labs should be performed within 14 days of treatment initiation.

‣ Absolute neutrophil count (ANC) ≥1,500 /mcL

⁃ Platelets ≥100,000 / mcL

⁃ Hemoglobin ≥9 g/dL

⁃ Creatinine Clearance GFR ≥ 45

⁃ Serum total bilirubin ≤ 1.5 X ULN (patients with known Gilbert's disease Serum total bilirubin who have bilirubin level ≤ 3 x ULN may be enrolled)

⁃ AST and ALT 3 ULN OR ≤ 5 X ULN for subjects with liver metastases

⁃ TSH within normal limits. If TSH is not within normal range despite no symptoms of thyroid dysfunction, normal free T4 level is required.

Locations
United States
New Jersey
Memorial Sloan Kettering Basking Ridge (All Protocol Activites)
RECRUITING
Basking Ridge
Memorial Sloan Kettering Monmouth (All Protocol Activities)
RECRUITING
Middletown
Memorial Sloan Kettering Bergen (All Protocol Activities)
RECRUITING
Montvale
New York
Memorial Sloan Kettering Commack (All Protocol Activities)
RECRUITING
Commack
Memorial Sloan Kettering Westchester (All Protocol Activities)
RECRUITING
Harrison
Memorial Sloan Kettering Cancer Center
RECRUITING
New York
Memorial Sloan Kettering Nassau (All Protocol Activities)
RECRUITING
Rockville Centre
Contact Information
Primary
Ying Liu, MD, MPH
liuy3@mskcc.org
646-888-4946
Backup
Roisin O'Cearbhaill, MD
646-888-4227
Time Frame
Start Date: 2021-04-02
Estimated Completion Date: 2026-02
Participants
Target number of participants: 62
Treatments
Experimental: Radiation and Dostarlimab (THIS ARM IS COMPLETED)
Patients will undergo standard intensity modulated radiation therapy (IMRT) to the pelvic nodes and vaginal cuff (total dose of 45-50.4Gy at 1.8 Gy per fraction) for 5-6 weeks and receive IV Dostarlimab every 3 weeks for 4 cycles followed by 1 dose of 1000mg (C5). Patients will receive a maximum of 5 cycles of Dostarlimab.
Experimental: Hypofractionated IMRT and Dostarlimab
Treatment will consist of short-course, hypofractionated IMRT to deliver 25 Gy to the vaginal cuff and pelvic lymph nodes in 5 daily fractions over one week. Participants will receive TSR-042 500mg every 3 weeks over 30 minutes for 4 cycles, followed by 1 dose of 1000mg for cycle 5. For this group, in those patients who have delays in C2 of dostarlimab and/or are unable to receive the 2nd dose of dostarlimab, hypofractionated radiation may proceed independently per discretion of treating investigator in consultation with study PI.
Related Therapeutic Areas
Sponsors
Leads: Memorial Sloan Kettering Cancer Center
Collaborators: Tesaro, Inc.

This content was sourced from clinicaltrials.gov

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