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NCT04486352PHASE1, PHASE2Recruiting

A Study of Targeted Agents for Patients With Recurrent or Persistent Endometrial Cancer

Alliance Foundation Trials, LLC.

Start Date

10/20/2021

Completion Date

10/1/2027

Summary

This is a Phase IB/II multi-cohort study designed to evaluate the efficacy and safety of targeted agents with or without cancer immune checkpoint therapy with atezolizumab in participant with recurrent and/or persistent endometrial cancer. The main protocol provides a platform for genomic screening with homogeneous basic eligibility criteria in order to direct study participants into biomarker-matched study cohorts consisting of testing targeted agents.

Detailed Description

This is a Phase IB/II multi-cohort study designed to evaluate the efficacy and safety of targeted agents with or without cancer immune checkpoint therapy with atezolizumab in participants with recurrent and/or persistent endometrial cancer. This biomarker-driven study provides a platform whereby participants with persistent/recurrent endometrial cancer will be placed into study cohorts evaluating targeted agents selected on the basis of the tumor's specific genomic profile. Prospective participants with persistent and/or recurrent endometrial cancer will be prescreened within 60 days of treatment assignment to have a tumor tissue sample submitted for next-generation sequencing (NGS) using FoundationOne® companion diagnostic (CDx) testing prior to entering screening. If a participant has FoundationOne® CDx testing within five years of enrollment, the previous tumor tissue may be re-analyzed for use in the study. Non-FMI NGS testing may be submitted if approved. Depending on the cohort assignment per the tumor's biomarker profile, participants will be assigned to the AFT-50A Protocol (atezolizumab+targeted agent) or the AFT-50B Protocol (non-atezolizumab targeted agents). The current study cohorts are as follows: AFT-50A Cohorts * Atezolizumab + Bevacizumab doublet - Closed to Accrual * Atezolizumab + Ipatasertib doublet - Closed to Accrual * Atezolizumab + Talazoparib doublet * Atezolizumab + Trastuzumab emtansine (TDM-1) doublet - Closed to Accrual * Atezolizumab + Tiragolumab doublet - Closed to Accrual AFT-50B Cohorts * Inavolisib + Letrozole doublet * Giredestrant + Abemaciclib doublet It is anticipated that approximately 20 participants will be enrolled in each study cohort in AFT-50A and 24 participants in each study cohort in AFT-50B, unless otherwise specified for a given cohort due to statistical considerations. Each study cohort will open/close independently of other study cohorts. Once a study cohort reaches the prespecified number of participants, it will be closed to further enrollment, unless an expansion phase is planned. The study is structured to allow for additional cohorts to be added as the study progresses. These additional study cohorts may be proposed by investigators, but requires approval by the Steering Committee in order to be added to the protocol.

Eligibility Criteria

Age Range: 18 years to No maximum

Key Inclusion Criteria: * Recurrent or persistent endometrial carcinoma which has progressed or recurred after at least 1, but no more than 2, prior lines of therapy. Prior hormonal therapies (e.g., tamoxifen, aromatase inhibitors) will not count toward the prior regimen limit. Chemotherapy given in conjunction with radiotherapy as a radiosensitizer will be counted as a systemic therapeutic regimen. * Measurable disease per RECIST 1.1 * Availability of a representative tumor specimen that is suitable for determination of biomarker status via central testing (F1CDx) OR If a patient has a prior F1CDx report from 1 September 2019 or later, those NGS results can be used to determine biomarker status as long as the tumor tissue used in the report was obtained within 5 years prior to prescreening and appropriate signed consent is obtained from the patient. * Life expectancy \> 12 weeks * Recovery from effects of recent radiotherapy, surgery, or chemotherapy Key Exclusion Criteria: * Endometrial tumors with the following histologies: squamous carcinomas, sarcomas * Other invasive malignancies within the last 5 years, except for non-melanoma skin cancer with no evidence of disease within the past 5 years AND localized breast cancer with previous adjuvant chemotherapy treatment for breast cancer completed \> 5 years ago * Synchronous primary invasive ovarian or cervical cancer * Have an active or history of autoimmune disease or immune deficiency * Have a history of idiopathic pulmonary fibrosis, organizing pneumonia, drug-induced pneumonitis, idiopathic pneumonitis, or evidence of active pneumonitis based on a screening chest computed tomography (CT) scan * Active tuberculosis * Severe infections within 4 weeks * Have received therapeutic oral or IV antibiotic medication within 2 weeks, except prophylactic antibiotic medication * Have significant cardiovascular disease * Are administered treatment with a live attenuated vaccine within 4 weeks, or anticipation of need for such a vaccine during the course of the study * Have prior allogeneic bone marrow transplantation or solid organ transplant * History of treatment with systemic immunostimulatory agents (including but not limited to interferons, interleukin-2) within 4 weeks or 5 half-lives of the drug, whichever is longer, prior to initiation of study treatment * History of treatment with systemic immunosuppressive medications within 2 weeks except acute, low-dose, systemic immunosuppressant medications, corticosteroids for chronic obstructive pulmonary disease and asthma, or mineralocorticoids and low-dose corticosteroids for participants with orthostatic hypotension or adrenocortical insufficiency * Have a history or clinical evidence of any untreated CNS disease, seizures not controlled with standard medical therapy, or history of cerebrovascular accident (stroke), transient ischemic attack or subarachnoid hemorrhage within 6 months AFT-50A Specific Exclusion Criteria: ● Prior treatment with T-cell costimulating or immune checkpoint blockade therapies including, but not limited to, CD137 agonists, anti-PD-1, anti-PD-L1, and anti-CTLA-4 therapeutic antibodies Note: Additional study cohort specific inclusion and exclusion criteria may apply based on cohort assignment.

Interventions

DRUG

Atezolizumab - 28 Day Cycle

DRUG

Bevacizumab

DRUG

Ipatasertib

DRUG

Talazoparib

DRUG

Trastuzumab emtansine

DRUG

Tiragolumab

DRUG

Atezolizumab - 21 Day Cycle

DRUG

Inavolisib

DRUG

Letrozole

DRUG

Giredestrant

DRUG

Abemaciclib

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Conditions

Endometrial Cancer

Locations

City of Hope Comprehensive Cancer Center

Duarte, California 91010

United States

UCSF Helen Diller Family Comprehensive Cancer Center

San Francisco, California 94143

United States

Medstar Georgetown Cancer Institute

Washington D.C., District of Columbia 20007

United States

Mount Sinai Comprehensive Cancer Center

Miami Beach, Florida 33140

United States

University of Chicago

Chicago, Illinois 60637

United States

University of Kansas Cancer Center

Westwood, Kansas 66205

United States

Maine Medical Center

Scarborough, Maine 04074

United States

Dana Farber Cancer Institute

Boston, Massachusetts 02125

United States

University of Minnesota

Minneapolis, Minnesota 55455

United States

Washington University School of Medicine Siteman Cancer Center

St Louis, Missouri 63110

United States

Nebraska Methodist Hospital

Omaha, Nebraska 68114

United States

Englewood Health

Englewood, New Jersey 07631

United States

Atlantic Health Systems/Morristown Medical Center

Morristown, New Jersey 07960

United States

Roswell Park

Buffalo, New York 14263

United States

Weill Cornell Medicine

New York, New York 10065

United States

Duke University Cancer Center

Durham, North Carolina 27710

United States

University of Oklahoma Health Stephenson Cancer Center

Oklahoma City, Oklahoma 73104

United States

Providence Portland Cancer Institute

Portland, Oregon 97213

United States

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania 15261

United States

Lifespan - Rhode Island Hospital

Providence, Rhode Island 02903

United States

Baptist Memorial Hospital

Memphis, Tennessee 38120

United States