Safety Lead-In Study of a Repurposed Drug Added to the Combination of Len Plus Pem

Trial statusNot yet recruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexFemale
Age18+
SponsorEvergreen Therapeutics, Inc.

About this trial

This is a Phase 2 trial Safety Lead-in trial conducted in 3 cohorts of patients.

A safety lead-in study of the impact of adding the Repurposed Drugs a third agent will be conducted prior to opening enrollment into the compassionate use study. All patients enrolled in the safety lead-in study may continue long-term treatment under this protocol without interruption of dosing.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Female, 18 years and older at the time of informed consent, who has a histologically confirmed diagnosis of endometrial carcinoma, endometroid histology, that is not MSI-H or dMMR ).

Documented evidence of advanced (Stage III or IV), or recurrent EC.

Must have a recurrence or progressed on a platinum containing chemotherapy regimen and are not candidates for curative surgery or radiation

Has historical or fresh tumor biopsy specimen for confirmation of mismatch repair (MMR) status as not MSI-H or dMMR.

Disqualifiers

Brain metastasis: Previously treated CNS disease needs to be asymptomatic and does not require steroids. Brain metastases must be asymptomatic, fully treated and stable and not requiring steroids within 4 weeks prior to study treatment initiation.

Has carcinosarcoma (malignant mixed mullerian tumor), serous carcinoma, endometrial leiomyosarcoma and endometrial stromal sarcomas.

Has failed treatment of lenvatinib + pembrolizumab in prior lines of therapy.

Except for the allowance of ongoing use of Len+Pem, the protocol excludes patients having received any other prior anticancer treatment within 28 days (or 5 times the half-life time, whichever is shorter) or any investigational agent within 30 days prior to the first dose of study drugs. All acute toxicities related to prior treatments must be resolved to Grade less than or equal to 1.

Trial design

Design model

Sequential

Treatments tested in this trial

  • EG-007

    Drug

    A Repurposed Drug

  • Pembrolizumab 100 mg/4 mL (25 mg/ml) Injection

    Drug

    Pembrolizumab will be provided as a sterile, preservative-free, clear to slightly opalescent, colorless to slightly yellow solution that requires dilution for intravenous infusion. Each vial contains 100 mg of pembrolizumab in 4 mL of solution.

  • Lenvatinib Capsules

    Drug

    Lenvatinib will be provided as 4-mg and 10-mg capsules. Lenvatinib is formulated with calcium carbonate, mannitol, microcrystalline cellulose, hydroxypropyl cellulose, low-substituted hydroxypropylcellulose, and talc.

Treatment groups

28 Participants
are divided into 3 treatment groups
Group A: EG-007 1000mg + Len + PemExperimental treatment 3 interventions
Group B: EG-007 1000mg Loading + Len + PemExperimental treatment 3 interventions
Group C: EG-007 1000mg D-4 Loading + Len + PemExperimental treatment 3 interventions

Trial outcomes

Primary outcomes

1

Adverse Events Assessment using CTCAE v5.0

Number of Participants With Treatment-Related Adverse Events as Assessed by NCI CTCAE v5.0, toxicities will be characterized in terms including seriousness, causality, toxicity grading, and action taken with regard to trial treatment. Data Monitoring committee review for safety to proceed through dose escalation.

Time frame
1 Cycle of 21 days
2

Tolerability Score measurement using NCI-PRO CTCAE

Using NCI-PRO CTCAE to record the tolerability score for patients to evaluate symptomatic toxicities.

Time frame
1 Cycle of 21 days

Secondary outcomes

1

Long-term Safety Monitoring for EG-007 plus Len+Pem

To conduct long-term monitoring of the safety and clinical outcomes for EG-007 plus Len+Pem. The proportion of Participants With Treatment-Related Adverse Events during long-term monitoring.

Time frame
At the end of every Cycle (21 days per Cycle), up to 12 Cycles; and upon study exit

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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