This is a Phase II study in patients with advanced and/refractory cervical cancer, endometrial carcinoma or uterine sarcoma. Patients will be treated with an immunomodulatory cocktail (Vitamin D, aspirin, Cyclophosphamide and Lansoprazole), followed by pembrolizumab, combined with radiation. In addition, patients will take Curcumin, a food supplement.
This is a Phase II multi-center, open-label, non-randomized, 3-cohort study in patients with advanced and/or refractory cervical cancer, endometrial carcinoma or uterine sarcoma. Patients will be treated by an immunomodulatory cocktail (consisting of a daily intake of 2000 IU Vitamin D, 325 mg aspirin, 50 mg Cyclophosphamide and 180 or 30 mg Lansoprazole alternating weekly), followed by pembrolizumab administered intravenously at 200 mg in 21-day treatment cycles, combined with radiation (3x 8Gy in 48h-intervals). In addition, patients will take Curcumin, a food supplement on a daily basis.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
43
Efficacy of the combined treatment
Efficacy of the combined treatment
Efficacy of the combined treatment
University Hospital Antwerp
Antwerp, Belgium
Institut Jules Bordet
Brussels, Belgium
University Hospital Gent
Ghent, Belgium
CMSE Namur
Namur, Belgium
Objective response rate at week 26
Efficacy (objective response rate) at week 26 according to immune related response criteria (irRC)
Time frame: week 26
Incidence of treatment-emergent adverse events (Safety according to CTCAE4.0).
The number of unmanageable dose limiting toxicities will be reported for the run-in period and the main trial. This analysis will be performed for both the Full Analysis Set (FAS; evaluable patiënts) and extended FAS (eFAS; all patients included in the trial).
Time frame: up to 30 days post end of study treatment
Objective response rate
Objective response rate at week 26 according to RECIST criteria
Time frame: week 26
Best OR
Best overall response
Time frame: week 26
PFS
At weeks 26, 52, 75, 104, 130 and 156 the proportion of progression-free patients will be estimated with a 95% confidence interval.
Time frame: up to 156 weeks
Median PFS
At weeks 26, 52, 75, 104, 130 and 156 the median PFS will be calculated.
Time frame: up to 156 weeks
OS
At weeks 26, 52, 75, 104, 130 and 156 the proportion of patients surviving will be estimated with a 95% confidence interval.
Time frame: up to 156 weeks
Median OS
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Efficacy of the combined treatment
Efficacy of the combined treatment
Efficacy of the combined treatment
Efficacy of the combined treatment
At weeks 26, 52, 75, 104, 130 and 156 the median survival will be calculated.
Time frame: up to 156 weeks
Quality of life assessment
Quality of life as measured by FACT-Cx questionnaire for the cervical cancer group and by the FACT-G questionnaire for the endometrial carcinoma and uterine sarcoma group. Descriptive statistics of the total score at each visit and the difference with the baseline visit for all other visits will be reported.
Time frame: Quality of life questionnaires will be completed by the patients at baseline, after 3 months of therapy, after 6 months of treatment (end of treatment) and finally 3 months after therapy.