The DOMEC trial is designed as a Dutch Gynecological Oncology Group (DGOG), prospective, multi-center, phase II study for 55 patients with advanced (recurrent, refractory or metastatic) endometrial cancer or carcinosarcoma of the uterus to investigate the efficacy of the combination therapy of olaparib tablets and durvalumab IV.
The prognosis of recurrent or persistent endometrial carcinoma not amenable to local therapy is poor. First line therapy exists of platinum-based chemotherapy or hormonal therapy. No standard subsequent-line therapy has been described.The combination of Poly(ADP-ribose) polymerases (PARP) inhibition and Programmed death-ligand 1 (PD-L1) blocking has great potential in the treatment of recurrent endometrial cancer. The DOMEC trial is designed to investigate this treatment combination among all molecular subgroups. The DOMEC trial is designed as a DGOG, prospective, multi-center, phase II study for 55 patients with advanced (recurrent, refractory or metastatic) endometrial cancer, including carcinosarcoma of the uterus. Patients must have had one prior platinum-based chemotherapeutic regimen or not be able/willing to get chemotherapy. The aim is to investigate the efficacy of the combination therapy of olaparib tablets 300mg twice daily orally and durvalumab 1500mg by IV infusion every 4 weeks in terms of progression free survival. Secondary objectives are to investigate objective response rate, overall survival, safety and predictive biomarkers.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
55
olaparib tablets 300mg twice daily orally and durvalumab 1500mg by IV infusion every 4 weeks
Amsterdam UMC, AMC
Amsterdam, Netherlands
NKI-AVL
Amsterdam, Netherlands
Universitair Medisch Centrum Groningen
Groningen, Netherlands
Leiden University Medical Center
Leiden, Netherlands
Progression free survival (PFS)
PFS will be counted from the date of registration until the first observation of radiological progressive disease according to RECIST 1.1 criteria or death due to any cause, whichever occurred first.
Time frame: 6 months
Objective response rate (ORR)
according to RECIST 1.1 criteria
Time frame: 12 weeks
Overall survival (OS)
OS will be determined from the date of registration until death from any cause.
Time frame: Through study completion, up to 36 months
Adverse events
Assessed by NCI Common Terminology Criteria for adverse Events (CTCAE) version 5.0
Time frame: Through study completion, up to 36 months
Predictive biomarkers in tumor biopsy
MMRd/POLE, HR status, quantification of CD3,CD4,CD8,CD103,CD161,PD-1,LAG3,CTLA-4,NKG2A,GOXp3 positieve T cells, NK cells, percentage PD-L1 on myeloid cells/tumorcells, quantification of myeloid cell infiltration (CD68,CD14,CD33,CD163) in tumor biopsies.
Time frame: At baseline
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Academisch Ziekenhuis Maastricht
Maastricht, Netherlands
RadboudMC
Nijmegen, Netherlands
Erasmus MC
Rotterdam, Netherlands
Universitair Medisch Centrum Utrecht
Utrecht, Netherlands