The purpose of this research study is to see if the combination of study drugs avelumab and M1774 is effective and safe for participants with endometrial cancer. The names of the study drugs involved in this study are: * Avelumab (a type of human IgG1 antibody) * M1774 (a type of ATR inhibitor)
This is a non-randomized, open-label, two-stage, phase 2 trial of avelumab in combination with ATR inhibitor (ATRi) M1774 in participants with ARID1A-mutated endometrial cancers who have received prior immunotherapy. The U.S. Food and Drug Administration (FDA) has not approved avelumab for ARID1A-mutated recurrent endometrial cancer but it has been approved for other uses. The FDA has not approved M1774 as a treatment for any disease. The research study procedures including screening for eligibility, in-clinic treatment visits, blood tests, urine tests, Computerized Tomography (CT) scans or Magnetic Resonance Imaging (MRI) scans, and electrocardiograms (ECGs). Participants will receive study treatment for up to 2 years and will be followed for up to 3 years until the study is complete. It is expected that about 25 people will take part in this research study. EMD Serono is supporting this research study by providing the study drugs avelumab and M1774.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
25
Dana-Farber Cancer Institute
Boston, Massachusetts, United States
RECRUITINGBrigham and Women's Hospital
Boston, Massachusetts, United States
RECRUITINGProgression Free Survival at 6 months (PFS6)
PFS6 is the percent probability estimate at 6 months based on the Kaplan-Meier method. PFS is defined as the duration of time from study entry to documented disease progression (PD) or death. Participants alive without PD were censored at the earliest of the date of the last disease evaluation or start of new anticancer therapy. Per RECIST 1.1 for target lesions: PD is at least a 20% increase in the sum of longest diameter (LD) of target lesions, taking as reference the smallest sum on study with at least 5 mm absolute increase. For non-target lesions, progression-free means no new lesions or unequivocal progression on existing non-target lesions or not evaluated.
Time frame: The observation period related to this endpoint is up to 6 months.
Objective Response Rate (ORR)
ORR was defined as the percentage of participants achieving complete response (CR) or partial response (PR) on treatment based on RECIST 1.1 criteria. Per RECIST 1.1 for target lesions: CR is complete disappearance of all target lesions and PR is at least a 30% decrease in the sum of longest diameter (LD) of target lesions, taking as reference baseline sum LD. PR or better overall response assumes at a minimum incomplete response/stable disease (SD) for the evaluation of non-target lesions and absence of new lesions.
Time frame: The observation period related to this endpoint is up to 2 years.
Median Progression Free Survival (PFS)
PFS based on Kaplan-Meier methodology was defined as the duration of time from study entry to documented disease progression (PD) requiring removal from the study or death. Participants alive without PD were censored at the earliest of the date of the last disease evaluation or start of new anticancer therapy. Per RECIST 1.1 for target lesions: PD is at least a 20% increase in sum LD, taking as reference the smallest sum on study with at least 5 mm absolute increase. For non-target lesions, progression-free means no new lesions or unequivocal progression on existing non-target lesions or not evaluated.
Time frame: The observation period related to this endpoint is up to 2 years.
Panagiotis Konstantinopoulos, MD, PhD
CONTACT
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Median Overall Survival (OS)
Overall survival based on the Kaplan-Meier method is defined as the time from registration to death. Participants alive are censored at the last date of contact (including lost-to-follow-up) or at the date of withdrawal of consent, if relevant.
Time frame: The observation period related to this endpoint is up to 5 years.
Immune-Related Overall Response Rate(irORR)
irORR was defined as the percentage of participants achieving immune-related complete response (irCR) or immune-related partial response (irPR) on treatment based on irRECIST criteria.
Time frame: The observation period related to this endpoint is up to 2 years.
Median Immune-related Progression-free Survival (irPFS)
Immune-related progression-free survival (irPFS) rate is defined as time from treatment assignment to death or to immune-related progression of disease (irPD). Per ir RECIST, irPD was defined as Sum of the diameters (longest for non-nodal lesions, shortest for nodal lesions) of target and new measurable lesions increases \>= 20% (compared to nadir), confirmed by a repeat, consecutive observation at least 4 weeks from the date first documented, at the investigator's discretion.
Time frame: The observation period related to this endpoint is up to 2 years.
Grade 3-5 Treatment-Related Toxicity Rate
The percentage of participants who experienced a maximum grade 3-5 treatment-related adverse event based on the Common Toxicity Criteria for Adverse events Version 5.0 (CTCAEv4) as reported on case report forms.
Time frame: The observation period related to this endpoint is up to 2 years.