Study of Envafolimab Alone or With Lenvatinib in Patients With Advanced Endometrial Cancer

NCT ID: NCT05112991

Last Updated: 2025-05-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

108 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-03-04

Study Completion Date

2025-12-31

Brief Summary

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This is an open-label, multi-center, multi-corhort Phase II study of Envafolimab alone or with Lenvatinib in patients with advanced endometrial cancer.The primary objective is to evaluate objective response rate of envafolimab alone or with lenvatinib.

Detailed Description

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Conditions

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Advanced Endometrial Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

FACTORIAL

This study is an open-label, two-arm study, without randomization and blinding
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Envafolimab + Lenvatinib

Subjects receive lenvatinib daily and envafolimab once on Day 1 and 15 of the first cycle and at the beginning of each subsequent 4 week treatment cycle D1.

Group Type EXPERIMENTAL

Envafolimab+Lenvatinib

Intervention Type DRUG

Envafolimab: 400mg envafolimab was administered once in D1 and D15 of the first treatment cycle and once in D1 of each subsequent 28 day cycle.

Lenvatinib: the recommended Phase 2 dose (RP2D) orally 20mg QD during each 28-day cycle.

Envafolimab

Subjects receive envafolimab once on Day 1 and 15 of the first cycle and at the beginning of each subsequent 4 week treatment cycle D1.

Group Type EXPERIMENTAL

Envafolimab

Intervention Type DRUG

Envafolimab: 400mg envafolimab was administered once in D1 and D15 of the first treatment cycle and once in D1 of each subsequent 28 day cycle.

Interventions

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Envafolimab+Lenvatinib

Envafolimab: 400mg envafolimab was administered once in D1 and D15 of the first treatment cycle and once in D1 of each subsequent 28 day cycle.

Lenvatinib: the recommended Phase 2 dose (RP2D) orally 20mg QD during each 28-day cycle.

Intervention Type DRUG

Envafolimab

Envafolimab: 400mg envafolimab was administered once in D1 and D15 of the first treatment cycle and once in D1 of each subsequent 28 day cycle.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Volunteer to participate and sign the informed consent form.
2. Has a histologically confirmed diagnosis of endometrial carcinoma (EC). Has Documented evidence of advanced, recurrent or metastatic EC and are not candidates for curative surgery or radiation.
3. Failure or intolerance of standard first-line platinum-based chemotherapy regimen for EC.

Note: If recurrence occurs during adjuvant/neoadjuvant therapy or within 12 months after completion, adjuvant/neoadjuvant therapy is considered to be the first-line treatment for advanced disease. There is no restriction regarding prior hormonal therapy.
4. Has at least 1 measurable target lesion according to Response Evaluation Criteria In Solid Tumors (RECIST) 1.1 and confirmed by Blind Independent Imaging Review Committee (BIRC).
5. Has Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
6. Life expectancy of 12 weeks or more.
7. Sufficient organ and bone marrow function (no hematopoietic growth factor, blood transfusion or platelet therapy was given within 14 days before the first study drug treatment).
8. Archival tumor tissue or a newly obtained biopsy must be available prior to the first dose of study drug for biomarker analysis. Tissue samples need to be from lesions that have not received local radiotherapy.
9. Females of childbearing potential must have a negative serum pregnancy test within 7 days of the first dose of study drug.

Exclusion Criteria

1. Previous lab results showed dMMR or MSI-H.
2. Participate in the clinical trials of other investigational drugs within 28 days before the first medication; or have received anti-tumor treatment within 2 weeks, including but not limited to chemotherapy and radiotherapy or targeted therapy.
3. The toxicity of previous anti-tumor treatments has not recovered to 0 or 1 level.
4. Recieved major surgery with 28 days before the first medication or has serious nonhealing wound, ulcer, or bone fracture at screening.
5. Has received prior treatment with any anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CTLA-4 or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways.
6. Uncontrolled blood pressure (BP) with or without antihypertensive medications, defined as BP \>150/90 mmHg.
7. Uncontrolled or major Cardio-cerebral vascular disease.
8. Have active, or have had autoimmune diseases or risks that may recur. However, subjects required only replacement therapy (eg, thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc.) or with skin diseases that do not require systemic treatmentare are allowed to be included.
9. Subjects who need to use corticosteroids (\> 10 mg/day prednisone equivalent dose) for systemic therapy within 14 days before the study drug is administered.
10. Has received a live-virus vaccination within 28 days of planned treatment start or plan to reveived a live-virus vaccination during the study.
11. Has current or suspected (non-infectious) pneumonitis.
12. Active infection (any infection requiring systemic treatment).
13. Has active Hepatitis B or C.
14. Is positive for Human Immunodeficiency Virus (HIV).
15. Has uncontrolled pericardial effusion, pleural effusion or ascites.
16. Has symptomatic/active brain metastasis or meningeal carcinomatosis; for patients with brain metastases who have previously received treatment, if the clinical and imaging evidence does not indicate disease progression within 4 weeks before the first study drug treatment, and 2 weeks before the first administration There is no need to receive corticosteroid treatment and can be considered for inclusion.
17. Suffered from other known malignant tumors within 5 years before enrollment (except for treated skin basal cell carcinoma, skin squamous cell carcinoma and/or carcinoma in situ after radical resection).
18. Hypersensitivity to either of the study drug or its components.
19. Females who are pregnant or breastfeeding and who refuse to use a highly effective method of contraception throughout the entire study period, and for 6 months after the last dose of study drug;
20. According to the judgement of the investigators, there are other factors indicate that the subject should not be enrolled.
21. Has received prior treatment with any treatment targeting VEGF-directed angiogenesis.
22. Has radiographic evidence of major blood vessel invasion/infiltration.
23. Has a history of hypertensive crisis or hypertensive encephalopathy.
24. Has gastrointestinal malabsorption, gastrointestinal anastomosis, or any other condition that might affect the absorption of lenvatinib.
25. Has a history of serious bleeding disease within 6 months prior to the first dose of study drug.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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3D Medicines (Sichuan) Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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xiaohua Wu, Dr

Role: PRINCIPAL_INVESTIGATOR

Fudan University

Locations

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Beijing Cancer Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Chongqing University Three Gorges Hospital

Chongqing, Chongqing Municipality, China

Site Status RECRUITING

Fujian Cancer Hospital

Fuzhou, Fujian, China

Site Status RECRUITING

Sun Yat-Sen Memorial Hospital

Guangzhou, Guangdong, China

Site Status RECRUITING

Henan Cancer Hospital

Zhengzhou, Henan, China

Site Status RECRUITING

Wuhan Union Hospital of China

Wuhan, Hubei, China

Site Status RECRUITING

:Hubei Cancer Hospital

Wuhan, Hubei, China

Site Status RECRUITING

The Second Xiangya Hospital of Central South University

Changsha, Hunan, China

Site Status RECRUITING

Yueyang Center Hospital

Yueyang, Hunan, China

Site Status RECRUITING

:Nanjing Maternity and Child Health Care Hospital

Nanjing, Jiangsu, China

Site Status RECRUITING

Ganzhou Cancer Hospital

Ganzhou, Jiangxi, China

Site Status RECRUITING

Liaoning Cancer Hospital

Shenyang, Liaoning, China

Site Status RECRUITING

Qilu Hospital of Shandong University

Jinan, Shandong, China

Site Status RECRUITING

Shandong Cancer Hospital

Jinan, Shandong, China

Site Status RECRUITING

:Linyi Cancer Hospital

Linyi, Shandong, China

Site Status RECRUITING

Tai'an Center Hospital

Tai’an, Shandong, China

Site Status RECRUITING

Fudan University Shanghai Cancer Center

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Tianjin Medical University Cancer Institute&Hospital

Tianjing, Tianjing, China

Site Status RECRUITING

Cancer Hospital of The University of Chinese Academy of Sciences

Hangzhou, Zhejiang, China

Site Status RECRUITING

Countries

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China

Central Contacts

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bin She

Role: CONTACT

15973143911

Facility Contacts

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Yunong Gao

Role: primary

010-88196210

Wenhua Ran

Role: primary

13896379605

Qin Xu

Role: primary

13950419396

Bingzhong Zhang

Role: primary

13925063030

Yanlin Luo

Role: primary

15038373216

guiling Li

Role: primary

13307187507

Yi Huang

Role: primary

18971650655

Chun Fu

Role: primary

18627315906

Jianbing Hu

Role: primary

13873000328

Xuemei Jia

Role: primary

15205177401

Xiuhong Wu

Role: primary

13879728933

Danbo Wang

Role: primary

18940251157

Youzhong Zhang

Role: primary

18560081866

Qingshui Li

Role: primary

13854158117

Xiumin Li

Role: primary

13583991399

Zhaofeng Zhu

Role: primary

13375389119

xiaohua Wu

Role: primary

13601772486

Ke Wang

Role: primary

18622221098

Xiang Zhang

Role: primary

15988109696

Other Identifiers

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KN035-CN-011

Identifier Type: -

Identifier Source: org_study_id

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