Study of Pembrolizumab (MK-3475) Versus Chemotherapy in Mismatch Repair Deficient (dMMR) Advanced or Recurrent Endometrial Carcinoma (MK-3475-C93/KEYNOTE-C93/GOG-3064/ENGOT-en15)
Endometrial Neoplasms
About this trial
This is an interventional treatment trial for Endometrial Neoplasms focused on measuring Programmed Cell Death-1 (PD1, PD-1), Programmed Cell Death 1 Ligand 1 (PDL1, PD-L1), Programmed Cell Death 1 Ligand 2 (PDL2, PD-L2)
Eligibility Criteria
The main inclusion and exclusion criteria include but are not limited to the following:
Inclusion Criteria:
- Has a histologically confirmed diagnosis of inoperable, Stage III or IV or recurrent Endometrial Carcinoma (EC) or carcinosarcoma (mixed Mullerian tumor) that is centrally confirmed as dMMR
Has received no prior systemic therapy for EC except for the following:
- May have received prior radiation with or without radiosensitizing chemotherapy if >2 weeks before the start of study intervention. Participants must have recovered from all radiation-related toxicities, not require corticosteroids, and not have had radiation pneumonitis. A 1-week washout is permitted for palliative radiation (≤2 weeks of radiotherapy) to non-central nervous system (CNS) disease
- May have received prior hormonal therapy for treatment of EC, provided that it was discontinued ≥1 week prior to randomization
- Has Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 within 7 days before randomization.
- Is not pregnant or breastfeeding and agrees to not donate eggs and use a highly effective contraceptive method for 120 days after the last dose of pembrolizumab or 180 days after the last dose of chemotherapy if a woman of childbearing potential (WOCBP)
- Has a negative highly sensitive pregnancy test (urine or serum) within 24 hours for urine or 72 hours for serum before the first dose of study intervention if a WOCBP
- Provides an archival tumor tissue sample or newly obtained (core, incisional, or excisional) biopsy of a tumor lesion not previously irradiated for verification of dMMR status and histology
- Is Hepatitis B surface antigen (HBsAg) positive but has received Hepatitis B virus (HBV) antiviral therapy for at least 4 weeks and has undetectable HBV viral load prior to randomization
- Has a history of Hepatitis C virus (HCV) infection but has undetectable HCV viral load at screening.
Exclusion Criteria:
- Has uterine mesenchymal tumor such as an endometrial stromal sarcoma, leiomyosarcoma, or other types of pure sarcomas. Adenosarcomas and neuroendocrine tumors are not allowed
- Has EC of any histology that is proficient mismatch repair (pMMR)
- Is a candidate for curative-intent surgery or curative-intent radiotherapy
- Has received prior therapy with an anti-PD-1, anti-PD-L1, or anti-PD-L2 agent or with an agent directed to another stimulatory or coinhibitory T-cell receptor (e.g. cytotoxic T-lymphocyte-associated protein 4 [CTLA-4], Tumor necrosis factor receptor superfamily, member 4 [OX 40], tumor necrosis factor receptor superfamily member 9 [CD137])
- Has received prior systemic anticancer therapy including investigational agents for EC. This includes any chemotherapy given for EC other than as a radiosensitizer
- Has had a major operation and has not recovered adequately from the procedure and/or any complications from the operation before starting study intervention
- Has received a live or live-attenuated vaccine within 30 days before the first dose of study intervention. Administration of killed vaccines are allowed
- Is currently participating in or has participated in a study of an investigational agent for EC, has participated in a study of an investigational agent for non-EC within 4 weeks before the first dose of study intervention, or has used an investigational device within 4 weeks before the first dose of study intervention
- Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy or any other form of immunosuppressive therapy within 7 days prior to the first dose of study intervention
- Has a known additional malignancy that is progressing or has required active treatment within the past 3 years with the exception of basal cell carcinoma of the skin, squamous cell carcinoma of the skin, or carcinoma in situ (excluding carcinoma in situ of the bladder) that have undergone potentially curative therapy are not excluded
- Has known active CNS metastases and/or carcinomatous meningitis
- Has a known intolerance to any study intervention and/or any of its excipients
- Has an active autoimmune disease that has required systemic treatment in past 2 years
- Has a history of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/interstitial lung disease
- Has an active infection, requiring systemic therapy
- Has a known history of human immunodeficiency virus (HIV) infection
- Has had an allogenic tissue/solid organ transplant
Sites / Locations
- HonorHealth-USOR HonorHealth ( Site 8000)Recruiting
- Moores Cancer Center ( Site 0037)Recruiting
- Kaiser Permanente Riverside Medical Center ( Site 0045)
- Yale-New Haven Hospital-Smilow Cancer Hospital at Yale-New Haven ( Site 0013)Recruiting
- Mount Sinai Cancer Center ( Site 0018)
- Sarasota Memorial Hospital ( Site 0005)
- Northside Hospital ( Site 0017)
- Southeastern Regional Medical Center ( Site 0046)
- Midwestern Regional Medical Center,Inc. DBA CTCA, Chicago ( Site 0003)
- St. Vincent Hospital and Health Care Center, Inc ( Site 0006)
- Baptist Health Lexington ( Site 0042)Recruiting
- Maryland Oncology Hematology, P.A.-USOR Maryland Oncology Hematology, P.A. ( Site 8002)Recruiting
- University of Massachusetts Medical School-Division of Gynecologic Oncology ( Site 0008)Recruiting
- Karmanos Cancer Institute ( Site 0029)
- St. Dominic's Hospital ( Site 0024)
- John Theurer Cancer Center at Hackensack University Medical Center ( Site 0026)
- The Blavatnik Family- Chelsea Medical Center at Mount Sinai ( Site 0023)
- Laura and Isaac Perlmutter Cancer Center at NYU Langone ( Site 0016)Recruiting
- Icahn School of Medicine at Mount Sinai ( Site 0052)
- Memorial Sloan Kettering Cancer Center ( Site 0009)
- FirstHealth Clinical Trials ( Site 0050)Recruiting
- Sanford Medical Center ( Site 0054)
- Sanford Fargo Medical Center-Roger Maris Cancer Center ( Site 0055)
- University of Cincinnati Medical Center-University of Cincinnati Cancer Center ( Site 0039)Recruiting
- The James Cancer Hospital and Solove Research Institute at The Ohio State University Comprehensive C
- Providence Portland Medical Center ( Site 0031)
- Sidney Kimmel Cancer Center - Jefferson Health ( Site 0053)Recruiting
- University of Pittsburgh Medical Center Magee-Womens Hospital ( Site 0034)
- AHN West Penn Hospital ( Site 0011)
- Asplundh Cancer Pavilion ( Site 0014)Recruiting
- Sanford Cancer Center-Gynecologic Oncology ( Site 0002)
- Texas Oncology - Austin-USOR Texas Oncology - Austin ( Site 8003)Recruiting
- Texas Oncology - Dallas-USOR Texas Oncology - Dallas (Sammons) ( Site 8005)Recruiting
- Lyndon B. Johnson General Hospital ( Site 0056)
- University of Texas MD Anderson Cancer Center ( Site 0040)
- Texas Oncology - Tyler-USOR Texas Oncology - Northeast Texas ( Site 8004)Recruiting
- VCU Health Adult Outpatient Pavillion ( Site 0022)Recruiting
- Northern Cancer Institute ( Site 0206)Recruiting
- Westmead Hospital-Department of Gynaecological Oncology ( Site 0201)
- Royal Brisbane and Women's Hospital-Medical Oncology Clinical Trials Unit, Cancer Care Services ( SiRecruiting
- Monash Health ( Site 0202)Recruiting
- Peter MacCallum Cancer Centre-Parkville Cancer Clinical Trials Unit (PCCTU) ( Site 0207)Recruiting
- Epworth Freemasons ( Site 0203)Recruiting
- St. John of God Subiaco Hospital-Oncology Clinical Trials Unit ( Site 0204)Recruiting
- Institut Jules Bordet-Medicine Oncology ( Site 0321)Recruiting
- Grand Hôpital de Charleroi-Oncology & Hematology ( Site 0323)Recruiting
- Centre Hospitalier Universitaire de Liège - Domaine Universitaire du Sart Tilman ( Site 0320)Recruiting
- Liga Norte Riograndense Contra o Câncer-Centro de Pesquisa Clínica ( Site 3005)Recruiting
- ICESP - INSTITUTO DO CÂNCER DO ESTADO DE SÃO PAULO ( Site 3001)Recruiting
- A. C. Camargo Cancer Center-CAPEC ( Site 3003)Recruiting
- Cross Cancer Institute ( Site 0513)Recruiting
- BC Cancer Kelowna ( Site 0517)Recruiting
- BC Cancer Vancouver-Clinical Trials Unit ( Site 0518)Recruiting
- Sunnybrook Health Sciences - Odette Cancer Centre ( Site 0509)Recruiting
- Princess Margaret Cancer Centre ( Site 0510)Recruiting
- Jewish General Hospital ( Site 0504)Recruiting
- Centre Hospitalier de l'Université de Montréal ( Site 0519)Recruiting
- McGill University Health Centre ( Site 0505)Recruiting
- Saskatoon Cancer Center-Clinical Research Department ( Site 0520)Recruiting
- FALP-UIDO ( Site 0602)Recruiting
- Pontificia Universidad Catolica de Chile-Centro del Cáncer ( Site 0604)Recruiting
- Bradfordhill-Clinical Area ( Site 0603)Recruiting
- Anhui Provincial Hospital-Obstetrics and Gynecology ( Site 0730)Recruiting
- Beijing Obstetric and Gynecology Hospital ( Site 0740)Recruiting
- Peking University First Hospital ( Site 0723)Recruiting
- Beijing Cancer hospital ( Site 0715)Recruiting
- 2nd Affiliated Hospital Chongqing Medical Universi ( Site 0745)Recruiting
- Southwest Hospital of Third Military Medical University ( Site 0719)Recruiting
- Fuling Central Hospital ( Site 0733)Recruiting
- Fujian Provincial Cancer Hospital ( Site 0720)Recruiting
- SUN YAT-SEN UNIVERSITY CANCER CENTRE ( Site 0710)Recruiting
- Cancer Hospital of Shantou University Medical College ( Site 0732)Recruiting
- Affiliated Hospital of Guangdong Medical College ( Site 0731)Recruiting
- Guangxi Medical University Affiliated Tumor Hospital-Gynecological oncology ( Site 0704)Recruiting
- Hainan General Hospital ( Site 0703)Recruiting
- Harbin Medical University Cancer Hospital ( Site 0711)Recruiting
- Henan Cancer Hospital ( Site 0713)Recruiting
- Wuhan Union Hospital-Medical Oncology ( Site 0716)Recruiting
- Xiangya Hospital Central South University-Gynecology ( Site 0708)Recruiting
- Hunan Cancer Hospital ( Site 0709)Recruiting
- Jiangsu Province Hospital-Oncology Department ( Site 0707)Recruiting
- The First Affiliated Hospital of Nanchang University ( Site 0729)Recruiting
- The First Hospital of Jilin University ( Site 0705)Recruiting
- Shaanxi Provincial Cancer Hospital ( Site 0714)Recruiting
- Binzhou Medical University Hospital-Oncology department ( Site 0735)Recruiting
- Obstetrics & Gynecology Hospital of Fudan University ( Site 0702)Recruiting
- Shanghai First Maternity and Infant Hospital-Gynecology department ( Site 0717)Recruiting
- West China Second University Hospital Sichuan University ( Site 0701)Recruiting
- Tianjin Medical University Cancer Institute and Hospital ( Site 0706)Recruiting
- Yunnan Province Cancer Hospital-Gynecology Department ( Site 0721)Recruiting
- The Affiliated Women's Hospital of Zhejiang University-Obstetrics and Gynecology ( Site 0726)Recruiting
- Zhejiang Cancer Hospital-Oncology ( Site 0700)Recruiting
- The First Affiliated Hospital of Wenzhou Medical University-Gynecology ( Site 0725)Recruiting
- Fakultní nemocnice Brno Bohunice-Gynekologicko-porodnicka klinika ( Site 0404)Recruiting
- Fakultni nemocnice Ostrava-Gynekologicko-porodnicka klinika ( Site 0403)Recruiting
- Nemocnice AGEL Novy Jicin a.s.-Oddeleni radioterapie a onkologie ( Site 0406)Recruiting
- Fakultni nemocnice Olomouc-Onkologicka klinika ( Site 0402)Recruiting
- Vseobecna fakultni nemocnice v Praze-Gynekologicko-porodnicka klinika 1.LF a VFN ( Site 0405)Recruiting
- Fakultni nemocnice Bulovka-Gynekologicko-porodnicka klinika ( Site 0401)Recruiting
- Nemocnice Tomase Bati ve Zline-Onkologické oddělení ( Site 0407)Recruiting
- Fakultni nemocnice Kralovske Vinohrady-Gynekologicko-porodnická klinika ( Site 0408)Recruiting
- Rigshospitalet ( Site 0903)Recruiting
- Herlev and Gentofte Hospital ( Site 0902)Recruiting
- Aalborg Universitetshospital, Syd ( Site 0905)Recruiting
- Roskilde Sygehus-Oncology department ( Site 0904)Recruiting
- Tampereen yliopistollinen sairaala-Gynecology and Obstetrics ( Site 1001)Recruiting
- Kuopion Yliopistollinen Sairaala ( Site 1002)Recruiting
- Helsinki University Hospital - Comprehensive Cancer Center (HYKS - Syöpäkeskus) ( Site 1003)Recruiting
- Universitaetsklinikum Ulm ( Site 1106)Recruiting
- Universitätsklinikum Bonn-Gynaecological oncology ( Site 1105)Recruiting
- Universitaetsklinikum Carl Gustav Carus Dresden-Klinik und Poliklinik für Frauenheilkunde und GeburRecruiting
- Charité Campus Virchow-Klinikum ( Site 1103)Recruiting
- Országos Onkológiai Intézet-Ngyógyászat ( Site 1201)Recruiting
- Bon Secours Cork Hospital ( Site 1305)Recruiting
- St. James's Hospital-Cancer clinical trials office ( Site 1301)Recruiting
- Soroka Medical Center ( Site 1403)Recruiting
- Rambam Health Care Campus-Gyneco-oncology unit ( Site 1402)Recruiting
- Edith Wolfson Medical Center-Obstetrics & Gynecology ( Site 1405)Recruiting
- Shaare Zedek Medical Center ( Site 1404)Recruiting
- Sheba Medical Center ( Site 1401)Recruiting
- Istituto Nazionale Tumori IRCCS Fondazione Pascale-S.C. Oncologia Sperimentale Uro-Genitale ( Site 1Recruiting
- IRCCS - AOU di Bologna-SSD Oncologia medica Addarii ( Site 1503)Recruiting
- Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori-Oncologia Medica ( Site 1513)Recruiting
- Fondazione Policlinico Universitario Agostino Gemelli-Ginecologia Oncologica ( Site 1502)Recruiting
- Fondazione IRCCS Istituto Nazionale dei Tumori-Struttura Complessa Chirurgia Ginecologica ( Site 150Recruiting
- Ospedale Mauriziano-SCDU ONCOLOGIA MEDICA ( Site 1514)Recruiting
- Istituto Nazionale Tumori Regina Elena-Oncologia Medica 1 ( Site 1504)Recruiting
- Azienda Ospedaliera Universitaria Careggi-SOD ONCOLOGIA MEDICA ( Site 1509)Recruiting
- AULSS8 Berica-Ospedale S.Bortolo-ONCOLOGIA CLINICA ( Site 1510)Recruiting
- Istituto Europeo di Oncologia IRCCS-Divisione di Ginecologia Oncologica ( Site 1506)Recruiting
- National Cancer Center Hospital East ( Site 1604)Recruiting
- National Hospital Organization Shikoku Cancer Center ( Site 1611)Recruiting
- Ehime University Hospital ( Site 1614)Recruiting
- Kurume University Hospital ( Site 1612)Recruiting
- Gunma Prefectural Cancer Center-Gynecology ( Site 1603)Recruiting
- Hokkaido University Hospital ( Site 1601)Recruiting
- Tsukuba University Hospital ( Site 1618)Recruiting
- Iwate Medical University Hospital ( Site 1602)Recruiting
- Niigata University Medical & Dental Hospital ( Site 1613)Recruiting
- Saitama Medical University International Medical Center ( Site 1605)Recruiting
- Shizuoka Cancer Center ( Site 1609)Recruiting
- National Cancer Center Hospital ( Site 1607)Recruiting
- Japanese Foundation for Cancer Research ( Site 1616)Recruiting
- The Jikei University Hospital ( Site 1615)Recruiting
- Keio university hospital ( Site 1606)Recruiting
- National Hospital Organization Kyushu Cancer Center ( Site 1608)Recruiting
- Osaka International Cancer Institute ( Site 1617)Recruiting
- Seoul National University Hospital ( Site 2302)Recruiting
- Severance Hospital, Yonsei University Health System-Gynecologic cancer center ( Site 2301)Recruiting
- Asan Medical Center-Division of Gynecologic Oncology, Dept. of Obstetrics & Gynecology ( Site 2303)Recruiting
- Gangnam Severance Hospital ( Site 2304)Recruiting
- Radboudumc-Medical Oncology ( Site 1703)Recruiting
- Maastricht UMC+ ( Site 1709)Recruiting
- Catharina Ziekenhuis-Oncology ( Site 1704)Recruiting
- Amsterdam UMC, locatie AMC ( Site 1706)Recruiting
- Leids Universitair Medisch Centrum-Medical Oncology ( Site 1702)Recruiting
- Erasmus Medisch Centrum-Medical Oncology ( Site 1701)Recruiting
- University Medical Center Groningen ( Site 1707)Recruiting
- Universitair Medisch Centrum Utrecht-Medical Oncology ( Site 1705)Recruiting
- Auckland City Hospital-Cancer & Blood Research ( Site 1801)Recruiting
- Oslo universitetssykehus, Radiumhospitalet ( Site 1901)Recruiting
- Centrum Onkologii Ziemi Lubelskiej ( Site 2006)Recruiting
- Mazowiecki Szpital Wojewódzki w Siedlcach-Siedleckie Centrum Onkologii ( Site 2007)Recruiting
- Szpital Kliniczny im. Księżnej Anny Mazowieckiej ( Site 2009)Recruiting
- Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - P-Klinika Ginekologii Onkologicznej ( SitRecruiting
- Bialostockie Centrum Onkologii-Oddzial Onkologii Ginekologicznej ( Site 2003)Recruiting
- Narodowy Instytut Onkologii - Oddzial w Gliwicach-III Klinika Radioterapii i Chemioterapii ( Site 20Recruiting
- Swietokrzyskie Centrum Onkologii, Samodzielny Publiczny Zaklad Opieki Zdrowotnej ( Site 2010)Recruiting
- Szpital Kliniczny im. Heliodora Święcickiego Uniwersytetu Me-Oddzial Ginekologii Onkologicznej ( SitRecruiting
- Moscow City Oncology Hospital #62 ( Site 2204)
- Yaroslavl Regional Cancer Hospital-Oncology ( Site 2202)
- Institut Català d'Oncologia - L'Hospitalet-Medical Oncology ( Site 2406)Recruiting
- CHUAC-Complejo Hospitalario Universitario A Coruña ( Site 2405)Recruiting
- Hospital Universitario Ramón y Cajal-Medical Oncology ( Site 2402)Recruiting
- COMPLEJO HOSPITALARIO DE NAVARRA ( Site 2407)Recruiting
- Fundación Instituto Valenciano de Oncología-Oncologico ( Site 2404)Recruiting
- Hospital Universitari Vall d'Hebron ( Site 2403)Recruiting
- HOSPITAL UNIVERSITARIO VIRGEN DEL ROCIO ( Site 2401)Recruiting
- Skånes Universitetssjukhus Lund-Department of Hematology ( Site 2504)Recruiting
- Karolinska Universitetssjukhuset Solna ( Site 2502)Recruiting
- Norrlands universitetssjukhus-Cancercentrum ( Site 2503)Recruiting
- Taichung Veterans General Hospital ( Site 2602)Recruiting
- NATIONAL CHENG-KUNG UNI. HOSP. ( Site 2604)Recruiting
- National Taiwan University Hospital ( Site 2603)Recruiting
- Mackay Memorial Hospital ( Site 2601)Recruiting
- Taipei Veterans General Hospital ( Site 2605)Recruiting
- Istanbul Universitesi Cerrahpasa ( Site 2702)Recruiting
- Hacettepe Universite Hastaneleri-oncology hospital ( Site 2704)Recruiting
- Ankara Bilkent Şehir Hastanesi-Medical Oncology ( Site 2706)Recruiting
- Akdeniz Universitesi Hastanesi ( Site 2701)Recruiting
- Istanbul University Capa Campus-department of obstetrics and gynaecology ( Site 2705)Recruiting
- T.C. Saglik Bakanligi Turkiye Kamu Hastaneleri Kurumu - Bakirkoy Dr. Sadi Konuk Egitim ve ArastirmaRecruiting
- St Bartholomew's Hospital ( Site 2804)Recruiting
- The Christie ( Site 2807)Recruiting
- The Beatson West of Scotland Cancer Centre ( Site 2805)
- ROYAL MARSDEN HOSPITAL (CHELSEA) ( Site 2806)Recruiting
- Hammersmith Hospital-Medical Oncology ( Site 2808)Recruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Pembrolizumab
Carboplatin+paclitaxel
Participants receive pembrolizumab 400 mg via IV infusion on Day 1 of each 6-week cycle (Q6W) for up to 18 cycles (up to approximately 2 years).
Participants receive a combination of paclitaxel 175 mg/m^2 on Day 1 of each 3-week cycle (Q3W) and carboplatin AUC 5 or 6 on Day 1 Q3W for 6 cycles (up to approximately 4 months). Participants who experience a severe hypersensitivity reaction to paclitaxel or an adverse event (AE) requiring discontinuation of paclitaxel may receive docetaxel 75 mg/m^2 in place of paclitaxel on Day 1 Q3W after Sponsor consultation. Participants who experience a severe hypersensitivity reaction to carboplatin or an AE requiring discontinuation of carboplatin may receive cisplatin 75 mg/m^2 in place of carboplatin on Day 1 Q3W after Sponsor consultation.