Bintrafusp Alfa Monotherapy in Platinum-Experienced Cervical Cancer
Uterine Cervical Neoplasms
About this trial
This is an interventional treatment trial for Uterine Cervical Neoplasms focused on measuring M7824, INTR@PID, Bintrafusp alfa, programmed death-ligand 1, Cervical Cancer, Transforming growth factor-β (TGF-β)
Eligibility Criteria
Inclusion Criteria:
Participants have advanced unresectable and/or metastatic cervical cancer (squamous cell carcinoma, adenocarcinoma, adenosquamous cell carcinoma) with disease progression during or after the prior platinum-containing chemotherapy:
- The prior platinum-containing chemotherapy may be a systemic treatment for advanced unresectable, recurrent, persistent or metastatic disease or treatment in the adjuvant or neo-adjuvant setting with disease progression or recurrence within 6 months of completion of platinum-containing chemotherapy
- Participants who previously only received platinum as a radiosensitizer are not eligible
- Participants must be naïve to checkpoint inhibitors
- Participants must have measurable disease
- Participants must provide a tumor tissue sample, either from archival tissue or newly obtained core or excisional biopsy. If the participant received local therapy (For example: radiation therapy or chemoradiotherapy) after the archival tissue was taken, a new biopsy will be required
- Participants who have Eastern Cooperative Oncology Group (ECOG) PS of 0 to 1
- Life expectancy greater than or equals to (>=) 12 weeks as judged by the Investigator
- Adequate hematological, hepatic and renal function as defined in the protocol
Participants with known Human Immunodeficiency Virus (HIV) infections are in general eligible if the following criteria are met:
- Clinically indicated participants must be stable on antiretroviral therapy (ART) for at least 4 weeks and agree to adhere to ART
- have no evidence of documented multi-drug resistance that would prevent effective ART
- Have an HIV viral load of < 400 copies per milliliter (/mL) at Screening
- Have CD4+ T-cell (CD4+) counts >= 350 cells/microliter
- For participants with a history of an Acquired immunodeficiency syndrome (AIDS)-defining opportunistic infection within the last 12 months, participants may be eligible only after consultation and agreement with the study Medical Monitor
- If prophylactic antimicrobial drugs are indicated, participants may still be considered eligible upon agreement with the study Medical Monitor
Participants with hepatitis B virus (HBV) and/or hepatitis C virus (HCV) infections are in general eligible if the following criteria are met:
- HBV viral load below the limit of quantification. If medically indicated, participants infected with HBV must be treated and on a stable dose of antivirals at study entry and with planned monitoring and management according to appropriate labeling guidance
- Participants with a history of HCV infection should have completed curative antiviral treatment and require HCV viral load below the limit of quantification
- Participants on concurrent HCV treatment should have HCV below the limit of quantification
- Other protocol defined inclusion criteria could apply
Exclusion Criteria:
- Participants with active central nervous system (CNS) metastases causing clinical symptoms or require therapeutic intervention are excluded. Participants with a history of treated CNS metastases (by surgery or radiation therapy) are not eligible unless they have fully recovered from treatment, demonstrated no progression for at least 4 weeks, and are not using steroids for at least 7 days prior to the start of study treatment
- Participants with interstitial lung disease or has had a history of pneumonitis that has required oral or intravenous (IV) steroids
- Participants with significant acute or chronic infections
- Participants with active autoimmune disease that might deteriorate when receiving an immunostimulatory agent
- Participants with clinically significant cardiovascular/cerebrovascular disease including: cerebral vascular accident/stroke, myocardial infarction, unstable angina, congestive heart failure, or serious cardiac arrhythmia
- Other protocol defined exclusion criteria could apply
Sites / Locations
- Highlands Oncology Group
- University of Arkansas Medical Sciences
- Stanford University Hospital and Clinics - Stanford Cancer Center
- The Stamford Hospital
- Karmanos Cancer Institute
- Washington University in St. Louis
- Comprehensive Cancer Centers of Nevada
- UC Health Clinical Trials Office
- Oregon Health & Science University
- The West Clinic
- SCRI - Tennessee Oncology
- Centro Oncologico Riojano Integral (CORI)
- Sanatorio El Parque
- Centro Medico San Roque S.R.L.
- Peter MacCallum Cancer Centre-East Melbourne
- Linear Clinical Research Limited
- Calvary Mater Newcastle
- Cliniques Universitaires Saint-Luc
- Institut Jules Bordet
- Universitair Ziekenhuis Gent - Pneumology
- AZ Groeninge - Campus Kennedylaan - account 2
- CHU de Liège - PARENT
- CHU Sart Tilman
- UZ Leuven
- GZA Ziekenhuizen - Campus Sint-Augustinus
- HGB - Hospital Giovanni Battista - Mãe de Deus Center - Centro de Pesquisa Clínica - Instituto do Câncer
- Clínica de Pesquisas e Centro de Estudos em Oncologia Ginecológica e Mamária Ltda.
- IBCC - Instituto Brasileiro de Controle do Câncer
- Chongqing Cancer Hospital
- Sun Yat-sen University, Cancer Center
- Zhejiang Cancer Hospital
- Anhui Provincial Hospital
- Shanghai Cancer Hospital, Fudan University
- Union Hospital Tongji Medical College Huazhong University of Science and Technology
- Henan Cancer Hospital
- Institut Bergonié
- Centre Oscar lambret - Service d'Oncologie medicale
- Centre Léon Bérard
- Centre Antoine Lacassagne
- Hôpital Cochin - Hematologie et Oncologie Médicale
- Centre Hospitalier Lyon Sud - service d'oncologie medicale
- CARIO - Centre Armoricain de Radiothérapie, Imagerie médicale et Oncologie
- Institut Jean Godinot - Service d'hématologie et Oncologie Médicale
- ICO - Site René Gauducheau
- Institut de Cancérologie de Strasbourg Europe - ICANS - Service d'oncologie médicale
- Orszagos Onkologiai Intezet - Nogyogyaszati Osztaly
- SzSzB Megyei Korhazak es Egyetemi Oktatokorhaz - Onkoradiologia
- National Cancer Center Hospital - Dept of Mammary Gland/Oncology
- NHO Kyushu Cancer Center - Dept of Gynecology
- Saitama Medical University International Medical Center - Dept of Gynecology/Oncology
- Cancer Institute Hospital of JFCR - Dept of Gynecology
- Kurume University Hospital - Dept of Gynecology
- Jikei University Hospital - Dept of Gynecology
- University Hospital, University of the Ryukyus - Dept of Obstetrics/Gynecology
- Osaka International Cancer Institute - Dept of Gynecology
- NHO Hokkaido Cancer Center - Dept of Gynecology
- Kanagawa Cancer Center - Dept of Gynecology
- National Cancer Center
- Asan Medical Center
- Samsung Medical Center
- Seoul National University Hospital
- Severance Hospital, Yonsei University Health System
- Ajou University Hospital
- BHI of Omsk region "Clinical Oncology Dispensary"
- LLC "ClinicaUZI4D"
- Hospital Clinic i Provincial de Barcelona - Servicio de Oncologia
- Hospital Universitari Vall d'Hebron - Dept of Oncology
- ICO Girona - Hospital Doctor Josep Trueta - Servicio de Oncologia Medica
- Clinica Universidad de Navarra (MAD) - Oncology Service
- Hospital Universitario 12 de Octubre - Servicio de Oncologia
- Hospital Universitario Ramon y Cajal - Servicio de Oncologia
- Hospital Regional Universitario de Malaga
- Hospital Clinico Universitario de Valencia - Servicio de Hematologia y Oncologia Medica
Arms of the Study
Arm 1
Experimental
Bintrafusp alfa