Navtemadlin for maintenance therapy in advanced endometrial cancer
A Phase 2/3 Study of Navtemadlin as Maintenance Therapy in Subjects With TP53WT Advanced or Recurrent Endometrial Cancer Who Responded to Chemotherapy
PHASE2; PHASE3 · Kartos Therapeutics, Inc. · NCT05797831
This study is testing if a new treatment called navtemadlin can help people with advanced endometrial cancer stay in remission after responding to previous chemotherapy.
Quick facts
| Phase | PHASE2; PHASE3 |
|---|---|
| Study type | Interventional |
| Enrollment | 268 (estimated) |
| Ages | 18 Years and up |
| Sex | Female |
| Sponsor | Kartos Therapeutics, Inc. (industry) |
| Drugs / interventions | chemotherapy |
| Locations | 83 sites (Vallejo, California and 82 other locations) |
| Trial ID | NCT05797831 on ClinicalTrials.gov |
What this trial studies
This study evaluates the use of navtemadlin as a maintenance treatment for patients with advanced or recurrent endometrial cancer who have shown a complete or partial response to prior chemotherapy. The trial is divided into two parts: the first part assesses the safety and efficacy of two different doses of navtemadlin compared to an observational control arm, while the second part compares the selected Phase 3 dose of navtemadlin to a placebo. The goal is to determine the optimal dosing and effectiveness of navtemadlin in prolonging patient responses.
Who should consider this trial
Good fit: Ideal candidates are patients with TP53 wild-type advanced or recurrent endometrial cancer who have completed chemotherapy and achieved a response.
Not a fit: Patients with sarcomas, small-cell carcinomas, or those who have received prior immune or investigational therapies may not benefit from this study.
Why it matters
Potential benefit: If successful, this treatment could provide a new maintenance therapy option that improves outcomes for patients with advanced endometrial cancer.
How similar studies have performed: While there have been studies on maintenance therapies in cancer, the specific use of navtemadlin in this context is novel and has not been extensively tested.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * ECOG 0-1 * Histologically or cytologically confirmed diagnosis of endometrial cancer documented as TP53WT * Subjects with advanced or recurrent disease must have completed a single line of up to 6 cycles of taxane-platinum based chemo and achieved a CR or PR per RECIST V1.1 * Adequate hematologic, hepatic and renal function (within 14 days) Exclusion Criteria: * Has any sarcomas or small-cell carcinomas with neuroendocrine differentiation * Prior immune therapy, cytokine therapy, or any investigational therapy (within 28 days) * Indwelling surgical drains * Grade 2 or higher QTc prolongation * History of major organ transplant * History of bleeding diathesis; major hemorrhage or intracranial hemorrhage (within 24 weeks)
Where this trial is running
Vallejo, California and 82 other locations
- Kaiser Permanente Center — Vallejo, California, United States (RECRUITING)
- Northside Hospital — Atlanta, Georgia, United States (RECRUITING)
- St. Joseph — Savannah, Georgia, United States (RECRUITING)
- Dr. Sudarshan K. Sharma, Ltd. — Hinsdale, Illinois, United States (RECRUITING)
- Parkview Research Center — Fort Wayne, Indiana, United States (RECRUITING)
- Indiana University — Indianapolis, Indiana, United States (RECRUITING)
- Maryland Oncology Hematology, P.A. — Silver Spring, Maryland, United States (RECRUITING)
- Minnesota Oncology Hematology, P.A. — Minneapolis, Minnesota, United States (RECRUITING)
- Washington University School of Medicine — St Louis, Missouri, United States (RECRUITING)
- Women's Cancer Center of Nevada — Las Vegas, Nevada, United States (RECRUITING)
- Good Samaritan Hospital Medical Center — West Islip, New York, United States (RECRUITING)
- FirstHealth Carolinas — Pinehurst, North Carolina, United States (RECRUITING)
- OhioHealth Institute — Columbus, Ohio, United States (RECRUITING)
- Oklahoma Cancer Specialists and Research Institute — Tulsa, Oklahoma, United States (RECRUITING)
- Oncology Associates of Oregon — Eugene, Oregon, United States (RECRUITING)
- Northwest Cancer Specialists — Portland, Oregon, United States (RECRUITING)
- Texas Oncology-Austin Central — Austin, Texas, United States (RECRUITING)
- Texas Oncology-Fort Worth Cancer Center — Fort Worth, Texas, United States (RECRUITING)
- Texas Oncology-San Antonio Medical Center — San Antonio, Texas, United States (RECRUITING)
- University Hospital Graz, Department of Gynecology and Obstetrics — Graz, Austria (RECRUITING)
- Medizinische Universität Innsbruck — Innsbruck, Austria (RECRUITING)
- Medizinische Universität Wien — Vienna, Austria (RECRUITING)
- Cross Cancer Institute — Edmonton, Canada (RECRUITING)
- CHUM - University of Montreal Hospital Centre — Montreal, Canada (RECRUITING)
- Odense University Hospital — Odense, Denmark (RECRUITING)
- Tartu University Hospital — Tartu, Estonia (RECRUITING)
- Kuopio University Hospital — Kuopio, Finland (RECRUITING)
- Turku University Hospital — Turku, Finland (RECRUITING)
- LTD High Technology hospital Medcenter — Batumi, Georgia (RECRUITING)
- American Hospital Network LLC — Tbilisi, Georgia (RECRUITING)
- Caucasus Medical Centre — Tbilisi, Georgia (RECRUITING)
- National Institute of Oncology — Budapest, Hungary (RECRUITING)
- University of Debrecen Clinical Center — Debrecen, Hungary (RECRUITING)
- Rambam Medical Center — Haifa, Israel (RECRUITING)
- Shaare Zedek Medical Center — Jerusalem, Israel (RECRUITING)
- Sourasky Medical Center — Tel Aviv, Israel (RECRUITING)
- A.O. Cannizzaro — Catania, Italy (RECRUITING)
- IRCCS Istituto Romangolo per lo Studio dei Tumori "Dino Amadori" — Forlì, Italy (RECRUITING)
- Ospedale Policlinico San Martino — Genoa, Italy (RECRUITING)
- ASST di Lecco-Ospedale Alessandro Manzoni — Lecco, Italy (RECRUITING)
- Ospedale San Luca — Lucca, Italy (RECRUITING)
- Osp. Niguarda — Milan, Italy (RECRUITING)
- University Hospital of Parma — Parma, Italy (RECRUITING)
- Ospedale Guglielmo da Saliceto — Piacenza, Italy (RECRUITING)
- Ospedale di Prato S. Stefano — Prato, Italy (RECRUITING)
- Ospedale Santa Maria delle Croci — Ravenna, Italy (RECRUITING)
- "Azienda Unità Sanitaria Locale della Romagna - Hospital ""Infermi"" of Rimini Oncology Department" — Rimini, Italy (RECRUITING)
- Policlinico Umberto — Rome, Italy (RECRUITING)
- Ospedale Filippo Del Ponte — Varese, Italy (RECRUITING)
- Health Sciences Kaunas Clinics — Kaunas, Lithuania (RECRUITING)
+33 more sites — see ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: John Mei
- Email: jmei@kartosthera.com
- Phone: 650-542-0136
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Endometrial Cancer, navtemadlin