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OncoMatch/Clinical Trials/NCT07198074

Testing the Addition of an Antiangiogenic Drug (Bevacizumab) to Chemotherapy (Carboplatin and Paclitaxel) Combined With Immunotherapy (Pembrolizumab) for pMMR, TP53 Mutated Endometrial Cancer

Is NCT07198074 recruiting? Yes, currently enrolling (May 2026). This Phase 3 trial studies multiple treatments including Bevacizumab and Pembrolizumab for advanced endometrial carcinoma.

Phase 3RecruitingNational Cancer Institute (NCI)NCT07198074Data as of May 2026

Treatment: Bevacizumab · Carboplatin · Paclitaxel · PembrolizumabThis phase III trial compares the effect of bevacizumab in combination with carboplatin, paclitaxel and pembrolizumab to the usual treatments of carboplatin and paclitaxel with or without pembrolizumab in treating patients with stage III, IVA or IVB mismatch repair protein proficient (pMMR) and TP53 mutated endometrial cancer that may have spread from where it first started to nearby tissue, lymph nodes, or distant parts of the body (advanced) or that has come back after a period of improvement (recurrent). Bevacizumab is in a class of medications called antiangiogenic agents. It works by stopping the formation of blood vessels that bring oxygen and nutrients to tumor. This may slow the growth and spread of tumor. Carboplatin is in a class of medications known as platinum-containing compounds. Carboplatin works by killing, stopping or slowing the growth of tumor cells. Paclitaxel is in a class of medications called antimicrotubule agents. It stops tumor cells from growing and dividing and may kill them. Immunotherapy with monoclonal antibodies, such as pembrolizumab, may help the body's immune system attack the tumor, and may interfere with the ability of tumor cells to grow and spread. Adding bevacizumab to the combination of carboplatin, paclitaxel and pembrolizumab may be more effective than the usual treatment combinations of carboplatin and paclitaxel with or without pembrolizumab in treating patients with advanced or recurrent pMMR and TP53 mutated endometrial cancer.

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Extracted eligibility criteria

Cancer type

Endometrial Cancer

Biomarker criteria

Required: TP53 mutation

P53 IHC with aberrant staining pattern (aberrant p53 expression is consistent with mutant TP53). TP53 mutation by next-generation sequencing will also be accepted

Disease stage

Required: Stage III, IVA, IVB

Stage III and stage IVA endometrial cancers (with measurable disease), Stage IVB endometrial cancer (with or without measurable disease), or Recurrent endometrial cancer (with or without measurable disease)

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Cannot have received: anti-PD-1 therapy (pembrolizumab)

NO prior pembrolizumab (or other anti-PD1, anti-PDL1 or anti-CTLA4 therapy)

Cannot have received: anti-PD-L1 therapy

NO prior pembrolizumab (or other anti-PD1, anti-PDL1 or anti-CTLA4 therapy)

Cannot have received: anti-CTLA-4 therapy

NO prior pembrolizumab (or other anti-PD1, anti-PDL1 or anti-CTLA4 therapy)

Cannot have received: antiangiogenic therapy (bevacizumab)

NO prior pembrolizumab (or other anti-PD1, anti-PDL1 or anti-CTLA4 therapy) or bevacizumab (or other antiangiogenic therapy)

Lab requirements

Blood counts

Absolute neutrophil count (ANC) ≥ 1,500 cells/mm^3; Platelets ≥ 100,000 cells/mm^3; Hemoglobin ≥ 8 g/dl

Kidney function

Creatinine clearance (CrCl) of ≥ 30 mL/min by the Cockcroft-Gault formula

Liver function

Total bilirubin ≤ 1.5 x institutional ULN (patients with known Gilbert's disease who have bilirubin level ≤ 3 x institutional ULN may be enrolled); AST and ALT ≤ 3 x institutional ULN

Cardiac function

Patients with known history or current symptoms of cardiac disease, or history of treatment with cardiotoxic agents, should have a clinical risk assessment of cardiac function using the New York Heart Association Functional Classification. To be eligible for this trial, patients should be class II or better

Absolute neutrophil count (ANC) ≥ 1,500 cells/mm^3; Platelets ≥ 100,000 cells/mm^3; Hemoglobin ≥ 8 g/dl; Creatinine clearance (CrCl) of ≥ 30 mL/min by the Cockcroft-Gault formula; Total bilirubin ≤ 1.5 x institutional ULN (patients with known Gilbert's disease who have bilirubin level ≤ 3 x institutional ULN may be enrolled); Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 3 x institutional ULN; cardiac function using the New York Heart Association Functional Classification. To be eligible for this trial, patients should be class II or better

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • Mercy Cancer Center - Carmichael · Carmichael, California
  • Mercy San Juan Medical Center · Carmichael, California
  • Mercy Cancer Center - Elk Grove · Elk Grove, California
  • Mercy Cancer Center - Rocklin · Rocklin, California
  • Mercy Cancer Center - Sacramento · Sacramento, California

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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