NeoplasmsPhase 1GARNETNCT02715284
Study of TSR-042, an Anti-programmed Cell Death-1 Receptor (PD-1) Monoclonal Antibody, in Participants With Advanced Solid Tumors
A Phase 1 study testing Dostarlimab in people with Neoplasms, run by Tesaro, Inc. at 128 sites in 13 countries.
Trial summary
This is a multi-center, open-label, first-in-human Phase 1 study evaluating the anti-programmed death receptor 1 (anti-PD-1) antibody dostarlimab (also known as TSR-042) n participants with advanced solid tumors who have limited available treatment options. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Neoplasms
- What is being tested?
- Dostarlimab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 729 participants
- Where
- 128 sitesin 13 countries
- Study dates
- 7 Mar 2016to 14 Apr 2028
- Phase
- Phase 1
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Participant is at least 18 years of age.
- Participant has proven recurrent or advanced solid tumor and has disease progression after treatment with available anticancer therapies, or is intolerant to treatment that meets the following requirements for the part of the study they will participate in:
- Part 1: Any histologically or cytologically proven recurrent or advanced solid tumor B. Part 2A: : Any histologically or cytologically proven recurrent or advanced solid tumor
- Part 2B: Histologically of cytologically proven recurrent or advanced solid tumor with measurable lesion(s) per RECIST version 1.1 and meets one of the following disease types:
- The criteria below should be met for participant participating in: 1) Cohort A1 (dMMR/MSI-H endometrial cancer) and 2) Cohort A2 (MMR-proficient/MSS endometrial cancer)
- Participants who have progressed on or after platinum doublet therapy
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- Participants have received no more than 2 lines of anticancer therapy for recurrent or advanced (>=Stage IIIB) disease. Prior treatment with hormone therapies is acceptable and does not count towards the number of anticancer therapies noted in the criterion above for this cohort.
- All endometrial cancer histologies are allowed except endometrial sarcoma (including carcinosarcoma).
- Participants must submit 2 scans demonstrating increase in tumor measurement that meet criteria for PD on or after the latest systemic anticancer therapy based on RECIST Version 1.1 to Central Radiology prior to the first dose of dostarlimab.
- Presence of at least 1 measurable lesion on Baseline scan will be confirmed by central radiology review.
- Status of tumor MMR/MSI: Participants can be screened based on local MMR/MSI testing results using immunohistochemistry (IHC), polymerase chain reaction (PCR), or next generation sequencing (NGS) performed in a certified local laboratory, but participant eligibility needs to be determined by MMR IHC results. For participant with available local MMR IHC results for the respective cohort(s), tumor samples have to be submitted to a central IHC laboratory and its quality has to be checked and cleared prior to Cycle 1 Day 1 (C1D1). For participants without available local MMR IHC test results (participants with local PCR or NGS test results), central IHC results have to confirm eligibility prior to proceeding with other screening procedures. After the central IHC test is completed, remaining tumor tissue may be tested for further exploratory biomarkers or may be sent to a central NGS laboratory for further testing.
- 3) Cohort E - Participants with NSCLC who progressed after at least 1 prior platinum-based systemic chemotherapy regimen for recurrent or advanced disease.
- Chemotherapy regimen in the adjuvant or neoadjuvant setting following surgery and/or radiation is acceptable if recurrent or advanced disease develops within 6 months from completion of therapy.
- Participants with a known epidermal growth factor receptor (EGFR) mutation must have received a chemotherapy regimen and an EGFR tyrosine kinase inhibitor (TKI) (e.g., erlotinib, gefitinib, afatinib, or experimental)
- Participants with a known anaplastic lymphoma kinase (ALK) translocation must have received a chemotherapy regimen and an ALK inhibitor (e.g., crizotinib, ceritinib or experimental) 4) Cohort F - Participants with recurrent or advanced dMMR/MSI-H solid tumors except endometrial cancers and gastrointestinal cancers, who have received prior systemic therapy and who have no alternative treatment options. Prior treatment with hormone therapies alone given for recurrent or advanced disease is acceptable.
- Presence of at least 1 measurable lesion by RECIST 1.1 on baseline scan will be confirmed by central radiology review prior to first dose of dostarlimab. Patients with primary central nervous system (CNS) tumor should provide brain MRI at baseline.
- Presence of deficient mismatch repair (dMMR) and/or microsatellite instability (MSI-H) in the tumor defined by either:
- deficient DNA mismatch repair (dMMR); MMR status must be assessed by immunohistochemistry (IHC) for MMR protein expression (MLH1, MSH2, MSH6, PMS2) where loss of one or more proteins indicates dMMR; dMMR may be determined either locally or by the central reference lab; OR ii) Microsatellite instability (MSI-H); MSI-H as determined by polymerase chain reaction (PCR) or by tissue NGS; MSI-H may be determined locally 5) Cohort G: Participants must have recurrent high-grade serous, endometrioid, or clear cell ovarian, fallopian tube, or primary peritoneal cancer.
- Participants must have presence of at least 1 measurable lesion on Baseline scan that will be confirmed by central radiology review.
- Participants must be considered resistant to the last administered platinum therapy, that is, the time from the last administered platinum dose until the initial documented progression (as evidenced by radiographic progression per RECIST version 1.1) must be less than 6 months.
- Participants must have completed at least 1 but no more than 3 prior lines of therapy for advanced or metastatic ovarian cancer. Neoadjuvant, adjuvant, and the combination of both will be considered as 1 line of therapy. Treatment with single-agent bevacizumab given as maintenance is not counted as a separate line of therapy. If a therapeutic regimen is modified or changed for a reason other than lack of response or PD (such as allergic reaction, toxicity, or drug availability), this is not counted as a separate line of therapy. The use of single-agent hormonal therapy given for reasons other than PD per RECIST version v1.1 (i.e., hormonal therapy given for increasing Cancer antigen [CA]-125 levels) is not counted as a separate line of therapy.
- Participants must have been previously treated with platinum-based regimn, taxane agent(s), and bevacizumab (bevacizumab could be used as a single agent or in combination with another agent, in frontline therapy, as maintenance, or for treatment of recurrent disease).
- Part 2B: Participants must have archival tumor tissue available that is formalin-fixed and paraffin-embedded (FFPE).
- For participants who do not have archival tissue, a new biopsy must be performed to obtain a tissue sample prior to study treatment initiation. For participants without available archival tissue, the biopsy should be taken from the tumor lesions (either primary or metastatic) that have easy accessibility and low biopsy-associated risks and will exclude biopsies of the liver, brain, lung/mediastinum, pancreas, or endoscopic procedures extending beyond the esophagus, stomach or bowel.
- For Cohort F an FFPE tissue sample must be submitted to the central laboratory for testing. Specimens containing bone are not acceptable. For patients with available local MMR/MSI-H results, tumor samples have to be submitted to a central laboratory and its quality has to be checked and cleared prior to C1D1
- For Cohort G, participant must provide formalin fixed paraffin embedded (FFPE) tumor tissue block(s) with sufficient tumor content (as confirmed by the Sponsor's designated central laboratory) during screening to enable, for example, measures of homologous recombination pathway defects and PD-L1 status. The use of slides created from paraffin-embedded tissue as opposed to FFPE blocks must be approved by the Sponsor.
- Female participants must have a negative serum pregnancy test within 72 hours prior to the date of the first dose of study medication: unless they are of non-child bearing potential.Non child bearing potential is defined as:
- >= 45 years of age and has not had menses for > 1 year;
- Amenorrheic for < 2 years without a hysterectomy and oophorectomy and have a follicle- stimulating hormone (FSH) value in the postmenopausal range upon pre-study (screening) evaluation.
- Post-hysterectomy, post-bilateral oophorectomy, or post-tubal ligation. Documented hysterectomy or oophorectomy must be confirmed with medical records of the actual procedure or confirmed by an ultrasound, magnetic resonance imaging (MRI) or computed tomography (CT) scan. Tubal ligation must be confirmed with medical records of the actual procedure.
- Female participants of childbearing potential must agree to use 1 highly effective form of contraception with their partner starting with the screening visit through 150 days after the last dose of study therapy.
- Participant has an Eastern Cooperative Oncology Group (ECOG) performance status of <= 2 for Part 1 and <= 1 for Part 2.
- Participant has an adequate organ function.
- Participants with known human immunodeficiency virus (HIV) infection are allowed with following requirements:
- Documented evidence of plasma HIV-1 RNA persistently <50 copies (c)/mL ≤3 months prior to AND at Screening. In the >3 to 12 months prior to Screening, plasma HIV-1 RNA consistently <50 c/mL required; if single increases ≥50 c/mL occurred, they cannot have been persistent nor associated with antiretroviral resistance per Investigator's assessment AND
- CD4 cell count >350 cells/mm^3 over past 12 months and at Screening (and no measurement ≤200 cells/mm3 during that time period) AND
- Must be on an uninterrupted combination antiretroviral therapy regimen for at least 3 months prior to Screening, with combination antiretroviral therapy regimen consistent with locally recommended guidelines
- Participants with history of Centers for Disease Control and Prevention (CDC) Stage 3 disease (CDC, 2014; also known as acquired immunodeficiency syndrome [AIDS]- defining disease) are allowed if AIDS-defining disease has been treated and cured or is stable for ≥3 months prior to study entry. Cutaneous Kaposi's Sarcoma not requiring systemic therapy is allowed.
- No history of HIV-associated non-Hodgkin lymphoma ≤5 years prior to study and no history of HIV-associated invasive cervical cancer
- No treatment with an HIV-1 immunotherapeutic vaccine within 90 days of Screening.
Who cannot join
- Participant has received prior therapy with an anti- programmed death receptor 1 (anti-PD-1), anti-PD-1- ligand-1 (anti-PD-L1), or anti-PD-1 ligand-2 (anti-PD- L2) agent.
- Participant has a known uncontrolled CNS metastasis and/or carcinomatous meningitis.
- Participant has a known additional malignancy that progressed or required active treatment within the last 2 years. Exceptions include basal cell carcinoma of the skin, squamous cell cancer (SqCC) of the skin that has undergone potentially curative therapy, or in situ cervical cancer, or other neoplastic condition which has undergone curative therapy and is considered cured by the investigator.
- Participant is considered a poor medical risk due to a serious, uncontrolled medical disorder, nonmalignant systemic disease or active infection requiring systemic therapy. Specific examples include, but are not limited to, active, non-infectious pneumonitis; uncontrolled ventricular arrhythmia; recent (within 90 days) myocardial infarction; uncontrolled major seizure disorder; unstable spinal cord compression; superior vena cava syndrome; or any psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the study (including obtaining informed consent).
- Participant is pregnant or breastfeeding or expecting to conceive children within the projected duration of the study, starting with the Screening Visit through 150 days after the last dose of study treatment.
- Participant has a diagnosis of immunodeficiency or is receiving systemic steroid therapy or any other form of immunosuppressive therapy within 7 days prior to the first dose of study treatment.
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- Participant has a documented presence of hepatitis B surface antigen [HBsAg] at screening or within 3 months prior to the first dose of study intervention. Participants with a negative HbsAg and positive hepatitis B virus core antibody (HBcAb) result are eligible only if HBV DNA is negative.
- Participant has an active autoimmune disease that has required systemic treatment in the past 2 years (i.e., with use of disease- modifying agents, corticosteroids, or immunosuppressive drugs). Replacement therapy (e.g., thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc.) is not considered a form of systemic treatment. Use of inhaled steroids, local injection of steroids, and steroid eye drops are allowed.
- Participant has as history of interstitial lung disease.
- Participant has not recovered (i.e., to <= Grade 1 or to Baseline) from radiation- and chemotherapy-induced AEs or received transfusion of blood products (including platelets or red blood cells) or administration of colony-stimulating factors (including granulocyte-colony stimulating factor [G-CSF], granulocyte macrophage colony-stimulating factor [GM-CSF] or recombinant erythropoietin) within 3 weeks prior to the first dose of study drug.
- Participant has participated in a study of an investigational agent and received study therapy or used an investigational device within 4 weeks prior to the first dose of study drug.
- Participant has received prior anticancer therapy (chemotherapy, targeted therapies, radiotherapy, or immunotherapy) within 21 days prior to study Day 1
- Participant has not recovered adequately (<= Grade 1) from AEs and/or complications from any major surgery prior to starting therapy.
- Participant has received a live vaccine within 14 days of planned start of study therapy.
- Participant has a known hypersensitivity to dostarlimab components or excipients.
- For Cohort G, participants will not be eligible if they meet the following criteria:
- Participants who experienced disease progression within 3 months (as evidenced by radiographic progression per RECIST) of first-line platinum therapy.
- Participants with known deleterious or suspicious deleterious mutation in BRCA1 or BRCA2 genes (local testing permitted).
- Participants has received prior therapy with a poly(adenosine diphosphate-ribose) polymerase (PARP)-1/PARP-2 inhibitor.
- Participant has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the study, might interfere with the participant's participation for the full duration of the study treatment, or is not in the best interest of the participant to participate.
- Participant is immunocompromised. Participants with splenectomy are allowed.
Trial locations and contacts
128 sites in 13 countries.
128 sites in 13 countries
United States48 sites
GSK Investigational Site
Albany, New York, 12208
GSK Investigational Site
Augusta, Georgia, 30912
GSK Investigational Site
Baltimore, Maryland, 21231
GSK Investigational Site
Birmingham, Alabama, 35233
GSK Investigational Site
Boston, Massachusetts, 02114
GSK Investigational Site
Boston, Massachusetts, 02215
GSK Investigational Site
Brooklyn, New York, 11203
GSK Investigational Site
Charlotte, North Carolina, 28204
GSK Investigational Site
Charlottesville, Virginia, 22903
GSK Investigational Site
Chicago, Illinois, 60637
GSK Investigational Site
Cleveland, Ohio, 44106
GSK Investigational Site
Columbus, Ohio, 43210
GSK Investigational Site
Dallas, Texas, 75230
GSK Investigational Site
Dallas, Texas, 75290-9032
GSK Investigational Site
Detroit, Michigan, 48201
GSK Investigational Site
Encinitas, California, 92024
GSK Investigational Site
Fairway, Kansas, 66205
GSK Investigational Site
Farmington, New Mexico, 87401
GSK Investigational Site
Fayetteville, Arkansas, 72703
GSK Investigational Site
Goodyear, Arizona, 85338
GSK Investigational Site
Hilliard, Ohio, 43026
GSK Investigational Site
Hilliard, Ohio, 43210
GSK Investigational Site
Jamaica, New York, 11432
GSK Investigational Site
Kansas City, Missouri, 64111
GSK Investigational Site
La Jolla, California, 92093
GSK Investigational Site
Los Angeles, California, 90095
GSK Investigational Site
Miami, Florida, 33136
GSK Investigational Site
Milwaukee, Wisconsin, 53226
GSK Investigational Site
New York, New York, 10016
GSK Investigational Site
Newport Beach, California, 92663
GSK Investigational Site
Oklahoma City, Oklahoma, 73104
GSK Investigational Site
Philadelphia, Pennsylvania, 19104
GSK Investigational Site
Philadelphia, Pennsylvania, 19111
GSK Investigational Site
Providence, Rhode Island, 02905
GSK Investigational Site
Salt Lake City, Utah, 84112
GSK Investigational Site
San Antonio, Texas, 78229-3307
GSK Investigational Site
San Antonio, Texas, 78229
GSK Investigational Site
San Francisco, California, 94115
GSK Investigational Site
San Marcos, California, 92069
GSK Investigational Site
Santa Monica, California, 90403
GSK Investigational Site
Scarborough, Maine, 04074
GSK Investigational Site
Scottsdale, Arizona, 85258
GSK Investigational Site
Seattle, Washington, 98104
GSK Investigational Site
Seattle, Washington, 98195
GSK Investigational Site
Spokane, Washington, 99202
GSK Investigational Site
Spokane, Washington, 99204
GSK Investigational Site
Tampa, Florida, 33612
GSK Investigational Site
Washington D.C., District of Columbia, 20007
Spain18 sites
GSK Investigational Site
Barcelona, 08036
GSK Investigational Site
Barcelona, 08907
GSK Investigational Site
Barcelona, 8035
GSK Investigational Site
Girona, 08907
GSK Investigational Site
Girona, 17007
GSK Investigational Site
Madrid, 28027
GSK Investigational Site
Madrid, 28040
GSK Investigational Site
Madrid, 28046
GSK Investigational Site
Madrid, 28050
GSK Investigational Site
Málaga, 29010
GSK Investigational Site
Murcia, 30120
GSK Investigational Site
Pamplona, 31008
GSK Investigational Site
Santander, 39008
GSK Investigational Site
Santiago de Compostela, A Coruña, 15706
GSK Investigational Site
Seville, 41013
GSK Investigational Site
Valencia, 46009
GSK Investigational Site
Valencia, 46010
GSK Investigational Site
Zaragoza, 50009
Canada9 sites
GSK Investigational Site
Calgary, Alberta, T2N 4N2
GSK Investigational Site
Edmonton, Alberta, T6G 1Z2
GSK Investigational Site
Hamilton, Ontario, L8V 5C2
GSK Investigational Site
Kelowna, British Columbia, V1Y 5L3
GSK Investigational Site
London, Ontario, N6A 4L6
GSK Investigational Site
Montreal, Quebec, H2L 4M1
GSK Investigational Site
Montreal, Quebec, H4A 3J1
GSK Investigational Site
Toronto, Ontario, M5G 2M9
GSK Investigational Site
Vancouver, British Columbia, V5Z 4E6
France9 sites
GSK Investigational Site
Bordeaux, 33076
GSK Investigational Site
Caen, 14076
GSK Investigational Site
Clermont-Ferrand, 63000
GSK Investigational Site
Lille, 59000
GSK Investigational Site
Marseille, 13273
GSK Investigational Site
Paris, 75571
GSK Investigational Site
Paris, 75908
GSK Investigational Site
Saint-Herblain, 44805
GSK Investigational Site
Villejuif, 94805
United Kingdom9 sites
GSK Investigational Site
Aberdeen, AB25 2ZN
GSK Investigational Site
London, SE1 9RT
GSK Investigational Site
London, SW3 6JJ
GSK Investigational Site
London, W1G 6AD
GSK Investigational Site
London, W1T 7HA
GSK Investigational Site
Manchester, M20 4BX
GSK Investigational Site
Newcastle upon Tyne, Tyne and Wear, NE7 7DN
GSK Investigational Site
Oxford, OX3 7LE
GSK Investigational Site
Sutton, SW36JJ
Brazil8 sites
GSK Investigational Site
Barretos, 14784-400
GSK Investigational Site
Porto Alegre, 90035-000
GSK Investigational Site
Ribeirão Preto, 14040-030
GSK Investigational Site
Rio de Janeiro, 20231-050
GSK Investigational Site
São José do Rio Preto, 15090-200
GSK Investigational Site
São Paulo, 01246-000
GSK Investigational Site
São Paulo, 01308-500
GSK Investigational Site
São Paulo, 01321-001
Italy7 sites
GSK Investigational Site
Milan, 20132
GSK Investigational Site
Milan, 20133
GSK Investigational Site
Milan, 20141
GSK Investigational Site
Modena, 41100
GSK Investigational Site
Naples, 80131
GSK Investigational Site
Roma, 00144
GSK Investigational Site
Verona, 37134
Poland6 sites
GSK Investigational Site
Gdynia, 81-519
GSK Investigational Site
Lublin, 20-090
GSK Investigational Site
Olsztyn, 10-513
GSK Investigational Site
Olsztyn, 10-561
GSK Investigational Site
Torun, 87-100
GSK Investigational Site
Warsaw, 02-781
South Korea6 sites
GSK Investigational Site
Changwon, 51472
GSK Investigational Site
Gwangju, 61469
GSK Investigational Site
Seongnam-si, 463-712
GSK Investigational Site
Seongnam-si Gyeonggi-do, 463 707
GSK Investigational Site
Seoul, 02841
GSK Investigational Site
Seoul, 05505
Argentina3 sites
GSK Investigational Site
Ciudad Autonoma de Buenos Aire, C1280AEB
GSK Investigational Site
Córdoba, X5000HXL
GSK Investigational Site
Córdoba, X5004FHP
Czechia2 sites
GSK Investigational Site
Hořovice, 26831
GSK Investigational Site
Zlín, 762 75
Denmark2 sites
GSK Investigational Site
Copenhagen, DK- 2100
GSK Investigational Site
Odense C, 5000
Mexico1 site
GSK Investigational Site
San Pedro Garza García, Nuevo León, 66260
About this study
Official title: A Phase 1 Dose Escalation and Cohort Expansion Study of TSR-042, an Anti-PD-1 Monoclonal Antibody, in Patients With Advanced Solid Tumors
This is a multi-center, open-label, first-in-human Phase 1 study evaluating the anti-programmed death receptor 1 (anti-PD-1) antibody dostarlimab (also known as TSR-042) n participants with advanced solid tumors who have limited available treatment options. The study will be conducted in 2 parts with Part 1 consisting of safety evaluation, pharmacokinetics (PK), and pharmacodynamics (PDy) of escalating doses of dostarlimab. Dose escalation will be based on ascending weight-based dose levels (DLs) of dostarlimab and will continue until the maximum tolerated dose (MTD) is reached or may be stopped at any dose level up to the highest dose of 20 milligrams per kilograms (mg/kg) based on emerging safety and PK/PDy data. Part 2 will be conducted in two subparts, Part 2A (fixed-dose safety evaluation cohorts) and Part 2B (expansion cohorts). Part 2A of the study will evaluate the safety and tolerability of dostarlimab at fixed doses of 500 mg administered every 3 weeks (Q3W) and 1000 mg administered every 6 weeks (Q6W). Part 2B of the study will examine the safety and clinical activity of dostarlimab in cohorts of participants with specific types of advanced solid tumors.
- Conditions
- Neoplasms
- Being tested
- Dostarlimab
- Keywords
- Metastatic solid tumors, Advanced solid tumors, Anti-PD-1, TSR-042, Immunotherapy, PD-1, Endometrial, Non-small cell lung cancer, NSCLC, MSI-High, Dostarlimab, dMMR
- Medical subject headings
- Neoplasms, Carcinoma, Non-Small-Cell Lung
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
DostarlimabBiological
Dostarlimab (160 mg, 20 mg/mL; or 500 mg, 50 mg/mL) is a humanized monoclonal antibody that binds with high affinity to PD-1 resulting in inhibition of binding to programmed death receptor ligands 1 and 2 (PD-L1 and PD-L2). Dostarlimab will be administered via a 30 minute IV infusion on Day 1 and Day 15 of each cycle in Part 1. For additional patients enrolled specifically to better characterize the PK/PDy profile in Part 1, dostarlimab administration during Cycle 1 will only occur on Day 1 with the second dose administered on Cycle 2/Day 1 and Q2W thereafter. For Part 2A and 2B, dostarlimab will be administered on Day 1 of each treatment cycle. Cycle duration for Q3W dosing is 21 days and Q6W dosing is 42 days.
| Study group | Role | What they receive |
|---|---|---|
| Part 1: Participants receiving dostarlimab | Experimental | Part 1 will evaluate dostarlimab at ascending weight-based doses 1 mg/kg, 3 mg/kg and 10 mg/kg. Higher dose levels 15 mg/kg and/or 20 mg/kg may also be explored. Dostarlimab will be administered intravenously (IV) on Day 1 and Day 15 of each cycle; cycle length is 28 days. Cohorts will be enrolled sequentially and will initially follow a 3+3 design. Receives: Biological: Dostarlimab |
| Part 2A: Participants receiving dostarlimab | Experimental | In Part 2A, participants will receive fixed dose of 500 mg administered Q3W or 1000 mg administered Q6W dose on Day 1 of each cycle. Cycle duration for Q3W dosing is 21 days and Q6W dosing is 42 days. Cohorts will enroll participants with advanced solid tumor using a modified 6+6 design and will follow a 6+6 design. Receives: Biological: Dostarlimab |
| Part 2B: Cohort A1 dMMR/MSI-H endometrial cancer | Experimental | Part 2B: Cohort A1 will include participants with mismatch repair deficient microsatellite instability high (dMMR/MSI-H) endometrial cancer who have progressed on or after platinum doublet therapy. These participants will receive dostarlimab 500 mg for Q3W for the first 4 cycles followed by 1000 mg Q6W for all subsequent cycles. Participants have received no more than 2 lines of anti-cancer therapy for recurrent or advanced (Stage >= IIIB) disease. Receives: Biological: Dostarlimab |
| Part 2B: Cohort A2 MMR-proficient/MSS endometrial cancer | Experimental | Part 2B: Cohort A2 will include participants with MMR-proficient/MSS endometrial cancer who have progressed on or after platinum doublet therapy. These participants will receive dostarlimab 500 mg for Q3W for the first 4 cycles followed by 1000 mg Q6W for all subsequent cycles. Participants have received no more than 2 lines of anti-cancer therapy for recurrent or advanced (Stage >=IIIB) disease. Receives: Biological: Dostarlimab |
| Part 2B: Cohort E NSCLC | Experimental | Part 2B: Cohort E NSCLC will include participants with non-small cell lung cancer (NSCLC) who progressed after at least 1 prior platinum-based systemic chemotherapy regimen for recurrent or advanced disease. These participants will receive dostarlimab 500 mg for Q3W for the first 4 cycles followed by 1000 mg Q6W for all subsequent cycles. Receives: Biological: Dostarlimab |
| Part 2B: Cohort F non-endometrial dMMR/MSI-H or POLE-Mut cancers | Experimental | Participants with recurrent or advanced dMMR/MSI-H solid tumors except endometrial cancers, and gastrointestinal cancers, who have received prior systemic therapy and, who have no alternative treatment options. These participants will receive dostarlimab 500 mg for Q3W for the first 4 cycles followed by 1000 mg Q6W for all subsequent cycles. Receives: Biological: Dostarlimab |
| Part 2B: Cohort G PROC without known BRCA | Experimental | Participants with advanced, relapsed, high-grade serous, endometrioid, or clear cell ovarian, fallopian tube, or primary peritoneal cancer without known breast cancer susceptibility gene (BRCA) mutation who have platinum-resistant disease receiving dostarlimab and who have also been previously treated with bevacizumab. These participants will receive dostarlimab 500 mg for Q3W for the first 4 cycles followed by 1000 mg Q6W for all subsequent cycles. Receives: Biological: Dostarlimab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Part 1: Number of participants with treatment emergent AEs (TEAEs)
An adverse event (AE) is any untoward medical occurrence that occurs in a participant or clinical investigation participant administered a pharmaceutical product, and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including clinically significant abnormal laboratory findings), symptom, or disease temporally associated with the use of an investigational product, whether or not considered related to the product. TEAEs defined as any AE either reported for the first time or worsening of a pre-existing event after first dose of study treatment.
Measured: Up to 2 years
Part 1: Number of participants with immune mediated AEs of interest
Participants with immune related AEs of interest will be assessed.
Measured: Up to 2 years
Part 1: Number of participants with abnormal hematology parameters
Blood samples will be collected to assess the following hematology parameters: hemoglobin, Mean corpuscular (MCV), white blood cell count (WBC count), platelets, mean platelet volume, differential WBC count and coagulation factors including International normalized ratio (INR), activated partial thromboplastin time (aPTT) and prothrombin time (PT).
Measured: Up to 2 years
Part 1: Number of participants with abnormal clinical chemistry parameters
Blood samples will be collected to assess the following chemistry parameters: sodium, potassium, calcium, magnesium, creatinine, bilirubin, alkaline phosphatase, aspartate aminotransferase (AST), alanine aminotransferase (ALT), and albumin.
Measured: Up to 2 years
Part 1, Part 2A, and Part 2B: Number of participants with a change from baseline in urinalysis parameters
Number of participants will be assessed.
Measured: Up to 2 years
Part 1, Part 2A, and Part 2B: Number of participants with a change from baseline in vital signs
Number of participants will be assessed.
Measured: Up to 2 years
Part 1: Number of participants with abnormal electrocardiogram (ECG) parameters
Participants will be supine or in a semi-recumbent position and rested for approximately 2 minutes before ECGs are recorded.
Measured: Up to 2 years
Part 1: Number of participants receiving concomitant medications
Concomitant medications will be recorded.
Measured: Up to 2 years
Part 2A: Number of participants with TEAEs
An AE is any untoward medical occurrence that occurs in a participant or clinical investigation participant administered a pharmaceutical product, and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including clinically significant abnormal laboratory findings), symptom, or disease temporally associated with the use of an investigational product, whether or not considered related to the product. TEAEs defined as any AE either reported for the first dose of study treatment.
Measured: Up to 2 years
Part 2A: Number of participants with immune mediated AEs of interest
Participants with immune related AEs of interest will be assessed.
Measured: Up to 2 years
Part 2A: Number of participants with abnormal hematology parameters
Blood samples will be collected to assess the following hematology parameters: hemoglobin, MCV, white WBC count, platelets, mean platelet volume, differential WBC count and coagulation factors including INR, aPTT and PT.
Measured: Up to 2 years
Part 2A: Number of participants with abnormal clinical chemistry parameters
Blood samples will be collected to assess the following chemistry parameters: sodium, potassium, calcium, magnesium, creatinine, bilirubin, AST, ALT, and albumin.
Measured: Up to 2 years
Part 2A: Number of participants with abnormal ECG
Participants will be supine or in a semi-recumbent position and rested for approximately 2 minutes before ECGs are recorded.
Measured: Up to 2 years
Part 2A: Number of participants receiving concomitant medications
Concomitant medications will be recorded.
Measured: Up to 2 years
Part 2B: Number of participants with TEAEs
An AE is any untoward medical occurrence that occurs in a participant or clinical investigation participant administered a pharmaceutical product, and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including clinically significant abnormal laboratory findings), symptom, or disease temporally associated with the use of an investigational product, whether or not considered related to the product. TEAEs defined as any AE either reported for the first dose of study treatment.
Measured: Up to 2 years
Part 2B: Number of participants with immune related AEs of interest
Participants with immune related AEs of interest will be assessed.
Measured: Up to 2 years
Part 2B: Number of participants with abnormal hematology parameters
Blood samples will be collected to assess the following hematology parameters: hemoglobin, MCV, white WBC count, platelets, mean platelet volume, differential WBC count and coagulation factors including INR, aPTT and PT.
Measured: Up to 2 years
Part 2B: Number of participants with abnormal clinical chemistry parameters
Blood samples will be collected to assess the following chemistry parameters: sodium, potassium, calcium, magnesium, creatinine, bilirubin, AST, ALT, and albumin.
Measured: Up to 2 years
Part 2B: Number of participants with abnormal ECG parameters
Participants will be supine or in a semi-recumbent position and rested for approximately 2 minutes before ECGs are recorded.
Measured: Up to 2 years
Part 2B: Number of participants receiving concomitant medications
Concomitant medications will be recorded.
Measured: Up to 2 years
Part 2B: Cohort A1 Overall Response Rate (ORR) by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
ORR is defined as the proportion of participants achieving complete response (CR) or partial response (PR) as evaluated by independent blinded central review using RECIST version 1.1.
Measured: Up to 2 years
Part 2B: Cohort F ORR by RECIST version 1.1
ORR is defined as the proportion of participants achieving CR or PR as evaluated by independent blinded central review using RECIST version 1.1.
Measured: Up to 2 years
Part 2B: Cohort A2 ORR by RECIST version 1.1
ORR is defined as the proportion of participants achieving CR or PR as evaluated by independent blinded central review using RECIST version 1.1.
Measured: Up to 2 years
Part 2B: Cohort G ORR by RECIST version 1.1
ORR is defined as the proportion of participants achieving CR or PR as evaluated by independent blinded central review using RECIST version 1.1.
Measured: Up to 2 years
Part 2B: Cohort E ORR by immune related Response Evaluation Criteria in Solid Tumors per irRECIST
ORR is defined as the proportion of participants achieving CR or PR as assessed by investigator per irRECIST will be evaluated.
Measured: Up to 2 years
Part 2B: Cohort A1 Duration of response (DOR)
DOR is defined as the time from first documentation of CR or PR by RECIST version 1.1 until the time of first documentation of progressive disease (PD) evaluated using RECIST version 1.1 based on independent blinded central review, or death due to any cause.
Measured: Up to 2 years
Part 2B: Cohort F Duration of response (DOR)
DOR is defined as the time from first documentation of CR or PR by RECIST version 1.1 until the time of first documentation of PD evaluated using RECIST version 1.1 based on independent blinded central review, or death due to any cause.
Measured: Up to 2 years
Part 2B: Cohort A2 Duration of response (DOR)
DOR is defined as the time from first documentation of CR or PR by RECIST version 1.1 until the time of first documentation of PD evaluated using RECIST version 1.1 based on independent blinded central review, or death due to any cause.
Measured: Up to 2 years
Secondary outcomes (49)
Part 1: Immune-related objective response rate (irORR) by irRECIST
Immune-related objective response rate will be evaluated based on investigator's assessment using irRECIST.
Measured: Up to 2 years
Part 2B: Cohort A1 ORR by independent blinded central review using RECIST version 1.1
ORR is defined as the proportion of participants achieving CR or PR as evaluated by independent blinded central review using RECIST version 1.1.
Measured: Up to 2 years
Part 2B: Cohort F ORR by independent blinded central review using RECIST version 1.1
ORR is defined as the proportion of participants achieving CR or PR as evaluated by independent blinded central review using RECIST version 1.1.
Measured: Up to 2 years
Part 2B: Cohort A1 Immune-related objective response rate (irORR) by irRECIST
Immune related objective response rate will be evaluated based on investigator's assessment using irRECIST.
Measured: Up to 2 years
Part 2B: Cohort A2 irORR by irRECIST
Immune related objective response rate will be evaluated based on investigator's assessment using irRECIST.
Measured: Up to 2 years
Part 2B: Cohort F irORR by irRECIST
Immune related objective response rate will be evaluated based on investigator's assessment using irRECIST.
Measured: Up to 2 years
Part 2B: Cohort G irORR by irRECIST
Immune related objective response rate will be evaluated based on investigator's assessment using irRECIST.
Measured: Up to 2 years
Part 2B: Cohort A1 Duration of response (DOR) based on independent blinded central review using RECIST version 1.1
DOR is defined as the time from first documentation of CR or PR by RECIST version 1.1 until the time of first documentation of progressive disease (PD) evaluated using RECIST version 1.1 based on independent blinded central review, or death due to any cause.
Measured: Up to 2 years
Part 2B: Cohort F DOR based on independent blinded central review using RECIST version 1.1
DOR is defined as the time from first documentation of CR or PR by RECIST version 1.1 until the time of first documentation of PD evaluated using RECIST version 1.1 based on independent blinded central review, or death due to any cause.
Measured: Up to 2 years
Part 2B: Cohort G DOR based on independent blinded central review using RECIST version 1.1
DOR is defined as the time from first documentation of CR or PR by RECIST version 1.1 until the time of first documentation of PD evaluated using RECIST version 1.1 based on independent blinded central review, or death due to any cause.
Measured: Up to 2 years
Part 2B: Cohort A1 Disease control rate
Disease control rate is the proportion of participants achieving CR, PR, or SD per RECIST v1.1 based on independent blinded central review.
Measured: Up to 2 years
Part 2B: Cohort A2 Disease control rate
Disease control rate is the proportion of participants achieving CR, PR, or SD per RECIST v1.1 based on independent blinded central review.
Measured: Up to 2 years
Part 2B: Cohort F Disease control rate
Disease control rate is the proportion of participants achieving CR, PR, or SD per RECIST v1.1 based on independent blinded central review.
Measured: Up to 2 years
Part 2B: Cohort G Disease control rate
Disease control rate is the proportion of participants achieving CR, PR, or SD per RECIST v1.1 based on independent blinded central review.
Measured: Up to 2 years
Immune related disease control rate
The proportion of participants achieving CR, PR, or SD per irRECIST based on Investigators assessment.
Measured: Up to 2 years
Immune related duration of response
The time from first documentation of CR or PR by irRECIST until the time of first documentation of PD (subsequently confirmed) per irRECIST based on Investigators assessment.
Measured: Up to 2 years
Progression free survival
The time from date of first dose to the earlier date of assessment of progression or death by any cause in the absence of progression based on: (1) the time of first documentation of PD per RECIST v1.1 (for Cohorts A1, A2, F, and G only); and (2) the time of first documentation of PD (subsequently confirmed) per irRECIST.
Measured: Up to 2 years
Overall survival
The time from date of first dose of study treatment to the date of death by any cause.
Measured: Up to 2 years
Part 1: Area under the concentration-time curve from time 0 to last (AUC,0-last) assessment of dostarlimab
Blood samples for determination of serum levels of dostarlimab will be collected.
Measured: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504 and 672 hours post dose
Part 1: Area under the concentration-time curve from time 0 to infinity (AUC, 0-infinity) of dostarlimab
Blood samples for determination of serum levels of dostarlimab will be collected.
Measured: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672 hours post dose
Part 1: Minimum concentration (Cmin) of dostarlimab
Blood samples for determination of serum levels of dostarlimab will be collected.
Measured: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672 hours post dose
Part 1: Maximum concentration (Cmax) of dostarlimab
Blood samples for determination of serum levels of dostarlimab will be collected.
Measured: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672 hours post dose
Part 1: Clearance (CL) of dostarlimab
Blood samples for determination of serum levels of dostarlimab will be collected.
Measured: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672 hours post dose
Part 1: Volume of distribution (Vz) of dostarlimab
Blood samples for determination of serum levels of dostarlimab will be collected.
Measured: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672 hours post dose
Part 1: Area under the concentration-time curve at steady state (AUC,ss) of dostarlimab
Blood samples for determination of serum levels of dostarlimab will be collected.
Measured: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672 hours post dose
Part 1: Minimum concentration at steady state (Cmin,ss) of dostarlimab
Blood samples for determination of serum levels of dostarlimab will be collected.
Measured: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504,672 hours post dose.
Part 1: Maximum concentration at steady state (Cmax,ss) of dostarlimab
Blood samples for determination of serum levels of dostarlimab will be collected.
Measured: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672 hours post dose
Part 2A: AUC,0-last assessment of dostarlimab
Blood samples for determination of serum levels of dostarlimab will be collected.
Measured: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, and 504 hours post dose Q3W upto 2 years
Part 2A: AUC, 0-infinity of dostarlimab
Blood samples for determination of serum levels of dostarlimab will be collected.
Measured: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, and 504 hours post dose Q3W upto 2 years
Part 2A: Cmin of dostarlimab
Blood samples for determination of serum levels of dostarlimab will be collected
Measured: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, and 504,hours post dose Q3W upto 2 years
Part 2A: Cmax of dostarlimab
Blood samples for determination of serum levels of dostarlimab will be collected.
Measured: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, and 504,hours post dose Q3W upto 2 years
Part 2A: CL of dostarlimab
Blood samples for determination of serum levels of dostarlimab will be collected.
Measured: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, and 504,hours post dose Q3W upto 2 years
Part 2A: Vz of dostarlimab
Blood samples for determination of serum levels of dostarlimab will be collected.
Measured: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, and 504 hours post dose Q3W upto 2 years.
Part 2A: AUC,ss of dostarlimab
Blood samples for determination of serum levels of dostarlimab will be collected.
Measured: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, and 504 hours post dose Q3W upto 2 years
Part 2A: Cmin,ss of dostarlimab
Blood samples for determination of serum levels of dostarlimab will be collected.
Measured: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, and 504 hours post dose Q3W upto 2 years
Part 2A: Cmax,ss of dostarlimab
Blood samples for determination of serum levels of dostarlimab will be collected.
Measured: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, and 504 hours post dose Q3W upto 2 years
Part 2A : AUC,0-last assessment of dostarlimab
Blood samples for determination of serum levels of dostarlimab will be collected.
Measured: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672, 840, and 1008 hours post dose Q6W upto 2 years
Part 2A: AUC, 0-infinity of dostarlimab
Blood samples for determination of serum levels of dostarlimab will be collected.
Measured: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672, 840, and 1008 hours post dose Q6W upto 2 years
Part 2A: Cmin of dostarlimab
Blood samples for determination of serum levels of dostarlimab will be collected.
Measured: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672, 840, and 1008 hours post dose Q6W upto 2 years
Part 2A: Cmax of dostarlimab
Blood samples for determination of serum levels of dostarlimab will be collected.
Measured: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672, 840, and 1008 hours post dose Q6W upto 2 years
Part 2A: CL of dostarlimab
Blood samples for determination of serum levels of dostarlimab will be collected.
Measured: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672, 840, and 1008 hours post dose Q6W upto 2 years
Part 2A: Vz of dostarlimab
Blood samples for determination of serum levels of dostarlimab will be collected.
Measured: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672, 840, and 1008 hours post dose Q6W upto 2 years
Part 2A: AUC,ss of dostarlimab
Blood samples for determination of serum levels of dostarlimab will be collected.
Measured: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672, 840, and 1008 hours post dose Q6W upto 2 years
Part 2A: Cmin,ss of dostarlimab
Blood samples for determination of serum levels of dostarlimab will be collected.
Measured: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672, 840, and 1008 hours post dose Q6W upto 2 years
Part 2A: Cmax,ss of dostarlimab
Blood samples for determination of serum levels of dostarlimab will be collected.
Measured: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672, 840 and 1008 hours post dose Q6W upto 2 years
Part 2B: Cmax of dostarlimab
Blood samples for determination of serum levels of dostarlimab will be collected.
Measured: Predose, 0.5 and 1.5 hours post dose
Part 2B: AUC,ss of dostarlimab
Blood samples for determination of serum levels of dostarlimab will be collected.
Measured: Predose, 0.5 and 1.5 hours post dose
Part 2B: Cmax,ss of dostarlimab
Blood samples for determination of serum levels of dostarlimab will be collected.
Measured: Predose, 0.5 and 1.5 hours post dose
Part 1, Part 2A, and Part 2B: Number of participants with antidrug antibodies (ADA) against dostarlimab
Measured: Up to 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Mar 2016 (estimated)
- Study start7 Mar 2016
- Primary completion18 May 2026
- Study completion14 Apr 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (13)Papers the sponsor has linked to this study.
- Other trials for NeoplasmsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 729 participants (actual)
Sponsor and investigators
- Lead sponsor
- Tesaro, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- GSK Clinical Trials, Study director, GlaxoSmithKline
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02715284
- Sponsor's protocol ID
- 213346
- Other IDs
- 4010-01-001
- Acronym
- GARNET
- Status last verified
- Aug 2026
- First submitted
- 9 Mar 2016
- Last updated
- 25 Aug 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: IPD for this study will be made available via the Clinical Study Data Request site.
Publications
Patnaik A, Weiss GJ, Rasco DW, Blaydorn L, Mirabella A, Beeram M, Guo W, Lu S, Danaee H, McEachern K, Im E, Sachdev JC. Safety, antitumor activity, and pharmacokinetics of dostarlimab, an anti-PD-1, in patients with advanced solid tumors: a dose-escalation phase 1 trial. Cancer Chemother Pharmacol. 2022 Jan;89(1):93-103. doi: 10.1007/s00280-021-04358-3. Epub 2021 Nov 8.
PubMed 34750637Zhang XT, Chen H, Shao W, Zhongping JL, Melham M, Lu S.A Competitive Ligand Binding Assay to Measure Antidrug Antibodies Against Dostarlimab (TSR-042).2021; DOI: 10.1186/s41120-021-00039-w
Patterson M, Beausang LA, Rup B, Bowsher R, Krug K, Gunn G, Melham M, Lu S.A Bridging Assay for Detection and Characterization of Anti-Drug Antibodies to Dostarlimab, a New Anti-PD-1 Therapeutic Monoclonal Antibody .2021;7(11) DOI: DOI 10.1186/s41120-021-00045-y
Kumar S, Ghosh S, Sharma G, Wang Z, Kehry MR, Marino MH, Neben TY, Lu S, Luo S, Roberts S, Ramaswamy S, Danaee H, Jenkins D. Preclinical characterization of dostarlimab, a therapeutic anti-PD-1 antibody with potent activity to enhance immune function in in vitro cellular assays and in vivo animal models. MAbs. 2021 Jan-Dec;13(1):1954136. doi: 10.1080/19420862.2021.1954136.
PubMed 34313545Oaknin A, Gilbert L, Tinker AV, Brown J, Mathews C, Press J, Sabatier R, O'Malley DM, Samouelian V, Boni V, Duska L, Ghamande S, Ghatage P, Kristeleit R, Leath C III, Guo W, Im E, Zildjian S, Han X, Duan T, Veneris J, Pothuri B. Safety and antitumor activity of dostarlimab in patients with advanced or recurrent DNA mismatch repair deficient/microsatellite instability-high (dMMR/MSI-H) or proficient/stable (MMRp/MSS) endometrial cancer: interim results from GARNET-a phase I, single-arm study. J Immunother Cancer. 2022 Jan;10(1):e003777. doi: 10.1136/jitc-2021-003777.
PubMed 35064011Kristeleit R, Mathews C, Redondo A, Boklage S, Hanlon J, Im E, Brown J. Patient-reported outcomes in the GARNET trial in patients with advanced or recurrent mismatch repair-deficient/microsatellite instability-high endometrial cancer treated with dostarlimab. Int J Gynecol Cancer. 2022 Oct 3;32(10):1250-1257. doi: 10.1136/ijgc-2022-003492.
PubMed 35973737Kuchimanchi M, Dabrowski C, Lu S, Melhem M. Dostarlimab, an anti-programmed death-1 monoclonal antibody, does not cause QT prolongation in patients with solid tumours: A concentration-QT analysis. Br J Clin Pharmacol. 2023 Jul;89(7):2272-2282. doi: 10.1111/bcp.15700. Epub 2023 Mar 20.
PubMed 36823349Andre T, Berton D, Curigliano G, Sabatier R, Tinker AV, Oaknin A, Ellard S, de Braud F, Arkenau HT, Trigo J, Gravina A, Kristeleit R, Moreno V, Abdeddaim C, Vano YA, Samouelian V, Miller R, Boni V, Torres AA, Gilbert L, Brown J, Dewal N, Dabrowski C, Antony G, Zografos E, Veneris J, Banerjee S. Antitumor Activity and Safety of Dostarlimab Monotherapy in Patients With Mismatch Repair Deficient Solid Tumors: A Nonrandomized Controlled Trial. JAMA Netw Open. 2023 Nov 1;6(11):e2341165. doi: 10.1001/jamanetworkopen.2023.41165.
PubMed 37917058Rodrigues M, Eberst L, Follana P, Gauthier L, Jacquemin V, Tessier C, El Mouaddin N, Boudier P, Fiteni F, Angeli E, Roche S, Delanoy N, Sabatier R, Flippot R, de la Motte Rouge T. Real-world dostarlimab use in advanced/recurrent endometrial cancer in France. Bull Cancer. 2023 Oct;110(10):1041-1050. doi: 10.1016/j.bulcan.2023.06.009. Epub 2023 Aug 31.
PubMed 37659907Oaknin A, Pothuri B, Gilbert L, Sabatier R, Brown J, Ghamande S, Mathews C, O'Malley DM, Kristeleit R, Boni V, Gravina A, Banerjee S, Miller R, Pikiel J, Mirza MR, Dewal N, Antony G, Dong Y, Zografos E, Veneris J, Tinker AV. Safety, Efficacy, and Biomarker Analyses of Dostarlimab in Patients with Endometrial Cancer: Interim Results of the Phase I GARNET Study. Clin Cancer Res. 2023 Nov 14;29(22):4564-4574. doi: 10.1158/1078-0432.CCR-22-3915.
PubMed 37363992Moreno V, Roda D, Pikiel J, Trigo J, Bosch-Barrera J, Drew Y, Kristeleit R, Hiret S, Bajor DL, Cruz P, Beck JT, Ghosh S, Dabrowski C, Antony G, Duan T, Veneris J, Zografos E, Subramanian J. Safety and Efficacy of Dostarlimab in Patients With Recurrent/Advanced Non-small Cell Lung Cancer: Results from Cohort E of the Phase I GARNET Trial. Clin Lung Cancer. 2022 Nov;23(7):e415-e427. doi: 10.1016/j.cllc.2022.05.013. Epub 2022 May 23.
PubMed 35729005Oaknin A, Tinker AV, Gilbert L, Samouelian V, Mathews C, Brown J, Barretina-Ginesta MP, Moreno V, Gravina A, Abdeddaim C, Banerjee S, Guo W, Danaee H, Im E, Sabatier R. Clinical activity and safety of the anti-PD-1 monoclonal antibody dostarlimab for patients with recurrent or advanced dMMR endometrial cancer. Future Oncol. 2021 Oct 1;17(29):3781-3785. doi: 10.2217/fon-2021-0598. Epub 2021 Aug 24.
PubMed 34427115Oaknin A, Tinker AV, Gilbert L, Samouelian V, Mathews C, Brown J, Barretina-Ginesta MP, Moreno V, Gravina A, Abdeddaim C, Banerjee S, Guo W, Danaee H, Im E, Sabatier R. Clinical Activity and Safety of the Anti-Programmed Death 1 Monoclonal Antibody Dostarlimab for Patients With Recurrent or Advanced Mismatch Repair-Deficient Endometrial Cancer: A Nonrandomized Phase 1 Clinical Trial. JAMA Oncol. 2020 Nov 1;6(11):1766-1772. doi: 10.1001/jamaoncol.2020.4515.
PubMed 33001143
Study at a glance
From the registry record, last updated by the sponsor on 25 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1 Dose Escalation and Cohort Expansion Study of TSR-042, an Anti-PD-1 Monoclonal Antibody, in Patients With Advanced Solid Tumors
- ClinicalTrials.gov ID
- NCT02715284
- Acronym / sponsor ID
- GARNET / 213346
- Conditions
- Neoplasms
- Keywords
- Metastatic solid tumors, Advanced solid tumors, Anti-PD-1, TSR-042, Immunotherapy, PD-1, Endometrial, Non-small cell lung cancer
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 729 participants (actual)
- Lead sponsor
- Tesaro, Inc.Industry (pharma, biotech, devices)
- Study start
- 7 Mar 2016 (actual)
- Primary completion
- 18 May 2026 (actual)
- Study completion
- 14 Apr 2028 (estimated)
- First posted
- 22 Mar 2016 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a multi-center, open-label, first-in-human Phase 1 study evaluating the anti-programmed death receptor 1 (anti-PD-1) antibody dostarlimab (also known as TSR-042) n participants with advanced solid tumors who have limited available treatment options. The study will be conducted in 2 parts with Part 1 consisting of safety evaluation, pharmacokinetics (PK), and pharmacodynamics (PDy) of escalating doses of dostarlimab. Dose escalation will be based on ascending weight-based dose levels (DLs) of dostarlimab and will continue until the maximum tolerated dose (MTD) is reached or may be stopped at any dose level up to the highest dose of 20 milligrams per kilograms (mg/kg) based on emerging safety and PK/PDy data. Part 2 will be conducted in two subparts, Part 2A (fixed-dose safety evaluation cohorts) and Part 2B (expansion cohorts). Part 2A of the study will evaluate the safety and tolerability of dostarlimab at fixed doses of 500 mg administered every 3 weeks (Q3W) and 1000 mg administered every 6 weeks (Q6W). Part 2B of the study will examine the safety and clinical activity of dostarlimab in cohorts of participants with specific types of advanced solid tumors.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 7
| Arm | Type | Receives |
|---|---|---|
| Part 1: Participants receiving dostarlimab | Experimental | Biological: DostarlimabPart 1 will evaluate dostarlimab at ascending weight-based doses 1 mg/kg, 3 mg/kg and 10 mg/kg. Higher dose levels 15 mg/kg and/or 20 mg/kg may also be explored. Dostarlimab will be administered intravenously (IV) on Day 1 and Day 15 of each cycle; cycle length is 28 days. Cohorts will be enrolled sequentially and will initially follow a 3+3 design. |
| Part 2A: Participants receiving dostarlimab | Experimental | Biological: DostarlimabIn Part 2A, participants will receive fixed dose of 500 mg administered Q3W or 1000 mg administered Q6W dose on Day 1 of each cycle. Cycle duration for Q3W dosing is 21 days and Q6W dosing is 42 days. Cohorts will enroll participants with advanced solid tumor using a modified 6+6 design and will follow a 6+6 design. |
| Part 2B: Cohort A1 dMMR/MSI-H endometrial cancer | Experimental | Biological: DostarlimabPart 2B: Cohort A1 will include participants with mismatch repair deficient microsatellite instability high (dMMR/MSI-H) endometrial cancer who have progressed on or after platinum doublet therapy. These participants will receive dostarlimab 500 mg for Q3W for the first 4 cycles followed by 1000 mg Q6W for all subsequent cycles. Participants have received no more than 2 lines of anti-cancer therapy for recurrent or advanced (Stage >= IIIB) disease. |
| Part 2B: Cohort A2 MMR-proficient/MSS endometrial cancer | Experimental | Biological: DostarlimabPart 2B: Cohort A2 will include participants with MMR-proficient/MSS endometrial cancer who have progressed on or after platinum doublet therapy. These participants will receive dostarlimab 500 mg for Q3W for the first 4 cycles followed by 1000 mg Q6W for all subsequent cycles. Participants have received no more than 2 lines of anti-cancer therapy for recurrent or advanced (Stage >=IIIB) disease. |
| Part 2B: Cohort E NSCLC | Experimental | Biological: DostarlimabPart 2B: Cohort E NSCLC will include participants with non-small cell lung cancer (NSCLC) who progressed after at least 1 prior platinum-based systemic chemotherapy regimen for recurrent or advanced disease. These participants will receive dostarlimab 500 mg for Q3W for the first 4 cycles followed by 1000 mg Q6W for all subsequent cycles. |
| Part 2B: Cohort F non-endometrial dMMR/MSI-H or POLE-Mut cancers | Experimental | Biological: DostarlimabParticipants with recurrent or advanced dMMR/MSI-H solid tumors except endometrial cancers, and gastrointestinal cancers, who have received prior systemic therapy and, who have no alternative treatment options. These participants will receive dostarlimab 500 mg for Q3W for the first 4 cycles followed by 1000 mg Q6W for all subsequent cycles. |
| Part 2B: Cohort G PROC without known BRCA | Experimental | Biological: DostarlimabParticipants with advanced, relapsed, high-grade serous, endometrioid, or clear cell ovarian, fallopian tube, or primary peritoneal cancer without known breast cancer susceptibility gene (BRCA) mutation who have platinum-resistant disease receiving dostarlimab and who have also been previously treated with bevacizumab. These participants will receive dostarlimab 500 mg for Q3W for the first 4 cycles followed by 1000 mg Q6W for all subsequent cycles. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (40 listed)
- Participant is at least 18 years of age.
- Participant has proven recurrent or advanced solid tumor and has disease progression after treatment with available anticancer therapies, or is intolerant to treatment that meets the following requirements for the part of the study they will participate in:
- Part 1: Any histologically or cytologically proven recurrent or advanced solid tumor B. Part 2A: : Any histologically or cytologically proven recurrent or advanced solid tumor
- Part 2B: Histologically of cytologically proven recurrent or advanced solid tumor with measurable lesion(s) per RECIST version 1.1 and meets one of the following disease types:
- The criteria below should be met for participant participating in: 1) Cohort A1 (dMMR/MSI-H endometrial cancer) and 2) Cohort A2 (MMR-proficient/MSS endometrial cancer)
Key exclusion criteria (21 listed)
- Participant has received prior therapy with an anti- programmed death receptor 1 (anti-PD-1), anti-PD-1- ligand-1 (anti-PD-L1), or anti-PD-1 ligand-2 (anti-PD- L2) agent.
- Participant has a known uncontrolled CNS metastasis and/or carcinomatous meningitis.
- Participant has a known additional malignancy that progressed or required active treatment within the last 2 years. Exceptions include basal cell carcinoma of the skin, squamous cell cancer (SqCC) of the skin that has undergone potentially curative therapy, or in situ cervical cancer, or other neoplastic condition which has undergone curative therapy and is considered cured by the investigator.
- Participant is considered a poor medical risk due to a serious, uncontrolled medical disorder, nonmalignant systemic disease or active infection requiring systemic therapy. Specific examples include, but are not limited to, active, non-infectious pneumonitis; uncontrolled ventricular arrhythmia; recent (within 90 days) myocardial infarction; uncontrolled major seizure disorder; unstable spinal cord compression; superior vena cava syndrome; or any psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the study (including obtaining informed consent).
- Participant is pregnant or breastfeeding or expecting to conceive children within the projected duration of the study, starting with the Screening Visit through 150 days after the last dose of study treatment.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| DostarlimabDostarlimab (160 mg, 20 mg/mL; or 500 mg, 50 mg/mL) is a humanized monoclonal antibody that binds with high affinity to PD-1 resulting in inhibition of binding to programmed death receptor ligands 1 and 2 (PD-L1 and PD-L2). Dostarlimab will be administered via a 30 minute IV infusion on Day 1 and Day 15 of each cycle in Part 1. For additional patients enrolled specifically to better characterize the PK/PDy profile in Part 1, dostarlimab administration during Cycle 1 will only occur on Day 1 with the second dose administered on Cycle 2/Day 1 and Q2W thereafter. For Part 2A and 2B, dostarlimab will be administered on Day 1 of each treatment cycle. Cycle duration for Q3W dosing is 21 days and Q6W dosing is 42 days. | Biological | Part 1: Participants receiving dostarlimab, Part 2A: Participants receiving dostarlimab, Part 2B: Cohort A1 dMMR/MSI-H endometrial cancer, Part 2B: Cohort A2 MMR-proficient/MSS endometrial cancer, Part 2B: Cohort E NSCLC, Part 2B: Cohort F non-endometrial dMMR/MSI-H or POLE-Mut cancers, Part 2B: Cohort G PROC without known BRCA |
Primary outcome
Part 1: Number of participants with treatment emergent AEs (TEAEs)
Time frame: Up to 2 years
An adverse event (AE) is any untoward medical occurrence that occurs in a participant or clinical investigation participant administered a pharmaceutical product, and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including clinically significant abnormal laboratory findings), symptom, or disease temporally associated with the use of an investigational product, whether or not considered related to the product. TEAEs defined as any AE either reported for the first time or worsening of a pre-existing event after first dose of study treatment.
Part 1: Number of participants with immune mediated AEs of interest
Time frame: Up to 2 years
Participants with immune related AEs of interest will be assessed.
Part 1: Number of participants with abnormal hematology parameters
Time frame: Up to 2 years
Blood samples will be collected to assess the following hematology parameters: hemoglobin, Mean corpuscular (MCV), white blood cell count (WBC count), platelets, mean platelet volume, differential WBC count and coagulation factors including International normalized ratio (INR), activated partial thromboplastin time (aPTT) and prothrombin time (PT).
Part 1: Number of participants with abnormal clinical chemistry parameters
Time frame: Up to 2 years
Blood samples will be collected to assess the following chemistry parameters: sodium, potassium, calcium, magnesium, creatinine, bilirubin, alkaline phosphatase, aspartate aminotransferase (AST), alanine aminotransferase (ALT), and albumin.
Part 1, Part 2A, and Part 2B: Number of participants with a change from baseline in urinalysis parameters
Time frame: Up to 2 years
Number of participants will be assessed.
Part 1, Part 2A, and Part 2B: Number of participants with a change from baseline in vital signs
Time frame: Up to 2 years
Number of participants will be assessed.
Part 1: Number of participants with abnormal electrocardiogram (ECG) parameters
Time frame: Up to 2 years
Participants will be supine or in a semi-recumbent position and rested for approximately 2 minutes before ECGs are recorded.
Part 1: Number of participants receiving concomitant medications
Time frame: Up to 2 years
Concomitant medications will be recorded.
Part 2A: Number of participants with TEAEs
Time frame: Up to 2 years
An AE is any untoward medical occurrence that occurs in a participant or clinical investigation participant administered a pharmaceutical product, and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including clinically significant abnormal laboratory findings), symptom, or disease temporally associated with the use of an investigational product, whether or not considered related to the product. TEAEs defined as any AE either reported for the first dose of study treatment.
Part 2A: Number of participants with immune mediated AEs of interest
Time frame: Up to 2 years
Participants with immune related AEs of interest will be assessed.
Part 2A: Number of participants with abnormal hematology parameters
Time frame: Up to 2 years
Blood samples will be collected to assess the following hematology parameters: hemoglobin, MCV, white WBC count, platelets, mean platelet volume, differential WBC count and coagulation factors including INR, aPTT and PT.
Part 2A: Number of participants with abnormal clinical chemistry parameters
Time frame: Up to 2 years
Blood samples will be collected to assess the following chemistry parameters: sodium, potassium, calcium, magnesium, creatinine, bilirubin, AST, ALT, and albumin.
Part 2A: Number of participants with abnormal ECG
Time frame: Up to 2 years
Participants will be supine or in a semi-recumbent position and rested for approximately 2 minutes before ECGs are recorded.
Part 2A: Number of participants receiving concomitant medications
Time frame: Up to 2 years
Concomitant medications will be recorded.
Part 2B: Number of participants with TEAEs
Time frame: Up to 2 years
An AE is any untoward medical occurrence that occurs in a participant or clinical investigation participant administered a pharmaceutical product, and which does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including clinically significant abnormal laboratory findings), symptom, or disease temporally associated with the use of an investigational product, whether or not considered related to the product. TEAEs defined as any AE either reported for the first dose of study treatment.
Part 2B: Number of participants with immune related AEs of interest
Time frame: Up to 2 years
Participants with immune related AEs of interest will be assessed.
Part 2B: Number of participants with abnormal hematology parameters
Time frame: Up to 2 years
Blood samples will be collected to assess the following hematology parameters: hemoglobin, MCV, white WBC count, platelets, mean platelet volume, differential WBC count and coagulation factors including INR, aPTT and PT.
Part 2B: Number of participants with abnormal clinical chemistry parameters
Time frame: Up to 2 years
Blood samples will be collected to assess the following chemistry parameters: sodium, potassium, calcium, magnesium, creatinine, bilirubin, AST, ALT, and albumin.
Part 2B: Number of participants with abnormal ECG parameters
Time frame: Up to 2 years
Participants will be supine or in a semi-recumbent position and rested for approximately 2 minutes before ECGs are recorded.
Part 2B: Number of participants receiving concomitant medications
Time frame: Up to 2 years
Concomitant medications will be recorded.
Part 2B: Cohort A1 Overall Response Rate (ORR) by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
Time frame: Up to 2 years
ORR is defined as the proportion of participants achieving complete response (CR) or partial response (PR) as evaluated by independent blinded central review using RECIST version 1.1.
Part 2B: Cohort F ORR by RECIST version 1.1
Time frame: Up to 2 years
ORR is defined as the proportion of participants achieving CR or PR as evaluated by independent blinded central review using RECIST version 1.1.
Part 2B: Cohort A2 ORR by RECIST version 1.1
Time frame: Up to 2 years
ORR is defined as the proportion of participants achieving CR or PR as evaluated by independent blinded central review using RECIST version 1.1.
Part 2B: Cohort G ORR by RECIST version 1.1
Time frame: Up to 2 years
ORR is defined as the proportion of participants achieving CR or PR as evaluated by independent blinded central review using RECIST version 1.1.
Part 2B: Cohort E ORR by immune related Response Evaluation Criteria in Solid Tumors per irRECIST
Time frame: Up to 2 years
ORR is defined as the proportion of participants achieving CR or PR as assessed by investigator per irRECIST will be evaluated.
Part 2B: Cohort A1 Duration of response (DOR)
Time frame: Up to 2 years
DOR is defined as the time from first documentation of CR or PR by RECIST version 1.1 until the time of first documentation of progressive disease (PD) evaluated using RECIST version 1.1 based on independent blinded central review, or death due to any cause.
Part 2B: Cohort F Duration of response (DOR)
Time frame: Up to 2 years
DOR is defined as the time from first documentation of CR or PR by RECIST version 1.1 until the time of first documentation of PD evaluated using RECIST version 1.1 based on independent blinded central review, or death due to any cause.
Part 2B: Cohort A2 Duration of response (DOR)
Time frame: Up to 2 years
DOR is defined as the time from first documentation of CR or PR by RECIST version 1.1 until the time of first documentation of PD evaluated using RECIST version 1.1 based on independent blinded central review, or death due to any cause.
49 secondary outcomes
Part 1: Immune-related objective response rate (irORR) by irRECIST
Time frame: Up to 2 years
Part 2B: Cohort A1 ORR by independent blinded central review using RECIST version 1.1
Time frame: Up to 2 years
Part 2B: Cohort F ORR by independent blinded central review using RECIST version 1.1
Time frame: Up to 2 years
Part 2B: Cohort A1 Immune-related objective response rate (irORR) by irRECIST
Time frame: Up to 2 years
Part 2B: Cohort A2 irORR by irRECIST
Time frame: Up to 2 years
Part 2B: Cohort F irORR by irRECIST
Time frame: Up to 2 years
Part 2B: Cohort G irORR by irRECIST
Time frame: Up to 2 years
Part 2B: Cohort A1 Duration of response (DOR) based on independent blinded central review using RECIST version 1.1
Time frame: Up to 2 years
Part 2B: Cohort F DOR based on independent blinded central review using RECIST version 1.1
Time frame: Up to 2 years
Part 2B: Cohort G DOR based on independent blinded central review using RECIST version 1.1
Time frame: Up to 2 years
Part 2B: Cohort A1 Disease control rate
Time frame: Up to 2 years
Part 2B: Cohort A2 Disease control rate
Time frame: Up to 2 years
Part 2B: Cohort F Disease control rate
Time frame: Up to 2 years
Part 2B: Cohort G Disease control rate
Time frame: Up to 2 years
Immune related disease control rate
Time frame: Up to 2 years
Immune related duration of response
Time frame: Up to 2 years
Progression free survival
Time frame: Up to 2 years
Overall survival
Time frame: Up to 2 years
Part 1: Area under the concentration-time curve from time 0 to last (AUC,0-last) assessment of dostarlimab
Time frame: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504 and 672 hours post dose
Part 1: Area under the concentration-time curve from time 0 to infinity (AUC, 0-infinity) of dostarlimab
Time frame: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672 hours post dose
Part 1: Minimum concentration (Cmin) of dostarlimab
Time frame: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672 hours post dose
Part 1: Maximum concentration (Cmax) of dostarlimab
Time frame: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672 hours post dose
Part 1: Clearance (CL) of dostarlimab
Time frame: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672 hours post dose
Part 1: Volume of distribution (Vz) of dostarlimab
Time frame: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672 hours post dose
Part 1: Area under the concentration-time curve at steady state (AUC,ss) of dostarlimab
Time frame: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672 hours post dose
Part 1: Minimum concentration at steady state (Cmin,ss) of dostarlimab
Time frame: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504,672 hours post dose.
Part 1: Maximum concentration at steady state (Cmax,ss) of dostarlimab
Time frame: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672 hours post dose
Part 2A: AUC,0-last assessment of dostarlimab
Time frame: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, and 504 hours post dose Q3W upto 2 years
Part 2A: AUC, 0-infinity of dostarlimab
Time frame: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, and 504 hours post dose Q3W upto 2 years
Part 2A: Cmin of dostarlimab
Time frame: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, and 504,hours post dose Q3W upto 2 years
Part 2A: Cmax of dostarlimab
Time frame: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, and 504,hours post dose Q3W upto 2 years
Part 2A: CL of dostarlimab
Time frame: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, and 504,hours post dose Q3W upto 2 years
Part 2A: Vz of dostarlimab
Time frame: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, and 504 hours post dose Q3W upto 2 years.
Part 2A: AUC,ss of dostarlimab
Time frame: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, and 504 hours post dose Q3W upto 2 years
Part 2A: Cmin,ss of dostarlimab
Time frame: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, and 504 hours post dose Q3W upto 2 years
Part 2A: Cmax,ss of dostarlimab
Time frame: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, and 504 hours post dose Q3W upto 2 years
Part 2A : AUC,0-last assessment of dostarlimab
Time frame: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672, 840, and 1008 hours post dose Q6W upto 2 years
Part 2A: AUC, 0-infinity of dostarlimab
Time frame: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672, 840, and 1008 hours post dose Q6W upto 2 years
Part 2A: Cmin of dostarlimab
Time frame: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672, 840, and 1008 hours post dose Q6W upto 2 years
Part 2A: Cmax of dostarlimab
Time frame: Predose, 0.25, 0.5, 1.5, 3, 24, 48, 96, 168, 336, 504, 672, 840, and 1008 hours post dose Q6W upto 2 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Aug 2026.
- Background: PubMed 34750637Patnaik A, Weiss GJ, Rasco DW, Blaydorn L, Mirabella A, Beeram M, Guo W, Lu S, Danaee H, McEachern K, Im E, Sachdev JC. Safety, antitumor activity, and pharmacokinetics of dostarlimab, an anti-PD-1, in patients with advanced solid tumors: a dose-escalation phase 1 trial. Cancer Chemother Pharmacol. 2022 Jan;89(1):93-103. doi: 10.1007/s00280-021-04358-3. Epub 2021 Nov 8.
- BackgroundZhang XT, Chen H, Shao W, Zhongping JL, Melham M, Lu S.A Competitive Ligand Binding Assay to Measure Antidrug Antibodies Against Dostarlimab (TSR-042).2021; DOI: 10.1186/s41120-021-00039-w
- BackgroundPatterson M, Beausang LA, Rup B, Bowsher R, Krug K, Gunn G, Melham M, Lu S.A Bridging Assay for Detection and Characterization of Anti-Drug Antibodies to Dostarlimab, a New Anti-PD-1 Therapeutic Monoclonal Antibody .2021;7(11) DOI: DOI 10.1186/s41120-021-00045-y
- Background: PubMed 34313545Kumar S, Ghosh S, Sharma G, Wang Z, Kehry MR, Marino MH, Neben TY, Lu S, Luo S, Roberts S, Ramaswamy S, Danaee H, Jenkins D. Preclinical characterization of dostarlimab, a therapeutic anti-PD-1 antibody with potent activity to enhance immune function in in vitro cellular assays and in vivo animal models. MAbs. 2021 Jan-Dec;13(1):1954136. doi: 10.1080/19420862.2021.1954136.
- Background: PubMed 35064011Oaknin A, Gilbert L, Tinker AV, Brown J, Mathews C, Press J, Sabatier R, O'Malley DM, Samouelian V, Boni V, Duska L, Ghamande S, Ghatage P, Kristeleit R, Leath C III, Guo W, Im E, Zildjian S, Han X, Duan T, Veneris J, Pothuri B. Safety and antitumor activity of dostarlimab in patients with advanced or recurrent DNA mismatch repair deficient/microsatellite instability-high (dMMR/MSI-H) or proficient/stable (MMRp/MSS) endometrial cancer: interim results from GARNET-a phase I, single-arm study. J Immunother Cancer. 2022 Jan;10(1):e003777. doi: 10.1136/jitc-2021-003777.
- Background: PubMed 35973737Kristeleit R, Mathews C, Redondo A, Boklage S, Hanlon J, Im E, Brown J. Patient-reported outcomes in the GARNET trial in patients with advanced or recurrent mismatch repair-deficient/microsatellite instability-high endometrial cancer treated with dostarlimab. Int J Gynecol Cancer. 2022 Oct 3;32(10):1250-1257. doi: 10.1136/ijgc-2022-003492.
- Background: PubMed 36823349Kuchimanchi M, Dabrowski C, Lu S, Melhem M. Dostarlimab, an anti-programmed death-1 monoclonal antibody, does not cause QT prolongation in patients with solid tumours: A concentration-QT analysis. Br J Clin Pharmacol. 2023 Jul;89(7):2272-2282. doi: 10.1111/bcp.15700. Epub 2023 Mar 20.
- Derived from this study: PubMed 37917058Andre T, Berton D, Curigliano G, Sabatier R, Tinker AV, Oaknin A, Ellard S, de Braud F, Arkenau HT, Trigo J, Gravina A, Kristeleit R, Moreno V, Abdeddaim C, Vano YA, Samouelian V, Miller R, Boni V, Torres AA, Gilbert L, Brown J, Dewal N, Dabrowski C, Antony G, Zografos E, Veneris J, Banerjee S. Antitumor Activity and Safety of Dostarlimab Monotherapy in Patients With Mismatch Repair Deficient Solid Tumors: A Nonrandomized Controlled Trial. JAMA Netw Open. 2023 Nov 1;6(11):e2341165. doi: 10.1001/jamanetworkopen.2023.41165.
- Derived from this study: PubMed 37659907Rodrigues M, Eberst L, Follana P, Gauthier L, Jacquemin V, Tessier C, El Mouaddin N, Boudier P, Fiteni F, Angeli E, Roche S, Delanoy N, Sabatier R, Flippot R, de la Motte Rouge T. Real-world dostarlimab use in advanced/recurrent endometrial cancer in France. Bull Cancer. 2023 Oct;110(10):1041-1050. doi: 10.1016/j.bulcan.2023.06.009. Epub 2023 Aug 31.
- Derived from this study: PubMed 37363992Oaknin A, Pothuri B, Gilbert L, Sabatier R, Brown J, Ghamande S, Mathews C, O'Malley DM, Kristeleit R, Boni V, Gravina A, Banerjee S, Miller R, Pikiel J, Mirza MR, Dewal N, Antony G, Dong Y, Zografos E, Veneris J, Tinker AV. Safety, Efficacy, and Biomarker Analyses of Dostarlimab in Patients with Endometrial Cancer: Interim Results of the Phase I GARNET Study. Clin Cancer Res. 2023 Nov 14;29(22):4564-4574. doi: 10.1158/1078-0432.CCR-22-3915.
- Derived from this study: PubMed 35729005Moreno V, Roda D, Pikiel J, Trigo J, Bosch-Barrera J, Drew Y, Kristeleit R, Hiret S, Bajor DL, Cruz P, Beck JT, Ghosh S, Dabrowski C, Antony G, Duan T, Veneris J, Zografos E, Subramanian J. Safety and Efficacy of Dostarlimab in Patients With Recurrent/Advanced Non-small Cell Lung Cancer: Results from Cohort E of the Phase I GARNET Trial. Clin Lung Cancer. 2022 Nov;23(7):e415-e427. doi: 10.1016/j.cllc.2022.05.013. Epub 2022 May 23.
- Derived from this study: PubMed 34427115Oaknin A, Tinker AV, Gilbert L, Samouelian V, Mathews C, Brown J, Barretina-Ginesta MP, Moreno V, Gravina A, Abdeddaim C, Banerjee S, Guo W, Danaee H, Im E, Sabatier R. Clinical activity and safety of the anti-PD-1 monoclonal antibody dostarlimab for patients with recurrent or advanced dMMR endometrial cancer. Future Oncol. 2021 Oct 1;17(29):3781-3785. doi: 10.2217/fon-2021-0598. Epub 2021 Aug 24.
- Individual participant dataSharing planned: Yes. IPD for this study will be made available via the Clinical Study Data Request site.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
GSK Clinical Trials study director
GlaxoSmithKline
128 sites in 13 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing Dostarlimab in people with Neoplasms, run by Tesaro, Inc. at 128 sites in 13 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 40 inclusion and 21 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 25 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 128 sites in United States, Spain, Canada, France, United Kingdom and 8 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Part 1: Number of participants with treatment emergent AEs (TEAEs) (time frame: Up to 2 years). The study lists 28 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02715284, which also lists 13 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Aug 2026.