Cervical CancerPhase 2NCT03894215
RaPiDS- A Phase 2 Study of Anti-PD-1 Independently or in Combination With Anti-CTLA-4 in Second-Line Cervical Cancer
A Phase 2 study testing AGEN2034 and AGEN1884 in people with Cervical Cancer, run by Agenus Inc. at 68 sites in 7 countries.
Trial summary
This is a randomized, blinded, non-comparative, two-arm Phase 2 clinical trial to assess the efficacy and safety of AGEN2034 administered with placebo (Treatment Arm 1 - monotherapy) or with AGEN1884 (Treatment Arm 2- combination therapy) for treatment of patients with advanced cervical cancer who relapsed or… Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Cervical Cancer
- What is being tested?
- AGEN2034 and AGEN1884
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 211 participants
- Where
- 68 sitesin 7 countries
- Study dates
- 1 Jun 2019to 26 Mar 2025
- Phase
- Phase 2
- Are there results?
- None posted in the registry
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
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Voluntarily agree to participate by giving written informed consent. (Participation in pharmacogenomics testing is optional).
- Be ≥18 years of age.
- Diagnosis:
- Have (1) a histologically or cytologically confirmed diagnosis of squamous-cell carcinoma, adenosquamous carcinoma, or adenocarcinoma of the cervix, and (2) metastatic, locally advanced, and/or unresectable disease at the time of enrollment. Histologic confirmation of the original primary tumor is required via pathology report.
- Note: The following cervical tumors are not eligible: minimal deviation/adenoma malignum, gastric type adenocarcinoma, clear cell carcinoma, and mesonephric carcinoma.
- Has cervical cancer and has relapsed after a platinum- based treatment (first line) regimen for advanced (recurrent, unresectable, or metastatic) disease.
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- Measurable Disease:
- Have measurable disease on imaging based on RECIST version 1.1 by Investigator assessments and independent central radiologic review.
- Note: Patients without centrally confirmed measurable disease at baseline will not be eligible for this trial.
- Note: Patients must have at least 1 "target lesion" to be used to assess response, as defined by RECIST version 1.1. Tumors within a previously irradiated field will be designated as "non-target" lesions unless progression is documented, or a biopsy is obtained to confirm persistence at least 90 days following completion of radiation therapy.
- Have a life expectancy of at least 3 months and an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- Have adequate organ function as indicated by the following laboratory values:
- Adequate hematological function defined by absolute neutrophil count (ANC) > 1.5 x 10^9/L, platelet count > 100 x 10^9/L, and hemoglobin >8 g/dL (without transfusions within 1 week of first dose).
- Adequate hepatic function based by a total bilirubin level ≤ 1.5 the institutional upper limit of normal (IULN), aspartate aminotransferase (AST) level ≤ 2.5 x IULN, alanine aminotransferase (ALT) level ≤ 2.5 x IULN, and alkaline phosphatase ≤ 2.5 IULN and albumin ≥3.0 mg/dL.
- Adequate renal function defined as creatinine ≤ 1.5 × upper limit of normal (ULN) OR measured or calculated creatinine clearance ≥ 40 mL/minute per Institutional standard. Assessment methods should be recorded.
- Adequate coagulation defined by international normalized ratio (INR) or prothrombin time ≤ 1.5 x IULN (unless the patient is receiving anticoagulant therapy); and activated partial thromboplastin time (aPTT) ≤ 1.5 x IULN (unless the patient is receiving anticoagulant therapy)
- Has no history of another primary malignancy, with the exception of:
- Malignancy treated with curative intent and with no known active disease ≥ 3 years before the first dose of study drug and of low potential risk for recurrence.
- Adequately treated non-melanoma skin cancer or lentigo maligna without evidence of disease and superficial bladder cancer.
- Patients must provide a sufficient and adequate FFPE tumor tissue sample preferably from the most recent biopsy of a tumor lesion, collected either at the time of or after the diagnosis of advanced or metastatic disease has been made AND from a site not previously irradiated. Archival tumor tissue must be ≤ 3 years old. If no tumor tissue is available, a fresh biopsy will be required (See Section 7.2.3.1 for details).
- Note: Tissue from core biopsy or excisional biopsy or from resection is required.
- Patients must have a negative serum pregnancy test at screening (within 72 hours of first dose of study medication) if of childbearing potential or be of non-childbearing potential. Non-childbearing potential is defined as (by other than medical reasons):
- ≥45 years of age and has not had menses for greater than 1 year,
- Amenorrheic ≥ 2 years without a hysterectomy and oophorectomy and a follicle-stimulating hormone (FSH) value in the postmenopausal range upon pretrial (screening) evaluation,
- History of hysterectomy, oophorectomy or tubal ligation.
- Definitive pelvic radiation for the treatment of cervical cancer.
- If of childbearing potential, female patients must be willing to use 2 adequate barrier methods throughout the study, starting with the screening visit through 120 days after the last dose of study treatment. Note: Abstinence is acceptable if this is the established and preferred contraception for the patient.
- Is willing and able to comply with the requirements of the protocol.
Who cannot join
- The patient must be excluded from participating in the trial if the patient:
- Is currently participating and receiving study therapy or has participated in a study of an investigational agent and received study therapy or used an investigation device within 4 weeks of the first dose of treatment.
- Has an inadequate washout period prior to first dose of study drug defined as:
- Received systemic cytotoxic chemotherapy or biological therapy within 3 weeks before first dose,
- Received radiation therapy within 3 weeks before first dose, or
- Had major surgery within 4 weeks before first dose.
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- Has received prior therapy with:
- Any antibody/drug targeting T-cell co-regulatory proteins (immune checkpoints) such as anti-PD-1, anti-PD-L1, or anti- cytotoxic T-lymphocyte antigen 4 (CTLA-4) antibodies
- More than 1 systemic treatment regimen for the advanced (recurrent, unresectable, or metastatic) cervical cancer for which the patient is considered for the study.
- Has persisting toxicity related to prior therapy of National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0 (NCI-CTCAE) Grade >1 severity.
- Note: Sensory neuropathy or alopecia of Grade ≤2 is acceptable.
- Is expected to require any other form of systemic or localized antineoplastic therapy while on trial (including maintenance therapy with another agent, radiation therapy, and/or surgical resection).
- Has known severe hypersensitivity reactions to fully human monoclonal antibodies (NCI-CTCAE Grade ≥3), any history of anaphylaxis, or uncontrolled asthma.
- Has received systemic corticosteroid therapy ≤ 7 days prior to the first dose of trial treatment or receiving any other form of systemic immunosuppressive medication (corticosteroid use on study for management of immune-related adverse events (AE), and/or a premedication for IV contrast allergies/reactions is allowed). Patients who are receiving daily corticosteroid replacement therapy are an exception to this rule. Daily prednisone at doses of up to 5 mg or equivalent hydrocortisone dose are examples of permitted replacement therapy.
- Has a central nervous system (CNS) tumor, metastasis(es), and/or carcinomatous meningitis identified either on the baseline brain imaging obtained during the screening period OR identified prior to consent.
- Note: Patients with history of brain metastases that have been treated may participate provided they show evidence of stable supra-tentorial lesions at screening (based on 2 sets of brain images, performed ≥ 4 weeks apart, and obtained after the brain metastases treatment). In addition, any neurologic symptoms that developed either as a result of the brain metastases or their treatment must have resolved or be minimal and be expected as sequelae from treated lesions. For individuals who received steroids as part of brain metastases treatment, steroids must be discontinued ≥ 7 days prior to first dose of study drug.
- Has active or history of autoimmune disease that has required immunosuppressive systemic treatment within 2 years of the start of trial treatment (i.e. with use of disease modifying agents, corticosteroids or immunosuppressive drugs). Replacement therapy (i.e., thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc.) is not considered a form of immunosuppressive systemic treatment.
- Note: Patients with diabetes type 1, vitiligo, psoriasis, hypo-, or hyperthyroid disease not requiring immunosuppressive treatment are eligible.
- Has had an allogeneic tissue/solid organ transplant.
- Has or had interstitial lung disease (ILD) OR has had a history of pneumonitis that has required oral or IV corticosteroids.
- Has an active infection requiring intravenous (IV) systemic therapy.
- Has known history of Human Immunodeficiency Virus (HIV) (HIV 1/2 antibodies).
- Has known active Hepatitis B (HBV), Hepatitis C (HCV), or tuberculosis. Active Hepatitis B is defined as a known positive HBsAg result. Active Hepatitis C is defined by a known positive Hep C Ab result and known quantitative HCV ribonucleic acid (RNA) results greater than the lower limits of detection of the assay.
- Has clinically significant (i.e., active) cardiovascular disease: cerebral vascular accident/stroke or myocardial infarction within 6 months of enrollment, unstable angina, congestive heart failure (New York Heart Association class ≥II), or serious uncontrolled cardiac arrhythmia requiring medication.
- Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the trial, interfere with the patient's participation for the full duration of the trial, or is not in the best interest of the patient to participate, in the opinion of the treating investigator.
- Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the trial.
- Is, at the time of signing informed consent, a regular user (including "recreational use") of any illicit drugs or had a recent history (within the last year) of substance abuse (including alcohol). Medicinal marijuana use is not considered "illicit" and is allowed to be utilized prior to and during enrollment.
- Is legally incapacitated or has limited legal capacity.
- Is pregnant or breastfeeding or expecting to conceive within the projected duration of the trial, starting with the screening visit through 120 days after the last dose of the study drug.
Trial locations and contacts
68 sites in 7 countries.
68 sites in 7 countries
United States42 sites
University of New Mexico Cancer Center
Albuquerque, New Mexico, 87102
Northside Hospital
Atlanta, Georgia, 30342
Texas Oncology Surgical Specialists - Austin Central
Austin, Texas, 78745
Texas Oncology - Bedford
Bedford, Texas, 76022
University of Alabama at Birmingham School of Medicine
Birmingham, Alabama, 35233-1802
MD Anderson Cancer Center at Cooper
Camden, New Jersey, 08103
Levine Cancer Institute
Charlotte, North Carolina, 28204
MetroHealth Medical Center
Cleveland, Ohio, 44109
The Ohio State University Wexner Medical Center
Columbus, Ohio, 43210
Columbus NCORP
Columbus, Ohio, 43215
Texas Oncology - Dallas - Presbyterian Cancer Center
Dallas, Texas, 75231
The University of Texas Southwestern Medical Center
Dallas, Texas, 75390
Willamette Valley Cancer Institute
Eugene, Oregon, 97401
Texas Oncology - Fort Worth Cancer Center
Fort Worth, Texas, 76104
Community Health Network - North Cancer Center
Indianapolis, Indiana, 46250
Baptist MD Anderson Cancer Center
Jacksonville, Florida, 32207
University of California, San Diego (UCSD) - Moores Cancer Center
La Jolla, California, 92093
Northwell Health Monter Cancer Center
Lake Success, New York, 11042
University of Kentucky Albert B. Chandler Hospital
Lexington, Kentucky, 40536
UCLA- Women's Health Clinical Research Unit (WHCRU)
Los Angeles, California, 90095
University of South Alabama Mitchell Cancer Institute
Mobile, Alabama, 36604
Ochsner Clinic Foundation
New Orleans, Louisiana, 70121
Laura and Isaac Perlmutter Cancer Center at NYU Langone
New York, New York, 10016
Gynecologic Oncology Associates
Newport, California, 92663
Stephenson Cancer Center
Oklahoma City, Oklahoma, 73104-5418
Penn Medicine - Jordan Center for Gynecologic Cancer
Philadelphia, Pennsylvania, 19104-5127
Arizona Oncology - Biltmore Cancer Center
Phoenix, Arizona, 85016
FirstHealth Outpatient Cancer Center
Pinehurst, North Carolina, 28374
Northwest Cancer Specialists, P.C.
Portland, Oregon, 97227
Women & Infants Hospital of Rhode Island
Providence, Rhode Island, 02905
Texas Oncology - San Antonio Medical Center
San Antonio, Texas, 78240
California Pacific Medical Center
San Francisco, California, 94115-1821
University of California, San Francisco Medical Center
San Francisco, California, 94158
St Joseph's Hospital
Savannah, Georgia, 31405-6015
SUNY Upstate Medical University
Syracuse, New York, 13210
Moffitt Cancer Center
Tampa, Florida, 33612
Albert Einstein College of Medicine
The Bronx, New York, 10461
Texas Oncology - The Woodlands
The Woodlands, Texas, 77380
Arizona Oncology - Tucson - Wilmot Road Location
Tucson, Arizona, 85711
Oklahoma Cancer Specialists and Research Institute, LLC
Tulsa, Oklahoma, 74146
Texas Oncology
Tyler, Texas, 75702
WellSpan Gynecologic Oncology
York, Pennsylvania, 17403
Brazil12 sites
Hospital de Câncer de Barretos
Barretos, São Paulo, 14784-400
CECOR - Centro Oncológico de Roraima
Boa Vista, Roraima, 69304-015
CRIO - Centro Regional Integrado de Oncologia
Fortaleza, Ceará, 60336-045
ONCOSITE/Hospital de Caridade de Ijuí
Ijuí, Rio Grande do Sul, 98700-000
Hospital Mãe de Deus
Porto Alegre, Rio Grande do Sul, 90110-270
IMIP - Instituto de Medicina Integral Prof. Fernando Figueira
Recife, Pernambuco, 50070-902
INCA - Instituto Nacional de Câncer
Rio de Janeiro, 20231-050
Instituto do Câncer do Estado de São Paulo
São Paulo, 01246-000
Perola Centro de Pesquisa em Oncologia
São Paulo, 01317-001
Hospital Amaral Carvalho
São Paulo, 17210-120
Fundação Antonio Prudente/AC Camargo Cancer Center
São Paulo, 9015-010
Hospital Santa Rita
Vitória, Espírito Santo, 29043-260
Mexico4 sites
COI Centro Oncológico Internacional S.A.P.I. de C.V.
Mexico City, Mexico City, 04700
Christus Muguerza Hospital Vidriera
Monterrey, Nuevo León, 64570
Oaxaca Site Management Organization (OSMO)
Oaxaca City, 68000
Cancerologia De Queretaro
Querétaro, 76090
Taiwan4 sites
Taichung Veterans General Hospital
Taichung, 40705
Mackay Memorial Hospital Taipei Branch
Taipei, 10449
Taipei Veterans General Hospital
Taipei, 11217
Koo Foundation Sun Yat-Sen Cancer Center
Taipei, 11259
South Korea3 sites
Seoul National University
Seoul, 03080
Gangnam Severence Hospital
Seoul, 06273
Samsung Medical Center
Seoul
Thailand2 sites
King Chulalongkorn Memorial Hospital, Chulalongkorn University
Bangkok, 10330
Ramathibodi Hospital, Mahidol University
Bangkok, 10400
Peru1 site
Clinica MonteSur, Centro de Investigación Clínica Montesur RCI -259
Lima Lima, 15023
About this study
Official title: A Two-arm, Randomized, Non-comparative, Phase 2 Trial of AGEN2034 (Anti-PD-1) as a Monotherapy or Combination Therapy With AGEN1884 (Anti- CTLA4) or With Placebo in Women With Recurrent Cervical Cancer (Second Line) - RaPiDS
This is a randomized, blinded, non-comparative, two-arm Phase 2 clinical trial to assess the efficacy and safety of AGEN2034 administered with placebo (Treatment Arm 1 - monotherapy) or with AGEN1884 (Treatment Arm 2- combination therapy) for treatment of patients with advanced cervical cancer who relapsed or progressed after receiving first-line platinum-based chemotherapy. The study is not intended to compare the efficacy of the 2 experimental arms. Rather, the efficacy of each arm will be evaluated against its relevant historical controls as appropriate.
Read the detailed description
This is a randomized, blinded, non-comparative, two-arm Phase 2 clinical trial to assess the efficacy and safety of AGEN2034 administered with placebo (Treatment Arm 1 - monotherapy) or with AGEN1884 (Treatment Arm 2- combination therapy) for treatment of patients with advanced cervical cancer who relapsed or progressed after receiving first-line platinum-based chemotherapy. The study is not intended to compare the efficacy of the 2 experimental arms. Rather, the efficacy of each arm will be evaluated against its relevant historical controls as appropriate Patients will receive AGEN2034 with placebo as a monotherapy or with AGEN1884 as combination therapy for a maximum of 24 months or until confirmed progression, unacceptable toxicity, or any criterion for stopping the study drug or withdrawal from the trial occurs. Placebo administration in Treatment Arm 1 (AGEN 2034 monotherapy) of the study is intended to preserve the integrity of the investigators' interpretation of the efficacy and safety data by eliminating biases in disease assessment monitoring, declaration of disease progression, and assessment of toxicities. Therefore, it is understood that investigators, patients, and research personnel will not know whether patients have received AGEN2034/placebo (Treatment Arm 1) or AGEN2034/AGEN1884 (Treatment Arm 2).
An Independent Data Monitoring Committee (IDMC) will evaluate safety and efficacy. An IRRC will be established to adjudicate tumor response.
- Conditions
- Cervical Cancer
- Being tested
- AGEN2034, AGEN1884
- Medical subject headings
- Uterine Cervical Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AGEN2034Drug
PD-1 antibody
AGEN1884Drug
CTLA-4 antibody
| Study group | Role | What they receive |
|---|---|---|
| AGEN2034 + Placebo | Experimental | AGEN2034 administered with placebo monotherapy: approximately 100 patients. Receives: Drug: AGEN2034 |
| AGEN2034 + AGEN1884 | Experimental | AGEN2034 administered in combination with AGEN1884 (combination therapy): approximately 100 patients. Receives: Drug: AGEN2034; Drug: AGEN1884 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Objective Response Rate
To assess the Objective Response Rate (ORR) to the treatment of AGEN2034 (anti-PD-1) administered with placebo (Treatment Arm 1 - monotherapy), or with AGEN1884 (anti-CTLA4) (Treatment Arm 2 - combination therapy), defined as the binomial proportion of intent to treat (ITT) patients with best overall response (BOR) of complete response (CR) or partial response (PR), in women with recurrent/persistent/metastatic cervical cancer who have progressed following first-line therapy. BOR will be determined by the Independent Radiology Review Committee (IRRC), according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1).
Measured: 48 months
Secondary outcomes (16)
Frequency, severity and duration of treatment-emergent AEs
To confirm the safety and tolerability of AGEN2034 administered with placebo (Treatment Arm 1 - monotherapy) or with AGEN1884 (Treatment Arm 2 - combination therapy) in patients with recurrent, progressive second-line cervical cancer.
Measured: 48 months
DOR per RECIST 1.1
To assess duration of response (DOR), stable disease (SD), duration of stable disease and disease control rate (DCR), overall survival (OS), and progression-free survival (PFS) per RECIST 1.1 for AGEN2034 administered with placebo (Treatment Arm 1 - monotherapy) or with AGEN1884 (Treatment Arm 2 - combination therapy).
Measured: 48 months
Time to Confirmed Progression
To estimate the time to confirmed progression by the investigator per iRECIST for AGEN2034 administered with placebo (Treatment Arm 1 - monotherapy) or with AGEN1884 (Treatment Arm 2 - combination therapy).
Measured: 48 months
Immunogenicity of AGEN2034
To evaluate the immunogenicity of AGEN2034 administered with placebo (Treatment Arm 1 - monotherapy) or with AGEN1884 (Treatment Arm 2 - combination therapy) and to correlate it to exposure and biological activity.
Measured: 48 months
Maximum observed drug concentration at steady state (Cmax-ss)
To characterize AGEN2034 and AGEN1884 pharmacokinetics (PK).
Measured: 48 months
Minimum observed drug concentration at steady-state (Cmin-ss)
To characterize AGEN2034 and AGEN1884 pharmacokinetics (PK).
Measured: 48 months
Area under the concentration-time curve within time span t1 to t2 at steady-state (AUC(τ1-τ2)-ss)
To characterize AGEN2034 and AGEN1884 pharmacokinetics (PK).
Measured: 48 months
Area under the drug concentration-time curve from time zero to time t (AUC(0-t))
To characterize AGEN2034 and AGEN1884 pharmacokinetics (PK).
Measured: 48 months
Area under the drug concentration-time curve from time zero to infinity (AUC(0-∞))
To characterize AGEN2034 and AGEN1884 pharmacokinetics (PK).
Measured: 48 months
Time to maximum drug concentration (tmax)
To characterize AGEN2034 and AGEN1884 pharmacokinetics (PK).
Measured: 48 months
Terminal disposition rate constant (λz)
To characterize AGEN2034 and AGEN1884 pharmacokinetics (PK).
Measured: 48 months
Terminal elimination half-life (t1/2)
To characterize AGEN2034 and AGEN1884 pharmacokinetics (PK).
Measured: 48 months
Systemic clearance (CL)
To characterize AGEN2034 and AGEN1884 pharmacokinetics (PK).
Measured: 48 months
Volume of distribution (Vd)
To characterize AGEN2034 and AGEN1884 pharmacokinetics (PK).
Measured: 48 months
Quality of Life Assessment per FACT-Cx
To assess quality of life in the treated population using the Functional Assessment of Cancer Therapy - Cervical Cancer Trial Outcome Index (FACT-Cx)
Measured: 35 months
Quality of Life Assessment per BPI
To assess quality of life in the treated population using Brief Pain Inventory (BPI)
Measured: 35 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Mar 2019
- Study start1 Jun 2019
- Primary completion26 Mar 2025
- Study completion26 Mar 2025
Why it stopped: Sponsor strategic decision
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (46)Papers the sponsor has linked to this study.
- Other trials for Cervical CancerStudies 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 211 participants (actual)
Sponsor and investigators
- Lead sponsor
- Agenus Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- GOG Foundation
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Agenus Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03894215
- Sponsor's protocol ID
- C-750-01/GOG-3028
- Status last verified
- Mar 2026
- First submitted
- 19 Mar 2019
- Last updated
- 27 Mar 2026
- Results posted
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
- Expanded access
- Available
Publications
Allie SR, Zhang W, Fuse S, Usherwood EJ. Programmed death 1 regulates development of central memory CD8 T cells after acute viral infection. J Immunol. 2011 Jun 1;186(11):6280-6. doi: 10.4049/jimmunol.1003870. Epub 2011 Apr 27.
PubMed 21525385Antonia S, Goldberg SB, Balmanoukian A, Chaft JE, Sanborn RE, Gupta A, Narwal R, Steele K, Gu Y, Karakunnel JJ, Rizvi NA. Safety and antitumour activity of durvalumab plus tremelimumab in non-small cell lung cancer: a multicentre, phase 1b study. Lancet Oncol. 2016 Mar;17(3):299-308. doi: 10.1016/S1470-2045(15)00544-6. Epub 2016 Feb 6.
PubMed 26858122Antonia SJ, Lopez-Martin JA, Bendell J, Ott PA, Taylor M, Eder JP, Jager D, Pietanza MC, Le DT, de Braud F, Morse MA, Ascierto PA, Horn L, Amin A, Pillai RN, Evans J, Chau I, Bono P, Atmaca A, Sharma P, Harbison CT, Lin CS, Christensen O, Calvo E. Nivolumab alone and nivolumab plus ipilimumab in recurrent small-cell lung cancer (CheckMate 032): a multicentre, open-label, phase 1/2 trial. Lancet Oncol. 2016 Jul;17(7):883-895. doi: 10.1016/S1470-2045(16)30098-5. Epub 2016 Jun 4.
PubMed 27269741Barber DL, Wherry EJ, Masopust D, Zhu B, Allison JP, Sharpe AH, Freeman GJ, Ahmed R. Restoring function in exhausted CD8 T cells during chronic viral infection. Nature. 2006 Feb 9;439(7077):682-7. doi: 10.1038/nature04444. Epub 2005 Dec 28.
PubMed 16382236Borcoman E, Le Tourneau C. Pembrolizumab in cervical cancer: latest evidence and clinical usefulness. Ther Adv Med Oncol. 2017 Jun;9(6):431-439. doi: 10.1177/1758834017708742. Epub 2017 May 8.
PubMed 28607581Boutros C, Tarhini A, Routier E, Lambotte O, Ladurie FL, Carbonnel F, Izzeddine H, Marabelle A, Champiat S, Berdelou A, Lanoy E, Texier M, Libenciuc C, Eggermont AM, Soria JC, Mateus C, Robert C. Safety profiles of anti-CTLA-4 and anti-PD-1 antibodies alone and in combination. Nat Rev Clin Oncol. 2016 Aug;13(8):473-86. doi: 10.1038/nrclinonc.2016.58. Epub 2016 May 4.
PubMed 27141885Bristol-Myers Squibb USA, 2017a. Opdivo® (nivolumab) package insert,
Bristol-Myers Squibb USA, 2017b. Yervoy® (ipilimumab) package insert,
Buchbinder EI, Desai A. CTLA-4 and PD-1 Pathways: Similarities, Differences, and Implications of Their Inhibition. Am J Clin Oncol. 2016 Feb;39(1):98-106. doi: 10.1097/COC.0000000000000239.
PubMed 26558876Bulliard Y, Jolicoeur R, Windman M, Rue SM, Ettenberg S, Knee DA, Wilson NS, Dranoff G, Brogdon JL. Activating Fc gamma receptors contribute to the antitumor activities of immunoregulatory receptor-targeting antibodies. J Exp Med. 2013 Aug 26;210(9):1685-93. doi: 10.1084/jem.20130573. Epub 2013 Jul 29.
PubMed 23897982Callahan MK, Wolchok JD, Allison JP. Anti-CTLA-4 antibody therapy: immune monitoring during clinical development of a novel immunotherapy. Semin Oncol. 2010 Oct;37(5):473-84. doi: 10.1053/j.seminoncol.2010.09.001.
PubMed 21074063Camacho LH. CTLA-4 blockade with ipilimumab: biology, safety, efficacy, and future considerations. Cancer Med. 2015 May;4(5):661-72. doi: 10.1002/cam4.371. Epub 2015 Jan 25.
PubMed 25619164Carbone DP, Reck M, Paz-Ares L, Creelan B, Horn L, Steins M, Felip E, van den Heuvel MM, Ciuleanu TE, Badin F, Ready N, Hiltermann TJN, Nair S, Juergens R, Peters S, Minenza E, Wrangle JM, Rodriguez-Abreu D, Borghaei H, Blumenschein GR Jr, Villaruz LC, Havel L, Krejci J, Corral Jaime J, Chang H, Geese WJ, Bhagavatheeswaran P, Chen AC, Socinski MA; CheckMate 026 Investigators. First-Line Nivolumab in Stage IV or Recurrent Non-Small-Cell Lung Cancer. N Engl J Med. 2017 Jun 22;376(25):2415-2426. doi: 10.1056/NEJMoa1613493.
PubMed 28636851Carlino, M.S. et al., 2017. KEYNOTE-029: Efficacy and safety of pembrolizumab (pembro) plus ipilimumab (ipi) for advanced melanoma. In ASCO Annual Meeting. Chicago.
Chand D, Savistky D, Gonzalez A,, et al. [Abstract]. J Immunother Cancer. 2017;5(Suppl2):P312.
Study at a glance
From the registry record, last updated by the sponsor on 27 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Two-arm, Randomized, Non-comparative, Phase 2 Trial of AGEN2034 (Anti-PD-1) as a Monotherapy or Combination Therapy With AGEN1884 (Anti- CTLA4) or With Placebo in Women With Recurrent Cervical Cancer (Second Line) - RaPiDS
- ClinicalTrials.gov ID
- NCT03894215
- Acronym / sponsor ID
- C-750-01/GOG-3028
- Conditions
- Cervical Cancer
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Sponsor strategic decision
- Enrolment
- 211 participants (actual)
- Lead sponsor
- Agenus Inc.Industry (pharma, biotech, devices)
- Collaborators
- GOG Foundation
- Study start
- 1 Jun 2019 (actual)
- Primary completion
- 26 Mar 2025 (actual)
- Study completion
- 26 Mar 2025 (actual)
- First posted
- 28 Mar 2019 (actual)
- 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 randomized, blinded, non-comparative, two-arm Phase 2 clinical trial to assess the efficacy and safety of AGEN2034 administered with placebo (Treatment Arm 1 - monotherapy) or with AGEN1884 (Treatment Arm 2- combination therapy) for treatment of patients with advanced cervical cancer who relapsed or progressed after receiving first-line platinum-based chemotherapy. The study is not intended to compare the efficacy of the 2 experimental arms. Rather, the efficacy of each arm will be evaluated against its relevant historical controls as appropriate.
Detailed description
This is a randomized, blinded, non-comparative, two-arm Phase 2 clinical trial to assess the efficacy and safety of AGEN2034 administered with placebo (Treatment Arm 1 - monotherapy) or with AGEN1884 (Treatment Arm 2- combination therapy) for treatment of patients with advanced cervical cancer who relapsed or progressed after receiving first-line platinum-based chemotherapy. The study is not intended to compare the efficacy of the 2 experimental arms. Rather, the efficacy of each arm will be evaluated against its relevant historical controls as appropriate Patients will receive AGEN2034 with placebo as a monotherapy or with AGEN1884 as combination therapy for a maximum of 24 months or until confirmed progression, unacceptable toxicity, or any criterion for stopping the study drug or withdrawal from the trial occurs. Placebo administration in Treatment Arm 1 (AGEN 2034 monotherapy) of the study is intended to preserve the integrity of the investigators' interpretation of the efficacy and safety data by eliminating biases in disease assessment monitoring, declaration of disease progression, and assessment of toxicities. Therefore, it is understood that investigators, patients, and research personnel will not know whether patients have received AGEN2034/placebo (Treatment Arm 1) or AGEN2034/AGEN1884 (Treatment Arm 2).
An Independent Data Monitoring Committee (IDMC) will evaluate safety and efficacy. An IRRC will be established to adjudicate tumor response.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| AGEN2034 + Placebo | Experimental | Drug: AGEN2034AGEN2034 administered with placebo monotherapy: approximately 100 patients. |
| AGEN2034 + AGEN1884 | Experimental | Drug: AGEN2034, Drug: AGEN1884AGEN2034 administered in combination with AGEN1884 (combination therapy): approximately 100 patients. |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (28 listed)
- Voluntarily agree to participate by giving written informed consent. (Participation in pharmacogenomics testing is optional).
- Be ≥18 years of age.
- Diagnosis:
- Note: The following cervical tumors are not eligible: minimal deviation/adenoma malignum, gastric type adenocarcinoma, clear cell carcinoma, and mesonephric carcinoma.
- Measurable Disease:
Key exclusion criteria (29 listed)
- Is currently participating and receiving study therapy or has participated in a study of an investigational agent and received study therapy or used an investigation device within 4 weeks of the first dose of treatment.
- Has an inadequate washout period prior to first dose of study drug defined as:
- Has received prior therapy with:
- Has persisting toxicity related to prior therapy of National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0 (NCI-CTCAE) Grade >1 severity.
- Note: Sensory neuropathy or alopecia of Grade ≤2 is acceptable.
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 |
|---|---|---|
| AGEN2034PD-1 antibody | Drug | AGEN2034 + AGEN1884, AGEN2034 + Placebo |
| AGEN1884CTLA-4 antibody | Drug | AGEN2034 + AGEN1884 |
Primary outcome
Objective Response Rate
Time frame: 48 months
To assess the Objective Response Rate (ORR) to the treatment of AGEN2034 (anti-PD-1) administered with placebo (Treatment Arm 1 - monotherapy), or with AGEN1884 (anti-CTLA4) (Treatment Arm 2 - combination therapy), defined as the binomial proportion of intent to treat (ITT) patients with best overall response (BOR) of complete response (CR) or partial response (PR), in women with recurrent/persistent/metastatic cervical cancer who have progressed following first-line therapy. BOR will be determined by the Independent Radiology Review Committee (IRRC), according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1).
16 secondary outcomes
Frequency, severity and duration of treatment-emergent AEs
Time frame: 48 months
DOR per RECIST 1.1
Time frame: 48 months
Time to Confirmed Progression
Time frame: 48 months
Immunogenicity of AGEN2034
Time frame: 48 months
Maximum observed drug concentration at steady state (Cmax-ss)
Time frame: 48 months
Minimum observed drug concentration at steady-state (Cmin-ss)
Time frame: 48 months
Area under the concentration-time curve within time span t1 to t2 at steady-state (AUC(τ1-τ2)-ss)
Time frame: 48 months
Area under the drug concentration-time curve from time zero to time t (AUC(0-t))
Time frame: 48 months
Area under the drug concentration-time curve from time zero to infinity (AUC(0-∞))
Time frame: 48 months
Time to maximum drug concentration (tmax)
Time frame: 48 months
Terminal disposition rate constant (λz)
Time frame: 48 months
Terminal elimination half-life (t1/2)
Time frame: 48 months
Systemic clearance (CL)
Time frame: 48 months
Volume of distribution (Vd)
Time frame: 48 months
Quality of Life Assessment per FACT-Cx
Time frame: 35 months
Quality of Life Assessment per BPI
Time frame: 35 months
Results and safety
The study was stopped early (reason given: Sponsor strategic decision). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Mar 2026.
- Results publication: PubMed 21525385Allie SR, Zhang W, Fuse S, Usherwood EJ. Programmed death 1 regulates development of central memory CD8 T cells after acute viral infection. J Immunol. 2011 Jun 1;186(11):6280-6. doi: 10.4049/jimmunol.1003870. Epub 2011 Apr 27.
- Results publication: PubMed 26858122Antonia S, Goldberg SB, Balmanoukian A, Chaft JE, Sanborn RE, Gupta A, Narwal R, Steele K, Gu Y, Karakunnel JJ, Rizvi NA. Safety and antitumour activity of durvalumab plus tremelimumab in non-small cell lung cancer: a multicentre, phase 1b study. Lancet Oncol. 2016 Mar;17(3):299-308. doi: 10.1016/S1470-2045(15)00544-6. Epub 2016 Feb 6.
- Results publication: PubMed 27269741Antonia SJ, Lopez-Martin JA, Bendell J, Ott PA, Taylor M, Eder JP, Jager D, Pietanza MC, Le DT, de Braud F, Morse MA, Ascierto PA, Horn L, Amin A, Pillai RN, Evans J, Chau I, Bono P, Atmaca A, Sharma P, Harbison CT, Lin CS, Christensen O, Calvo E. Nivolumab alone and nivolumab plus ipilimumab in recurrent small-cell lung cancer (CheckMate 032): a multicentre, open-label, phase 1/2 trial. Lancet Oncol. 2016 Jul;17(7):883-895. doi: 10.1016/S1470-2045(16)30098-5. Epub 2016 Jun 4.
- Results publication: PubMed 16382236Barber DL, Wherry EJ, Masopust D, Zhu B, Allison JP, Sharpe AH, Freeman GJ, Ahmed R. Restoring function in exhausted CD8 T cells during chronic viral infection. Nature. 2006 Feb 9;439(7077):682-7. doi: 10.1038/nature04444. Epub 2005 Dec 28.
- Results publication: PubMed 28607581Borcoman E, Le Tourneau C. Pembrolizumab in cervical cancer: latest evidence and clinical usefulness. Ther Adv Med Oncol. 2017 Jun;9(6):431-439. doi: 10.1177/1758834017708742. Epub 2017 May 8.
- Results publication: PubMed 27141885Boutros C, Tarhini A, Routier E, Lambotte O, Ladurie FL, Carbonnel F, Izzeddine H, Marabelle A, Champiat S, Berdelou A, Lanoy E, Texier M, Libenciuc C, Eggermont AM, Soria JC, Mateus C, Robert C. Safety profiles of anti-CTLA-4 and anti-PD-1 antibodies alone and in combination. Nat Rev Clin Oncol. 2016 Aug;13(8):473-86. doi: 10.1038/nrclinonc.2016.58. Epub 2016 May 4.
- Results publicationBristol-Myers Squibb USA, 2017a. Opdivo® (nivolumab) package insert,
- Results publicationBristol-Myers Squibb USA, 2017b. Yervoy® (ipilimumab) package insert,
- Results publication: PubMed 26558876Buchbinder EI, Desai A. CTLA-4 and PD-1 Pathways: Similarities, Differences, and Implications of Their Inhibition. Am J Clin Oncol. 2016 Feb;39(1):98-106. doi: 10.1097/COC.0000000000000239.
- Results publication: PubMed 23897982Bulliard Y, Jolicoeur R, Windman M, Rue SM, Ettenberg S, Knee DA, Wilson NS, Dranoff G, Brogdon JL. Activating Fc gamma receptors contribute to the antitumor activities of immunoregulatory receptor-targeting antibodies. J Exp Med. 2013 Aug 26;210(9):1685-93. doi: 10.1084/jem.20130573. Epub 2013 Jul 29.
- Results publication: PubMed 21074063Callahan MK, Wolchok JD, Allison JP. Anti-CTLA-4 antibody therapy: immune monitoring during clinical development of a novel immunotherapy. Semin Oncol. 2010 Oct;37(5):473-84. doi: 10.1053/j.seminoncol.2010.09.001.
- Results publication: PubMed 25619164Camacho LH. CTLA-4 blockade with ipilimumab: biology, safety, efficacy, and future considerations. Cancer Med. 2015 May;4(5):661-72. doi: 10.1002/cam4.371. Epub 2015 Jan 25.
- Individual participant dataSharing planned: No
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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.
Medical Director study director
Agenus Inc.
68 sites in 7 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing AGEN2034 and AGEN1884 in people with Cervical Cancer, run by Agenus Inc. at 68 sites in 7 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 28 inclusion and 29 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: stopped early, as of the sponsor's last update on 27 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 68 sites in United States, Brazil, Mexico, Taiwan, South Korea and 2 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study was stopped early (reason given: Sponsor strategic decision). Results are not available in the source record.
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?
Objective Response Rate (time frame: 48 months). 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 NCT03894215, which also lists 46 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 27 Mar 2026.