Advanced Endometrial CancerPhase 2NCT05112991
Study of Envafolimab Alone or With Lenvatinib in Patients With Advanced Endometrial Cancer
A Phase 2 study testing Envafolimab+Lenvatinib and Envafolimab in people with Advanced Endometrial Cancer, run by 3D Medicines (Sichuan) Co., Ltd. at 19 sites in China.
Trial summary
This is an open-label, multi-center, multi-corhort Phase II study of Envafolimab alone or with Lenvatinib in patients with advanced endometrial cancer.The primary objective is to evaluate objective response rate of envafolimab alone or with lenvatinib. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Advanced Endometrial Cancer
- What is being tested?
- Envafolimab+Lenvatinib and Envafolimab
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 108 participants
- Where
- 19 sitesChina
- Study dates
- 4 Mar 2022to Dec 2026
- Phase
- Phase 2
- 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
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Volunteer to participate and sign the informed consent form.
- Has a histologically confirmed diagnosis of endometrial carcinoma (EC). Has Documented evidence of advanced, recurrent or metastatic EC and are not candidates for curative surgery or radiation.
- Failure or intolerance of standard first-line platinum-based chemotherapy regimen for EC.
- Note: If recurrence occurs during adjuvant/neoadjuvant therapy or within 12 months after completion, adjuvant/neoadjuvant therapy is considered to be the first-line treatment for advanced disease. There is no restriction regarding prior hormonal therapy.
- Has at least 1 measurable target lesion according to Response Evaluation Criteria In Solid Tumors (RECIST) 1.1 and confirmed by Blind Independent Imaging Review Committee (BIRC).
- Has Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
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- Life expectancy of 12 weeks or more.
- Sufficient organ and bone marrow function (no hematopoietic growth factor, blood transfusion or platelet therapy was given within 14 days before the first study drug treatment).
- Archival tumor tissue or a newly obtained biopsy must be available prior to the first dose of study drug for biomarker analysis. Tissue samples need to be from lesions that have not received local radiotherapy.
- Females of childbearing potential must have a negative serum pregnancy test within 7 days of the first dose of study drug.
Who cannot join
- Previous lab results showed dMMR or MSI-H.
- Participate in the clinical trials of other investigational drugs within 28 days before the first medication; or have received anti-tumor treatment within 2 weeks, including but not limited to chemotherapy and radiotherapy or targeted therapy.
- The toxicity of previous anti-tumor treatments has not recovered to 0 or 1 level.
- Recieved major surgery with 28 days before the first medication or has serious nonhealing wound, ulcer, or bone fracture at screening.
- Has received prior treatment with any anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CTLA-4 or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways.
- Uncontrolled blood pressure (BP) with or without antihypertensive medications, defined as BP >150/90 mmHg.
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- Uncontrolled or major Cardio-cerebral vascular disease.
- Have active, or have had autoimmune diseases or risks that may recur. However, subjects required only replacement therapy (eg, thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc.) or with skin diseases that do not require systemic treatmentare are allowed to be included.
- Subjects who need to use corticosteroids (> 10 mg/day prednisone equivalent dose) for systemic therapy within 14 days before the study drug is administered.
- Has received a live-virus vaccination within 28 days of planned treatment start or plan to reveived a live-virus vaccination during the study.
- Has current or suspected (non-infectious) pneumonitis.
- Active infection (any infection requiring systemic treatment).
- Has active Hepatitis B or C.
- Is positive for Human Immunodeficiency Virus (HIV).
- Has uncontrolled pericardial effusion, pleural effusion or ascites.
- Has symptomatic/active brain metastasis or meningeal carcinomatosis; for patients with brain metastases who have previously received treatment, if the clinical and imaging evidence does not indicate disease progression within 4 weeks before the first study drug treatment, and 2 weeks before the first administration There is no need to receive corticosteroid treatment and can be considered for inclusion.
- Suffered from other known malignant tumors within 5 years before enrollment (except for treated skin basal cell carcinoma, skin squamous cell carcinoma and/or carcinoma in situ after radical resection).
- Hypersensitivity to either of the study drug or its components.
- Females who are pregnant or breastfeeding and who refuse to use a highly effective method of contraception throughout the entire study period, and for 6 months after the last dose of study drug;
- According to the judgement of the investigators, there are other factors indicate that the subject should not be enrolled.
- Has received prior treatment with any treatment targeting VEGF-directed angiogenesis.
- Has radiographic evidence of major blood vessel invasion/infiltration.
- Has a history of hypertensive crisis or hypertensive encephalopathy.
- Has gastrointestinal malabsorption, gastrointestinal anastomosis, or any other condition that might affect the absorption of lenvatinib.
- Has a history of serious bleeding disease within 6 months prior to the first dose of study drug.
Trial locations and contacts
19 sites in 1 country. Contact the study team or a site near you to ask about taking part.
19 sites in 1 country
China19 sites, 19 recruiting
- Recruiting
Beijing Cancer Hospital
Beijing, Beijing Municipality, 100142
Yunong Gao, 010-88196210, gao_fuke@126.com
Yunong Gao
- Recruiting
The Second Xiangya Hospital of Central South University
Changsha, Hunan, 200001
Chun Fu, 18627315906, fuchun0814@csu.edu.cn
Chun Fu
- Recruiting
Chongqing University Three Gorges Hospital
Chongqing, Chongqing Municipality, 40030
Wenhua Ran, 13896379605, 2857002479@qq.com
Wenhua Ran
- Recruiting
Fujian Cancer Hospital
Fuzhou, Fujian, 350014
Qin Xu, 13950419396, 1379423879@qq.com
Qin Xu
- Recruiting
Ganzhou Cancer Hospital
Ganzhou, Jiangxi, 341005
Xiuhong Wu, 13879728933, Wxh95051@163.com
Xiuhong Wu
- Recruiting
Sun Yat-Sen Memorial Hospital
Guangzhou, Guangdong, 510120
Bingzhong Zhang, 13925063030, zhbzhong@mail.sysu.edu.cn
Bingzhong Zhang
- Recruiting
Cancer Hospital of The University of Chinese Academy of Sciences
Hangzhou, Zhejiang, 310005
Xiang Zhang, 15988109696, zhangxiang@zjcc.org.cn
Xiang Zhang
- Recruiting
Qilu Hospital of Shandong University
Jinan, Shandong, 250063
Youzhong Zhang, 18560081866, zhangyouzhong@vip.sina.com
Youzhong Zhang
- Recruiting
Shandong Cancer Hospital
Jinan, Shandong, 250117
Qingshui Li, 13854158117, liqingshui64@163.com
Qingshui Li
- Recruiting
:Linyi Cancer Hospital
Linyi, Shandong, 276002
Xiumin Li, 13583991399, Lyzlyylxm@163.com
Xiumin Li
- Recruiting
:Nanjing Maternity and Child Health Care Hospital
Nanjing, Jiangsu, 210004
Xuemei Jia, 15205177401, xmjia@njmu.edu.cn
Xuemei Jia
- Recruiting
Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality, 200032
xiaohua Wu, 13601772486, docwuxh@yahoo.com
xiaohua Wu
- Recruiting
Liaoning Cancer Hospital
Shenyang, Liaoning, 110801
Danbo Wang, 18940251157, danbo_wang@126.com
Danbo Wang
- Recruiting
Tai'an Center Hospital
Tai’an, Shandong, 271099
Zhaofeng Zhu, 13375389119, zhuzf8498607@163.com
Zhaofeng Zhu
- Recruiting
Tianjin Medical University Cancer Institute&Hospital
Tianjing, Tianjing, 300181
Ke Wang, 18622221098, 18622221098@163.com
Ke Wang
- Recruiting
Wuhan Union Hospital of China
Wuhan, Hubei, 430022
guiling Li, 13307187507, lgl6714@163.com
guiling Li
- Recruiting
:Hubei Cancer Hospital
Wuhan, Hubei, 430079
Yi Huang, 18971650655, huangyt32@hotmail.com
Yi Huang
- Recruiting
Yueyang Center Hospital
Yueyang, Hunan, 414604
Jianbing Hu, 13873000328, Jianbinghu409@sohu.com
Jianbing Hu
- Recruiting
Henan Cancer Hospital
Zhengzhou, Henan, 450003
Yanlin Luo, 15038373216, luoyanlin2002@126.com
Yanlin Luo
About this study
Official title: An Open-label, Multi-center, Multi-corhort Phase II Study of Envafolimab Alone or With Lenvatinib in Patients With Advanced Endometrial Cancer
This is an open-label, multi-center, multi-corhort Phase II study of Envafolimab alone or with Lenvatinib in patients with advanced endometrial cancer.The primary objective is to evaluate objective response rate of envafolimab alone or with lenvatinib.
- Conditions
- Advanced Endometrial Cancer
- Being tested
- Envafolimab+Lenvatinib, Envafolimab
- Keywords
- endometrial cancer
- Medical subject headings
- Endometrial Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Envafolimab+LenvatinibDrug
Envafolimab: 400mg envafolimab was administered once in D1 and D15 of the first treatment cycle and once in D1 of each subsequent 28 day cycle.
Lenvatinib: the recommended Phase 2 dose (RP2D) orally 20mg QD during each 28-day cycle.
EnvafolimabDrug
Envafolimab: 400mg envafolimab was administered once in D1 and D15 of the first treatment cycle and once in D1 of each subsequent 28 day cycle.
| Study group | Role | What they receive |
|---|---|---|
| Envafolimab + Lenvatinib | Experimental | Subjects receive lenvatinib daily and envafolimab once on Day 1 and 15 of the first cycle and at the beginning of each subsequent 4 week treatment cycle D1. Receives: Drug: Envafolimab+Lenvatinib |
| Envafolimab | Experimental | Subjects receive envafolimab once on Day 1 and 15 of the first cycle and at the beginning of each subsequent 4 week treatment cycle D1. Receives: Drug: Envafolimab |
What is being measured
The primary outcome is the main question the study is designed to answer.
ORR of Envafolimab alone or with Lenvatinib
The ORR (either confirmed complete response [CR] or partial response [PR]) based on RECIST 1.1 will be determined in participants who have measurable disease at study entry.
Measured: Up to approximately 24 months
Secondary outcomes (5)
The duration of response (DoR)
Measured: Up to approximately 24 months
Disease control rate (DCR)
Measured: Up to approximately 24 months
Time to response (TTR)
Measured: Up to approximately 24 months
Progression-free survival (PFS)
Measured: Up to approximately 24 months
To evaluate the overall survival (OS) in in subjects with advance endometrial cancer
Measured: Up to approximately 24 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Nov 2021
- Study start4 Mar 2022
- Primary completionDec 2026 (estimated)
- Study completionDec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Advanced Endometrial 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
- Non-randomised
- Intervention model
- Factorial
- Model description
- This study is an open-label, two-arm study, without randomization and blinding
- Masking
- None (open label)
- Enrolment
- 108 participants (estimated)
Sponsor and investigators
- Lead sponsor
- 3D Medicines (Sichuan) Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- xiaohua Wu, Dr, Principal investigator, Fudan University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05112991
- Sponsor's protocol ID
- KN035-CN-011
- Status last verified
- Mar 2026
- First submitted
- 28 Oct 2021
- Last updated
- 25 Mar 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 25 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-label, Multi-center, Multi-corhort Phase II Study of Envafolimab Alone or With Lenvatinib in Patients With Advanced Endometrial Cancer
- ClinicalTrials.gov ID
- NCT05112991
- Acronym / sponsor ID
- KN035-CN-011
- Conditions
- Advanced Endometrial Cancer
- Keywords
- endometrial cancer
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 108 participants (estimated)
- Lead sponsor
- 3D Medicines (Sichuan) Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 4 Mar 2022 (actual)
- Primary completion
- Dec 2026 (estimated)
- Study completion
- Dec 2026 (estimated)
- First posted
- 9 Nov 2021 (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 an open-label, multi-center, multi-corhort Phase II study of Envafolimab alone or with Lenvatinib in patients with advanced endometrial cancer.The primary objective is to evaluate objective response rate of envafolimab alone or with lenvatinib.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Factorial
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- This study is an open-label, two-arm study, without randomization and blinding
| Arm | Type | Receives |
|---|---|---|
| Envafolimab + Lenvatinib | Experimental | Drug: Envafolimab+LenvatinibSubjects receive lenvatinib daily and envafolimab once on Day 1 and 15 of the first cycle and at the beginning of each subsequent 4 week treatment cycle D1. |
| Envafolimab | Experimental | Drug: EnvafolimabSubjects receive envafolimab once on Day 1 and 15 of the first cycle and at the beginning of each subsequent 4 week treatment cycle D1. |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Volunteer to participate and sign the informed consent form.
- Has a histologically confirmed diagnosis of endometrial carcinoma (EC). Has Documented evidence of advanced, recurrent or metastatic EC and are not candidates for curative surgery or radiation.
- Failure or intolerance of standard first-line platinum-based chemotherapy regimen for EC.
- Note: If recurrence occurs during adjuvant/neoadjuvant therapy or within 12 months after completion, adjuvant/neoadjuvant therapy is considered to be the first-line treatment for advanced disease. There is no restriction regarding prior hormonal therapy.
- Has at least 1 measurable target lesion according to Response Evaluation Criteria In Solid Tumors (RECIST) 1.1 and confirmed by Blind Independent Imaging Review Committee (BIRC).
Key exclusion criteria (25 listed)
- Previous lab results showed dMMR or MSI-H.
- Participate in the clinical trials of other investigational drugs within 28 days before the first medication; or have received anti-tumor treatment within 2 weeks, including but not limited to chemotherapy and radiotherapy or targeted therapy.
- The toxicity of previous anti-tumor treatments has not recovered to 0 or 1 level.
- Recieved major surgery with 28 days before the first medication or has serious nonhealing wound, ulcer, or bone fracture at screening.
- Has received prior treatment with any anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CTLA-4 or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways.
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 |
|---|---|---|
| Envafolimab+LenvatinibEnvafolimab: 400mg envafolimab was administered once in D1 and D15 of the first treatment cycle and once in D1 of each subsequent 28 day cycle. Lenvatinib: the recommended Phase 2 dose (RP2D) orally 20mg QD during each 28-day cycle. | Drug | Envafolimab + Lenvatinib |
| EnvafolimabEnvafolimab: 400mg envafolimab was administered once in D1 and D15 of the first treatment cycle and once in D1 of each subsequent 28 day cycle. | Drug | Envafolimab |
Primary outcome
ORR of Envafolimab alone or with Lenvatinib
Time frame: Up to approximately 24 months
The ORR (either confirmed complete response [CR] or partial response [PR]) based on RECIST 1.1 will be determined in participants who have measurable disease at study entry.
5 secondary outcomes
The duration of response (DoR)
Time frame: Up to approximately 24 months
Disease control rate (DCR)
Time frame: Up to approximately 24 months
Time to response (TTR)
Time frame: Up to approximately 24 months
Progression-free survival (PFS)
Time frame: Up to approximately 24 months
To evaluate the overall survival (OS) in in subjects with advance endometrial cancer
Time frame: Up to approximately 24 months
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 Mar 2026.
- 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.
xiaohua Wu, Dr principal investigator
Fudan University
19 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Envafolimab+Lenvatinib and Envafolimab in people with Advanced Endometrial Cancer, run by 3D Medicines (Sichuan) Co., Ltd. at 19 sites in China.
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 10 inclusion and 25 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: looking for participants now, as of the sponsor's last update on 25 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 19 sites in China. 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?
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?
Contact bin She (15973143911, bin.she@3d-medicines.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
ORR of Envafolimab alone or with Lenvatinib (time frame: Up to approximately 24 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 Mar 2026.