ClinicalTrials.gg
RecruitingNCT04602377PembroSCCOHTUpdated Nov 28, 2025

Addition of Pembrolizumab to the Standard of Care Chemotherapy in Patient With SCCOHT

A Phase 2 interventional study of Pembrolizumab 25 MG/ML [Keytruda] in Small Cell Ovarian Carcinoma, sponsored by ARCAGY/ GINECO GROUP. Recruiting at 13 sites in France. Open to female participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2025-11-28.

Sponsored by ARCAGY/ GINECO GROUP · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jun 2026, 5 months ago, but the record still lists the study as recruiting.
  • Started Aug 2021; still recruiting 5 years 3 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
27
Allocation
Not applicable
Ages
12 Years and older
Sex
Female
01

Study summary

Small cell ovarian carcinomas are rare and have a very poor prognosis affecting a young population. The objective of this study is to increase the efficacy of the initial chemotherapy by providing immunotherapy and to be able to offer to more patients the possibility of benefiting from an intensification of chemotherapy, which is a major prognostic factor in this population.

02

Conditions studied

  • Small Cell Ovarian Carcinoma
03

In context

Lead sponsor

ARCAGY/ GINECO GROUP is the lead sponsor of 51 studies on the registry; 6 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
12 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Patient who are at least 12 years of age on the day of signing with previously untreated, confirmed Small cell carcinoma of the ovary.Patients could be included after one cycle of chemotherapy but have to start treatment within 4 weeks after the first cycle of chemotherapy. They will start the scheme at cycle 2.
  2. Stage FIGO I to IV classification
  3. Have an (ECOG) Performance Status of 0 or 1
  4. Have adequate organ function:

    • Adequate marrow function

      • White blood cell (WBC) >2000/mm3 (stable off any growth factor within 4 weeks of first study drug administration)
      • Neutrophils >1500/ mm3 (stable off any growth factor within 4 weeks of first study drug administration)
      • > 100 × 103/mm3 (transfusion to achieve this level is not permitted within 2 weeks of first study drug administration)
      • > 9 g/dL (transfusion to achieve this level is not permitted within 2 weeks of first study drug administration)
    • Adequate other organ functions

      • and AST \< 3× institutional
      • Total \< 1.5× institutional ULN (except Gilbert Syndrome: \< 3.0 mg/dL)
      • Normal thyroid function, subclinical hypothyroidism (thyroid-stimulating hormone [TSH] \< 10 mIU/mL) or have controlled hypothyroidism on appropriate thyroid supplementation
      • (LVEF) > 55 % measured by ECHO (preferred) or MUGA scans
      • Serum creatinine \< 2× ULN or (CrCl) > 60 mL/min (measured using the Cockcroft-Gault formula below):
  5. The participant (or legally acceptable representative if applicable) provides written informed consent for the trial, prior to any study-specific procedure. The participant may also provide consent for (140 - age in years) × weight in kg × 0.85 Female CrCl = 72 × serum creatinine in mg/dL GINECO-OV243b - PembroSCCOHT - Protocol - Version 1.2 - 10/09/2020 Page 7 sur 83 Future Biomedical Research. However, participant may participate in the main trial without participating in Future Biomedical Research.
  6. Covered by a medical insurance
  7. Stated willingness to comply with all study procedures and availability for the duration of the study
  8. Women of must have a negative serum or urine pregnancy test within 72 hours prior to treatment allocation
  9. For females of : use of highly effective throughout the study period up to 120 days after the last dose of pembrolizumab and 180 days following the end of chemoradiotherapy (if applicable).

Exclusion criteria

Exclusion Criteria:

  1. Prior therapy for the disease with chemotherapy and/or an , anti-PD-L1, or anti-PD-L2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor (eg, CTLA-4, OX-40, CD137).
  2. Patients who have received a within 30 days prior to the first dose of study drug.

    Examples of live vaccines include, but are not limited to, the following: measles, mumps, rubella, varicella/zoster (chicken pox), yellow fever, rabies, Bacillus Calmette-Guérin (BCG), and typhoid vaccine. Seasonal influenza vaccines for injection are generally killed virus vaccines and are allowed; however, intranasal influenza vaccines (e.g., FluMist®) are live attenuated vaccines and are not allowed. Inactivated rabies vaccines are allowed.

  3. Patients who have had an allogenic tissue/solid organ transplant.
  4. Patient who has received more than one cycle of platinum-based chemotherapy, or any prior systemic anti-cancer therapy including agents for the SCCOHT. (Patients could be included after one cycle of platinum-based therapy).
  5. Patients who have a known diagnosis of immunodeficiency or is receiving chronic systemic therapy (in dosing exceeding 10 mg prednisone daily or equivalent) or any other form of therapy within 7 days prior the first dose of study drug.
  6. Patients who have a known additional that is progressing or has required active treatment within the past 5 years.

    Note: Participants with basal cell carcinoma of the skin, squamous cell carcinoma of the skin, superficial bladder cancer, or carcinoma in situ (e.g., breast carcinoma, cervical cancer in situ) that have undergone potentially curative therapy are not excluded.

  7. Patients who have a to any component of cisplatin, adriamycine, vepeside and cyclophosphamide.

    Note: Investigators must use the local label for contraindications, prohibited medications, and precautions for use.

  8. Patients who have severe (Grade 3 or higher) to pembrolizumab and/or any of its (refer to the IB for a list of excipients).
  9. Patients who have a known severe hypersensitivity (Grade 3 or higher) to any of the study chemotherapy agents and/or to any of their excipients (refer to the approved product label(s) for a list of excipients).
  10. Patients who have an active disease that has required systemic treatment in past 2 years (ie, with use of disease modifying agents, corticosteroids or immunosuppressive drugs). Replacement therapy (eg, thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency) is not considered a form of systemic treatment and is allowed.
  11. Patients who have a history of (non-infectious) pneumonitis/ interstitial lung disease that required steroids or has current pneumonitis / interstitial lung disease that requires steroids.
  12. Has an active infection requiring systemic therapy.
  13. Has a known history of (HIV) infection. HIV testing is not required unless mandated by local health authority.
  14. Has a history of (defined as hepatitis B surface antigen [HBsAg] reactive) or active virus (defined as HCV RNA [qualitative] is detected) infection.
  15. Has a known history of active tuberculosis (TB; Bacillus tuberculosis)
  16. Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the study, interfere with the participant's participation for the full duration of the study, or is not in the best interest of the participant to participate, in the opinion of the treating investigator.
  17. Has a known psychiatric or substance abuse disorder that would interfere with cooperating with the requirements of the study.
  18. Breastfeeding women
  19. Participation in another clinical study with an investigational product 30 days prior and during the treatment course, and 30 days after end of treatment.
Terms in these criteria, in plain language(26)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Reproductive potential

Able to have children. For women this usually means from the first period until menopause, unless permanently unable to through surgery; for men, unless permanently sterile. Read who the line is about — participants, women, men, or their partners.

Criteria about it usually ask for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

PD-1, PD-L1 and checkpoint inhibitors

PD-1, PD-L1 and CTLA-4 are proteins that act as brakes on the immune system. Checkpoint inhibitors, such as pembrolizumab or nivolumab, block them so the immune system can attack a cancer.

PD-L1 can also be measured in a tumour sample. Some scores count stained tumour cells only (TPS); others also count certain immune cells (CPS). The study names the score and the minimum it uses.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
27 participants (estimated)

Study arms

  • Experimental
    Pembrolizumab

    Single arm study

    Drug: Pembrolizumab 25 MG/ML [Keytruda]

Interventions

  • DrugPembrolizumab 25 MG/ML [Keytruda]

    Drug page: Pembrolizumab

    Pembrolizumab (200mg flat dose) will be administred in combinaison with PAVEP chemotherapy for the first 6 cycles (21-day cycle) Then, Pembrolizumab (200mg flat dose) will be administred in monotherapy until one year for patients with complete response and up to two years for patients with Stable disease or Progression response after the end of first-sequence therapy (PAVEP chemotherapy +/- High dose chemotherapy) or until disease progression.

    Also known as: MK-3475

06

What researchers measure

Primary outcomes

  1. Complete response rate

    CRR is defined as the proportion of patients who reached complete response (CR), according to RECIST v1.1 after the first sequence therapy including chemotherapy associated with immunotherapy and surgery.

    Time frame: Around 4 to 6 months of the last patient included

Secondary outcomes

  1. Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability of pembrolizumab in combinaison with chemotherapy]

    Adverse Events will be described in terms of frequency according to CTCAE v5 grade

    Time frame: 30 days after the end of Cycle 6 (each cycle is 21 days)

  2. Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability of pembrolizumab in monotherapy]

    Adverse Events will be described in terms of frequency according to CTCAE v5 grade

    Time frame: 30 days after last treatment intake

  3. Progression Free Survival (PFS)

    PFS is defined as the time from inclusion until the date of event defined as the first objective documented progression, according to investigator assessment of RECIST v1.1 or death (by any cause in the absence of progression).

    Time frame: from date of inclusion to date of event, assessed up to 5 years

  4. Overall Survival (OS)

    OS is defined as the time from the date of inclusion until death due to any cause. Any patient not known to have died at the time of analysis will be censored based on the last recorded date on which the patient was known to be alive.

    Time frame: from date of inclusion to death, assessed up to 5 years

  5. Partial Response Rate (PRR)

    PRR is defined as the proportion of patients who reached partial response (PR), at the end of first-sequence therapy, according to RECIST v1.1.

    Time frame: Around 4 to 6 months of the last patient included

  6. Duration of Response (DoR)

    DOR is defined as the duration from complete response is first met until the first objective documented progression, according to RECIST v1.1.

    Time frame: assessed up to 42 months

07

Study locations

6 of 13 sites recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 28, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04602377
Lead sponsor
ARCAGY/ GINECO GROUP
Responsible party
Sponsor
First posted
Oct 26, 2020
Start date
Aug 4, 2021
Primary completion
Jun 2026 (estimated)
Completion
Feb 2030 (estimated)
Last update
Nov 28, 2025

Study contacts

Latifa BOUDALI
Contact
pembroSCCOHT@arcagy.org
+33(0)-1-84-85-20-42
Patricia PAUTIER, MD, PhD
principal investigator · Gustave Roussy, Cancer Campus, Grand Paris

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Pembrolizumab

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