A Combination Therapy Strategy to Prevent Anti-PD-1 Therapy Resistance in Metastatic Ovarian Cancer Patients

Trial statusNot yet recruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexFemale
Age18+
SponsorGeorgetown University

About this trial

This is an open label, non-randomized, 2-stage phase II, single arm study to determine the efficacy of New York esophageal squamous cell carcinoma 1 (NY-ESO-1) peptide vaccine as a priming mechanism to prevent anti-PD1 resistance in patients with platinum-refractory stage III/IV ovarian cancer (OC).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Be able and willing to provide written and signed informed consent prior to performing any protocol-related procedures, including screening evaluations.

Women, 18 years or older, with stage III / IV platinum-refractory Ovarian Cancer (OC) (progressed on a platinum containing regimen within 6 months of therapy and adenocarcinoma histology) that can be evaluable by RECISTv1.1 criteria who progressed on standard treatment. Participants will be recruited irrespective of if they earlier received available FDA-approved therapies (including for participants with targetable mutations, such as BRCA mutations)

History/physical examination within 28 days prior to registration.

Imaging of target lesion(s) within 28 days prior to registration.

Disqualifiers

Subjects who have received prior therapy with regimens containing nivolumab or CTLA-4, PD-L1, PD-L2 or PD-1 antagonists or any other antibody or drug specifically targeting T cell co-stimulation or immune checkpoint pathways.

Any condition that, in the opinion of the investigator, would interfere with evaluation of the investigational product or interpretation of subject safety or study results.

History of severe allergic reactions (i.e., Grade 4 allergy, anaphylactic reaction from which the subject did not recover within 6 hours of institution of supportive care) to any unknown allergens or any components of the study drug formulations.

Active or prior documented autoimmune disease (including inflammatory bowel disease, celiac disease, Wegener's granulomatosis) within the past 2 years. Subjects with childhood atopy or asthma, vitiligo, alopecia, Graves disease, Hashimoto disease, autoimmune diseases that will be consider stable by hormones /steroid replacement or psoriasis not requiring systemic treatment (within the past 2 years) are not excluded.

Trial design

Design model

Single group

Treatments tested in this trial

  • NY-ESO-1 Peptide vaccine

    Biological/Vaccine

    300 mcg of NY-ESO-1 peptide, 100 micrograms (mcg) granulocyte-macrophage colony-stimulating factor (GM-CSF) and 1 milliliter (mL) of Montanide ISA-51 adjuvant. The first two doses will be administered subcutaneously in a 2 week interval and thereafter, remaining three doses will be administered every 3 weeks.

  • Toripalimab-tpzi

    Drug

    240 milligrams (mg), intravenously, every 3 weeks starting with the second dose of NY-ESO-1 Peptide vaccine

Treatment groups

24 Participants
are divided into 1 treatment group
Group A: NY-ESO-1 Peptide vaccine plus Toripalimab-tpziExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Median Progression Free Survival

Time frame
2 years

Secondary outcomes

1

Median Overall Survival

per RECIST v1.1 and mRECIST v1.1

Time frame
2 years
2

Overall Response Rate

based on irRECIST

Time frame
2 years
3

Duration of Response

per RECIST v1.1 and mRECIST v1.1

Time frame
2 years
4

Disease Control Rate

based on irRECIST

Time frame
2 years

Other outcomes

Sponsors and contacts

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Georgetown University

Lead sponsor

Coherus Oncology, Inc.

Collaborator

This trial is not recruiting at the moment. You can still explore other options: