Study of CryptiVax-1001 in Maintenance Setting for Advanced Serous Ovarian, Fallopian Tube, or Primary Peritoneal Cancer (OVACT)

July 7, 2026 updated by: Epitopea Ltd

A Phase I/Ib, Multi-centre, Open-label Study to Evaluate the Safety, Tolerability, and Immunogenicity of CryptiVax-1001, a mRNA Lipid Nanoparticle Therapeutic Cancer Vaccine, in Participants With FIGO Stage III-IV High-Grade Serous or Predominantly Serous Ovarian, Fallopian Tube, or Primary Peritoneal Cancer Following Optimal Primary/Interval Debulking Surgery and First-Line Platinum-Based Chemotherapy (OVACT Study)

Ovarian, fallopian tube, or primary peritoneal cancer, collectively referred to as ovarian cancer, remains the deadliest type of gynaecological cancer. The most common and aggressive form is called high-grade serous ovarian cancer.

The main purpose of this study is to understand whether an experimental study vaccine, CryptiVax-1001, is safe when administered to patients with high-grade serous ovarian cancer (HGSOC). The study vaccine is a cancer vaccine, which aims to delay or possibly prevent the cancer from coming back. However, as this is the first study of the vaccine in patients, the primary purpose of this study is to assess the safety of the study vaccine.

Following surgery and platinum-based chemotherapy participants may enter the trial and receive CryptiVax-1001 as an explorative maintenance therapy.

The main purposes of this study are therefore to:

  • assess how well the study vaccine is tolerated and identify any side effects.
  • analyse the study vaccine's capacity to activate your immune system

The study will test escalating dose levels of CryptiVax-1001 based on the safety evaluations to estimate appropriate future dose levels for CryptiVax-1001.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

The OVACT study is the First in Human clinical evaluation of Cryptivax-1001 in patients with advanced high-grade serous or predominantly serous ovarian, fallopian tube, or primary peritoneal cancer, following optimal debulking surgery (R0 or R1 after either IDS or PDS), and no recurrence or progression after completion of platinum-based chemotherapy. This phase I/Ib dose escalation and expansion study will assess safety, tolerability, and immunogenicity in a population where there is a high unmet need and no clearly effective maintenance therapy options. By focusing on the BRCAwt/HRP subgroup, the study addresses the majority of patients who currently lack access to biologically-matched maintenance strategies.

The study consist of 2 parts - a dose escalation part and an optional dose expansion part

Study Type

Interventional

Enrollment (Estimated)

50

Phase

  • Phase 1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

  • United Kingdom
      • Cambridge, United Kingdom, CB2 0QQ
        • Recruiting
        • Cambridge University Hospitals NHS Foundation Trust - Addenbrookes Hospital
      • Edinburgh, United Kingdom, EH4 2XR
        • Not yet recruiting
        • The University of Edinburgh - Western General Hospital - Edinburgh Cancer Research Centre
      • Glasgow, United Kingdom, G12 0YN
        • Not yet recruiting
        • Beatson West of Scotland Cancer Centre
      • Leeds, United Kingdom, LS9 7TF
        • Not yet recruiting
        • St. James's University Hospital
      • Leicester, United Kingdom, LE2 7LX
        • Recruiting
        • University Hospitals of Leicester NHS Trust -Leicester Royal Infirmary
      • London, United Kingdom, SE1 9RT
        • Not yet recruiting
        • Guy's and St Thomas' NHS Foundation Trust - Guy's Hospital
      • London, United Kingdom, SW3 6JJ
        • Recruiting
        • Royal Marsden NHS Foundation Trust - Royal Marsden Hospital
      • London, United Kingdom, NW1 2PG
        • Recruiting
        • University College London Hospitals NHS Foundation Trust - Cancer Clinical Trials Unit
      • Preston, United Kingdom, PR2 9HT
        • Not yet recruiting
        • Lancashire Teaching Hospitals NHS Foundation Trust - Royal Preston Hospital
      • Sutton, United Kingdom, SM2 5PT
        • Recruiting
        • Royal Marsden NHS Foundation Trust - Institute of Cancer Research

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Able to comprehend and are willing to sign the ICF and willing to follow the study procedures
  • Female, aged 18 years of age or older at the time of informed consent.
  • Histologically confirmed diagnosis of epithelial ovarian, fallopian tube, or primary peritoneal carcinoma of high-grade serous histology or other high-grade predominantly serous subtypes
  • The FIGO 2014 stage III or IV disease at initial diagnosis.
  • Underwent optimal PDS or IDS with residual disease ≤1 cm (R0 or R1 resection)
  • Completed first-line platinum-based chemotherapy (minimum 4 cycles of carboplatin and paclitaxel, or equivalent, received in either neoadjuvant or adjuvant, or both settings).
  • In the presence of measurable target lesion, achieved CR or PR per investigator assessment based on RECIST 1.1 after completion of chemotherapy. In the absence of measurable target lesion, no new lesion or overt progression per investigator assessment based on RECIST 1.1 after completion of chemotherapy.
  • A minimum of 4 weeks from screening since the last dose of first-line platinum-based chemotherapy but not more than 12 weeks from screening since the last dose of first-line platinum-based chemotherapy.
  • No evidence of radiologic or clinical progression between the end of chemotherapy and baseline screening.
  • Known BRCAwt status.
  • HRP confirmed
  • No prior, current, or planned treatment with bevacizumab or PARPi in the first-line maintenance setting.
  • ECOG performance status of 0 or 1.
  • Adequate haematologic and organ function
  • Negative pregnancy test for WOCBP.
  • HLA type matching Cryptivax-1001

Exclusion Criteria:

  • Non-epithelial or low malignant potential ovarian tumours
  • Presence of uncontrolled ascites or pleural effusion requiring drainage within 4 weeks of screening.
  • Concurrent malignancy or history of another malignancy within the past 3 years except for malignancies with a negligible risk of metastasis or death
  • Active autoimmune disease requiring systemic immunosuppression
  • Uncontrolled intercurrent illness that, in the opinion of the investigator, would compromise participant safety or interfere with study assessments
  • History of anaphylactic reaction to mRNA-LNP therapies.
  • Previous treatment with any cancer vaccine, checkpoint inhibitor, or adoptive cellular immunotherapy.
  • Administration of any vaccine within 30 days prior to first dosing.
  • Participation in a clinical study involving administration of an IMP (new chemical entity) in the past 90 days or 5 half-lives of that drug (if known) prior to first dosing, whichever is longer.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Non-Randomized
  • Interventional Model: Sequential Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Dose level 1
Biological: CryptiVax-1001
i.m injection
Experimental: Dose level 2
Biological: CryptiVax-1001
i.m injection
Experimental: Dose level 3
Biological: CryptiVax-1001
i.m injection
Experimental: Dose level 4
Biological: CryptiVax-1001
i.m injection
Experimental: Dose level 5
Biological: CryptiVax-1001
i.m injection
Experimental: Recommended Dose
Recommended phase 2 dose or another safe dose, based on Dose Escalation part
Biological: CryptiVax-1001
i.m injection

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
To evaluate the safety and tolerability of CryptiVax-1001
Time Frame: Through study completion, an average of up 2 to years
Incidence, severity, and relatedness of treatment-emergent adverse events (TEAEs) per Common Terminology Criteria for Adverse Events
Through study completion, an average of up 2 to years
To evaluate the safety and tolerability of CryptiVax-1001
Time Frame: From Day 1 to Day 21
Incidence and nature of dose-limiting toxicities (DLTs) during the DLT observation period
From Day 1 to Day 21
To evaluate the safety and tolerability of CryptiVax-1001
Time Frame: Through study completion, an average of up to 2 years
Clinically significant changes from baseline in vital signs (body temperature, pulse rate, respiratory rate, systolic and diastolic blood pressure)
Through study completion, an average of up to 2 years
To evaluate the safety and tolerability of CryptiVax-1001
Time Frame: Through study completion, and average of up to 2 years
Clinically significant changes from baseline in clinical laboratory assessments (hematology and chemistry)
Through study completion, and average of up to 2 years

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
To characterise the immunogenicity of Cryptivax-1001
Time Frame: At pre-defined timepoints during treatment and Follow-up period, an average of up to 2 years
Detection and quantification of antigen-specific T cells in peripheral blood at predefined timepoints
At pre-defined timepoints during treatment and Follow-up period, an average of up to 2 years

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Epitopea Ltd

Investigators

  • Principal Investigator: Susana Banerjee, MBBS MA FRCP PhD, Royal Marsden NHS Foundation Trust

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

July 1, 2026

Primary Completion (Estimated)

March 1, 2029

Study Completion (Estimated)

April 1, 2029

Study Registration Dates

First Submitted

June 12, 2026

First Submitted That Met QC Criteria

June 18, 2026

First Posted (Actual)

June 24, 2026

Study Record Updates

Last Update Posted (Actual)

July 8, 2026

Last Update Submitted That Met QC Criteria

July 7, 2026

Last Verified

July 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • OVCA-1
  • UTN U1111-1332-3427 (Other Identifier: WHO)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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