- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT07665515
Study of CryptiVax-1001 in Maintenance Setting for Advanced Serous Ovarian, Fallopian Tube, or Primary Peritoneal Cancer (OVACT)
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.
Aperçu de l'étude
Statut
Intervention / Traitement
Description détaillée
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
Type d'étude
Inscription (Estimé)
Phase
- La phase 1
Contacts et emplacements
Coordonnées de l'étude
- Nom: Head of Development Operations
- Numéro de téléphone: +4530660105
- E-mail: Gertrud.Rasmussen@epitopea.com
Sauvegarde des contacts de l'étude
- Nom: Head of Oncology Development
- Numéro de téléphone: +4795113393
- E-mail: Siri.Torhaug@Epitopea.com
Lieux d'étude
-
-
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Cambridge, Royaume-Uni, CB2 0QQ
- Recrutement
- Cambridge University Hospitals NHS Foundation Trust - Addenbrookes Hospital
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Edinburgh, Royaume-Uni, EH4 2XR
- Pas encore de recrutement
- The University of Edinburgh - Western General Hospital - Edinburgh Cancer Research Centre
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Glasgow, Royaume-Uni, G12 0YN
- Recrutement
- Beatson West of Scotland Cancer Centre
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Leeds, Royaume-Uni, LS9 7TF
- Recrutement
- St. James's University Hospital
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Leicester, Royaume-Uni, LE2 7LX
- Recrutement
- University Hospitals of Leicester NHS Trust -Leicester Royal Infirmary
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London, Royaume-Uni, SE1 9RT
- Pas encore de recrutement
- Guy's and St Thomas' NHS Foundation Trust - Guy's Hospital
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London, Royaume-Uni, SW3 6JJ
- Recrutement
- Royal Marsden NHS Foundation Trust - Royal Marsden Hospital
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London, Royaume-Uni, NW1 2PG
- Recrutement
- University College London Hospitals NHS Foundation Trust - Cancer Clinical Trials Unit
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Preston, Royaume-Uni, PR2 9HT
- Recrutement
- Lancashire Teaching Hospitals NHS Foundation Trust - Royal Preston Hospital
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Sutton, Royaume-Uni, SM2 5PT
- Recrutement
- Royal Marsden NHS Foundation Trust - Institute of Cancer Research
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-
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Adulte
- Adulte plus âgé
Accepte les volontaires sains
La 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.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Non randomisé
- Modèle interventionnel: Affectation séquentielle
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Expérimental: Niveau de dose 1
|
i.m injection
|
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Expérimental: Niveau de dose 2
|
i.m injection
|
|
Expérimental: Niveau de dose 3
|
i.m injection
|
|
Expérimental: Niveau de dose 4
|
i.m injection
|
|
Expérimental: Niveau de dose 5
|
i.m injection
|
|
Expérimental: Recommended Dose
Recommended phase 2 dose or another safe dose, based on Dose Escalation part
|
i.m injection
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
To evaluate the safety and tolerability of CryptiVax-1001
Délai: 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
Délai: 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
Délai: 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
Délai: 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
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
To characterise the immunogenicity of Cryptivax-1001
Délai: 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
|
Collaborateurs et enquêteurs
Parrainer
Les enquêteurs
- Chercheur principal: Susana Banerjee, MBBS MA FRCP PhD, Royal Marsden NHS Foundation Trust
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Estimé)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
- Maladies urogénitales
- Maladies génitales
- Maladies du système endocrinien
- Tumeurs urogénitales
- Tumeurs par site
- Tumeurs
- Maladies urogénitales féminines
- Maladies urogénitales féminines et complications de la grossesse
- Maladies génitales, femme
- Tumeurs des glandes endocrines
- Maladies ovariennes
- Maladies annexielles
- Tumeurs génitales, femme
- Troubles gonadiques
- Tumeurs ovariennes
Autres numéros d'identification d'étude
- OVCA-1
- UTN U1111-1332-3427 (Autre identifiant: WHO)
Plan pour les données individuelles des participants (IPD)
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Informations sur les médicaments et les dispositifs, documents d'étude
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