RecruitingPhase 1NCT07665515

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

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)


Sponsor

Epitopea Ltd

Enrollment

50 participants

Start Date

Jul 1, 2026

Study Type

INTERVENTIONAL

Conditions

Summary

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.


Eligibility

Sex: FEMALEMin Age: 18 Years

Inclusion Criteria16

  • 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 Criteria9

  • 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.

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Interventions

BIOLOGICALCryptiVax-1001

i.m injection


Locations(10)

Cambridge University Hospitals NHS Foundation Trust - Addenbrookes Hospital

Cambridge, United Kingdom

The University of Edinburgh - Western General Hospital - Edinburgh Cancer Research Centre

Edinburgh, United Kingdom

Beatson West of Scotland Cancer Centre

Glasgow, United Kingdom

St. James's University Hospital

Leeds, United Kingdom

University Hospitals of Leicester NHS Trust -Leicester Royal Infirmary

Leicester, United Kingdom

University College London Hospitals NHS Foundation Trust - Cancer Clinical Trials Unit

London, United Kingdom

Guy's and St Thomas' NHS Foundation Trust - Guy's Hospital

London, United Kingdom

Royal Marsden NHS Foundation Trust - Royal Marsden Hospital

London, United Kingdom

Lancashire Teaching Hospitals NHS Foundation Trust - Royal Preston Hospital

Preston, United Kingdom

Royal Marsden NHS Foundation Trust - Institute of Cancer Research

Sutton, United Kingdom

View Full Details on ClinicalTrials.gov

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NCT07665515


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