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CompletedNCT01416038Updated Apr 21, 2017

Phase 1 Study of a Cancer Vaccine to Treat Patients With Advanced Stage Ovarian, Fallopian or Peritoneal Cancer

A Phase 1 interventional study of DPX-Survivac and low dose cyclophosphamide (oral) in Ovarian Cancer, Fallopian Tube Cancer and Peritoneal Cancer, sponsored by ImmunoVaccine Technologies, Inc. (IMV Inc.). Completed at 7 sites in 2 countries. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-04-21.

Sponsored by ImmunoVaccine Technologies, Inc. (IMV Inc.) · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
19
Allocation
Non-randomized
Ages
18 Years and older
Sex
Female
01

Study summary

Immunotherapy is a novel way to treat cancer and does so by targeting the immune system to destroy tumor cells. Many different therapeutic vaccines have been evaluated in phase 1, 2, and even phase 3 trials. Much has been learned about the principles of applying immune-based therapies and specifically the types of patients that may be most likely to mount an effective immune response. When used alone, cancer vaccines may have their greatest impact earlier in the disease course or in situations with minimal residual disease.

ImmunoVaccine Technologies Inc. (Immunovaccine) is an immuno-oncology company developing a novel adjuvanting technology platform termed DepoVax. DepoVax was created to enhance the speed, strength and duration of an immune response. The peptide antigens included in DPX-Survivac are designed to target Survivin, a protein which is over-expressed in many cancer types, including epithelial ovarian cancers.

This study was designed be a phase 1-2 trial to determine the safety and immunogenicity profiles of DPX-Survivac, a therapeutic vaccine co-administered with a regimen of low dose oral cyclophosphamide. The dosing-finding phase 1 study of 15 subjects would move directly into a randomized phase 2 study. However, with the evolving field of immunotherapy Immunovaccine has begun to focus on combination therapies, combining DPX-Survivac treatment with checkpoint inhibitors and other immune modulators, such as in NCT02785250.

Read the detailed description

The standard treatment for all ovarian cancer is aggressive debulking surgery followed by chemotherapy. Ovarian carcinoma is one of the most chemosensitive solid tumors and early stage patients are most responsive to treatment. However, despite improvements to the standard treatment over the past three decades, almost all patients with advanced stage disease at presentation will relapse, with an average progression free survival of 16-18 months. When residual or recurrent disease manifests itself, resistance to chemotherapy often prohibits further curative therapy. Therefore, there are still significant unmet needs in treating ovarian cancer patients.

Treatment with DPX-Survivac is for patients with late-stage ovarian, fallopian tube, or peritoneal cancer who have completed initial chemotherapy treatment and successful debulking surgery. The phase 1 dose finding study will administer 3 doses of DPX-Survivac with or without accompanying low dose oral cyclophosphamide.

02

Conditions studied

  • Ovarian Cancer
  • Fallopian Tube Cancer
  • Peritoneal Cancer

Keywords

  • vaccine
  • immunotherapy
  • ovarian
  • fallopian tube
  • peritoneal
  • cancer
  • tumor
  • Phase 1
  • Phase I
  • combination therapy
03

In context

Fallopian Tube Neoplasms

720 studies on the registry are indexed under Fallopian Tube Neoplasms; 127 are open to participants now.

This study's enrollment of 19 is below the median of 52 across 589 interventional studies indexed under Fallopian Tube Neoplasms.

Browse Fallopian Tube Neoplasms studies →

Lead sponsor

ImmunoVaccine Technologies, Inc. (IMV Inc.) is the lead sponsor of 8 studies on the registry; 1 is open to participants now.

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

04

Who can participate

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

Eligibility criteria

Main Inclusion Criteria:

  • Subjects with stage IIc-IV epithelial ovarian, fallopian tube and peritoneal cancer who have completed adjuvant treatment consisting of up to 8 cycles of paclitaxel and carboplatin chemotherapy or other acceptable chemotherapy after initial debulking surgery with evidence of a complete or partial response by radiological imaging. These subjects may remain on hormonal therapy during the trial if such treatment has been prescribed by their treating physician. These subjects may have been in a clinical trial for an investigational carboplatin based adjuvant therapy.
  • Subjects with recurrent ovarian, fallopian tube or peritoneal cancer who have clinical or radiologic evidence of a complete or partial response or stable disease after completion of first-line chemotherapy for their recurrent disease and are not suitable for additional cytotoxic therapy are eligible. These subjects may have previously received a course of adjuvant chemotherapy earlier in their disease management as described in point one above. These subjects are eligible regardless of their CA-125 results. These subjects may have been in a clinical trial of an investigational therapy.
  • Subjects may have received previous courses of an investigational biologic therapy including active or passive immunotherapy greater than 60 days prior to receiving the first injection of DPX-Survivac
  • At least 30 days since localized surgery, radiotherapy or chemotherapy
  • Subjects may be on a biphosphonate provided it had not been initiated within 14 days prior to receiving the first injection of DPX-Survivac

Main Exclusion Criteria:

  • Subjects undergoing concurrent chemotherapy, radiation therapy, immunotherapy are excluded
  • Subjects who participated in therapeutic adjuvant ovarian cancer studies are excluded except for platinum-based adjuvant studies
  • Subjects who have received more than one course of chemotherapy for recurrent disease
  • Subjects receiving bevacizumab for maintenance therapy are excluded (subjects who received bevacizumab as part of their adjuvant therapy will be permitted)
  • History of autoimmune disease
  • Subjects with recent history of thyroiditis
  • Presence of an acute infection requiring antibiotics within 4 weeks of study entry or a chronic infection including but not limited to: urinary tract infection, HIV, viral hepatitis
  • Subjects with brain metastases
  • Concurrent (within the last 5 years) second malignancy other than non melanoma skin cancer, cervical carcinoma in situ, or controlled bladder cancer
  • Acute or chronic skin disorders that will interfere with subcutaneous injection of the vaccine or subsequent assessment of potential skin reactions
  • Serious intercurrent chronic or acute illness, such as cardiac disease, hepatic disease, or other illness considered by the investigator as an unwarranted high risk for an investigational product
  • Subjects on steroid therapy or other immunosuppressive, such as azathioprine or cyclosporin A
  • Allergies to any component of the vaccine
  • Pregnant or nursing mothers
  • Subjects with a medical or psychological impediment to probable compliance with the protocol
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
19 participants (actual)

Study arms

  • Experimental
    Vaccine

    Cohort A: 0.5 mL of DPX-Survivac (injection)

    Biological: DPX-Survivac

  • Experimental
    Vaccine + low dose cyclophosphamide

    Cohort B: 0.1 mL DPX-Survivac (injection) with low dose cyclophosphamide (oral)

    Biological: DPX-Survivac · Drug: low dose cyclophosphamide (oral)

  • Experimental
    Vaccine + low dose cyclophosphamide.

    Cohort C: 0.5 mL DPX-Survivac (injection) with low dose cyclophosphamide (oral)

    Biological: DPX-Survivac · Drug: low dose cyclophosphamide (oral)

Interventions

  • BiologicalDPX-Survivac

    Vaccine targeting survivin antigen will be administered subcutaneously.

  • Druglow dose cyclophosphamide (oral)

    Low dose cyclophosphamide will be taken by mouth.

06

What researchers measure

Primary outcomes

  1. Number of reported adverse events

    The number of adverse events along with the results of vital sign measurements, physical examinations, and clinical laboratory tests will be used to determine the safety profile of subcutaneous administration of DPX-Survivac.

    Time frame: Until 6 month follow up

Secondary outcomes

  1. Levels of cell mediated immunity targeting the survivin epitopes

    Time frame: Until 6 month follow up

07

Study locations

7 sites
  • Roswell Park Cancer Institute
    Buffalo, New York 14263, United States
  • Winthrop University Hospital
    Mineola, New York 11501, United States
  • Duke University Medical Center
    Durham, North Carolina 27710, United States
  • Oregon Health & Science University
    Portland, Oregon 97239, United States
  • Mary Crowley Cancer Research Center
    Dallas, Texas 75230, United States
  • Queen Elizabeth II Health Sciences Centre
    Halifax, Nova Scotia B3H 1V7, Canada
  • Princess Margaret Hospital
    Toronto, Ontario M5G 2M9, Canada
08

References and documents

Publications

  • Berinstein NL, Karkada M, Oza AM, Odunsi K, Villella JA, Nemunaitis JJ, Morse MA, Pejovic T, Bentley J, Buyse M, Nigam R, Weir GM, MacDonald LD, Quinton T, Rajagopalan R, Sharp K, Penwell A, Sammatur L, Burzykowski T, Stanford MM, Mansour M. Survivin-targeted immunotherapy drives robust polyfunctional T cell generation and differentiation in advanced ovarian cancer patients. Oncoimmunology. 2015 May 7;4(8):e1026529. doi: 10.1080/2162402X.2015.1026529. eCollection 2015 Aug. PubMed 26405584 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 21, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01416038
Lead sponsor
ImmunoVaccine Technologies, Inc. (IMV Inc.)
Responsible party
Sponsor
First posted
Aug 12, 2011
Start date
Dec 2011
Primary completion
May 2013
Completion
May 2013
Last update
Apr 21, 2017

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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