ClinicalTrials.gg
Status unknownNCT03283943Updated Jul 11, 2018

PDL-1 Inhibition and Focal Sensitizing Radiotherapy in Recurrent Ovarian/Primary Peritoneal/Fallopian Tube Cancers.

A Phase 1 interventional study of Focal radiotherapy and Durvalumab in Ovarian Cancer, Primary Peritoneal Carcinoma and Fallopian Tube Cancer, sponsored by British Columbia Cancer Agency. Status unknown at 1 site in Canada. Open to female participants aged 19 Years to 99 Years. Per ClinicalTrials.gov, last updated 2018-07-11.

Sponsored by British Columbia Cancer Agency · Phase 1, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jul 2018), so the status shown — last known as Recruiting — may be out of date.

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Phase
Phase 1
Study type
Interventional
Enrollment
22
Allocation
Not applicable
Ages
19 Years to 99 Years
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 14 studies testing durvalumab in Ovarian Neoplasms — 2 open to participants now, 6 under way, 1 of them phase 3. durvalumab · Ovarian Neoplasms.

Planned enrollment
13th of 14
22 · median 85
Started
2018
with 1 other
Phase 1
5 of 14
none open now
Registered
8th of 14
by date
Lead sponsor
2 of 14
British Columbia Cancer Agency

Among the 14 studies testing durvalumab in Ovarian Neoplasms, this one is the 13th largest by planned enrollment, is one of 2 that started in 2018, is one of 5 in phase 1, and was the 8th registered.

Ovarian Neoplasms

3,385 studies on the registry are indexed under Ovarian Neoplasms; 792 are open to participants now.

Browse Ovarian Neoplasms studies →

Open to participants now

2 of the 14 studies testing durvalumab in Ovarian Neoplasms are open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

All 2 open studies →

About durvalumab

durvalumab: first FDA approval 2017 (IMFINZI), first EMA approval 2018. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 605 Ovarian Neoplasms studies recruiting now, 442 (73%) set no upper age limit and 107 (18%) stop at 75 or younger; 39 take children under 18; 45 take healthy volunteers.

This study: 19 Years to 99 Years · female · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 14 studies testing durvalumab in Ovarian Neoplasms, or all of them as a file.
02

Study summary

It is postulated that focal sensitizing radiotherapy may potentiate the effectiveness of durvalumab. The purpose of this study is to test the safety and tolerability of 2 different dose levels of focal sensitizing radiation therapy given with durvalumab.

Read the detailed description

Durvalumab is a PDL-1 inhibitor, part of class of agents (called checkpoint inhibitors) designed to increase the ability of the immune system to recognize and work to eliminate cancers. Checkpoint inhibitors have been studied in recurrent ovarian, primary peritoneal and Fallopian cancers, and on their own show a low level of activity.

Radiation therapy is usually used in women with recurrent ovarian, primary peritoneal and Fallopian cancers to palliate symptoms related to progressive disease. However, radiation is know to modify the cancer immune environment and to release tumour antigens. These actions may potentiate the function of immune checkpoint inhibitors.

03

Conditions studied

  • Ovarian Cancer
  • Primary Peritoneal Carcinoma
  • Fallopian Tube Cancer
04

Who can participate

Ages eligible
19 Years to 99 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Provision of written prior to any study specific procedures
  • Female patients aged 19 years and older
  • Platinum-resistant (progression within 6 months of platinum based regimen) or platinum- ovarian/fallopian tube/peritoneal origin.
  • High grade serous, endometrioid, clear cell, mucinous, malignant mixed Mullerian tumor, and low grade serous histotypes are permitted. Non-epithelial tumours will not be permitted.
  • performance status 0-1.
  • No more than 2 in the platinum-resistant setting.
  • No bowel obstructions within the preceding 6 months.
  • Last radiation therapy treatment ≥3 months prior to enrollment.
  • Expected survival >3 months.
  • All patients much have at least one site of as defined by criteria (v.1.1).
  • All patients must have disease suitable for core and agree to study related biopsies. Disease suitable for biopsy can serve as radiation targets, but cannot be used for response assessment.
  • All patients must have at least 2 additional sites of disease that serve are suitable radiation targets (see section 6.2.1).
  • Lesions suitable for radiation targeting must meet all of the following criteria:
  • each target must be > 4 cc in volume by standard imaging techniques, such as CT scan, MRI, or radiograph
  • for each lesion, partial treatment of a tumour mass is permitted, but the treatment volume cannot be less than the equivalent of a 2cm sphere (4cc) and the two targets cannot be part of the same contiguous mass
  • must be outside of previously irradiated fields 12. Adequate organ and marrow function

Exclusion criteria

Exclusion Criteria:

  • Subjects who cannot meet all the radiation planning constraints will not be eligible for this trial.
  • Participation in another clinical study with an agent during the last 4 weeks.
  • Concurrent enrolment in another clinical study, the only exception being observational (non-interventional) clinical studies.
  • History of pneumonitis requiring treatment with , or has a history of interstitial lung disease.
  • Patients who have to receiving radiation therapy, such as: Rheumatoid Arthritis, connective tissue disorders, Lupus, scleroderma, CREST syndrome, Crohn's syndrome, Ulcerative colitis, or other conditions identified by the Radiation Oncologist as unsuitable for radiation therapy.
  • Current or prior use of medication within 28 days before the first dose of the study drug, with the exception of intra-nasal and inhaled corticosteroids or systemic corticosteroids at physiologic doses, which must not exceed 10 mg/day of prednisone, or an equivalent corticosteroid.
  • Prior exposure to an or anti-PD-L1 antibody.(including durvalumab
  • History of acute diverticulitis, intra-abdominal abscess, or GI obstruction.
  • Previous severe reaction to another monoclonal antibody (mAb).
  • Active disease or a documented history of autoimmune disease or syndrome that requires systemic steroids or immunosuppressive agents. Patients with Vitiligo, Grave's disease or psoriasis not requiring systemic treatment (within the past 2 years) or those with resolved childhood asthma/atopy are not excluded.
  • Uncontrolled intercurrent illness including: infection requiring therapy, symptomatic congestive heart failure, uncontrolled hypertension (systolic blood pressure > 150 and diastolic blood pressure >100), unstable angina pectoris, cardiac arrhythmia, active peptic ulcer disease or gastritis, active bleeding diatheses.
  • Mean corrected for heart rate (QTc) ≥ 470 ms calculated from using Frediricia'sCorrection.
  • Positive for (HIV), (Hepatitis B Surface Antigen [HBsAg] reactive), or virus (Hepatitis C Virus Ribonucleic Acid [HCV RNA] (qualitative) is detected).
  • Previous clinical diagnosis of active tuberculosis.
  • Receipt of a within 30 days of study entry or within 30 days or receiving the study drug.
  • History of another , with the exception of:
  • Malignancy treated with curative intent without evidence of recurrence for ≥ 5 years
  • Adequately treated non -melanoma skin cancer or lentigo maligna without evidence of disease
  • Adequately treated carcinoma in situ without evidence of disease e.g. cervical carcinoma in situ
  • Female patients who are pregnant, breast-feeding or of who are not employing an effective method of (see Table 3).
  • Any condition that, in the opinion of the investigator, would interfere with evaluation of the study drug or interpretation of patient safety or study.
Terms in these criteria, in plain language(22)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

PD-1, PD-L1 and checkpoint inhibitors

PD-1, PD-L1 and CTLA-4 are proteins that act as brakes on the immune system. Checkpoint inhibitors, such as pembrolizumab or nivolumab, block them so the immune system can attack a cancer.

PD-L1 can also be measured in a tumour sample. Some scores count stained tumour cells only (TPS); others also count certain immune cells (CPS). The study names the score and the minimum it uses.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
22 participants (estimated)

Study arms

  • Experimental
    Durvalumab and focal radiotherapy

    Durvalumab 1500 mg IV every 28 days, and 2 fractions of focal sensitizing radiation with cycles 1 and 2 of treatment.

    Radiation: Focal radiotherapy · Drug: Durvalumab

Interventions

  • RadiationFocal radiotherapy

    Focal sensitizing radiotherapy will be given at a starting dose level of 24 Gray (6 Gy X 4 fractions), and may be escalated to 32 Gy (8Gy X4 fractions).

  • Durvalumab 1500 mg IV every 28 days

    Also known as: MEDI 4736

06

What researchers measure

Primary outcomes

  1. Determine the maximum tolerated dose of durvalumab combined with focal irradiation for use in recurrent ovarian cancer

    The maximum tolerated dose will be defined by dose-limiting toxicities and serious adverse events.

    Time frame: First 4 weeks of therapy

Secondary outcomes

  1. Objective response rate

    Objective Response rate as evaluated by RECIST (v 1.1) criteria 2) Progression free survival 3) Overall survival

    Time frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 100 months

  2. CA-125 response rate

    Using GCIG CA-125 response criteria

    Time frame: From date of study enrollment until confirmed CA-125 progression, through study completion, an average of 1 year

  3. Immune-related response rate

    Using Immune-related response criteria

    Time frame: From date of study enrollment until confirmed immune-related disease progression, through study completion, an average of one1year

Other outcomes

  1. Survival

    Progression free survival and overall survival of the study population

    Time frame: From date of study enrollment until death or study completion (maximum 12 months).

07

Study locations

1 of 1 sites recruiting
  • BC Cancer Agency
    Vancouver, British Columbia V5Z 4E6, Canada
    Recruiting
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Apr 2018 (actual). Primary completion is estimated for Dec 2020, 32 months after the start.

Of 170 non-industry phase 1 interventional studies under Ovarian Neoplasms, half reached primary completion within 54 months of starting (the median), counting those still running; a quarter within 35 and three quarters within 82. This study's planned 32 months is below that.

Counting every sponsor, half of 380 studies reached it within 50 months; a quarter within 32 and three quarters within 76.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 30, 2017
First posted
Sep 15, 2017
StartActual
Apr 1, 2018
Primary completionEst.
Dec 16, 2020
CompletionEst.
Dec 16, 2020
Last update
Jul 11, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 11, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03283943
Collaborators
Ozmosis Research Inc.
Responsible party
Anna Tinker (Medical Oncologist, British Columbia Cancer Agency) — Principal investigator
First posted
Sep 15, 2017
Start date
Apr 1, 2018
Primary completion
Dec 16, 2020 (estimated)
Completion
Dec 16, 2020 (estimated)
Last update
Jul 11, 2018

Study contacts

Anna Tinker, MD
Contact
atinker@bccancer.bc.ca
604-877-6000

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Jul 2018. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Durvalumab

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