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CompletedNCT03539406INTROUpdated Aug 9, 2024

Intraperitoneal Infusion of ex Vivo-cultured Allogeneic NK Cells in Recurrent Ovarian Carcinoma Patients

A Phase 1 interventional study of UCB-NK cells and Chemotherapy in Recurrent Ovarian Carcinoma, Recurrent Fallopian Tube Carcinoma and Recurrent Primary Peritoneal Carcinoma, sponsored by Radboud University Medical Center. Completed at 1 site in Netherlands. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2024-08-09.

Sponsored by Radboud University Medical Center · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
11
Allocation
Non-randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This study investigates an innovative treatment for recurrent ovarian cancer exploiting ex vivo-generated allogeneic natural killer (NK) cells with or without preceding non-myeloablative conditioning chemotherapy.

Read the detailed description

This study investigates an innovative treatment for recurrent ovarian cancer exploiting ex vivo-generated allogeneic natural killer (NK) cells with or without preceding non-myeloablative conditioning chemotherapy.

This study is a phase I safety and feasibility study in a series of 12 patients who are suffering from recurrent ovarian, fallopian tube or primary peritoneal cancer. Prior to NK cell infusion, a laparoscopy is performed to place a catheter in the peritoneal cavity. The first cohort of three patients will receive an intraperitoneal infusion of allogeneic UCB-NK cells generated ex vivo from CD34+ hematopoietic progenitor cells obtained from an allogeneic UCB unit without a preparative regimen. In the second group of three patients the same UCB-NK cell dosage will be given with a preparative regimen of four days non-myeloablative immunosuppressive conditioning regimen with cyclophosphamide and fludarabine (CyFlu). If no severe toxicity is seen in these 6 patients, an extension cohort of 6 patients will be included to answer the secondary objective.

02

Conditions studied

  • Recurrent Ovarian Carcinoma
  • Recurrent Fallopian Tube Carcinoma
  • Recurrent Primary Peritoneal Carcinoma
03

In context

Carcinoma

6,741 studies on the registry are indexed under Carcinoma; 1,161 are open to participants now.

This study's enrollment of 11 is below the median of 45 across 5,170 interventional studies indexed under Carcinoma.

Browse Carcinoma studies →

Lead sponsor

Radboud University Medical Center is the lead sponsor of 959 studies on the registry; 134 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients suffering from their second recurrence of ovarian, fallopian tube or primary peritoneal cancer, with an elevated serum level of CA-125 on two successive time points with 28 days in between, reaching a value of more than 2 times nadir and above 35 U/ml without gastrointestinal symptoms.
  • Able to undergo laparoscopic IP port placement and IP treatment administration
  • Adequate organ function
  • Age 18 years or older
  • Age under 76 years.
  • Karnofsky performance status >70% (see appendix 2)
  • Life expectancy > 6 months
  • At least 28 days after last anti cancer treatment, before start of preparative regimen
  • Written informed consent
  • Availability of a partially HLA-matched UCB unit

Exclusion criteria

Exclusion Criteria:

  • Patients on immunosuppressive drugs
  • Patients with active infections (viral, bacterial or fungal) that requires specific therapy. Acute anti-infectious therapy must have been completed within 14 days prior to study treatment
  • Laparoscopic adhesion score >4 out of 9.
  • Severe cardiovascular disease (arrhythmias requiring chronic treatment, congestive heart failure or symptomatic ischemic heart disease (appendix 4)
  • Severe pulmonary dysfunction (CTCAE III-IV) (appendix 4)
  • Severe renal dysfunction (MDRD\<50) (appendix 4)
  • Severe hepatic dysfunction (serum bilirubin or transaminases > 3 times normal level) (appendix 4)
  • Severe neurological or psychiatric disease
05

Study design

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

Study arms

  • Experimental
    NK-cells without preparative regimen

    NK-cells without preparative regimen

    Biological: UCB-NK cells

  • Experimental
    NK-cells with preparative regimen

    NK-cells with preparative regimen

    Biological: UCB-NK cells · Drug: Chemotherapy

Interventions

  • BiologicalUCB-NK cells

    Intraperitoneal allogeneic UCB-NK cells infusion

  • DrugChemotherapy

    Cyclofosfamide/fludarabine treatment

06

What researchers measure

Primary outcomes

  1. Incidence of treatment emergent adverse events

    Incidence of treatment emergent adverse events (following CTCAE criteria)

    Time frame: 6 months

Secondary outcomes

  1. in vivo lifespan of the infused UCB-NK cells

    determination of NK cell percentage in blood and peritoneal fluid

    Time frame: 28 days

  2. in vivo expansion of the infused UCB-NK cells

    determination of NK cell percentage in peritoneal fluid and blood

    Time frame: 28 days

  3. Measurement of in vitro cytolytic activity of infused NK cells

    in CFSE base killing assays a percentage of dead cells (K562 cells) will be measured.

    Time frame: 28 days

  4. the effect of NK cell infusion on measurable disease

    CA-125 testing in blood (in E/mL)

    Time frame: 6 months

  5. the effect of NK cell infusion on measurable disease

    CT-scan (measurement of visible leasions in cm)

    Time frame: 6 months

07

Study locations

1 site
  • Radboudumc
    Nijmegen, Netherlands
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 9, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03539406
Lead sponsor
Radboud University Medical Center
Collaborators
Dutch Cancer Society
Responsible party
Sponsor
First posted
May 29, 2018
Start date
Jun 4, 2019
Primary completion
May 1, 2023
Completion
Sep 1, 2023
Last update
Aug 9, 2024

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2022. You cannot join it, but the record below documents what was studied.

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