Plasmodium Immunotherapy for Advanced Ovarian Cancer

• Subjects must meet all the following inclusion criteria:

  1. 18-80 years old(including the threshold), female;
  2. The patients with ovarian cancer, who has been diagnosed by histopathological examination, can provide pathological reports, and is classified as stage III or stage IV according to the American Joint Committee on Cancer (AJCC) ovarian cancer staging version 8 (2017);
  3. Platinum-resistant patient who has received at least the first line of platinum-containing standard chemotherapy (refer to China's Guidelines for the Diagnosis and Treatment of Ovarian Cancer (2022)) in the past, and have been evaluated as disease progression by objective imaging;
  4. According to the evaluation standard of solid tumor efficacy RECIST 1.1, the therapeutic effect can be evaluated if there is ≥ 1 measurable lesion or continuous positive tumor marker;
  5. There are no plans and requirements for receiving other anti-tumor treatment during the treatment of Plasmodium immunotherapy;
  6. The score of Eastern Cooperative Oncology Group(ECOG) is 0-1;
  7. Expected survival time ≥ 3 months;
  8. If no platelets or red blood cells are transfused within 14 days before screening, and no thrombopoietin (TPO), granulocyte colony stimulating factor (G-CSF), granulocyte macrophage colony stimulating factor (GM-CSF), interleukin 11 (IL-11) or other drugs are used to correct abnormal blood picture: neutrophil (NEUM) ≥ 1.5 × 10\^9/L, platelet (PLT) ≥ 100 × 10\^9/L, hemoglobin (HGB) ≥ 90g/L, no obvious abnormality of erythrocyte morphology; Albumin (ALB) ≥ 35g/L;
  9. For female subjects with the possibility of pregnancy: from the time of signing the informed consent form (ICF) to the end of Plasmodium immunotherapy treatment at least 24 weeks, consent to abstinence or use of effective contraceptive methods, including intrauterine devices, etc. (Note: women of childbearing age have undergone surgical sterilization (including hysterectomy, bilateral oophorectomy or total hysterectomy), or have menopause for more than 24 menstrual cycles, That is, there is no possibility of pregnancy);
  10. Subjects are fully capable of understanding and signing the informed consent form.

Exclusion Criteria:

• Subjects who have any of the following conditions cannot be included in the study:

  1. Have received any investigational drug within 4 weeks before the first inoculation of Plasmodium parasite, or have participated in another clinical study at the same time (except that the subjects have participated in the observational and non-interventive clinical study, or are in the follow-up period of the intervention clinical study);
  2. Immunodeficiency diseases, including HIV infection, other acquired and congenital immunodeficiency diseases;
  3. Coagulation dysfunction, or acute or chronic hemorrhagic disease;
  4. Have received other anti-tumor treatment in the past, and the period from the termination of treatment to the screening is less than 14 days or 5 half-lives (whichever occurs first);
  5. The time interval between radiotherapy and treatment in this study for patients who have previously received external or internal radiotherapy is less than 28 days;
  6. Patients with severe hemoglobinopathy or severe Glucose-6-Phosphate Dehydrogenase(G6PD) deficiency;
  7. After splenectomy or splenomegaly;
  8. Drug addicts or alcohol addicts;
  9. Plenty of pleural effusion, pericardial effusion or ascites;
  10. Patients with active hepatitis B or hepatitis C;
  11. Patients with obvious defects in immunocyte classification test (CD4+T cell absolute count\<200/ μ l）； Or receive any form of immunosuppressive treatment within 28 days before the trial treatment;
  12. Have serious or uncontrolled systemic diseases (including but not limited to active infection, grade III hypertension, unstable angina pectoris, congestive heart failure, grade III or IV heart disease, serious arrhythmia, liver and kidney insufficiency, myocardial infarction, etc.);
  13. Currently has mental disorder or a history of mental illness;
  14. Having undergone major surgery within three months from the screening period;
  15. Have received bone marrow transplantation or organ transplantation in the past;
  16. Moderate or severe pulmonary ventilation dysfunction;
  17. Those who are currently receiving regular anti-tumor treatment, and the treatment is effective or there is no obvious progress in the disease;
  18. The investigator evaluated the patients who could not tolerate Plasmodium immunotherapy;
  19. Pregnancy, lactation or pregnancy within 6 months after treatment;
  20. According to the judgment of the researcher, the other conditions of the subject are not suitable for participating in the test.