ClinicalTrials.gg
CompletedNCT05979298Updated Aug 24, 2026Results posted

Efficacy of Plasmid Elenagen in Combination With Gemcitabine in Patients With Platinum-resistant Ovarian Cancer

A Phase 2 interventional study of Gemcitabine and ELENAGEN in Ovarian Cancer and Platinum-resistant Ovarian Cancer, sponsored by CureLab Oncology. Completed at 1 site in Belarus. Open to female participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-08-24.

Sponsored by CureLab Oncology · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Registered 3 years 8 months after the study started (first participant enrolled Nov 2019, registered Jul 2023).
Phase
Phase 2
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
Female
01

Study summary

Phase II, two arm prospective study of efficacy and safety of ELENAGEN in combination with gemcitabine in comparison with gemcitabine alone in patients with platinum-resistant ovarian cancer.

Read the detailed description

The purpose of this clinical study is to evaluate safety and efficacy of ELENAGEN, a novel anticancer therapeutics (plasmid DNA encoding p62/SQSTM1) protein, as an adjuvant to chemotherapy with Gemcitabin (GEM) in patients with advanced platinum-resistant ovarian cancer.

This is a prospective randomized multi-center study with two arms. Gemcitabine 1000 mg/m2 days 1,8 every 3 weeks) is administered in both arms: In the Chemo arm (n = 20) Gemcitabine is the only treatment, and in the ELENAGEN arm (n = 20) GEM was supplemented with ELENAGEN (2.5 mg i.m. weekly). The primary endpoint is progression-free survival (PFS), and the secondary endpoint is safety.

02

Conditions studied

  • Ovarian Cancer
  • Platinum-resistant Ovarian Cancer

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03

In context

Ovarian Neoplasms

3,381 studies on the registry are indexed under Ovarian Neoplasms; 790 are open to participants now.

This study's enrollment of 40 is below the median of 54 across 2,548 interventional studies indexed under Ovarian Neoplasms.

Browse Ovarian Neoplasms studies →

Lead sponsor

This is the only study on the registry with CureLab Oncology as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years to 70 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

  • The patient is 18-70 years old.
  • Written of the patient to participate in clinical trials.
  • Presence of confirmed ovarian cancer.
  • The return of the disease occurred less than 6 months after the last administration of platinum.
  • Presence of measurable tumor lesions according to 1.1 criteria.
  • Functional status according to scale is 0-2.
  • of at least 6 months.
  • Adequate function of the organs as determined by the following criteria:

    1. Absolute number of neutrophils (ANN) ≥1500/mm3 (≥1.5 × 109/l);
    2. count ≥100,000/mm3 (IU: ≥100 × 109/l).
    3. level ≥ 9.0 g/dL determined by analysis performed at least 2 weeks after the last hemotransfusion;
    4. The level of and ALT in blood serum not exceeding more than 3 times the upper limit of the norm.
    5. The level of serum not exceeding more than 1.5 times the .
    6. Serum Creatinine ≤ 1.5 mg/dL.
  • The ability of the patient to follow the directions of the research physician and follow the study regimen.

Exclusion criteria

Exclusion Criteria:

Criteria by which patients are not included in the study

  • Platinum-sensitive relapse of ovarian cancer (disease recurrence occurred more than 6 months after the last administration of platinum drugs).
  • Presence of serious diseases or health conditions:

    1. Other , with the exception of malignancies treated more than 5 years ago without signs of return of the disease.
    2. or .
    3. Active infection (e.g. fever ≥38 °C), including active or unresolved pneumonia/pneumonitis.
    4. Uncontrolled diabetes mellitus.
    5. Myocardial Infarction in the last 12 months, severe/unstable angina, clinically manifested heart failure class III-IV according to the classification of the New York Cardiology Association (NYCA).
    6. Gastrointestinal bleeding within the last 2 weeks.
    7. (HIV), chronic or acute or .
    8. Patients with disorders or organ transplantation who require therapy.

I. Mental illness that may increase the risk associated with participation in the study or taking the study drug or that may affect the interpretation of the results of the study.

K. Polyallergy, bronchial asthma (including aspirin) in history.

  • Major surgery during the previous 4 weeks (complete wound healing).
  • Previous chemotherapeutic treatment of the patient according to the scheme GEMCITABINE
  • Radiotherapy with extended field radiation within the previous 4 weeks or radiotherapy with a limited field radiation within the previous 2 weeks.
Terms in these criteria, in plain language(18)

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.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

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.

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.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

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.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

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.

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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
40 participants (actual)

Study arms

  • Active comparator
    Gemcitabin

    Gemcitabine 1000 mg/m2 days 1,8 every 3 weeks

    Drug: Gemcitabine

  • Experimental
    Gemcitabine+Elenagen

    GEM was supplemented with ELENAGEN (2.5 mg i.m. weekly)

    Drug: Gemcitabine · Biological: ELENAGEN

Interventions

  • Chemotherapeutics

    Also known as: Gemzar

  • BiologicalELENAGEN

    DNA plasmid

06

What researchers measure

Primary outcomes

  1. Progression-free Survival (PFS)

    Median duration of time from start of treatment to time of progression by RESIST 1.1 criterion or death. Progression is defined using RECIST v 1.0 as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.

    Time frame: 2 years since the start of treatment

Secondary outcomes

  1. Safety of Elenagen in Combination With Gemcitabine

    Frequency of drug-related adverse events (AEs) and serious AEs (SAEs) according to NCI CTCAE version 5.0.

    Time frame: 1 year after the start of treatment

07

Results

Posted Aug 24, 2026
Limitations and caveats
The main limitation of the study is small number of patients (20) in each group.

Participant flow

All patients were recruited in medical clinics of Republic of Belarus,

Participant flow — Overall Study
MilestoneGemcitabinGemcitabine+Elenagen
Started2020
Completed2020
Not completed00

Outcome measures

PrimaryProgression-free Survival (PFS)

Median duration of time from start of treatment to time of progression by RESIST 1.1 criterion or death. Progression is defined using RECIST v 1.0 as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.

Time frame:
2 years since the start of treatment
Reported as:
Median · Months
Progression-free Survival (PFS)
MonthsGemcitabinGemcitabine+Elenagen
Progression-free Survival (PFS)2.8 (2.1 to 7.7)7.2 (4.2 to —)
Statistical analysis
  • Gemcitabin vs Gemcitabine+Elenagen · Log Rank · p = 0.03
SecondarySafety of Elenagen in Combination With Gemcitabine

Frequency of drug-related adverse events (AEs) and serious AEs (SAEs) according to NCI CTCAE version 5.0.

Time frame:
1 year after the start of treatment
Reported as:
Count of participants · Participants
Safety of Elenagen in Combination With Gemcitabine
ParticipantsGemcitabinGemcitabine+Elenagen
Safety of Elenagen in Combination With Gemcitabine2020

Adverse events

Collected over From enrolment until end of follow-up, up to 24 months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Gemcitabin0/20 (0%)0/20 (0%)4/20 (20%)
Gemcitabine+Elenagen1/20 (5%)0/20 (0%)7/20 (35%)
Most frequent other events
Most frequent other events
EventGemcitabinGemcitabine+Elenagen
NeutropeniaBlood and lymphatic system disorders4/207/20

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)GemcitabinGemcitabine+ElenagenTotal
<=18 years000
Between 18 and 65 years202040
>=65 years000
Sex: Female, Male
Sex: Female, Male(Participants)GemcitabinGemcitabine+ElenagenTotal
Female202040
Male000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)GemcitabinGemcitabine+ElenagenTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American000
White202040
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(Participants)GemcitabinGemcitabine+ElenagenTotal
Belarus202040
CA125 oncomarker
CA125 oncomarker(units per ml)GemcitabinGemcitabine+ElenagenTotal
Median132 (93 to 525)101 (68 to 485)116 (85 to 328)
08

Study locations

1 site
  • Minsk City Clinical Oncology Center
    Minsk, Belarus
09

References and documents

Publications

  • Krasny S, Baranau Y, Bakin E, Polyakov S, Streltsova O, Zharkova E, Filimonava A, Levin G, Gabai V, Shneider A. Elenagen, a p62/SQSTM1-encoding plasmid, improves overall survival in patients with platinum-resistant ovarian cancer: a phase II trial. Int J Gynecol Cancer. 2026 Jul;36(7):104456. doi: 10.1016/j.ijgc.2025.104456. Epub 2026 Jan 7. PubMed 41577503 ↗
  • Krasny S, Baranau Y, Polyakov S, Zharkova E, Streltsova O, Filimonava A, Siarheyeva V, Kazlouskaya S, Khorau A, Gabai V, Shneider A. Clinical efficacy of plasmid encoding p62/SQSTM1 (Elenagen) in combination with gemcitabine in patients with platinum-resistant ovarian cancer: a randomized controlled trial. Front Oncol. 2024 Feb 12;14:1343023. doi: 10.3389/fonc.2024.1343023. eCollection 2024. PubMed 38410116 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No — Not to be shared

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05979298
Lead sponsor
CureLab Oncology
Responsible party
Sponsor
First posted
Aug 7, 2023
Start date
Nov 15, 2019
Primary completion
Dec 30, 2023
Completion
Dec 30, 2023
Results posted
Aug 24, 2026
Last update
Aug 24, 2026

Oversight

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

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