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Study of Oncoimmunome for the Treatment of Stage III/IV Ovarian Carcinoma

This study is currently recruiting participants. (see Contacts and Locations)
Verified April 2017 by Susan Tannenbaum, UConn Health
Sponsor:
Information provided by (Responsible Party):
Susan Tannenbaum, UConn Health
ClinicalTrials.gov Identifier:
NCT02933073
First received: September 20, 2016
Last updated: April 26, 2017
Last verified: April 2017
  Purpose
This is a Phase I trial to test the safety and feasibility of OncoImmunome vaccine in stage III/IV ovarian cancer patients. OncoImmunome is a tumor specific vaccine formulation which is predicted to elicit tumor-protective immune responses. A total of 15 patients will be enrolled from the Principal Investigator (PI) clinical practice. These patients will have just successfully completed standard of care surgical debulking with preservation of fresh tumor, chemotherapy treatment and be in documented clinical remission prior to receiving the vaccine. The patients receive 6-monthly doses of the vaccine and are monitored for up to 5 years post vaccination. This is a personalized vaccine, unique to each patient and is the "first in human" use.

Condition Intervention Phase
Ovarian Cancer
Biological: OncoImmunome
Phase 1

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: No masking
Primary Purpose: Treatment
Official Title: A Phase I Study of Oncoimmunome for the Treatment of Stage III/IV Ovarian Carcinoma

Resource links provided by NLM:


Further study details as provided by Susan Tannenbaum, UConn Health:

Primary Outcome Measures:
  • Monitoring of treatment-related adverse events as assessed by CTCAE v4.0 in subjects immunized with Oncoimmunome [ Time Frame: 5 years ]
    Number of Participants with Oncoimmunome Immunization related Adverse Events (AE) as assessed by CTCAE v. 4.03.


Secondary Outcome Measures:
  • Monitoring of subjects immunized with Oncoimmunome for immune response to components of Oncoimmunome [ Time Frame: 5 years ]
    1) Measurement of CD8 T cell proliferation and T cell phenotype in response to the Oncoimmunome peptides in immunized subjects

  • Monitoring of subjects immunized with Oncoimmunome for progression-free survival. [ Time Frame: 5 years ]
    Progression-free survival of patients immunized with Oncoimmunome.


Estimated Enrollment: 15
Study Start Date: November 2016
Estimated Study Completion Date: October 2026
Estimated Primary Completion Date: October 2026 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: OncoImmunome/Vaccine Phase
Women with Stage III/IV Ovarian Cancer who have received the standard of care treatment (surgical debulking and chemotherapy) for their cancer and are now in clinical remission will be given the experimental drug (vaccine) called OncoImmunome, which has been produced specifically for each participant.
Biological: OncoImmunome
The OncoImmunome will be a substance composed of a mixture of seven to ten peptides each containing 17-18 amino acids. Given that the vaccine will be tumor-specific based upon mutant peptide sequences identified in each tumor transcriptome, the vaccine for each patient will likely be a unique composition.

Detailed Description:

The study will be conducted under an IRB approval, in accordance with FDA regulations and Human Subject Protection regulations. Female patients will undergo standard of care therapy to include exploratory laparotomy and cytoreduction (debulking) surgery followed by chemotherapy. Only patients with histological confirmation of FIGO Stage III/IV epithelial adenocarcinoma of ovarian, tubal or peritoneal origin will be screened and enrolled into the study. At cytoreduction surgery a portion of the surgically resected tumor is preserved for vaccine production. The surgically resected tumor as well as normal cells obtained from peripheral blood shall be used for extraction of RNA and DNA sequencing of the tumor and normal transcriptomes, as well as normal exome sequencing, in the Genomic Core Facility at UConn Health. Patient's blood cells shall also be HLA typed.

When the patient has recovered from surgery, standard of care chemotherapy is given. Following completion of standard chemotherapy (6-8 cycles) and Investigator's confirmation of clinical remission, patients will be consented as subjects for the experimental investigative portion of the study.

The overall purpose of this research study is to produce and test the safety of a new experimental vaccine called OncoImmunome in people with Stage III/IV Ovarian Cancer. An "experimental vaccine" is a vaccine that is being tested and is not approved for sale in the United States by the U.S. Food and Drug Administration (FDA). The study has been divided into two parts: 1)Tumor Tissue and Blood Sample Collection and 2) Vaccine and Follow-up.

Study participants will consent to the following:

  1. Tumor Tissue and Blood Sample Collection: The purpose of this part of the study is to collect participants' blood and tumor tissue and test it for genetic mutations. These test results will be used to manufacture a study vaccine that is unique to the participant and to their ovarian cancer.
  2. Vaccine and Follow-up: The purpose of this part of the study is to test the safety of the experimental drug (vaccine) called OncoImmunome, which has been produced specifically for each participant.

Subject participation in this research study will last up to 5 years. The vaccine will be produced over a 6 month period, and for six months subjects will receive the study vaccine (1 study vaccine dose per month or 6 study vaccine doses total). However, the researchers will continue to collect all subjects information for up 5 years from the time they provided their tumor sample and blood for the research.

  Eligibility

Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Female patients >18 years of age must have a diagnosis of histologically confirmed Stage III/IV epithelial ovarian/fallopian tube/primary peritoneal adenocarcinoma who have not received any treatment or patients with recurrent Stage III/IV epithelial ovarian/tubal/peritoneal carcinoma with first recurrence >12 months after initial therapy and with resectable disease.
  2. Patient must have just completed standard platinum based adjuvant chemotherapy as per standard-of-care.
  3. Patient must have a life expectancy of at least 6 months.
  4. In the clinical judgment of the investigator, patients must have adequate renal, hepatic, and bone marrow function to complete the study:

    • Hematologic function: Absolute neutrophil count (ANC) must be greater than 1000 per mcl. White blood count equal to or greater than 3000 per mcl, platelet count greater than or equal to 100,000 per mcl.
    • Renal function: Serum creatinine equal to or less than 2.0 mg/dl.
    • Hepatic function: Bilirubin <1.5 x institutional normal.
  5. Patients with Patients with ECOG/WHO/Zubrod scale performance status < or = 2.
  6. No evidence of active infection.
  7. Patient is not part of another experimental program/therapy at least 4 weeks prior to enrollment.
  8. Patient has enrolled and has a cancer tissue sample from this cytoreduction surgery deposited in the UConn Health Center Research Tissue Registry/Repository (Biorepository) study (Principal Investigator: Mary Melinda Sanders, MD; UConn Health IRB# 08-310-1) and a sample is available for this study.
  9. Patients must be English speaking and sign an approved informed consent form (ICF) and HIPAA.

Exclusion Criteria:

  1. Patient not enrolled in the UConn Health Center Research Tissue Registry/Repository (Biorepository) study or there is inadequate tissue available for this study.
  2. Patients not in clinical remission after standard chemotherapy.
  3. Patients with recurrent Stage III/IV epithelial ovarian/tubal/peritoneal carcinoma with first recurrence < 12 months after initial therapy.
  4. Patients who have active autoimmune disease.
  5. Patients with any medical condition that would interfere with their ability to complete the study.
  6. Patients who are receiving any experimental drug therapy within 4 weeks of enrollment.
  7. Patients who are taking steroids (excludes topical steroids) within 4 weeks of enrollment.
  8. Patients with a prior malignancy within the previous 5 years or a synchronous primary cancer (non-melanoma skin cancer or other In Situ cancers are excluded).
  9. Patients unable or unwilling to provide informed consent.
  10. Patients whose tumors are not able to be sequenced or from which sufficient suitable neo- epitopes are not able to be identified.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT02933073

Contacts
Contact: Quratulain Ali, MPH, CCRP 860-679-7648 qali@uchc.edu

Locations
United States, Connecticut
UConn Health Recruiting
Farmington, Connecticut, United States, 06032
Contact: Quratulain Ali, MPH, CCRP    860-679-7648    qali@uchc.edu   
Principal Investigator: Susan Tannenbaum, MD         
Sponsors and Collaborators
UConn Health
Investigators
Principal Investigator: Susan Tannenbaum, MD UConn Health
  More Information

Responsible Party: Susan Tannenbaum, Associate Professor, UConn Health
ClinicalTrials.gov Identifier: NCT02933073     History of Changes
Other Study ID Numbers: Q16-158-3
Study First Received: September 20, 2016
Last Updated: April 26, 2017
Individual Participant Data  
Plan to Share IPD: Undecided

Additional relevant MeSH terms:
Ovarian Neoplasms
Endocrine Gland Neoplasms
Neoplasms by Site
Neoplasms
Ovarian Diseases
Adnexal Diseases
Genital Diseases, Female
Genital Neoplasms, Female
Urogenital Neoplasms
Endocrine System Diseases
Gonadal Disorders

ClinicalTrials.gov processed this record on May 25, 2017