Study on ONC-392 and Pembrolizumab for Treating Platinum-Resistant Ovarian Cancer
Sponsor: OncoC4, Inc.
ClinicalTrials ID:NCT05446298
This clinical trial is testing a new combination of two drugs, ONC-392 and pembrolizumab, to see if they are safe and effective for women with ovarian cancer that has not responded to platinum-based chemotherapy.
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Program Overview
The purpose of this study is to evaluate the safety and effectiveness of combining ONC-392, a new type of anti-CTLA-4 antibody, with pembrolizumab, an anti-PD-1 antibody, in women with ovarian cancer that is resistant to platinum-based chemotherapy. The study will compare two different doses of ONC-392 to determine the best dose for future research. Participants must have previously received treatment with bevacizumab and have experienced disease progression.
Description
This Phase 2 study is designed to test the safety and effectiveness of two different doses of ONC-392 combined with a fixed dose of pembrolizumab in women with ovarian cancer that has not responded to platinum-based chemotherapy. The study aims to find out which dose of ONC-392 works best when used with pembrolizumab. Participants must have previously been treated with bevacizumab and have shown disease progression. The results will help guide future studies in advanced ovarian cancer.
Eligibility Criteria
Inclusion Criteria
- Women aged 18 or older who agree to participate and provide written consent.
- Diagnosed with high-grade serous ovarian cancer, primary peritoneal cancer, or fallopian tube cancer.
- Have had previous surgery, including removal of the uterus and ovaries.
- Cancer must be resistant to platinum-based chemotherapy:
- If only one line of therapy was received, cancer must have progressed 3 to 6 months after the last platinum dose.
- If two or more lines of platinum therapy were received, cancer must have progressed within 6 months after the last platinum dose.
- Must have received at least one prior anti-cancer treatment, with or without bevacizumab or a PARP inhibitor, and be suitable for single-agent therapy as the next treatment.
- Must have at least one measurable tumor that can be tracked using scans.
- Must be in good overall health with an ECOG score of 0 or 1.
- Must have completed previous cancer treatments within specified timeframes before starting the study.
- Must have a life expectancy of at least 12 weeks and be well enough to receive experimental therapy.
- Must have adequate organ function as determined by specific blood tests.
Exclusion Criteria
- Have certain types of ovarian cancer, such as carcinosarcoma or clear cell carcinoma.
- Have cancer that did not respond to first-line platinum chemotherapy or progressed within 3 months of the last dose.
- Have a high risk of disease progression, such as needing fluid drainage from the abdomen within 14 days before treatment.
- Have active brain metastases unless treated and stable without steroids for at least 7 days before treatment.
- Are on high-dose steroid therapy for autoimmune conditions.
- Have another active cancer requiring treatment within the past 24 months.
- Have a history of serious heart or blood vessel problems within 12 months before treatment.
- Have an active infection requiring IV antibiotics or hospitalization within 14 days before treatment.
- Have not recovered from side effects of previous cancer treatments.
- Have lung disease or inflammation that required steroid treatment.
- Have active inflammatory bowel disease or intestinal blockage.
- Have any condition or mental health issue that could interfere with the study.
- Are participating in other clinical trials or have received similar therapies before.
- Have received a live vaccine within 30 days before starting the study.
- Have had an organ or stem cell transplant.
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