Surgery for Relapsed Ovarian Cancer in Precision

Trial statusNot yet recruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexFemale
Age18-80
SponsorShanghai Gynecologic Oncology Group

About this trial

This multicenter, biomarker-driven, patient-centric study aimed to evaluate the efficacy of secondary cytoreduction followed by platinum-based chemotherapy in combination with anti-PD1/CTLA-4 bispecifics therapy in patients with platinum-sensitive relapsed ovarian cancer (PSROC).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Arm 1 (criteria-fulfilled, CF)

Age at recurrence ≥ 18 years, <80 years.

Patients with platinum-sensitive, first relapsed epithelial ovarian, primary peritoneal, or fallopian tube cancer (EOC, PPC, FTC), which is defined as those with treatment -free interval of 6 months or more.

If the patient had previous PARPi maintenance therapy, disease progression should occurring at lease 3 months after the prior PARPi withdrawal.

Disqualifiers

Patients with borderline, low-grade tumors, clear cell carcinoma, as well as non-epithelial tumors.

Patients with platinum-resistant or refractory diseases.

Lack of tumor samples (archived and/or recently obtained) for biomarker detection.

Previous administration of immunotherapy

Trial design

Design model

Parallel

Treatments tested in this trial

  • surgery/chemotherapy

    Procedure/Surgery

    secondary cytoreductive surgery followed by 6 cycles of post-operative chemotherapy

  • Iparomlimab/Tuvonralimab

    Drug

    Iparomlimab/tuvonralimab will be administered at a dose of 5 mg per kilogram IV every 21 days. Treatment will continue until disease progression confirmed by RECIST criteria v1.1, intolerable toxicity or withdrawal of consent.

Treatment groups

33 Participants
are divided into 3 treatment groups
Group A: criteria-fulfilled armExperimental treatment 2 interventions
Group B: compassionate use armExperimental treatment 2 interventions
Group C: real world armNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Progression-free survival in CF arm

The time from entry into the study to the diagnosis of the first progression or recurrence or death in CF arm, whichever occurs first

Time frame
Up to 3 years
2

3-years Overall Survival Rate in CF arm

The proportion of patients without death at 3 years after entry into the study in CF arm

Time frame
Up to 3 years

Secondary outcomes

1

Overall survival in CF arm

The time from entry into the study to the date of death from any cause or last follow-up in CF arm

Time frame
Up to 3 years
2

TFST in CF arm

Time from entry into the study until the starting date of the first subsequent anticancer therapy or death, whichever occurred first, whichever occurred first, in CF arm

Time frame
Up to 3 years
3

TSST in CF arm

Time from entry into the study until the starting date of the second subsequent anticancer therapy or death, whichever occurred first, in CF arm

Time frame
Up to 3 years
4

Post-operative complications in CF and CU arms

The surgical complications will be evaluated at 30-day after secondary cytoreductive surgery in CF and CU arms

Time frame
Up to 1 months

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Shanghai Gynecologic Oncology Group

Lead sponsor

Shanghai Zhongshan Hospital

Collaborator

Tongji Hospital

Collaborator

This trial is not recruiting at the moment. You can still explore other options: