RECRUITING

Efficacy & Safety of Olvi-Vec and Platinum-doublet + Bevacizumab Compared to Physician's Choice of Chemotherapy and Bevacizumab in Platinum-Resistant/Refractory Ovarian Cancer (PRROC) (OnPrime, GOG-3076)

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

The OnPrime study is a multi-center, randomized open-label phase 3 study evaluating the safety and efficacy of Olvi-Vec followed by platinum-doublet chemotherapy and bevacizumab compared to the Active Comparator Arm with Physician's Choice of chemotherapy and bevacizumab in women diagnosed with platinum-resistant/refractory ovarian cancer (includes fallopian tube cancer and primary peritoneal cancer). This Phase III trial builds on the efficacy and safety data reported in the previous Phase II VIRO-15 trial with promising objective response rate and progression-free survival observed in heavily pre-treated patients with platinum-resistant/refractory ovarian cancer. The phase II results also showed that the intra-peritoneal route of delivery was efficient in generating tumor cell killing and immune activation, and led to clinical reversal of platinum-resistance or refractoriness in this difficult-to-treat patient population.

Official Title

A Randomized Phase 3 Study Assessing the Efficacy and Safety of Olvi-Vec Followed by Platinum-doublet Chemotherapy and Bevacizumab Compared With Physician's Choice of Chemotherapy and Bevacizumab in Women With Platinum-Resistant/Refractory Ovarian Cancer (PRROC) (OnPrime, GOG-3076)

Quick Facts

Study Start:2022-08-31
Study Completion:2026-10
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT05281471

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years
Sexes Eligible for Study:FEMALE
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * Histologically confirmed (from prior treatment) non-resectable ovarian, fallopian tube or primary peritoneal cancer.
  2. * High-grade serous \[including malignant mixed Mullerian tumor (MMMT) with metastasis that contains high-grade epithelial carcinoma, FIGO grades 2 \& 3 allowed\], endometrioid, or clear-cell ovarian cancer.
  3. * Performance status ECOG of 0 or 1.
  4. * Life expectancy of at least 6 months.
  5. * Received a minimum of 3 prior lines (including the 1st line) of systemic therapy with no maximal limit.
  6. * Time from Last Platinum of less than or equal to 24 months since the last dose of platinum in the most recent platinum-based line of therapy (excluding using platinum as a radiosensitizer) until consent into this trial.
  7. * Platinum-resistant or -refractory disease based on platinum-free interval (PFI) from the last dose of the most recent. platinum-based line of therapy (must have received a minimum of 2 doses of platinum in that line) to subsequent disease progression based on radiological assessment. Platinum-refractory: PFI of \< 1 month (including disease progression while on platinum-based therapy). Platinum-resistant: PFI of 1-6 months.
  8. * Received prior bevacizumab (or biosimilar) treatment.
  9. * No contraindication to receive carboplatin, cisplatin or bevacizumab (or biosimilar).
  10. * Have disease progression after last prior line of therapy based on radiological assessment prior to randomization.
  11. * At least 1 measurable target lesion per RECIST 1.1 based on abdominal/pelvis imaging scan at screening.
  12. * Evidence by CT and/or PET scans or physical exam of abdominal/pelvis region likely having disease in the peritoneal cavity (i.e., peritoneal carcinomatosis).
  13. * Adequate renal, hepatic, bone marrow function, adequate coagulation tests, adequate immune function by lymphocyte count.
  1. * Tumors of mucinous, low-grade serous, squamous cell, small cell neuroendocrine subtypes, MMMT tumors absent an epithelial component on recent biopsy, or non-epithelial ovarian cancers (e.g., germ cell tumors, Sex-cord tumors).
  2. * Bowel obstruction within last 3 months prior to screening.
  3. * Active urinary tract infection, pneumonia, other systemic infections.
  4. * Active gastrointestinal bleeding.
  5. * Known current central nervous system (CNS) metastasis.
  6. * Inflammatory diseases of the bowel.
  7. * History of HIV infection.
  8. * Active hepatitis B virus or hepatitis C virus within 4 weeks prior to study.
  9. * History of thromboembolic event within the prior 3 months.
  10. * Contraindications for intraperitoneal (IP) catheter placement: Bowel obstruction with distended abdomen, rigid abdomen with bulky anterior wall carcinomatosis, abdominal wall hernia mesh that precludes laparoscopic entry to abdomen.
  11. * Clinically significant cardiac disease at screening (New York Heart Association Class III/IV).
  12. * Acute cerebrovascular event(s) such as cerebrovascular accident (CVA) or transient ischemic attack (TIA) in previous 6 months.
  13. * Oxygen saturation \<90%.
  14. * Received prior virus-based gene therapy or therapy with cytolytic virus of any type.
  15. * Receiving concurrent antiviral agent.
  16. * Prior malignancy of other histology active within previous 3 years except for locally curable cancers apparently cured such as basal/squamous cell skin cancer, superficial bladder cancer, carcinoma in situ of cervix or breast, any other stage I/II local malignancies.
  17. * Received chemotherapy, radiotherapy, other anti-cancer biologic therapies within 4 weeks prior to planned treatment.
  18. * Underwent surgery within 4 weeks, or have insufficient recovery from surgical-related trauma or wound healing, prior to first study treatment in either Arm.
  19. * Receiving immunosuppressive therapy or steroids (except acute concurrent corticosteroid of no more than 20 mg per day for medical management with prednisolone equivalent.
  20. * Symptomatic malignant ascites or pleural effusions defined as rapidly progressive ascites with abdominal distension and gastrointestinal dysfunction, pleural effusions with respiratory difficulties requiring frequent paracentesis \> once every 14 days.
  21. * Known hypersensitivity to gentamicin.

Contacts and Locations

Study Locations (Sites)

The University of South Alabama, Mitchell Cancer Institute
Mobile, Alabama, 36604
United States
University of Arizona Cancer Center
Tucson, Arizona, 85719
United States
City of Hope
Duarte, California, 91010
United States
UC San Diego Health - Moores Cancer Center
La Jolla, California, 92093
United States
Hoag Gynecologic Oncology
Newport Beach, California, 92663
United States
UCI Health Chao Family Comprehensive Cancer Center
Orange, California, 92868
United States
AdventHealth Cancer Institute
Orlando, Florida, 32804
United States
Sarasota Memorial Research Institute
Sarasota, Florida, 34239
United States
Tampa General Hospital/University of South Florida
Tampa, Florida, 33606
United States
Women's Cancer Associates with Women's Care Florida
Tampa, Florida, 33713
United States
Indiana University Simon Comprehensive Cancer Center
Indianapolis, Indiana, 46202
United States
Holy Cross Hospital
Silver Spring, Maryland, 20910
United States
Karmanos Cancer Institute
Detroit, Michigan, 48201
United States
Washington University School of Medicine
Saint Louis, Missouri, 63110
United States
Mercy Hospital St. Louis
Saint Louis, Missouri, 63141
United States
Women's Cancer Center of Nevada
Las Vegas, Nevada, 89106
United States
Center of Hope
Reno, Nevada, 89511
United States
Stony Brook Cancer Center
Stony Brook, New York, 11794
United States
Levine Cancer Institute
Charlotte, North Carolina, 28204
United States
Cleveland Clinic
Cleveland, Ohio, 44195
United States
Kettering Health
Kettering, Ohio, 45429
United States
Oklahoma University Health Stephenson Cancer Center
Oklahoma City, Oklahoma, 73104
United States
AHN West Penn Hospital
Pittsburgh, Pennsylvania, 15224
United States
Hollings Cancer Center
Charleston, South Carolina, 29425
United States
University of Texas Science Center at Houston, McGovern Medical School
Houston, Texas, 77030
United States
Providence Sacred Heart Medical Center & Children's Hospital
Spokane, Washington, 99204
United States

Collaborators and Investigators

Sponsor: Genelux Corporation

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2022-08-31
Study Completion Date2026-10

Study Record Updates

Study Start Date2022-08-31
Study Completion Date2026-10

Terms related to this study

Keywords Provided by Researchers

  • olvimulogene nanivacirepvec
  • GL-ONC1
  • GLV-1h68
  • oncolytic virus
  • virotherapy
  • viral therapy
  • immunotherapy
  • immunochemotherapy
  • combination therapy
  • vaccinia virus
  • ovarian cancer
  • fallopian tube cancer
  • primary peritoneal cancer
  • platinum resistant
  • platinum refractory
  • recurrent ovarian cancer
  • platinum resensitization
  • chemoresistance
  • heavily pre-treated
  • immune activation
  • reversal of platinum resistance or refractoriness
  • resensitize

Additional Relevant MeSH Terms

  • Platinum-resistant Ovarian Cancer
  • Platinum-refractory Ovarian Cancer
  • Fallopian Tube Cancer
  • Primary Peritoneal Cancer
  • High-grade Serous Ovarian Cancer
  • Endometrioid Ovarian Cancer
  • Ovarian Clear Cell Carcinoma