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Induction of neo*antigen specific cytotoxic T cells by autologous tumor lysate-loaded specialized cross*presenting dendritic cells in epithelial ovarian cancer patients treated with neoadjuvant chemotherapy, the NEODOC study

Not yet recruiting
Conditions
epithelial ovarian cancer
high grade serous ovarian cancer
ovarian cancer
10038594
Registration Number
NL-OMON54480
Lead Sponsor
Radboud Universitair Medisch Centrum
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
Not specified
Target Recruitment
10
Inclusion Criteria

• Age over 18 years old
• Histologically confirmed primary epithelial ovarian cancer
• Not amenable by primary debulking surgery and in need of neoadjuvant
chemotherapy and interval debulking
• High-grade serous histology
• FIGO stage IIIb, IIIc, IVa or IVb if only lymph nodes <= 1cm above the
diaphragm or in the groins
• Extensive abdominal spread of tumor
• WHO/ECOG performance status 0-1

Exclusion Criteria

• Recurrent ovarian cancer
• History of any second malignancy, with the exception of adequately treated
basal cell carcinoma, cervical cancer > 5 years ago or early stage breast
cancer >10 years ago.
• Any serious clinical condition that may interfere with the safe
administration of DC vaccinations or renders patient ineligible for combined
carboplatin-paclitaxel chemotherapies
• Active infection of Hepatitis B, C, HIV and syphilis or any other serious
active infection
• Known allergy to shell fish
• Auto immune disease (exception: vitiligo is permitted)
• Chronic treatment with systemic immunosuppressive drugs (i.e. more than 10 mg
prednisolone equivalent)

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>The primary endpoint of the study is the immune response enhanced or induced by<br /><br>autologous tumor lysate-loaded XP-DC in epithelial ovarian<br /><br>cancer patients.</p><br>
Secondary Outcome Measures
NameTimeMethod
<p>Secondary endpoints are<br /><br>- the safety and feasibility of tumor lysate-loaded XP-DC vaccinations. Safety<br /><br>will be evaluated by adverse events, WHO/ECOG performance status, physical<br /><br>examinations and laboratory tests. Toxicity will be assessed according to CTCAE<br /><br>version 4.3;<br /><br>- changes in the immunological landscape in tumor material and mutational<br /><br>status after chemotherapy combined with vaccination with DC vaccines;<br /><br>- clinical efficacy (number with pathological response to chemotherapy, number<br /><br>with complete interval debulking, progression free survival, overall survival;</p><br>
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