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Completed

NCT Number: NCT03839524

A Trial Evaluating TG4050 in Ovarian Carcinoma.

This is a multicenter, open-label, single arm phase I study evaluating the safety and tolerability as well as some activity parameters of TG4050 in patients with ovarian, fallopian or peritoneal serous carcinoma.

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Key information

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Signed written informed consent.
  • Female patients ≥ 18 years
  • Histologically confirmed high grade, advanced stage serous ovarian, fallopian tube or primary peritoneal carcinoma.
  • Patients who have undergone primary debulking surgery or interval debulking surgery and have completed standard first-line platinum-based chemotherapy and for whom tumor tissue has been banked.
  • Patients must have achieved a complete response to therapy
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 at treatment period initiation
  • Adequate hematological, hepatic and renal functions.

Exclusion criteria

  • Patient having received any cancer immunotherapy including cancer vaccines, any antibody/drug targeting T cell co-regulatory proteins such as anti-Programmed cell death 1 (anti-PD1), anti-Programmed death-ligand 1 (anti-PDL1) or anti-cytotoxic T-lymphocyte-associated protein 4 (anti-CTL4)
  • Patients with other active malignancy ≤ 3 years prior to registration except non-melanoma skin cancer, stage 0 in situ carcinoma.
  • Patient post-organ transplantation, including allogeneic stem cell or bone marrow transplantation.
  • Known history of positive testing for Human Immunodeficiency Virus (HIV) or known AIDS (Acquired Immune Deficiency Syndrome).
  • Any known allergy or reaction to eggs or attributed to compounds of similar chemical or biological composition to therapeutic vaccines/immunotherapeutic products.
  • Acute or chronic infection with hepatitis C Virus (HCV) or Hepatitis B Virus (HBV).
  • Major surgery within 4 weeks of treatment start.
  • Treatment with another investigation agent within 30 days prior to TG4050 treatment initiation.
  • Patients under chronic treatment with systemic corticosteroids or other immunosuppressive drugs . Steroids with no or minimal systemic effect (topical, inhalation) are allowed.
  • Use of live vaccine for the prevention of infectious diseases during the four-week period prior to TG4050 treatment initiation planned date. Furthermore, patients should not receive any live vaccine during the period of study treatment administration.
  • Uncontrolled intercurrent illness.

Treatment and study plan

TG4050

Drug

Subcutaneous injections weekly for the first 6 weeks and then every 3 weeks.

Primary outcomes

  1. Safety and Tolerability (Adverse Event Reported Per CTCAE v5)

    Time frame: Up to 1 year . Adverse events were collected from treatment initiation weekly for the first six weeks, every three weeks thereafter until 30 days after the last treatment administration.

    Incidence of Adverse Events as assessed by the Common Terminology Criteria for Adverse Events (CTCAE), version 5.0

Secondary outcomes

  1. CA-125 Response According to GCIC

    Time frame: Up to 1 year. CA-125 response assessment every 3 weeks from the start of study treatment until treatment discontinuation.

    Percentage of patients with a minimum 50% reduction in CA-125 serum levels lasting for 28 days relative to pre-treatment CA-125 (Carbohydrate Antigen 125) serum level per the GCIC criteria (the Gynecological Cancer Intergroup).

  2. Tumor Response According to RECIST 1.1

    Time frame: Starting on Day 43 and then every nine weeks thereafter, until disease progression (estimated 12 months).

    Best overall response according to RECIST 1.1 was assessed for all patients, defined as follows:

    Complete Response (CR): Disappearance of all target lesions Partial Response (PR): At least a 30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD Progressive Disease (PD): At least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started.

  3. Time to Measurable Relapse/Progression Per RECIST 1.1

    Time frame: 43 days after treatment, and thereafter every 9 weeks until disease progression or relapse (estimated 12 months).

    Time to measurable relapse/progression per RECIST 1.1 (months) is defined as the time from the date of the first treatment injection until relapse or documented progressive disease, whichever occurs first, as assessed using CT scan or MRI.

  4. Failure to Provide Rate

    Time frame: From informed consent (ICF) signature up to baseline.

    Percentage of consented participants who could not be enrolled in the TG4050 treatment period due to manufacturing failure.

Sponsors and collaborators

Lead sponsor

Transgene

Industry

Registry information

Official study title

A Phase I Trial Evaluating a Mutanome-directed Immunotherapy in Patients With High Grade Serous Carcinoma (HGSC) of the Ovary, Fallopian Tube or Peritoneum.

Important dates

Study start
2019
Primary completion
2024
Study completion
2024
First posted
Feb 15, 2019
Registry last updated
Nov 14, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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