A Phase 1b/2 Study of an Immunotherapeutic Vaccine, DPX-Survivac With Low Dose Cyclophosphamide and Epacadostat (INCB024360) in Patients With Recurrent Ovarian Cancer

Trial ID # NCT02785250; DeCidE1
Phase Ib/II
Drug Class Immunotherapy: Vaccine/Survivin
Drug Name Maveropepimut-S
Alternate Drug Names survivin antigen vaccine DPX-Survivac, DPX-Survivac
Drugs in Trial Cyclophosphamide, Epacadostat, Maveropepimut-S
Eligible Participant

Recurrent ovarian cancer

Patients Enrolled

67 [Phase Ib: 53; median 4 prior therapies; 34% Pt-S, 66% Pt-R; Phase II: 22; median 3 prior therapies (1-8); 59% Pt-R]

Therapy Setting

Recurrence

Study Design

Open-Label, Non-randomized

Endpoints

CBR, ORR, DCR, PFS, OS, evaluated per irRECIST

Efficacy

Phase Ib:
ORR: 15.6% (5PR, n=32)
DCR: 72% (5PR, 18SD, n=32)

Exploratory analysis: Baseline Tumor Burden (BTB):
BTB<5 cm: ORR: 33% (4PR, n=12); DCR: 83% (4PR, 6SD, n=12)
BTB>5 cm: ORR: 5% (1PR, n=20); DCR: 65% (1PR, 12SD, n=20)

Phase 2:
ORR: 21% (4PR, n=19)
DCR: 63% (4PR, 8SD, n=19)
CBR: 37%
PFS: 4.47 months
PFS (6 months): 39%
PFS (12 months): 20%
OS: 19.9 months
OS (23.8 months): 44.9%

Exploratory analysis: Baseline Tumor Burden (BTB):
BTB<5 cm: CBR: 55% (n=11)

Clinically Significant Adverse Events

Serious AE: none
Grade 3-4 AE: Increased lipase (12%)

Conclusion

Encouraging anti-tumor activity of immunotherapy combination. Active immune response in all assayed patients; correlation seen between T cell infiltration and tumor regression response

Reference

Tanyi JL et al. DPX-Survivac and intermittent low-dose cyclophosphamide (CPA) with or without epacadostat (E) in the treatment of subjects with advanced recurrent epithelial ovarian cancer (DeCidE1 trial): T cell responses and tumor infiltration correlate with tumor regression. J Clin Oncol (2019) 37 (suppl; abstr 5576)
https://ascopubs.org/doi/abs/10.1200/JCO.2019.37.15_suppl.5576

Tanyi JL et al. Poster
https://www.clearityfoundation.org/wp-content/uploads/2020/02/NCT02785250_Tanyi_ASCO2019_Poster.pdf

Dorigo O et al. Infiltration of tumor by T cells following treatment with DPX-Survivac and intermittent low dose cyclophosphamide (CPA) leads to clinical responses in advanced recurrent ovarian cancer (OvCa). J Clin Oncol (2020) 38: (suppl; abstr 6075)
https://ascopubs.org/doi/abs/10.1200/JCO.2020.38.15_suppl.6075

Dorigo O et al. Poster
https://www.clearityfoundation.org/wp-content/uploads/2020/06/DPX-Survivac-ASCO-2020.png

Dorigo O et al. Maveropepimut-S, a DPX-based immune-educating therapy, shows promising and durable clinical benefit in patients with recurrent ovarian cancer, a phase 2 trial. Clin Cancer Res (2023) 29(15):2808-2815
https://pubmed.ncbi.nlm.nih.gov/37126016/

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