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Pembrolizumab Combined With Bevacizumab With or Without Agonist Anti-CD40 CDX-1140 for the Treatment of Patients With Recurrent Ovarian Cancer

Is NCT05231122 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Anti-CD40 Agonist Monoclonal Antibody CDX-1140 and Bevacizumab for ovarian clear cell adenocarcinoma.

Phase 2RecruitingRoswell Park Cancer InstituteNCT05231122Data as of May 2026

Treatment: Anti-CD40 Agonist Monoclonal Antibody CDX-1140 · Bevacizumab · PembrolizumabThis phase II trial tests whether pembrolizumab combined with bevacizumab with or without agonist anti-CD40 CDX-1140 works to shrink tumors in patients with ovarian cancer that has come back (recurrent). Anti-CD40 CDX-1140 works by stimulating certain immune cells within the tumor and, when combined with other immunotherapy treatments, may increase antitumor antibody production. Immunotherapy with monoclonal antibodies, such as pembrolizumab and bevacizumab, may help the body's immune system, and may interfere with the ability of tumor cells to grow and spread. Giving pembrolizumab and bevacizumab with anti-CD40 CDX-1140 may decrease symptoms, prolong survival, and improve quality of life in patients with ovarian cancer.

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Extracted eligibility criteria

Cancer type

Ovarian Cancer

Biomarker criteria

Required: BRCA1 status known

BRCA status must be known.

Required: BRCA2 status known

BRCA status must be known.

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Max 4 prior lines

Cannot have received: antibody targeting T cell checkpoint or co-stimulation pathways

Receipt of any antibody targeting T cell checkpoint or co-stimulation pathways within 4 weeks

Cannot have received: monoclonal antibody

use of any other monoclonal based therapies within 4 weeks

Cannot have received: immunotherapy

all other immunotherapy (tumor vaccine, cytokine, or growth factor given to control the cancer) within 2 weeks prior to the planned start of study treatment

Cannot have received: systemic anticancer therapy

Exception: hormonal therapy is allowed until the time of randomization

Has received prior systemic anticancer therapy (including investigational agents or maintenance therapy) within 28 days prior to the planned start of study treatment.

Cannot have received: immune checkpoint blockade therapy

Progression on prior immune checkpoint blockade therapy.

Cannot have received: systemic radiation therapy

Systemic radiation therapy within 4 weeks, prior focal radiotherapy within 2 weeks prior to the first dose of study treatment.

Cannot have received: anti-CD40 antibody

Prior therapy with any anti-CD40 antibody.

Lab requirements

Blood counts

Absolute neutrophil count (ANC): >= 1,500 /mcL. Platelets: >= 100,000 / mcL. Hemoglobin: >= 8 g/dL or 5.0 mmol/L transfusion allowed with adequate bone marrow function.

Kidney function

Creatinine clearance >= 50 mL/min.

Liver function

Total bilirubin: <= 2 X ULN except patients with Gilbert's syndrome or liver involvement, who must have a total bilirubin <= 3 mg/dL. AST and ALT: <= 2.5 X ULN OR <= 5 X ULN for participants with liver metastases. Albumin: > 2.5 mg/dL.

Absolute neutrophil count (ANC): >= 1,500 /mcL. Platelets: >= 100,000 / mcL. Hemoglobin: >= 8 g/dL or 5.0 mmol/L transfusion allowed with adequate bone marrow function. Creatinine clearance >= 50 mL/min. Total bilirubin: <= 2 X ULN except patients with Gilbert's syndrome or liver involvement, who must have a total bilirubin <= 3 mg/dL. AST and ALT: <= 2.5 X ULN OR <= 5 X ULN for participants with liver metastases. Albumin: > 2.5 mg/dL.

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • Roswell Park Cancer Institute · Buffalo, New York
  • M D Anderson Cancer Center · Houston, Texas

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