Phase 2 Trial of Voyager V1 in Combination With Cemiplimab in Patients With Select Solid Tumors

Who is this study for? Adults with Non Small Cell Lung Cancer, Melanoma, Endometrial Cancer, Hepatocellular Carcinoma
What treatments are being studied? VV1+Cemiplimab
Status: Recruiting
Location: See all (27) locations...
Intervention Type: Biological
Study Type: Interventional
Study Phase: Phase 2
SUMMARY

This is a Phase 2 study designed to determine the preliminary anti-tumor activity and confirm the safety of VV1 in combination with cemiplimab. The study will enroll patients with three distinct separate tumor cohorts. The cancers types are colorectal, head and neck carcinoma, and melanoma that are progressing on CPI treatment.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Age ≥18 years on day of signing informed consent.

• Specific by tumor cohorts:

• a. For the HSNCC cohort, histologically confirmed diagnosis of advanced and/or metastatic HSNCC suitable for first line immunotherapy.

• i. HPV+ and HPV- patients are allowed.

• ii. Primary tumor locations of oropharynx, oral cavity, hypopharynx, or larynx. Participants may not have a primary tumor site of nasopharynx (any histology) or salivary gland tumors.

• iii. PD-L1 status ≥ 1% per local CPS score. Samples should be provided to central lab for post-hoc centralized testing.

• iv. At least 12 months between last dose of prior adjuvant therapy and date of relapse diagnosis (if given). For the purposes of this protocol, prior adjuvant therapy only applies to full dose systemic chemotherapy (such as pre-operative systemic induction chemotherapy), but does not include radiation + surgery, or radiation + low or partial dose platinum radiosensitization. There is no time limit (washout) between the end of any prior radiation/ chemoradiation and the start of study drug v. No prior anti-PD-(L)1 treatment for HNSCC.

• b. For the melanoma cohorts, histologically confirmed diagnosis of advanced and/or metastatic cutaneous melanoma for which no existing options are considered to provide clinical benefit.

• i. Best response of uPR, SD or PD to an anti-PD-(L)1-containing regimen.

• ii. Prior anti-PD-(L)1 therapy must have lasted ≥ 12 weeks.

• iii. Radiological progression was demonstrated during or after therapy with a PD-(L)1 immune CPI (only one prior line of PD-(L)1 therapy is permitted.

• iv. If patient received anti-PD-1 as prior adjuvant therapy, patient should have relapsed during therapy or within the subsequent 6 months after last dose. Note: Progression on ipilimumab is not required.

• v. Patients with BRAF V600-positive tumor(s) should have received prior treatment with a BRAF inhibitor (alone or in combination with a MEK inhibitor) in addition to treatment with an anti-PD-1 or to have declined targeted therapy. Note: Patients with BRAF V600-positive tumors with no clinically significant tumor-related symptoms nor evidence of rapidly progressive disease are not required to be treated with a BRAF inhibitor (alone or in combination with a MEK inhibitor) based on investigator's decision

• c. For the CRC cohort, a histologically confirmed diagnosis of advanced and/or metastatic CRC.

• i. Received or are not eligible for standard of care fluoropyrimidine(s), oxaliplatin, irinotecan, anti-VEGF and EGFR-targeted therapies.

• ii. Non-microsatellite instability high (non-MSI high).

• iii. Progression on previous systemic therapy.

• At least one tumor lesion amenable to IT injection and biopsy that has not been previously irradiated.

• Measurable disease based on RECIST 1.1., including ≥ 1 measurable lesion(s) to be injected

• Performance status of 0 or 1 on the ECOG Performance Scale

• Life expectancy of \>3 months.

• Willingness to provide biological samples required for the duration of the study, including a fresh tumor biopsy sample whilst on study.

• Adequate organ function assessed by laboratory values obtained ≤14 days prior to enrollment

Locations
United States
Arizona
Mayo Clinical
WITHDRAWN
Phoenix
California
City of Hope Medical Center
WITHDRAWN
Durate
USC Norris Comprehensive Cancer Center
WITHDRAWN
Los Angeles
HOAG Memorial Hospital Presbyterian
WITHDRAWN
Newport Beach
Saint John's Health Center - John Wayne Cancer Institute (JWCI)
TERMINATED
Santa Monica
Stanford Health Care
WITHDRAWN
Stanford
Connecticut
Yale University
RECRUITING
New Haven
Washington, D.c.
Georgetown University Medical Center
WITHDRAWN
Washington D.c.
Florida
Mayo Clinical
WITHDRAWN
Jacksonville
University of Miami
COMPLETED
Miami
Louisiana
Ochsner Clinic Foundation
RECRUITING
New Orleans
Massachusetts
Massachusetts General Hospital Cancer Center
WITHDRAWN
Boston
Minnesota
Masonic Cancer Center, University of Minnesota
WITHDRAWN
Minneapolis
Mayo Clinic
RECRUITING
Rochester
Montana
Billings Clinic Montana Cancer Consortium
TERMINATED
Billings
New Jersey
Atlantic Health
WITHDRAWN
Morristown
Rutgers Cancer Institute of New Jersey
WITHDRAWN
New Brunswick
New York
Icahn School of Medicine at Mount Sinai
RECRUITING
New York
Ohio
University of Cincinnati Medical Center
RECRUITING
Cincinnati
Ohio State University
WITHDRAWN
Columbus
Pennsylvania
UPMC
WITHDRAWN
Pittsburgh
South Dakota
Sanford Cancer Center
RECRUITING
Sioux Falls
Texas
UT Health San Antonio MD Anderson Cancer Center
WITHDRAWN
San Antonio
Other Locations
Brazil
Hospital de Amor de Barretos
ACTIVE_NOT_RECRUITING
Barretos
Hospital Moinhos de Vento
RECRUITING
Porto Alegre
INCA
RECRUITING
Rio De Janeiro
Hospital Sao Rafael
RECRUITING
Salvador
Contact Information
Primary
Jennifer boughton
Jboughton@vyriad.com
9085533135
Time Frame
Start Date: 2020-04-24
Estimated Completion Date: 2025-12
Participants
Target number of participants: 87
Treatments
Experimental: Melanoma intratumoral
Melanoma, IT VV1 + IV cemiplimab Patients will receive both treatments on Day 1 and every 3 weeks thereafter until lack of clinical benefit or limiting toxicity. VV1 or cemiplimab can continue after the first dose in combination or as a single agent treatment in subsequent doses.
Experimental: Head and Neck SCC intratumoral
HNSCC, IT VV1 + IV cemiplimab, Patients will receive both treatments on Day 1 and every 3 weeks thereafter until lack of clinical benefit or limiting toxicity. VV1 or cemiplimab can continue after the first dose in combination or as a single agent treatment in subsequent doses.
Experimental: Colo-rectal Carcinoma intratumoral (Arm closed)
(CLOSED) IT VV1 + IV cemiplimab, Patients will receive both treatments on Day 1 and every 3 weeks thereafter until lack of clinical benefit or limiting toxicity. VV1 or cemiplimab can continue after the first dose in combination or as a single agent treatment in subsequent doses.
Sponsors
Collaborators: Regeneron Pharmaceuticals
Leads: Vyriad, Inc.

This content was sourced from clinicaltrials.gov

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