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This is a multicentre, open-label, Phase I/II study of enadenotucirev in patients with either solid tumour of epithelial origin not responding to standard therapy or for whom no standard treatment exists (Phase I dose escalation stage Single cycle), mCRC not responding to standard therapy (Phase I dose escalation Repeat cycle cohort expansion stage ), mCRC not responding to standard therapy or advanced or metastatic bladder cancer not candidate for chemotherapy (Phase Ib) or mCRC in stable disease or partial response after 3-4 months of first line standard of care chemotherapy (Phase II).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Enadenotucirev | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Enadenotucirev | Biological | Oncolytic virus |
|
| Measure | Description | Time Frame |
|---|---|---|
| Phase 1 - Maximum Tolerated Dose | - Maximum tolerated dose (MTD) / maximum feasible dose (MFD) of enadenotucirev when administered by sub-acute fractionated IV injection (phase I Dose Escalation) and recommended dose for phase II. | Up to Day 22 |
| Phase 1b - Selection of suitable schedule for repeat cycle IV administration | Open label assessment of 2 repeat cycle schedules, with expansion cohort at the MTD or MFD with best repeat cycle schedule in advanced/metastatic UBC patients. | Up to Day 134 |
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Inclusion Criteria:
Patients must provide written informed consent
Age ≥ 18 years and the patient must be at least the legal age limit to be able to give consent within the jurisdiction the study is taking place.
ECOG performance status 0 or 1
Predicted life expectancy of 3 months or more
Ability to comply with study procedures in the Investigator's opinion
Recovered to Grade 1 from the effects (excluding alopecia) of any prior therapy for their malignancies
Adequate renal function
Adequate hepatic function
Adequate bone marrow function:
Adequate coagulation tests: international normalised ratio (INR) ≤ 1.5 x ULN
For females of childbearing potential (defined as <2 years after last menstruation or not surgically sterile), a negative serum pregnancy test must be documented within 14 days prior to first administration of study treatment
For women who are not postmenopausal (24 months of amenorrhea) or surgically sterile (absence of ovaries and/or uterus): agreement to use two adequate methods of contraception, during the treatment period and for at least 3 months after the last dose of study drug
For men: agreement to use a barrier method of contraception during the treatment period and for at least 6 months after the last dose of study drug
At least 3 weeks since any dose of IV systemic chemotherapy and at least two weeks since any oral dose of capecitabine at the time of first administration of ColoAd1.
Phase I Specific Inclusion Criteria:
Dose Escalation Stage only (except Repeat Cycle Cohort):
- Solid tumour of epithelial origin not responding to standard therapy or for whom no standard treatment exists
Dose Expansion Stage Single Cycle and Dose Escalation Stage Repeat Cycle Cohort:
Phase II Specific Inclusion Criteria:
Exclusion Criteria for all Patients:
Phase II Specific Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| GZA ziekenhuizen campus Sint-Augustinus | Wilrijk | Antwerp | B-2610 | Belgium | ||
| Cliniques Universitaires St Luc |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36897458 | Derived | Khalil DN, Prieto Gonzalez-Albo I, Rosen L, Lillie T, Stacey A, Parfitt L, Soff GA. A tumor-selective adenoviral vector platform induces transient antiphospholipid antibodies, without increased risk of thrombosis, in phase 1 clinical studies. Invest New Drugs. 2023 Apr;41(2):317-323. doi: 10.1007/s10637-023-01345-8. Epub 2023 Mar 10. | |
| 30691536 |
| Label | URL |
|---|---|
| Journal publication for EVOLVE study | View source |
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| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| D001749 | Urinary Bladder Neoplasms |
| ID | Term |
|---|---|
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
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| ID | Term |
|---|---|
| C000654204 | enadenotucirev |
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| Brussels |
| B-1200 |
| Belgium |
| Ghent University Hospital | Ghent | 9000 | Belgium |
| Institut Catala d Oncologica | Barcelona | 08970 | Spain |
| START - Hospital Universitario Madrid Sanchinarrio | Madrid | 28050 | Spain |
| Hospital Universitario Virgen del Rocio (HUVR) | Seville | 41013 | Spain |
| Machiels JP, Salazar R, Rottey S, Duran I, Dirix L, Geboes K, Wilkinson-Blanc C, Pover G, Alvis S, Champion B, Fisher K, McElwaine-Johnn H, Beadle J, Calvo E. A phase 1 dose escalation study of the oncolytic adenovirus enadenotucirev, administered intravenously to patients with epithelial solid tumors (EVOLVE). J Immunother Cancer. 2019 Jan 28;7(1):20. doi: 10.1186/s40425-019-0510-7. |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
| D014571 | Urologic Neoplasms |
| D014565 | Urogenital Neoplasms |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D001745 | Urinary Bladder Diseases |
| D014570 | Urologic Diseases |
| D052801 | Male Urogenital Diseases |