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This is a Phase I/IIA, open-label, multi-center trial to evaluate the safety, immunogenicity and preliminary clinical efficacy of INO-5401 + INO-9012 delivered by intramuscular (IM) injection followed by electroporation (EP), in combination with atezolizumab in participants with locally advanced unresectable or metastatic/recurrent Urothelial Carcinoma (UCa). The trial population is divided into two cohorts: Cohort A: Participants with locally advanced unresectable or metastatic/recurrent UCa, who have confirmed disease progression during or following treatment with anti-Programmed Death receptor-1/Programmed Death receptor Ligand-1 (anti-PD-1/PD-L1) therapy; Cohort B: Participants with locally advanced unresectable or metastatic/recurrent UCa, who are treatment naïve and ineligible for cisplatin-based chemotherapy. A safety run-in will be performed with up to six participants (safety analysis participants) from cohort A.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort A | Experimental | Participants with locally advanced unresectable or metastatic/recurrent UCa, who have confirmed disease progression during or following treatment with an anti-PD-1/PD-L1 therapy. Cohort A participants will be treated with INO-5401 and INO-9012 in combination with atezolizumab. |
|
| Cohort B | Experimental | Participants with locally advanced unresectable or metastatic/recurrent UCa who are treatment naïve and ineligible for cisplatin-based chemotherapy. Cohort B participants will be treated with INO-5401 and INO-9012 in combination with atezolizumab. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| INO-5401 | Biological | INO-5401 (9 milligram [mg] dose IM): mixture of 3 synthetic plasmids that target Wilms' tumor gene-1 (WT1) antigen, prostate-specific membrane antigen (PSMA) and human telomerase reverse transcriptase (hTERT) antigen. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Adverse Events | From baseline up to 90 days after last dose of study medication (up to approximately 2 years and 3 months) | |
| Antigen-Specific Cellular Immune Response | At baseline, Weeks 3, 6, 9, 12 and every 12 weeks thereafter up to end of study (up to approximately 2 years) | |
| Objective Response Rate (ORR) by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 by Investigator Review in Cohort A | From Baseline to disease progression or death, whichever occurs first (up to approximately 2 years) |
| Measure | Description | Time Frame |
|---|---|---|
| ORR by RECIST version 1.1 by Investigator Review in Cohort B | From Baseline to disease progression or death, whichever occurs first (up to approximately 2 years) | |
| ORR by Immune RECIST (iRECIST) | From Baseline to disease progression or death, whichever occurs first (up to approximately 2 years) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jeffrey Skolnik, MD | Inovio Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mayo Clinic Cancer Center | Phoenix | Arizona | 85054 | United States | ||
| H. Lee Moffitt Cancer Center & Research Institute, Inc. |
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| INO-9012 | Biological | INO-9012 (1 mg dose IM): A synthetic plasmid that expresses human interleukin-12 (IL-12). INO-5401 + INO-9012 will be administered IM followed by EP with CELLECTRA™ 2000 device every 3 weeks for 4 doses then every 6 weeks for 6 additional doses, thereafter every 12 weeks until confirmed disease progression, unacceptable toxicity, or deemed intolerable by the investigator. |
|
| Atezolizumab | Drug | Atezolizumab will be administered by intravenous (IV) infusion every 3 weeks until confirmed disease progression, unacceptable toxicity, or deemed intolerable by the investigator. |
|
| CELLECTRA™ 2000 | Device | IM injection of INO-5401 and INO-9012 is followed by EP with the CELLECTRA™ 2000 device. |
|
| Duration of Response (DoR) | From Baseline to disease progression or death, whichever occurs first (up to approximately 2 years) |
| Progression Free Survival (PFS) as Assessed by RECIST version 1.1 and iRECIST | From Baseline to disease progression or death, whichever occurs first (up to approximately 2 years) |
| Overall Survival (OS) | : From Baseline to the time of death from any cause (up to approximately 2 years) |
| Tampa |
| Florida |
| 33612 |
| United States |
| Johns Hopkins University School of Medicine | Baltimore | Maryland | 21287 | United States |
| Karmanos Cancer Institute | Detroit | Michigan | 48201 | United States |
| Washington University School of Medicine in St. Louis | St Louis | Missouri | 63110 | United States |
| New York University Langone Medical Center - Perlmutter Cancer Center | New York | New York | 10016 | United States |
| Columbia University, Herbert Irving Comprehensive Cancer Center | New York | New York | 10032 | United States |
| University of North Carolina School of Medicine | Chapel Hill | North Carolina | 27599 | United States |
| University of Pittsburgh Medical Center | Pittsburgh | Pennsylvania | 15232 | United States |
| Greenville Memorial Hospital | Greenville | South Carolina | 29615 | United States |
| Inova Melanoma and Skin Cancer Center | Fairfax | Virginia | 22031 | United States |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| May 5, 2026 | May 29, 2026 | 44 |
| ID | Term |
|---|---|
| D002295 | Carcinoma, Transitional Cell |
| ID | Term |
|---|---|
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| C000722693 | rocakinogene sifuplasmid |
| C000594389 | atezolizumab |
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