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| Name | Class |
|---|---|
| Bristol-Myers Squibb | INDUSTRY |
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This is a Phase 1, multicenter, open label, single agent dose escalation and combination treatment study of RP3 in adult participants with advanced solid tumors, to evaluate the safety and tolerability of RP3 both as a single agent and in combination with anti-PD1 therapy and to determine the recommended Phase 2 dose (RP2D) of RP3.
RP3 is a genetically modified herpes simplex type 1 virus (HSV-1) that expresses exogenous genes (anti-CTLA-4 antibody, CD40 ligand and h4-1BBL) designed to directly destroy tumors and generate an anti-tumor immune response
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose escalation of RP3 - superficial and/or deep/visceral tumors | Experimental | Dose escalation of RP3 alone in 2 cohorts with intratumoral (IT) injections including use of imaging guided injection for deep tumors. |
|
| Dose combination of RP3 and anti-PD1 therapy - superficial and/or deep/visceral tumors | Experimental | Dose combination of RP3 and anti-PD1 therapy. IT injections of RP3 including use of imaging guided injection for deep tumors. |
|
| Seronegative cohort | Experimental | Doses of RP3 (IT) in HSV seronegative participants. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RP3 | Biological | Genetically modified HSV-1 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of dose limiting toxicities (DLTs) during the DLT period | Percentage of participants with DLTs | From Day 1 up to 30 days after last dose |
| Incidence and severity of treatment emergent adverse events (TEAEs) | Percentage of participants with TEAEs | From Day 1 up to 60 days after last dose |
| Incidence and severity of serious adverse events (SAEs) | Percentage of participants with SAEs | From Day 1 up to 60 days after last dose |
| Incidence of TEAEs ≥ Grade 3 | Percentage of participants with TEAEs ≥ Grade 3 | From Day 1 up to 60 days after last dose |
| Percentage of events requiring withdrawal | Percentage of participants experiencing events requiring withdrawal from treatment. | From Day 1 up to last dose (up to 8 weeks in escalation phase and up to 2 years in combination phase) |
| Recommended phase 2 dose (RP2D) of RP3 | RP2D of RP3 based on the safety and response data collected during the dose escalation phase (Part 1) | 7 months |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of biologic activity | Percentage of participants with biological activity as assessed by individual tumor responses (including erythema, necrosis, and/or inflammation and changes in tumor sizes, in injected and uninjected tumors). | From Day 1 to 24 months following the last dose in dose escalation. From Day 1 to 100 days following the last dose in dose combination |
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Inclusion Criteria:
Note: Predefined inclusion criteria may apply for each additional expansion cohort.
Exclusion Criteria:
Prior treatment with an oncolytic virus therapy
History of viral infections according to the protocol
Systemic infection requiring intravenous (IV) antibiotics
Active significant herpetic infections or prior complications of HSV-1 infection (e.g., herpetic keratitis or encephalitis)
Requires intermittent or chronic use of systemic antivirals
a. Hepatocellular carcinoma patients with a diagnosis of hepatitis B must be off antiviral therapy for at least 4 weeks prior to enrollment . Hepatocellular carcinoma patients with a history of or ongoing hepatitis C infection must have completed treatment for hepatitis C at least 1 month prior to study enrollment and hepatitis
History of interstitial lung disease
Has a history of (non-infectious) pneumonitis that required steroids or has current pneumonitis
Additional Exclusion Criteria for Patients Enrolled in Part 2 (Expansion Cohorts):
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| Name | Affiliation | Role |
|---|---|---|
| Gary Vanasse, MD | Replimune, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Iowa | Iowa City | Iowa | 52242 | United States | ||
| UPMC Hillman Cancer Center |
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Part 1 - Dose Escalation - Participants will be enrolled into two sequential dose level cohorts.
Part 2 - Dose Combination - Patients will be enrolled into 1 of 5 dose-expansion cohorts. Expansion Cohorts 1, 2, and 4 will enroll patients with head and neck cancer, lung cancer, breast cancer, or GI cancer. Expansion Cohort 3 will enroll patients with any solid organ malignancy who have at least 2 tumors that can be injected and biopsied. Expansion Cohort 5 will enroll patients with melanoma.
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| Nivolumab | Biological | anti-PD1 monoclonal antibody |
|
| Incidence of clearance of RP3 from blood and urine | Incidence of clearance of RP3 from blood and urine before and after each injection | From Day 1 to 60 days following the last dose in dose escalation. From Day 1 to 100 days following the last dose in dose combination |
| Percentage of participants with detectable RP3. | Data gathered from blood, urine, swabs of injection site, dressing and oral mucosa to determine the shedding and biodistribution of RP3 | From Day 1 to 60 days following the last dose in dose escalation. From Day 1 to 100 days following the last dose in dose combination |
| Change in HSV-1 antibody levels | Change in HSV-1 antibody levels during treatment compared to baseline | From Day 1 to Day 43 |
| Percentage of HSV-1 seronegative patients with TEAEs | Percentage of HSV-1 seronegative patients with TEAEs | From Day 1 to 60 days following last dose in dose escalation. From Day 1 to 100 days post last dose in dose combination |
| Percentage of objective overall response rate (ORR) | Percentage of ORR | Up to 3 years since first patient in |
| Median duration of response | Median duration of response of participants | Up to 3 years since first patient in |
| Percentage of complete response (CR) | Percentage of participants with a CR | From Day 1 up to last dose (Day 57 or 8th Re-initiation dose in escalation phase and up to 2 years for combination phase) |
| Percentage of partial response (PR) | Percentage of participants with a PR | From Day 1 up to last dose (Day 57 or 8th Re-initiation dose in escalation phase and up to 2 years for combination phase) |
| Percentage of stable disease (SD) | Percentage of participants with SD | From Day 1 up to last dose (Day 57 or 8th Re-initiation dose in escalation phase and up to 2 years for combination phase) |
| Progression-free survival by Investigator review | Length of time during and after treatment, that a patient lives with disease but it does not get worse | From Day 1 to day of last follow-up |
| One-year and 2-year OS rates | Percentage of participants from Day 1 of treatment who reach one year or two year survival | From Day 1 to Day 730 |
| Pittsburgh |
| Pennsylvania |
| 15232 |
| United States |
| MD Anderson Cancer Center | Houston | Texas | 77030 | United States |
| Laboratoire de Recherche Translationnelle en Immunotherapie (LRTI), Gustave Roussy | Villejuif | 94805 | France |
| University of Athens | Athens | 11527 | Greece |
| University General Hospital Attikon | Athens | 12462 | Greece |
| Vall d'Hebron Hospital Hospital Universitario Vall d´Hebron (Vall d'Hebron University Hospital) | Barcelona | 08035 | Spain |
| Hospital Clinic Barcelona | Barcelona | 08036 | Spain |
| START Madrid CIO Clara Campal, Hospital Universitario HM Sanchinarro Unidad de Ensayos Fase I Panta 3 | Madrid | 28050 | Spain |
| Hospital Clinico Universitario de Valencia | Valencia | 46010 | Spain |
| The Clatterbridge Cancer Centre NHS Foundation Trust | Bebington | Merseyside | CH63 4JY | United Kingdom |
| The Royal Marsden NHS Foundation Trust | London | SW3 6JJ | United Kingdom |
| Churchill Hospital | Oxford | OX3 9DU | United Kingdom |
| ID | Term |
|---|---|
| D000077594 | Nivolumab |
| ID | Term |
|---|---|
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
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