This is a phase 1 open-label, single center, dose escalation study to determine a safe and
effective maximum tolerated dose of HS-130 in combination with viagenpumatucel-L (HS-110) for
adult subjects with advanced solid tumors who are refractory to Standard of Care.
This is an open-label, non-controlled, first-in-human Phase I study of HS-130 and HS-110 in
patients with advanced solid tumors refractory to, or ineligible for, Standard of Care.
Seven dose levels will be explored in escalating doses. For each dose level, patients will
receive combination HS-130 and HS-110 via intradermal injections once every 14 days. The Dose
Limiting Toxicity (DLT) window of observation will include the first 28 days of treatment. In
the absence of progressive disease or unacceptable toxicity, patients will continue to
receive combination treatment every two weeks until disease progression, death, patient's
withdrawal of consent, Investigator decision to discontinue treatment, or intolerable
toxicity, whichever occurs first.
1. Patients with metastatic or advanced, unresectable solid tumor who have progressed, or
recurred following standard-of-care (SOC) therapies or are ineligible for safe and
effective SOC therapies and for whom, in the opinion of the Investigator, experimental
therapy with HS-130/HS-110 may be beneficial.
2. Patients should have lesions that are safely accessible for biopsy and be willing to
provide pre-treatment and on-treatment tissue biopsy. Fine-needle aspiration biopsy is
not acceptable. Archival tumor tissue will be accepted in lieu of fresh biopsy at
screening if sample was collected within 6-months from Cycle 1 Day 1, and the local
pathologist confirms that an adequate amount of tissue/tumor cells exist to allow
completion of all testing as outlined in the specimen collection manual.
3. Age ≥ 18 years.
4. Have an acceptable organ function:
- Albumin ≥ 2.5 g/dL.
- Total Bilirubin < 3.0 × upper limit of normal (ULN) unless patient has Gilbert's
- Alanine transaminase (ALT) and aspartate transaminase (AST) ≤ 3.0 × ULN or ≤ 5 ×
ULN in the case of liver metastases.
- Calculated or measured creatinine clearance > 35 mL/minute per the
- Absolute neutrophil count ≥ 1,500/mm3.
- Hemoglobin ≥ 9 g/dL.
- Platelet count ≥ 100,000/mm3.
5. Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
6. Life expectancy of at least three months.
7. Patients, both females and males, of childbearing/reproductive potential must agree to
use adequate contraception while included in the trial and for six months after the
last treatment with HS-130 and/or HS-110.
8. Patients must be willing and have the capacity to sign the informed consent form.
1. Have clinically significant cardiac disease, including:
- Onset of unstable angina within 6 months of signing the Informed Consent Form
- Acute myocardial infarction within 6 months of the signing the ICF.
- Known congestive heart failure (Grade III or IV as classified by the New York
Heart Association); and/ or a known decreased cardiac ejection fraction (LVEF) of
- Uncontrolled hypertension defined as systolic blood pressure ≥160 mmHg and/or
diastolic blood pressure ≥ 100 mmHg, despite optimal medical management.
2. Known or clinically suspected leptomeningeal disease. Stable, previously treated
metastases in the brain or spinal cord, are allowed as long as these are considered
stable (by CT or MRI), and not requiring systemic corticosteroids.
3. History of ≥ grade 3 allergic reactions as well as known or suspected allergy or
intolerance to any agent given in the course of this trial, live cell therapies, or
4. History of suspected cytokine release syndrome (CRS).
5. Known immunodeficiency disorders (testing not required).
6. Ongoing or current autoimmune disease. Permanent but stable and manageable immune
related adverse events (irAE) from prior therapies are permissible, if prednisone
equivalent corticosteroid use does not exceed 10 mg/day.
7. Any other condition requiring concurrent systemic immunosuppressive therapy (other
than allowable exceptions which do not exceed 10mg/day of prednisone/corticosteroid
8. Major surgery (requiring general anesthesia or inpatient hospitalization) within four
weeks before first IMP administration.
9. Any ongoing anticancer therapy including; small molecules, immunotherapy,
chemotherapy, monoclonal antibodies or any other experimental drug. Prior therapy must
be stopped within four weeks before first infusion in the study, or 5 half-lives, or
twice the duration of the biological effect of the investigational product (whichever
is shortest). Adjuvant anti-hormonal treatment(s) for previously treated breast cancer
or prostate cancer are allowed. Bisphosphonates are allowed, Denosumab and other RANK
ligand inhibitors are prohibited.
10. Known current malignancy other than inclusion diagnosis. Prior curable cancer with
complete remission for >2 years is allowed.
11. Any other ongoing significant, uncontrolled medical condition as per Investigator
12. Received a live vaccine within 30 days prior to first dose of study drug.
13. Clinically significant active viral, bacterial or fungal infection requiring:
1. Intravenous treatment with antimicrobial therapy completed less than two weeks
prior to first dose, or
2. Oral treatment with antimicrobial therapy completed less than one week prior to
Prophylactic treatment with antibiotics (e.g. for dental extractions) is allowed.
14. Known positive serology for human immunodeficiency virus (HIV), hepatitis B, or
hepatitis C (except in cases of immunity after cured infection). Testing not required.
15. Substance abuse, medical, psychological or social conditions that may interfere with
the patient's participation in the trial or evaluation of the trial result in the
opinion of the Investigator.
16. Women who are pregnant or breast feeding.