Clinical Trials /

A Study of TheraT® Vector(s) Expressing HPV 16+ in Patients With HPV 16+ Confirmed Cancers

NCT04180215

Description:

This is an First in Human (FIH) Phase I/II, multinational, multicenter, open-label study of HB-201 single vector therapy and HB-201 & HB-202 two-vector therapy in patients with HPV 16+ confirmed cancers comprising two parts: Phase I Dose Escalation and Phase II Dose Expansion.

Related Conditions:
  • Head and Neck Squamous Cell Carcinoma
  • Malignant Solid Tumor
Recruiting Status:

Recruiting

Phase:

Phase 1/Phase 2

Trial Eligibility

Document

Title

  • Brief Title: A Study of TheraT® Vector(s) Expressing HPV 16+ in Patients With HPV 16+ Confirmed Cancers
  • Official Title: A Phase I/II Study of TheraT® Vector(s) Expressing Human Papillomavirus 16 Positive (HPV 16+) Specific Antigens in Patients With HPV 16+ Confirmed Cancers

Clinical Trial IDs

  • ORG STUDY ID: H-200-001
  • SECONDARY ID: 2019-000907-34
  • NCT ID: NCT04180215

Conditions

  • HPV-Related Squamous Cell Carcinoma

Interventions

DrugSynonymsArms
HB-201 intravenous administration.Ph I, Group 1
HB-201 intratumoral administration for first dose, followed by HB-201 intravenous administration for subsequent doses.Ph I, Group 2
HB-202 intravenous administration alternating with HB-201 intravenous administration.Ph I, Group 3
HB-201 intratumoral administration for first dose; followed by HB-202 intravenous administration alternating with HB-201 intravenous administration for subsequent doses.Ph I, Group 4
HB-201 intravenous administration at recommended phase II dose and determined schedule.Ph II, Group A
HB-201 intravenous administration at recommended phase II dose and determined schedule + immune checkpoint inhibitor per standard of care.Ph II, Group B
HB-201 intratumoral administration for first dose followed by HB-201 intravenous administration for subsequent doses at recommended phase II dose and determined schedule.Ph II, Group C
HB-202 intravenous administration alternating with HB-201 intravenous administration at recommended phase II doses and determined schedule.Ph II, Group D
HB-201 intratumoral administration for first dose; followed by HB-202 intravenous administration alternating with HB-201 intravenous administration for subsequent doses at recommended phase II dose.Ph II, Group F
HB-202 intravenous administration alternating with HB-201 intravenous administration at recommended phase II doses and determined schedule + immune checkpoint inhibitor.Ph II, Group E
HB-201 intravenous administration for a limited number of dose administration.Ph I, Group 5
HB-202 intravenous administration alternating with HB-201 intravenous administration for a limited number of dose administrationPh I, Group 6
HB-201 or HB-201/HB-202 alternating treatment using CD8 PET Tracer (Zr-Df-IAB22M2C)Ph I, sub-study

Purpose

This is an First in Human (FIH) Phase I/II, multinational, multicenter, open-label study of HB-201 single vector therapy and HB-201 & HB-202 two-vector therapy in patients with HPV 16+ confirmed cancers comprising two parts: Phase I Dose Escalation and Phase II Dose Expansion.

Detailed Description

      HB-201 and HB-202 are 'vectors', modified viruses intended to train the body to recognize
      antigens found in HPV 16+ cancer.

      Phase I Dose Escalation will comprise three treatment groups evaluating HB-201 single vector
      therapy (Groups 1, 2 and 5) and three treatment groups evaluating HB-201 & HB-202 two-vector
      therapy (Groups 3, 4 and 6). Group 1 and Group 2 Phase I Dose Escalation will determine a
      safe recommended Phase II dose of HB-201. Group 3 and Group 4 Phase I Dose Escalation will
      determine a safe RP2D of HB-202. Various doses of the investigational therapies (HB-201 and
      HB-202) and dosing schedules may be evaluated in separate groups of patients (cohorts) during
      Phase I Dose Escalation. Initial cohorts of HB-201 and/or HB-202 in combination with a
      checkpoint inhibitor may also be evaluated during Phase I Dose Escalation.

      Phase II Dose Expansion may have up to six treatment groups (Groups A to F) with HB-201 and
      HB-202 administered at the recommended Phase II doses and the dosing schedule determined
      during Phase I Dose Escalation. Potential groups will explore the following treatments:
      HB-201 single vector therapy; HB-201 & HB-202 two-vector therapy; HB-201 single vector
      therapy in combination with an immune checkpoint inhibitor; and/or HB-201 & HB-202 two-vector
      in combination with an immune checkpoint inhibitor.
    

Trial Arms

NameTypeDescriptionInterventions
Ph I, Group 1ExperimentalPatients with HPV 16+ HNSCC who had tumor progression or recurrence on standard of care therapy.
  • HB-201 intravenous administration.
Ph I, Group 2ExperimentalPatients with HPV 16+ cancers with a safe and accessible tumor site amenable for IT administration who had tumor progression or recurrence on standard of care therapy.
  • HB-201 intratumoral administration for first dose, followed by HB-201 intravenous administration for subsequent doses.
Ph I, Group 3ExperimentalPatients with HPV 16+ HNSCC who had tumor progression or recurrence on standard of care therapy.
  • HB-202 intravenous administration alternating with HB-201 intravenous administration.
Ph I, Group 4ExperimentalPatients with HPV 16+ cancers with a safe and accessible tumor site amenable for IT administration who had tumor progression or recurrence on standard of care therapy.
  • HB-201 intratumoral administration for first dose; followed by HB-202 intravenous administration alternating with HB-201 intravenous administration for subsequent doses.
Ph II, Group AExperimentalPatients with HPV 16+ HNSCC who had tumor progression or recurrence on standard of care therapy.
  • HB-201 intravenous administration at recommended phase II dose and determined schedule.
Ph II, Group BExperimentalPatients with HPV 16+ HNSCC who had tumor progression or recurrence on standard of care and are eligible to receive immune checkpoint inhibitor as part of standard of care.
  • HB-201 intravenous administration at recommended phase II dose and determined schedule + immune checkpoint inhibitor per standard of care.
Ph II, Group CExperimentalPatients with HPV 16+ cancers with a safe and accessible tumor site amenable for IT administration who had tumor progression or recurrence on standard of care therapy.
  • HB-201 intratumoral administration for first dose followed by HB-201 intravenous administration for subsequent doses at recommended phase II dose and determined schedule.
Ph II, Group DExperimentalPatients with HPV 16+ HNSCC who had tumor progression or recurrence on standard of care therapy.
  • HB-202 intravenous administration alternating with HB-201 intravenous administration at recommended phase II doses and determined schedule.
Ph II, Group EExperimentalPatients with HPV 16+ HNSCC who had tumor progression or recurrence on standard of care and are eligible to receive immune checkpoint inhibitor as part of standard of care.
  • HB-202 intravenous administration alternating with HB-201 intravenous administration at recommended phase II doses and determined schedule + immune checkpoint inhibitor.
Ph II, Group FExperimentalPatients with HPV 16+ cancers with a safe and accessible tumor site amenable for IT administration who had tumor progression or recurrence on standard of care therapy.
  • HB-201 intratumoral administration for first dose; followed by HB-202 intravenous administration alternating with HB-201 intravenous administration for subsequent doses at recommended phase II dose.
Ph I, Group 5ExperimentalPatients with HPV 16+ HNSCC who had tumor progression or recurrence on standard of care therapy.
  • HB-201 intravenous administration for a limited number of dose administration.
Ph I, Group 6ExperimentalPatients with HPV 16+ HNSCC who had tumor progression or recurrence on standard of care therapy
  • HB-202 intravenous administration alternating with HB-201 intravenous administration for a limited number of dose administration
Ph I, sub-studyExperimentalPatients with HPV 16+ HNSCC who had tumor progression or recurrence on standard of care therapy
  • HB-201 or HB-201/HB-202 alternating treatment using CD8 PET Tracer (Zr-Df-IAB22M2C)

Eligibility Criteria

        Inclusion Criteria

        All Patients:

          -  Documentation of confirmed HPV 16+ cancer via genotype testing.

          -  ≥ 1 measurable lesion by imaging for tumor response following RECIST

          -  ECOG performance status of 0 to 1.

          -  Prior curative radiation therapy and prior focal palliative completed per
             protocol-specified wash-out windows.

          -  Screening laboratory values must meet protocol-specified criteria.

          -  Able to provide tumor tissue following last treatment, unless otherwise agreed.

        Treatment Group 1, Group 3, Group 5, Group 6, Group A, or Group D:

          -  Documentation of confirmed head and neck squamous cell carcinoma.

          -  Tumor progression or recurrence on standard of care therapy, including ≥ 1 systemic
             therapy.

        Treatment Group 2, Group 4, Group C, or Group F:

        • Tumor progression or recurrence on standard of care therapy, including ≥ 1 systemic
        therapy.

        Treatment Group B or Group E:

          -  Documentation of confirmed head and neck squamous cell carcinoma.

          -  Eligible, per standard of care, to receive immune checkpoint inhibitor.

        Anal Cancer Cohort:

          -  Documentation of confirmed HPV 16+ locally advanced or metastatic SCC of anal canal.

          -  Tumor progression or recurrence on standard of care therapy, including ≥1 systemic
             therapy.

        Imaging Sub-Study (for specific participants at Memorial Sloan Kettering Cancer Center
        only):

          -  Meeting requirements of inclusion criteria for Treatment Group 1 or Group 3.

          -  At least 1 non-irradiated measurable lesion documented through imaging.

        Exclusion Criteria:

        All patients:

          -  Untreated and/or symptomatic metastatic central nervous system disease, unless
             protocol-defined criteria is met.

          -  Any serious or uncontrolled medical disorder that, in the opinion of the Investigator,
             may increase the risk associated with study participation / treatment administration.

          -  Concurrent malignancy that is clinically significant or requires active intervention,
             unless protocol-defined criteria is met.

          -  Active, known or suspected, autoimmune or inflammatory disorders requiring
             immunosuppressive therapy.

          -  Any toxicities attributed to systemic prior anticancer therapy o that have not
             resolved to Grade 1 or baseline prior to the first administration of study drug,
             unless protocol-defined criteria is met.

          -  Not meeting the protocol-specified washout periods for prohibited medications.

          -  Prior anaphylactic or other severe reaction to human immunoglobulin or antibody
             formulation administration.

          -  Positive hepatitis B surface antigen (HBsAg) or hepatitis C virus (HCV) antibody,
             indicating acute or chronic infection.

          -  Known history of acquired immunodeficiency syndrome.

        For patients in Groups B or E and certain backfill cohorts:

          -  History of severe hypersensitivity reaction to or other contraindication to receiving
             immune checkpoint inhibitor.

          -  Allogenic tissue/solid organ transplant.

          -  History of/Presently having non-infectious pneumonitis requiring treatment.

        Imaging Sub-Study (for specific participants at Memorial Sloan Kettering Cancer Center
        only):

          -  Having splenic disorders or prior splenectomy, and can compromise protocol objectives
             per Investigator and/or Sponsor.

          -  Meeting requirements of exclusion criteria for Treatment Group 1 or Group 3
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Phase I Dose Escalation: Determine Phase II dose based on incidence of dose-limiting toxicities.
Time Frame:From dosing until 21-28 days after first dose
Safety Issue:
Description:Determine the recommended Phase II dose in terms of safety and tolerability for intravenously administered HB-201, intratumorally administered HB-201, and intravenously administered HB-202 by assessing drug limiting toxicities.

Secondary Outcome Measures

Measure:Phase I Dose Escalation: Number of participants with adverse events (type, frequency, severity).
Time Frame:From informed consent through 30 days after last dose.
Safety Issue:
Description:Assess the safety and tolerability of dosage regimens of HB-201 and HB-202 by monitoring the type, frequency, and severity of AEs and SAEs by monitoring the type, frequency, and severity of AEs and SAEs.
Measure:Phase I Dose Escalation: Number of participants with preliminary antitumor activity based on objective response rate and disease control rate.
Time Frame:Until progression, (estimated up to 30-months)
Safety Issue:
Description:Assess the preliminary antitumor activity of dosage regimens of HB-201 and HB-202 using RECIST and iRECIST to determine objective response rate and disease control rate.
Measure:Phase II Dose Expansion: Number of participants with confirmed duration of preliminary antitumor activity.
Time Frame:Up to 30-months (until progression)
Safety Issue:
Description:Confirm duration of preliminary antitumor activity of dosage regimens of HB-201 and HB-202, using RECIST and iRECIST to determine overall survival, progression-free survival, and duration of response.
Measure:Phase II Dose Expansion: Number of participants with adverse events (type, frequency, severity).
Time Frame:From informed consent through 30 days after last dose
Safety Issue:
Description:Assess the safety and tolerability of dosage regimens of HB-201 and HB-202 by monitoring the type, frequency, and severity of AEs and SAEs.

Details

Phase:Phase 1/Phase 2
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Hookipa Biotech GmbH

Trial Keywords

  • Vaccine
  • Gene Therapy
  • TheraT®
  • E7E6
  • HPV 16 E7E6
  • HNSCC
  • HPV 16+ head and neck squamous cell cancer
  • Oropharyngeal cancer
  • Penile cancer
  • Anal cancer
  • Cervical cancer
  • Vaginal cancer
  • Vulvar cancer

Last Updated

August 24, 2021