Description:
RP2-001-18 is a Phase 1, multicenter, open label, single agent dose escalation and
combination treatment study of RP2 in adult subjects with advanced solid tumors, to determine
the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D), as well as to evaluate
preliminary efficacy.
Title
- Brief Title: Study of RP2 Monotherapy and RP2 in Combination With Nivolumab in Patients With Solid Tumors
- Official Title: An Open-Label, Multicenter, Phase 1 Study of RP2 as a Single Agent and in Combination With PD1 Blockade in Patients With Solid Tumors
Clinical Trial IDs
- ORG STUDY ID:
RP2-001-18
- NCT ID:
NCT04336241
Conditions
Interventions
Drug | Synonyms | Arms |
---|
RP2 | | Dose escalation of RP2 - deep/visceral tumors |
nivolumab | Opdivo | Dose expansion of RP2 and nivolumab - deep/visceral tumors |
Purpose
RP2-001-18 is a Phase 1, multicenter, open label, single agent dose escalation and
combination treatment study of RP2 in adult subjects with advanced solid tumors, to determine
the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D), as well as to evaluate
preliminary efficacy.
Detailed Description
RP2 is a genetically modified herpes simplex type 1 virus (HSV-1) that expresses an
anti-CTLA-4 antibody and is designed to directly destroy tumors and to generate an anti-tumor
immune response. This is a Phase 1, multicenter, open label, dose escalation and expansion,
first-in-human (FIH) clinical study to evaluate the safety and tolerability, biodistribution,
shedding, and preliminary efficacy of RP2 alone and in combination with nivolumab in adult
subjects with advanced solid tumors.
The study will be conducted in two parts. The first part of the study is an open-label, dose
escalation FIH Phase 1 study to assess the safety and tolerability of RP2 and to determine
the recommended Phase 2 dose (RP2D) to be used in the second part of the study. The second
part of the study is an open label design to further investigate safety of RP2 in combination
with nivolumab. It will also assess the biological activity of multiple doses of RP2 in
combination with nivolumab.
Trial Arms
Name | Type | Description | Interventions |
---|
Dose escalation of RP2 - superficial tumors | Experimental | Dose escalation of RP2 alone in 3 cohorts with IT injections in superficial tumors. | |
Dose escalation of RP2 - deep/visceral tumors | Experimental | Dose escalation of RP2 alone in 3 cohorts with imaging guided IT injections in deep/visceral tumors. | |
Dose expansion of RP2 and nivolumab - superficial tumors | Experimental | Doses of RP2 (IT) in superficial tumors with nivolumab (IV). | |
Dose expansion of RP2 and nivolumab - deep/visceral tumors | Experimental | Imaging guided doses of RP2 (IT) in deep/visceral tumors. | |
Seronegative cohort | Experimental | Doses of RP2 (IT) in HSV seronegative participants. | |
Eligibility Criteria
Inclusion Criteria:
- Willing and able to participate and comply with all trial requirements and able to
provide signed and dated informed consent prior to initiation of any trial procedures
- Male or Female ≥ 18 years of age
- Patients with advanced or metastatic non-neurological solid tumors, who have
progressed on standard therapy or cannot tolerate standard therapy, or for which there
is no standard therapy preferred to enrolment in a clinical trial
- At least one measurable and injectable tumor of ≥ 1 cm in longest diameter (or shorter
diameter for lymph nodes).
- Women of child-bearing potential (WOCBP) must have a negative urine pregnancy test at
screening and a negative urine pregnancy test prior to administration of each dose of
RP2 or nivolumab
- WOCBP must agree to use adequate birth control throughout their participation and for
3 months after RP2 alone and 5 months after nivolumab last study treatment
- Males with partners of child-bearing potential must agree to use adequate birth
control throughout their participation and for 3 months for RP2 alone and 7 months
after nivolumab last study treatment
- Have laboratory values (obtained ≤ 28 days prior to first infusion day) in accordance
with the study protocol
- Have an Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-1
Combination patients only:
- Baseline ECG that does not show abnormalities according to the protocol
- Baseline troponin < 0.06 ng/mL
- Baseline oxygen saturation levels that do not show abnormalities according to the
protocol
Exclusion Criteria:
- Prior treatment with an oncolytic therapy
- History of viral infections according to the protocol
- Systemic infection requiring IV antibiotics within 14 days prior to dosing
- Prior complications with herpes infections
- Chronic use of anti-virals
- Systemic therapies for cancer within 4 weeks of first dose (some others may be
accepted with shorter time periods)
- Conditions that require certain doses of steroids (some doses and types will be
permitted)
- Known active brain metastases - previously treated brain metastases may be permitted
- Major surgery ≤ 2 weeks prior to starting study drug
- Prior malignancy active with the previous 3 years; except for locally curable cancers
that have apparently been cured
- Female who has a positive urine pregnancy test or is breast-feeding or planning to
become pregnant during study treatment and 90 days for RP2 alone or 5 months for RP2
and nivolumab after the last dose of treatment
- Participation in another clinical study within 4 weeks prior to the first dose
Combination patients only:
- Participants with history of life-threatening toxicity related to prior immune therapy
except those that are likely to re-occur with standard countermeasures
- Treatment with botanical preparations within 2 weeks prior to treatment
- Certain autoimmune diseases, some types will be permitted
- Allergy or sensitivity to study drug components
- History of interstitial lung disease
- Severe hypersensitivity to another monoclonal antibody
- Has received radiotherapy within 2 weeks of start of study treatment
- Has received a live vaccine within 30 days prior to first dose of study drug
- History of non-infectious pneumonitis
- History or current evidence of any condition, therapy, or laboratory abnormality that
might confound the results of the study
- Other serious or uncontrolled medical disorders
- Known psychiatric or substance abuse disorders that would interfere with cooperating
with the requirements of the study
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Percentage of adverse events (AEs) |
Time Frame: | From Day 1 up to 60 days after last dose |
Safety Issue: | |
Description: | Percentage of subjects with AEs |
Secondary Outcome Measures
Measure: | Percentage of biologic activity |
Time Frame: | 20 weeks |
Safety Issue: | |
Description: | Percentage of subjects with biological activity determined by tumor biopsies and biomarker data |
Measure: | Percentage of subjects with detectable RP2 |
Time Frame: | 20 weeks |
Safety Issue: | |
Description: | Data gathered from blood, urine, swabs of injection site, dressings, and oral mucosa to determine the shedding and biodistribution of RP2. |
Measure: | Change in HSV-1 antibody levels |
Time Frame: | From Day 1 up to last dose (up to 4 months for dose escalation phase and up to 5.5 months for expansion phase)). |
Safety Issue: | |
Description: | Change in HSV-1 antibody levels during treatment compared to baseline |
Measure: | Percentage of overall response rate (ORR) |
Time Frame: | 3 years |
Safety Issue: | |
Description: | Percentage of ORR. |
Measure: | Median duration of response |
Time Frame: | 3 years |
Safety Issue: | |
Description: | Median duration of response of subjects |
Measure: | Median progression-free survival |
Time Frame: | 3 years |
Safety Issue: | |
Description: | Median duration of progression-free survival of subjects |
Measure: | Median overall survival |
Time Frame: | 3 years |
Safety Issue: | |
Description: | Median overall survival rate of subjects |
Measure: | Percentage of complete response (CR) |
Time Frame: | From Day 1 up to last dose (up to 8 weeks for escalation phase and up to 2 years for expansion phase). |
Safety Issue: | |
Description: | Percentage of subjects with a CR |
Measure: | Percentage of partial response (PR) |
Time Frame: | From Day 1 up to last dose (up to 8 weeks for escalation phase and up to 2 years for expansion phase). |
Safety Issue: | |
Description: | Percentage of subjects with a PR |
Measure: | Percentage of stable disease (SD) |
Time Frame: | From Day 1 up to last dose (up to 8 weeks for escalation phase and up to 2 years for expansion phase). |
Safety Issue: | |
Description: | Percentage of subjects with SD |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Replimune Inc. |
Last Updated
May 7, 2021