Clinical Trials /

Study of ONCR-177 Alone and in Combination With PD-1 Blockade in Adult Subjects With Advanced and/or Refractory Cutaneous, Subcutaneous or Metastatic Nodal Solid Tumors or With Liver Metastases of Solid Tumors

NCT04348916

Description:

ONCR-177-101 is a phase 1, open-label, multi-center, dose escalation and expansion study of ONCR-177, an oncolytic Herpes Simplex Virus for intratumoral injection, alone and in combination with PD-1 blockade in adult subjects with advanced and/or refractory cutaneous, subcutaneous or metastatic nodal solid tumors or with Liver Metastases of Solid Tumors. The purpose of this study is to determine the maximum tolerated dose (MTD) and recommended phase 2 dose (RP2D), as well as to evaluate preliminary efficacy.

Related Conditions:
  • Malignant Solid Tumor
Recruiting Status:

Recruiting

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: Study of ONCR-177 Alone and in Combination With PD-1 Blockade in Adult Subjects With Advanced and/or Refractory Cutaneous, Subcutaneous or Metastatic Nodal Solid Tumors or With Liver Metastases of Solid Tumors
  • Official Title: A Phase 1, Open-Label, Multicenter, Dose Escalation and Expansion Study of ONCR-177, an Oncolytic Herpes Simplex Virus for Intratumoral Injection, Alone and in Combination With PD-1 Blockade in Adult Subjects With Advanced and/or Refractory Cutaneous, Subcutaneous or Metastatic Nodal Solid Tumors or With Liver Metastases of Solid Tumors

Clinical Trial IDs

  • ORG STUDY ID: ONCR-177-101
  • SECONDARY ID: KEYNOTE-B73
  • NCT ID: NCT04348916

Conditions

  • Cancer
  • Melanoma
  • Solid Tumor
  • Squamous Cell Carcinoma of Head and Neck
  • Breast Cancer
  • Advanced Solid Tumor
  • Triple Negative Breast Cancer
  • Colorectal Carcinoma
  • Non-melanoma Skin Cancer
  • Liver Metastases

Interventions

DrugSynonymsArms
ONCR-177Dose escalation of ONCR-177 by intratumoral injection in subjects with liver metastases
pembrolizumabMK-3475, KEYTRUDADose expansion of ONCR-177 and pembrolizumab in subjects with liver metastases

Purpose

ONCR-177-101 is a phase 1, open-label, multi-center, dose escalation and expansion study of ONCR-177, an oncolytic Herpes Simplex Virus for intratumoral injection, alone and in combination with PD-1 blockade in adult subjects with advanced and/or refractory cutaneous, subcutaneous or metastatic nodal solid tumors or with Liver Metastases of Solid Tumors. The purpose of this study is to determine the maximum tolerated dose (MTD) and recommended phase 2 dose (RP2D), as well as to evaluate preliminary efficacy.

Detailed Description

      ONCR-177 is an intratumorally administered oncolytic immunotherapy comprised of a genetically
      engineered HSV-1 (herpes simplex virus type 1) that selectively replicates in tumor tissue.
      Oncorus Inc. is developing ONCR-177 both as monotherapy and in combination with PD-1 blockade
      for the treatment of advanced solid tumor malignancies. This first-in-human (FIH) Phase 1
      dose escalation and expansion study will determine the intratumoral dose of ONCR-177 as a
      monotherapy and in combination with pembrolizumab, in subjects with advanced and/or
      refractory cutaneous, subcutaneous or metastatic nodal solid tumors or with Liver Metastases
      of Solid Tumors. This protocol will enroll subjects who have at least one lesion that is
      visible, palpable or detectable and can be injected, and subjects who have liver metastases
      of solid tumors. Subjects with any cancer types who are eligible for the trial and have such
      lesions can be considered for enrollment. Additionally, preliminary evidence for clinical and
      immunologic activity will be sought to guide ongoing studies and development of ONCR-177 in
      subjects with cancers that are unmet medical needs. Confirmation of safety of ONCR-177
      administration in combination with pembrolizumab will also be evaluated in this study, to
      enable development as part of combination immunotherapy.
    

Trial Arms

NameTypeDescriptionInterventions
Dose escalation of ONCR-177 by intratumoral injection in subjects with surface lesionsExperimentalDose escalation of ONCR-177 intratumoral injections alone in four cohorts in subjects with advanced and/or refractory cutaneous, subcutaneous or metastatic nodal solid tumors
  • ONCR-177
Dose expansion of ONCR-177 in subjects with surface lesionsExperimentalDose expansion of ONCR-177 intratumoral injections alone at the recommended phase 2 dose (RP2D) in subjects with advanced and/or refractory cutaneous, subcutaneous or metastatic nodal solid tumors
  • ONCR-177
Dose expansion of ONCR-177 and pembrolizumab in subjects with surface lesionsExperimentalDose expansion of ONCR-177 intratumoral injections at the RP2D in combination with pembrolizumab in subjects with advanced and/or refractory cutaneous, subcutaneous or metastatic nodal solid tumors
  • ONCR-177
  • pembrolizumab
Dose escalation of ONCR-177 by intratumoral injection in subjects with liver metastasesExperimentalDose escalation of ONCR-177 intratumoral injections alone in four cohorts in subjects with advanced and/or refractory solid tumor cancer with liver metastases
  • ONCR-177
Dose expansion of ONCR-177 by intratumoral injection in subjects with liver metastasesExperimentalDose expansion of ONCR-177 intratumoral injections alone at the recommended phase 2 dose (RP2D) in subjects with advanced and/or refractory solid tumor cancer with liver metastases
  • ONCR-177
Dose expansion of ONCR-177 and pembrolizumab in subjects with liver metastasesExperimentalDose expansion of ONCR-177 intratumoral injections at the RP2D in combination with pembrolizumab in subjects with advanced and/or refractory solid tumor cancer with liver metastases
  • ONCR-177
  • pembrolizumab

Eligibility Criteria

        Key Inclusion Criteria:

          -  Male or female ≥ 18 years of age

          -  Solid tumor cancer with at least one injectable cutaneous, subcutaneous or nodal tumor
             OR at least one injectable liver metastasis that can be visualized and injected under
             radiologic guidance

          -  Have advanced or metastatic solid tumors who are refractory to, ineligible for,
             relapsed from and/or intolerant of standard of care treatment or must have a disease
             for which no standard of care exists

          -  Be fully recovered from major surgery and from the acute toxic effects of prior
             chemotherapy radiotherapy, or immunotherapy

          -  Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) of 0 or 1

          -  Must have adequate hematologic function in accordance with the study protocol

          -  Must have adequate hepatic function in accordance with the study protocol

          -  Must have adequate renal function in accordance with the study protocol

          -  Female subjects of reproductive potential must have a negative serum pregnancy test
             during Screening and a serum or urine pregnancy test must be re-confirmed as negative
             no more than 72 hours before starting study treatment. Females of reproductive
             potential as well as fertile men with partners who are female of reproductive
             potential must agree to abstain from sexual intercourse or to use 2 effective forms of
             contraception (including at least 1 barrier form) from the time of giving informed
             consent, during the study, and for 6 months (both females and males) following the
             last dose of study drug(s)

          -  Life expectancy of ≥ 3 months

        Expansion:

        •Evaluable or measurable disease, according to Response Evaluation Criteria in Solid Tumors
        (RECIST) v1.1 criteria

        Key Exclusion Criteria:

          -  Subjects on current antiviral treatment for herpes virus infections

          -  Requires chronic or intermittent treatment with systemic antivirals

          -  Any systemic anti-cancer treatment (including investigational agents) within 4 weeks
             prior to the first dose of study drug

          -  Has received prior radiotherapy within 2 weeks of start of study treatment

          -  Myelosuppressive chemotherapy within 4 weeks of study treatment

          -  Prior checkpoint inhibitor therapy administered within 4 weeks of study treatment

          -  Is currently participating in or has participated in a study of an investigational
             agent or has used an investigational device within 4 weeks prior to the first dose of
             study treatment.

          -  Has not fully recovered from any effects of major surgery or not free of significant
             detectable infection

          -  Other active malignancy within the previous 3 years of first dose of study treatment

          -  Has known active Central Nervous System (CNS) metastases and/or carcinomatous
             meningitis

          -  Have had significant active cardiac disease within 6 months prior to the start of
             study treatment

          -  Has an active autoimmune disease that has required systemic treatment in past 2 years

          -  Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy

          -  Has received a live vaccine within 30 days prior to the first dose of study drug

          -  Are pregnant or breastfeeding
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Percentage of Dose-Limiting Toxicities (DLTs)
Time Frame:From Day 1 up to 30 days after last dose
Safety Issue:
Description:Percentage of subjects with DLTs

Secondary Outcome Measures

Measure:Percentage of Objective Response Rate (ORR)
Time Frame:40 Months
Safety Issue:
Description:Percentage of ORR
Measure:Durable Response Rate (DRR)
Time Frame:40 Months
Safety Issue:
Description:DRR (continuous CR or PR ≥6 months)
Measure:Progression Free Survival (PFS)
Time Frame:40 Months
Safety Issue:
Description:Duration of PFS for subjects
Measure:Overall Survival (OS)
Time Frame:40 Months
Safety Issue:
Description:OS rate for subjects
Measure:Incidence and rate of detection of ONCR-177
Time Frame:6 Months
Safety Issue:
Description:Data gathered from blood, urine, swabs of injection site, dressings, and oral mucosa to determine the shedding and biodistribution of ONCR-177
Measure:Changes in the level of HSV-1 antibodies compared to baseline
Time Frame:From Day 1 up to last dose of ONCR-177 (up to 5 months)
Safety Issue:
Description:Change in HSV-1 antibody levels during treatment compared to baseline

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Oncorus, Inc.

Last Updated

May 13, 2021