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.
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
Drug | Synonyms | Arms |
---|
ONCR-177 | | Dose escalation of ONCR-177 by intratumoral injection in subjects with liver metastases |
pembrolizumab | MK-3475, KEYTRUDA | Dose 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
Name | Type | Description | Interventions |
---|
Dose escalation of ONCR-177 by intratumoral injection in subjects with surface lesions | Experimental | Dose escalation of ONCR-177 intratumoral injections alone in four cohorts in subjects with advanced and/or refractory cutaneous, subcutaneous or metastatic nodal solid tumors | |
Dose expansion of ONCR-177 in subjects with surface lesions | Experimental | Dose 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 | |
Dose expansion of ONCR-177 and pembrolizumab in subjects with surface lesions | Experimental | Dose 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 | |
Dose escalation of ONCR-177 by intratumoral injection in subjects with liver metastases | Experimental | Dose escalation of ONCR-177 intratumoral injections alone in four cohorts in subjects with advanced and/or refractory solid tumor cancer with liver metastases | |
Dose expansion of ONCR-177 by intratumoral injection in subjects with liver metastases | Experimental | Dose 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 | |
Dose expansion of ONCR-177 and pembrolizumab in subjects with liver metastases | Experimental | Dose 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 | |
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