Description:
This is a Phase 1, multicenter, open label, single agent dose escalation and combination
treatment study of RP3 in adult participants with advanced solid tumors, to evaluate the
safety and tolerability of RP3 both as a single agent and in combination with anti-PD1
therapy and to determine the recommended Phase 2 dose (RP2D) of RP3.
Title
- Brief Title: Study of RP3 Monotherapy and RP3 in Combination With Anti-PD1 Therapy in Patients With Solid Tumours
- Official Title: An Open-Label, Multicenter, Phase 1 Study of RP3 as a Single Agent and in Combination With PD-1 Blockade in Patients With Solid Tumors
Clinical Trial IDs
- ORG STUDY ID:
RP3-301
- NCT ID:
NCT04735978
Conditions
Interventions
Drug | Synonyms | Arms |
---|
RP3 | | Dose combination of RP3 and anti-PD1 therapy - superficial and/or deep/visceral tumors |
anti-PD1 monoclonal antibody | | Dose combination of RP3 and anti-PD1 therapy - superficial and/or deep/visceral tumors |
Purpose
This is a Phase 1, multicenter, open label, single agent dose escalation and combination
treatment study of RP3 in adult participants with advanced solid tumors, to evaluate the
safety and tolerability of RP3 both as a single agent and in combination with anti-PD1
therapy and to determine the recommended Phase 2 dose (RP2D) of RP3.
Detailed Description
RP3 is a genetically modified herpes simplex type 1 virus (HSV-1) that expresses exogenous
genes (anti-CTLA-4 antibody, CD40 ligand and h4-1BBL) designed to directly destroy tumors and
generate an anti-tumor immune response
Trial Arms
Name | Type | Description | Interventions |
---|
Dose escalation of RP3 - superficial and/or deep/visceral tumors | Experimental | Dose escalation of RP3 alone in 2 cohorts with intratumoral (IT) injections including use of imaging guided injection for deep tumors. | |
Dose combination of RP3 and anti-PD1 therapy - superficial and/or deep/visceral tumors | Experimental | Dose combination of RP3 and anti-PD1 therapy. IT injections of RP3 including use of imaging guided injection for deep tumors. | - RP3
- anti-PD1 monoclonal antibody
|
Seronegative cohort | Experimental | Doses of RP3 (IT) in HSV seronegative participants. | |
Eligibility Criteria
Inclusion Criteria:
- Patients with advanced or metastatic non-neurological solid tumors, who have
progressed on standard therapy or cannot tolerate standard therapy, or for whom there
is no standard therapy preferred to enrollment in a clinical study
- All patients must consent to provide archival tumor biopsy samples within 12 months,
or a fresh tumor biopsy is needed. Patients must also consent to provide on treatment
biopsies as per protocol
- At least one measurable tumor ≥ 1 cm in longest diameter (or shortest diameter for
lymph nodes)
- At least one injectable tumor ≥ 1 cm in longest diameter or injectable tumors which in
aggregate are ≥ 1 cm in longest diameter (or shortest diameter for lymph nodes
- Have an Eastern Cooperative Oncology Group (ECOG) performance status 0-1
Exclusion Criteria:
- Prior treatment with an oncolytic therapy
- History of viral infections according to the protocol
- Systemic infection requiring intravenous (IV) antibiotics
- Active significant herpetic infections or prior complications of HSV-1 infection
(e.g., herpetic keratitis or encephalitis)
- Requires intermittent or chronic use of systemic antivirals
- History of interstitial lung disease
- Has a history of (non-infectious) pneumonitis that required steroids or has current
pneumonitis
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Incidence of dose limiting toxicities (DLTs) during the DLT period |
Time Frame: | From Day 1 up to 30 days after last dose |
Safety Issue: | |
Description: | Percentage of participants with DLTs |
Secondary Outcome Measures
Measure: | Percentage of biologic activity |
Time Frame: | From Day 1 to 12 months following the last dose in dose escalation. From Day 1 to 100 days following the last dose in dose combination |
Safety Issue: | |
Description: | Percentage of participants with biological activity as assessed by individual tumor responses (including erythema, necrosis, and/or inflammation and changes in tumor sizes, in injected and uninjected tumors). |
Measure: | Incidence of clearance of RP3 from blood and urine |
Time Frame: | From Day 1 to 60 days following the last dose in dose escalation. From Day 1 to 100 days following the last dose in dose combination |
Safety Issue: | |
Description: | Incidence of clearance of RP3 from blood and urine before and after each injection |
Measure: | Percentage of participants with detectable RP3. |
Time Frame: | From Day 1 to 60 days following the last dose in dose escalation. From Day 1 to 100 days following the last dose in dose combination |
Safety Issue: | |
Description: | Data gathered from blood, urine, swabs of injection site, dressing and oral mucosa to determine the shedding and biodistribution of RP3 |
Measure: | Change in HSV-1 antibody levels |
Time Frame: | From Day 1 to Day 43 |
Safety Issue: | |
Description: | Change in HSV-1 antibody levels during treatment compared to baseline |
Measure: | Percentage of HSV-1 seronegative patients with TEAEs |
Time Frame: | From Day 1 to 60 days following last dose in dose escalation. From Day 1 to 100 days post last dose in dose combination |
Safety Issue: | |
Description: | Percentage of HSV-1 seronegative patients with TEAEs |
Measure: | Percentage of objective overall response rate (ORR) |
Time Frame: | Up to 3 years since first patient in |
Safety Issue: | |
Description: | Percentage of ORR |
Measure: | Median duration of response |
Time Frame: | Up to 3 years since first patient in |
Safety Issue: | |
Description: | Median duration of response of participants |
Measure: | Percentage of complete response (CR) |
Time Frame: | From Day 1 up to last dose (Day 57 or 8th Re-initiation dose in escalation phase and up to 2 years for combination phase) |
Safety Issue: | |
Description: | Percentage of participants with a CR |
Measure: | Percentage of partial response (PR) |
Time Frame: | From Day 1 up to last dose (Day 57 or 8th Re-initiation dose in escalation phase and up to 2 years for combination phase) |
Safety Issue: | |
Description: | Percentage of participants with a PR |
Measure: | Percentage of stable disease (SD) |
Time Frame: | From Day 1 up to last dose (Day 57 or 8th Re-initiation dose in escalation phase and up to 2 years for combination phase) |
Safety Issue: | |
Description: | Percentage of participants with SD |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Replimune Inc. |
Trial Keywords
- Advanced solid tumors
- Immunotherapy
- Immuno-oncology
- Oncolytic virus
- Oncolytic immuno-gene therapy
Last Updated
June 28, 2021