To determine the recommended Phase 2 dose (RP2D) of TBio-6517 when administered by direct injection into tumor(s) or intravenously and when combined with pembrolizumab in patients with solid tumors (RIVAL-01).
This is a Phase 1/2a dose escalation study with TBio-6517 administered by direct injection into tumor(s) or by intravenous infusion. The Phase 1 portion has 4 arms; the first arm (Arm A) will determine the RP2D of TBio-6517 alone when directly injected into tumor(s), and the second arm (Arm B) will determine the RP2D of TBio-6517 when combined with pembrolizumab. The third and fourth arms will determine the RP2D of TBio-6517 when given intravenously alone and with pembrolizumab, respectively. In the Phase 2a portion, the clinical benefit of TBio-6517 combined with pembrolizumab will be further explored in patients with Microsatellite Stable Colorectal Cancer (MSS-CRC), Cholangiocarcinoma (CCA), Cutaneous Melanoma, and Cutaneous Squamous Cell Carcinoma of the Skin (cSCC), as assessed by overall response rate (ORR) from central radiology review.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
27
Engineered Oncolytic Vaccinia Virus
Immune checkpoint inhibitor.
Mayo Clinic
Phoenix, Arizona, United States
Mayo Clinic
Jacksonville, Florida, United States
Sylvester Comprehensive Cancer Center / UMHC
Miami, Florida, United States
University of Kansas Medical Center
Kansas City, Kansas, United States
Clinical Site 1007
Boston, Massachusetts, United States
Mayo Clinic
Rochester, Minnesota, United States
The Billings Clinic
Billings, Montana, United States
University of Texas MD Anderson Cancer Center
Houston, Texas, United States
Ottawa Hospital and Research Institute (OHRI)
Ottawa, Ontario, Canada
National Cancer Center
Ilsandong, South Korea
...and 1 more locations
Incidence of adverse events when TBio-6517 administered by direct injection into tumor(s) alone at each dose level
Percentage of patients with adverse events by grade as determined by NCI CTCAE v5.0
Time frame: 25 months
Incidence of adverse events when TBio-6517 administered by direct injection into tumor(s) when combined with pembrolizumab
Percentage of patients with adverse events by severity as determined by NCI CTCAE v5.0
Time frame: 25 months
Maximum tolerated dose (MTD) or Maximum feasible dose (MFD) and determination of the recommended Phase 2 dose (RP2D) of TBio-6517 alone and in combination with pembrolizumab.
The highest dose of TBio-6517 that can be administered where fewer than 2 patients have a dose-limiting safety event alone or when combined with pembrolizumab as assessed by NCI CTCAE v.5.0 during the Phase 1 dose escalation
Time frame: 4 weeks
Percentage of overall response rate (ORR) by RECIST 1.1 at the RP2D
Percentage of patients treated at the RP2D in combination with pembrolizumab with a partial response or complete response by RECIST 1.1 following central radiologist review
Time frame: 25 months
Percentage of overall response rate (ORR) by immunotherapy RECIST (iRECIST) at the RP2D
Percentage of patients treated at the RP2D with pembrolizumab with a partial response (PR) or complete response (CR) by iRECIST following central radiologist review
Time frame: 25 months
Number and severity of adverse events at the RP2D
Number of patients with adverse events by severity and frequency as determined by NCI CTCAE v5.0
Time frame: 25 months
Median overall survival (OS)
Median overall survival in months in patients
Time frame: 48 months
Median Duration of Response (DoR)
Median duration of response in patients with a CR or PR
Time frame: 25 months
Proportion of patients with a response (ORR)
Percentage of patients in all arms with a CR or PR as assessed by the central radiologist using RECIST 1.1 and iRECIST
Time frame: 25 months
Median Disease Control Rate (DCR)
Median duration of response in patients with a CR, PR, or stable disease (SD)
Time frame: 25 months
Time to tumor progression (TTP)
Median time until patient disease progression (PD)
Time frame: 25 months
Median progression free survival
Median duration of progression free survival of patients
Time frame: 25 months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.