CVA21 and Pembrolizumab in NSCLC & Bladder Cancer (VLA-009 STORM/ KEYNOTE-200)

NCT ID: NCT02043665

Last Updated: 2023-05-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

85 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-12-18

Study Completion Date

2020-01-10

Brief Summary

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The purpose of this trial is to assess the ability of CVA21, either alone (Part A) or in combination with pembrolizumab (Part B), to reach and to replicate in existing tumors (while sparing normal cells) and to establish a safe multi-dose schedule of the virus for the treatment of solid tumors where enhanced expression of ICAM-1 and/ or DAF receptor occurs.

This trial consists of 2 sequential parts: VLA-009 (Part A) conducted only in the UK and employed CVA21 as a monotherapy in NSCLC, castrate-resistant prostate cancer, melanoma and bladder cancer. VLA-009 (Part B) conducted in the US, AUS and UK employs CVA21 with pembrolizumab in NSCLC and bladder cancer.

Both VLA-009A and VLA-009B are open-label, multi-center, ascending dose escalation (3+3 design) dose-finding and signal-seeking studies.

Part A of the study is now complete and closed to enrolment. Part B is currently enrolling.

Detailed Description

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Conditions

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Non-small Cell Lung Cancer Bladder Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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CVA21/pembrolizumab

CVA21/pembrolizumab

Group Type EXPERIMENTAL

CVA21/pembrolizumab

Intervention Type BIOLOGICAL

Interventions

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CVA21/pembrolizumab

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Histologically-confirmed (1) NSCLC, (2) bladder cancer, (3) castrate-resistant prostate cancer which are metastatic, or (4) stage 3C or stage 4 melanoma.
* VLA009A: Locally advanced and/or metastatic disease for which curative surgery and/or radiation therapy is not possible and judged not to be a candidate for the current standard of care treatment. VLA009B: locally advanced and/or metastatic disease and judged to be a candidate for pembrolizumab to be used in combination with CVA21.
* All subjects in Cohort 3 or Phase 2 dose (P2D) must have a lesion accessible for FNA or core or open biopsy on day 8 of the first treatment cycle.
* No CVA21 neutralising antibody (≤ 1:16)
* Measurable or evaluable disease

Exclusion Criteria

* Second primary malignancy within the past 2 years (except non-melanoma skin cancer, in situ carcinoma of the cervix, breast cancer)
* Concurrent immunosuppressive therapy and no known immunosuppressive disease other than primary tumour
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role collaborator

Viralytics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Hardev Pandha, MD

Role: PRINCIPAL_INVESTIGATOR

Royal Surrey County Hospital NHS Foundation Trust

Locations

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John Wayne Cancer Institute

Santa Monica, California, United States

Site Status

University of Miami

Coral Gables, Florida, United States

Site Status

Advocate Health

Niles, Illinois, United States

Site Status

Karmanos Cancer Institute

Detroit, Michigan, United States

Site Status

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status

Providence Portland Medical Center

Portland, Oregon, United States

Site Status

Fox Chase Cancer Center

Philadelphia, Pennsylvania, United States

Site Status

UT Southwestern

Dallas, Texas, United States

Site Status

Huntsman Cancer Institute

Salt Lake City, Utah, United States

Site Status

Tasman Oncology Research

Southport, Queensland, Australia

Site Status

Monash Health

Clayton, Victoria, Australia

Site Status

St Vincent's Hospital, Melbourne

Fitzroy, Victoria, Australia

Site Status

Barwon Health

Geelong, Victoria, Australia

Site Status

Epworth HealthCare

Richmond, Victoria, Australia

Site Status

St John of God Healthcare

Subiaco, Western Australia, Australia

Site Status

Royal Marsden NHS Foundation Trust

Chelsea, , United Kingdom

Site Status

Royal Surrey County Hospital

Guildford, , United Kingdom

Site Status

St. James University Hospital

Leeds, , United Kingdom

Site Status

Countries

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United States Australia United Kingdom

References

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Rudin CM, Pandha HS, Zibelman M, Akerley WL, Harrington KJ, Day D, Hill AG, O'Day SJ, Clay TD, Wright GM, Jennens RR, Gerber DE, Rosenberg JE, Ralph C, Campbell DC, Curti BD, Merchan JR, Ren Y, Schmidt EV, Guttman L, Gupta S. Phase 1, open-label, dose-escalation study on the safety, pharmacokinetics, and preliminary efficacy of intravenous Coxsackievirus A21 (V937), with or without pembrolizumab, in patients with advanced solid tumors. J Immunother Cancer. 2023 Jan;11(1):e005007. doi: 10.1136/jitc-2022-005007.

Reference Type RESULT
PMID: 36669791 (View on PubMed)

Other Identifiers

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VLA 009/ KEYNOTE-200

Identifier Type: OTHER

Identifier Source: secondary_id

2012-005256-42

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

3475-200

Identifier Type: -

Identifier Source: org_study_id

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