Evaluate the Safety, Tolerability, and Preliminary Efficacy of EVM14 Alone and in Combination in Patients With Selected Solid Tumors

NCT ID: NCT07095868

Last Updated: 2025-11-21

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

RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

94 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-11-17

Study Completion Date

2031-11-30

Brief Summary

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Brief Summary:

The purpose of this clinical trial is to evaluate the safety, tolerability, preliminary efficacy, and immunogenicity of EVM14 administered intramuscularly (IM) alone and in combination with pembrolizumab in patients with selected solid tumors.

Detailed Description

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EVM14C101 study is a First in Human(FIH), open-label, multiregional, multicenter study conducted in 2 Phases: Phase I and Phase IIa. In Phase I, EVM14 will be administered intramuscularly(IM) as a monotherapy (Mono Cohort) and in combination with pembrolizumab (Combo Cohort) in patients with solid tumors to assess the safety and tolerability, immunogenicity, preliminary efficacy of EVM14 as monotherapy and in combination with pembrolizumab. Based on the safety and immunogenicity data of Phase I, dose of EVM14 will be selected for the Phase IIa. In Phase IIa, the safety and tolerability, preliminary efficacy, and immunogenicity of EVM14 in combination with pembrolizumab will be further assessed in patients with solid tumors.

Conditions

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Selected Types of Solid Tumor

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Phase I Dose Escalation in Monotherapy Cohort

Group Type EXPERIMENTAL

EVM14

Intervention Type BIOLOGICAL

Cancer Vaccine

Phase I Dose Escalation in Combination Therapy Cohort

Group Type EXPERIMENTAL

EVM14

Intervention Type BIOLOGICAL

Cancer Vaccine

Pembrolizumab

Intervention Type COMBINATION_PRODUCT

Anti-PD1 antibody

Phase IIa Dose Level A for tumor type 1

Group Type EXPERIMENTAL

EVM14

Intervention Type BIOLOGICAL

Cancer Vaccine

Pembrolizumab

Intervention Type COMBINATION_PRODUCT

Anti-PD1 antibody

Phase IIa Dose Level B for tumor type 1

Group Type EXPERIMENTAL

EVM14

Intervention Type BIOLOGICAL

Cancer Vaccine

Pembrolizumab

Intervention Type COMBINATION_PRODUCT

Anti-PD1 antibody

Phase IIa Control arm for tumor type 1

Group Type ACTIVE_COMPARATOR

Pembrolizumab

Intervention Type COMBINATION_PRODUCT

Anti-PD1 antibody

Phase IIa Combo therapy for tumor type 2

Group Type EXPERIMENTAL

EVM14

Intervention Type BIOLOGICAL

Cancer Vaccine

Pembrolizumab

Intervention Type COMBINATION_PRODUCT

Anti-PD1 antibody

Phase IIa Control for tumor type 2

For patients with tumor type 2, pembrolizumab 200 mg alone will be administered intravenously (IV infusion) every 3 weeks (Q3W) if disease progression doesn't occur.

Group Type ACTIVE_COMPARATOR

Pembrolizumab

Intervention Type COMBINATION_PRODUCT

Anti-PD1 antibody

Interventions

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EVM14

Cancer Vaccine

Intervention Type BIOLOGICAL

Pembrolizumab

Anti-PD1 antibody

Intervention Type COMBINATION_PRODUCT

Eligibility Criteria

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Inclusion Criteria

1. Selected types of solid tumor that are pathologically confirmed unresectable advanced, recurrent, or metastatic.
2. Patients with at least 1 evaluable lesion assessed by Investigators within 28 days prior to the first dose of study treatment as defined per RECIST v1.1.
3. Eastern Cooperative Oncology Group performance status (ECOG PS) 0 or 1 at Screening.
4. Life expectancy ≥ 3 months.
5. Patients must have adequate organ function.
6. At screening, patients must agree to provide, if available, tumor tissue for biomarker analysis. When archival tumor tissue is not available, it is optional for the patient to undergo a fresh biopsy to collect tumor tissue if deemed medically safe by the Investigator.

Exclusion Criteria

1. Has disease that is suitable for local treatment administered with curative intent.
2. Has a diagnosed and/or treated additional malignancy within 5 years prior to the first dose of study treatment except for: curatively treated basal cell carcinoma of the skin, squamous cell carcinoma of the skin, superficial bladder cancer, and curatively resected in situ breast, cervical cancer, and prostate cancer.
3. Histologically/cytologically confirmed nasopharynx cancer. Has non-squamous histology NSCLC. If small cell elements are present, the patient is ineligible.
4. Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis.
5. Has a diagnosis of immunodeficiency.
6. Use of systemic corticosteroid (\> 10 mg/day prednisone or equivalent) or other immunosuppressive medication within 14 days before the first dose of study treatment.
7. Has active autoimmune disease that has required systemic treatment in past 2 years or history of autoimmune disease that has possibility of relapse or at risk of having these conditions.
8. Poorly controlled co-morbidity, including but not limited to poorly controlled hypertension (systolic blood pressure ≥ 160 mmHg and/or diastolic blood pressure ≥ 100 mmHg) and poorly controlled type 2 diabetes, or other serious conditions requiring systemic treatment. Active gastric or duodenal ulcer.
9. Cerebrovascular events (stroke, transient ischemic attack, etc.) within 6 months prior to the first dose of study treatment.
10. QTcF interval male \> 450 msec; female \> 470 msec Or serious cardiovascular disease within 6 months prior to the first dose of study treatment
11. The left ventricular ejection fraction (LVEF) \< 50% during the screening period.
12. History of Stevens-Johnson syndrome or toxic epidermal necrolysis syndrome.
13. Patients known to be human immunodeficiency virus (HIV)-positive or have acquired immune deficiency syndrome (AIDS).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Everest Medicines (Beijing) Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status RECRUITING

MD Anderson Cancer Center

Houston, Texas, United States

Site Status NOT_YET_RECRUITING

NEXT Oncology

Fairfax, Virginia, United States

Site Status RECRUITING

Hunan Cancer Hospital

Changsha, Hunan, China

Site Status NOT_YET_RECRUITING

Nanjing Drum Tower Hospital

Nanjing, Jiangsu, China

Site Status NOT_YET_RECRUITING

The First Affiliated Hospital With Nanjing Medical University

Nanjing, Jiangsu, China

Site Status NOT_YET_RECRUITING

Shanghai Chest Hospital

Shanghai, Shanghai Municipality, China

Site Status NOT_YET_RECRUITING

Countries

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United States China

Central Contacts

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Jueying Li

Role: CONTACT

+8618516574518

Facility Contacts

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Role: primary

Other Identifiers

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EVM14C101

Identifier Type: -

Identifier Source: org_study_id

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