Phase I / II Study of Enadenotucirev by Sub-acute Fractionated IV Dosing in Cancer Patients
EVOLVE
A Clinical Study Of Enadenotucirev Administered by Sub-Acute Fractionated Intravenous Injection: Dose Escalation in Metastatic Epithelial Solid Tumours and Randomised Controlled Trial in Metastatic Colorectal Cancer
1 other identifier
interventional
61
2 countries
6
Brief Summary
This is a multicentre, open-label, Phase I/II study of enadenotucirev in patients with either solid tumour of epithelial origin not responding to standard therapy or for whom no standard treatment exists (Phase I dose escalation stage Single cycle), mCRC not responding to standard therapy (Phase I dose escalation Repeat cycle cohort expansion stage ), mCRC not responding to standard therapy or advanced or metastatic bladder cancer not candidate for chemotherapy (Phase Ib) or mCRC in stable disease or partial response after 3-4 months of first line standard of care chemotherapy (Phase II).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Sep 2012
Typical duration for phase_1
6 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 20, 2012
CompletedFirst Submitted
Initial submission to the registry
October 29, 2013
CompletedFirst Posted
Study publicly available on registry
January 7, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 29, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
April 29, 2016
CompletedMarch 12, 2020
March 1, 2020
3.6 years
October 29, 2013
March 10, 2020
Conditions
Outcome Measures
Primary Outcomes (2)
Phase 1 - Maximum Tolerated Dose
\- Maximum tolerated dose (MTD) / maximum feasible dose (MFD) of enadenotucirev when administered by sub-acute fractionated IV injection (phase I Dose Escalation) and recommended dose for phase II.
Up to Day 22
Phase 1b - Selection of suitable schedule for repeat cycle IV administration
Open label assessment of 2 repeat cycle schedules, with expansion cohort at the MTD or MFD with best repeat cycle schedule in advanced/metastatic UBC patients.
Up to Day 134
Study Arms (1)
Enadenotucirev
EXPERIMENTALInterventions
Eligibility Criteria
You may qualify if:
- Patients must provide written informed consent
- Age ≥ 18 years and the patient must be at least the legal age limit to be able to give consent within the jurisdiction the study is taking place.
- ECOG performance status 0 or 1
- Predicted life expectancy of 3 months or more
- Ability to comply with study procedures in the Investigator's opinion
- Recovered to Grade 1 from the effects (excluding alopecia) of any prior therapy for their malignancies
- Adequate renal function
- Creatinine ≤ 1.5 mg/dL or calculated creatinine clearance using the Cockcroft-Gault formula ≥ 60 mL/min, or measured creatinine clearance ≥ 60 mL/min, Haematuria: dipstick ≤ 2+
- Proteinuria: dipstick ≤ 2+
- Adequate hepatic function
- Serum bilirubin \< 1.5 mg/dL
- Aspartate transaminase (AST) and alanine transaminase (ALT) ≤ 3x upper limit of normal (ULN)
- Adequate bone marrow function:
- Absolute neutrophil count (ANC) ≥ 1.5 x 109/L
- Platelets ≥ 100 x 109/L
- +18 more criteria
You may not qualify if:
- Pregnant or breast feeding females;
- Known history or evidence of significant immunodeficiency due to underlying illness (e.g. human immunodeficiency virus \[HIV\]/acquired immunodeficiency syndrome \[AIDS\]) and/or medication (e.g. systemic corticosteroids, or other immunosuppressive medications including cyclosporine, azathioprine, interferons, within the past 4 weeks)
- Splenectomy
- Prior allogeneic or autologous bone marrow or organ transplantation
- Active infections requiring antibiotics, physician monitoring, or recurrent fevers \>38.0 degrees centigrade associated with a clinical diagnosis of active infection
- Active viral disease or known positive serology for HIV, hepatitis B or hepatitis C;
- Use of the following anti-viral agents: ribavirin, adefovir, lamivudine or cidofovir within 7 days prior to day 1; or pegylated interferon (PEG-IFN) (within 14 days prior to first administration of ColoAd1)
- Administration of an investigational drug within 28 days prior to first dose of ColoAd1
- Major surgery within 4 weeks or radiotherapy within 3 weeks prior to first dose of ColoAd1
- Another primary malignancy within the past 3 years (except for non melanoma skin cancer or cervical cancer in situ)
- Central nervous system (CNS) metastasis that is symptomatic and/or requires treatment
- Any condition or illness that, in the opinion of the Investigator or the medical monitor, would compromise patient safety or interfere with the evaluation of the safety of the drug
- Known allergy to treatment medication or its excipients
- Any other medical or psychological condition that would preclude participation in the study or compromise ability to give informed consent
- Progression on first line therapy
- +4 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Akamis Biolead
Study Sites (6)
GZA ziekenhuizen campus Sint-Augustinus
Wilrijk, Antwerp, B-2610, Belgium
Cliniques Universitaires St Luc
Brussels, B-1200, Belgium
Ghent University Hospital
Ghent, 9000, Belgium
Institut Catala d Oncologica
Barcelona, 08970, Spain
START - Hospital Universitario Madrid Sanchinarrio
Madrid, 28050, Spain
Hospital Universitario Virgen del Rocio (HUVR)
Seville, 41013, Spain
Related Publications (2)
Khalil DN, Prieto Gonzalez-Albo I, Rosen L, Lillie T, Stacey A, Parfitt L, Soff GA. A tumor-selective adenoviral vector platform induces transient antiphospholipid antibodies, without increased risk of thrombosis, in phase 1 clinical studies. Invest New Drugs. 2023 Apr;41(2):317-323. doi: 10.1007/s10637-023-01345-8. Epub 2023 Mar 10.
PMID: 36897458DERIVEDMachiels JP, Salazar R, Rottey S, Duran I, Dirix L, Geboes K, Wilkinson-Blanc C, Pover G, Alvis S, Champion B, Fisher K, McElwaine-Johnn H, Beadle J, Calvo E. A phase 1 dose escalation study of the oncolytic adenovirus enadenotucirev, administered intravenously to patients with epithelial solid tumors (EVOLVE). J Immunother Cancer. 2019 Jan 28;7(1):20. doi: 10.1186/s40425-019-0510-7.
PMID: 30691536DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 29, 2013
First Posted
January 7, 2014
Study Start
September 20, 2012
Primary Completion
April 29, 2016
Study Completion
April 29, 2016
Last Updated
March 12, 2020
Record last verified: 2020-03