NCT04348916

Brief Summary

ONCR-177-101 is a phase 1, open-label, multi-center, dose escalation and expansion study of ONCR-177, an oncolytic Herpes Simplex Virus for intratumoral injection, alone and in combination with PD-1 blockade in adult subjects with advanced and/or refractory cutaneous, subcutaneous or metastatic nodal solid tumors or with Liver Metastases of Solid Tumors. The purpose of this study is to determine the maximum tolerated dose (MTD) and recommended phase 2 dose (RP2D), as well as to evaluate preliminary efficacy.

Trial Health

60
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
66

participants targeted

Target at P75+ for phase_1 cancer

Timeline
Completed

Started May 2020

Geographic Reach
2 countries

11 active sites

Status
terminated

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

First Submitted

Initial submission to the registry

April 13, 2020

Completed
3 days until next milestone

First Posted

Study publicly available on registry

April 16, 2020

Completed
1 month until next milestone

Study Start

First participant enrolled

May 20, 2020

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 31, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 31, 2023

Completed
Last Updated

June 8, 2023

Status Verified

June 1, 2023

Enrollment Period

3 years

First QC Date

April 13, 2020

Last Update Submit

June 6, 2023

Conditions

Outcome Measures

Primary Outcomes (5)

  • Percentage of Dose-Limiting Toxicities (DLTs)

    Percentage of subjects with DLTs

    From Day 1 up to 30 days after last dose

  • Percentage of Adverse Events (AEs)

    Percentage of subjects with AEs

    From Day 1 up to 30 days after last dose

  • Percentage of Serious Adverse Events (SAEs)

    Percentage of subjects with SAEs

    From Day 1 up to 90 days after last dose

  • Maximum Tolerated Dose (MTD) of ONCR-177

    MTD on the data collected during dose escalation

    6 Months

  • Recommended Phase 2 Dose (RP2D) of ONCR-177

    RP2D of ONCR-177 based on the data collected during dose escalation

    6 Months

Secondary Outcomes (6)

  • Percentage of Objective Response Rate (ORR)

    40 Months

  • Durable Response Rate (DRR)

    40 Months

  • Progression Free Survival (PFS)

    40 Months

  • Overall Survival (OS)

    40 Months

  • Incidence and rate of detection of ONCR-177

    6 Months

  • +1 more secondary outcomes

Study Arms (6)

Dose escalation of ONCR-177 by intratumoral injection in subjects with surface lesions

EXPERIMENTAL

Dose escalation of ONCR-177 intratumoral injections alone in four cohorts in subjects with advanced and/or refractory cutaneous, subcutaneous or metastatic nodal solid tumors

Biological: ONCR-177

Dose expansion of ONCR-177 in subjects with surface lesions

EXPERIMENTAL

Dose expansion of ONCR-177 intratumoral injections alone at the recommended phase 2 dose (RP2D) in subjects with advanced and/or refractory cutaneous, subcutaneous or metastatic nodal solid tumors

Biological: ONCR-177

Dose expansion of ONCR-177 and pembrolizumab in subjects with surface lesions

EXPERIMENTAL

Dose expansion of ONCR-177 intratumoral injections at the RP2D in combination with pembrolizumab in subjects with advanced and/or refractory cutaneous, subcutaneous or metastatic nodal solid tumors

Biological: ONCR-177Biological: pembrolizumab

Dose escalation of ONCR-177 by intratumoral injection in subjects with liver metastases

EXPERIMENTAL

Dose escalation of ONCR-177 intratumoral injections alone in four cohorts in subjects with advanced and/or refractory solid tumor cancer with liver metastases

Biological: ONCR-177

Dose expansion of ONCR-177 by intratumoral injection in subjects with liver metastases

EXPERIMENTAL

Dose expansion of ONCR-177 intratumoral injections alone at the recommended phase 2 dose (RP2D) in subjects with advanced and/or refractory solid tumor cancer with liver metastases

Biological: ONCR-177

Dose expansion of ONCR-177 and pembrolizumab in subjects with liver metastases

EXPERIMENTAL

Dose expansion of ONCR-177 intratumoral injections at the RP2D in combination with pembrolizumab in subjects with advanced and/or refractory solid tumor cancer with liver metastases

Biological: ONCR-177Biological: pembrolizumab

Interventions

ONCR-177BIOLOGICAL

Intratumorally administered oncolytic immunotherapy comprised of a genetically engineered HSV-1

Dose escalation of ONCR-177 by intratumoral injection in subjects with liver metastasesDose escalation of ONCR-177 by intratumoral injection in subjects with surface lesionsDose expansion of ONCR-177 and pembrolizumab in subjects with liver metastasesDose expansion of ONCR-177 and pembrolizumab in subjects with surface lesionsDose expansion of ONCR-177 by intratumoral injection in subjects with liver metastasesDose expansion of ONCR-177 in subjects with surface lesions
pembrolizumabBIOLOGICAL

Anti-PD-1 monoclonal antibody

Also known as: MK-3475, KEYTRUDA
Dose expansion of ONCR-177 and pembrolizumab in subjects with liver metastasesDose expansion of ONCR-177 and pembrolizumab in subjects with surface lesions

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male or female ≥ 18 years of age
  • Solid tumor cancer with at least one injectable cutaneous, subcutaneous or nodal tumor OR at least one injectable liver metastasis that can be visualized and injected under radiologic guidance
  • Have advanced or metastatic solid tumors who are refractory to, ineligible for, relapsed from and/or intolerant of standard of care treatment or must have a disease for which no standard of care exists
  • Be fully recovered from major surgery and from the acute toxic effects of prior chemotherapy radiotherapy, or immunotherapy
  • Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) of 0 or 1
  • Must have adequate hematologic function in accordance with the study protocol
  • Must have adequate hepatic function in accordance with the study protocol
  • Must have adequate renal function in accordance with the study protocol
  • Female subjects of reproductive potential must have a negative serum pregnancy test during Screening and a serum or urine pregnancy test must be re-confirmed as negative no more than 72 hours before starting study treatment. Females of reproductive potential as well as fertile men with partners who are female of reproductive potential must agree to abstain from sexual intercourse or to use 2 effective forms of contraception (including at least 1 barrier form) from the time of giving informed consent, during the study, and for 6 months (both females and males) following the last dose of study drug(s)
  • Life expectancy of ≥ 3 months
  • Expansion:
  • Evaluable or measurable disease, according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 criteria

You may not qualify if:

  • Subjects on current antiviral treatment for herpes virus infections
  • Requires chronic or intermittent treatment with systemic antivirals
  • Any systemic anti-cancer treatment (including investigational agents) within 4 weeks prior to the first dose of study drug
  • Has received prior radiotherapy within 2 weeks of start of study treatment
  • Myelosuppressive chemotherapy within 4 weeks of study treatment
  • Prior checkpoint inhibitor therapy administered within 4 weeks of study treatment
  • Is currently participating in or has participated in a study of an investigational agent or has used an investigational device within 4 weeks prior to the first dose of study treatment.
  • Has not fully recovered from any effects of major surgery or not free of significant detectable infection
  • Other active malignancy within the previous 3 years of first dose of study treatment
  • Has known active Central Nervous System (CNS) metastases and/or carcinomatous meningitis
  • Have had significant active cardiac disease within 6 months prior to the start of study treatment
  • Has an active autoimmune disease that has required systemic treatment in past 2 years
  • Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy
  • Has received a live vaccine within 30 days prior to the first dose of study drug
  • Are pregnant or breastfeeding

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (11)

City of Hope

Duarte, California, 91010, United States

Location

Sarah Cannon Research Institute at HealthONE

Denver, Colorado, 80218, United States

Location

Moffitt Cancer Center

Tampa, Florida, 33612, United States

Location

Emory University

Atlanta, Georgia, 30322, United States

Location

Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

Location

Dana-Farber Cancer Institute

Boston, Massachusetts, 02115, United States

Location

Roswell Park Cancer Institute

Buffalo, New York, 14263, United States

Location

The Ohio State University Wexner Medical Center James Cancer Hospital

Columbus, Ohio, 43210, United States

Location

Sarah Cannon Research Institute - Tennessee Oncology

Nashville, Tennessee, 37203, United States

Location

The University of Texas at Austin

Austin, Texas, 78701, United States

Location

University Health Network, Princess Margaret Cancer Centre

Toronto, Ontario, M5G 2M9, Canada

Location

Related Publications (1)

  • Haines BB, Denslow A, Grzesik P, Lee JS, Farkaly T, Hewett J, Wambua D, Kong L, Behera P, Jacques J, Goshert C, Ball M, Colthart A, Finer MH, Hayes MW, Feau S, Kennedy EM, Lerner L, Queva C. ONCR-177, an Oncolytic HSV-1 Designed to Potently Activate Systemic Antitumor Immunity. Cancer Immunol Res. 2021 Mar;9(3):291-308. doi: 10.1158/2326-6066.CIR-20-0609. Epub 2020 Dec 22.

MeSH Terms

Conditions

NeoplasmsMelanomaSquamous Cell Carcinoma of Head and NeckBreast NeoplasmsTriple Negative Breast NeoplasmsColorectal Neoplasms

Interventions

pembrolizumab

Condition Hierarchy (Ancestors)

Neuroendocrine TumorsNeuroectodermal TumorsNeoplasms, Germ Cell and EmbryonalNeoplasms by Histologic TypeNeoplasms, Nerve TissueNevi and MelanomasSkin NeoplasmsNeoplasms by SiteSkin DiseasesSkin and Connective Tissue DiseasesCarcinoma, Squamous CellCarcinomaNeoplasms, Glandular and EpithelialHead and Neck NeoplasmsBreast DiseasesIntestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal DiseasesRectal Diseases

Study Officials

  • John Goldberg, MD

    Oncorus, Inc.

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 13, 2020

First Posted

April 16, 2020

Study Start

May 20, 2020

Primary Completion

May 31, 2023

Study Completion

May 31, 2023

Last Updated

June 8, 2023

Record last verified: 2023-06

Data Sharing

IPD Sharing
Will not share

Locations