NCT06444815

Brief Summary

VET3-TGI is an oncolytic immunotherapy designed to treat advanced cancers. VET3-TGI has not been given to human patients yet, and the current study is designed to find a safe and effective dose of VET3-TGI when administered by direct injection into tumor(s) (called an intratumoral injection) or when given intravenously (into the vein) both alone and in combination with pembrolizumab in patients with solid tumors (STEALTH-001).

Trial Health

77
On Track

Trial Health Score

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

Enrollment
60

participants targeted

Target at P75+ for phase_1

Timeline
20mo left

Started Sep 2024

Typical duration for phase_1

Geographic Reach
1 country

7 active sites

Status
recruiting

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 Progress50%
Sep 2024Dec 2027

First Submitted

Initial submission to the registry

May 30, 2024

Completed
7 days until next milestone

First Posted

Study publicly available on registry

June 6, 2024

Completed
3 months until next milestone

Study Start

First participant enrolled

September 16, 2024

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 30, 2027

Expected
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2027

Last Updated

April 10, 2025

Status Verified

April 1, 2025

Enrollment Period

3 years

First QC Date

May 30, 2024

Last Update Submit

April 9, 2025

Conditions

Outcome Measures

Primary Outcomes (3)

  • Incidence of adverse events with VET3-TGI alone or in combination with pembrolizumab

    Percentage of patients with adverse events by grade as determined by NCI CTCAE v5.0

    108 months

  • Incidence of dose limiting toxicities reported with VET3-TGI alone or in combination with pembrolizumab

    Number of dose limiting toxicities, as defined in the protocol, by dose group

    4 weeks

  • Determine the recommended Phase 2 dose

    he highest dose of VET3-TGI in each group 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

    4 weeks

Secondary Outcomes (8)

  • Efficacy assessment: overall response rate (ORR)

    108 months

  • Efficacy assessment: Duration of response (DOR)

    108 months

  • Efficacy assessment: disease control rate (DCR)

    108 months

  • Efficacy assessment: Time to tumor progression (TTP)

    108 months

  • Efficacy assessment: Progression free survival (PFS)

    108 months

  • +3 more secondary outcomes

Study Arms (4)

Group A: VET3-TGI alone intratumoral

EXPERIMENTAL

Dose escalation of VET3-TGI alone administered by direct injection into tumor(s) x 4. Booster injections of VET3-TGI are permitted for up to 2 years.

Drug: VET3-TGI

Group B: VET3-TGI intratumoral in combination with pembrolizumab

EXPERIMENTAL

VET3-TGI will be given in combination with pembrolizumab at the highest tolerated dose from Group A. Pembrolizumab will be administered via intravenous (IV) infusion for up to 2 years.

Drug: VET3-TGIDrug: Pembrolizumab

Group C: VET3-TGI alone intravenous

EXPERIMENTAL

Dose escalation of VET3-TGI alone administered by IV infusion x 6. Booster infusions of VET3-TGI are permitted for up to 2 years.

Drug: VET3-TGI

Group D: VET3-TGI intravenous in combination with pembrolizumab

EXPERIMENTAL

VET3-TGI will be given in combination with pembrolizumab at the highest tolerated dose from Group C. Pembrolizumab will be administered via intravenous (IV) infusion for up to 2 years.

Drug: VET3-TGIDrug: Pembrolizumab

Interventions

Oncolytic vaccinia virus engineered with immunomodulatory transgenes

Group A: VET3-TGI alone intratumoralGroup B: VET3-TGI intratumoral in combination with pembrolizumabGroup C: VET3-TGI alone intravenousGroup D: VET3-TGI intravenous in combination with pembrolizumab

anti-pd1 antibody

Group B: VET3-TGI intratumoral in combination with pembrolizumabGroup D: VET3-TGI intravenous in combination with pembrolizumab

Eligibility Criteria

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

You may qualify if:

  • Have pathologically confirmed, advanced, unresectable, or metastatic solid tumors. Preferred indications include, but are not limited to, breast carcinoma, bladder carcinoma, cervical squamous carcinoma, colorectal carcinoma, esophageal carcinoma, head and neck squamous carcinoma, renal cell carcinoma, ovarian carcinoma, sarcoma, thymoma, and uterine carcinoma.
  • Failed, intolerant to, or refused potentially curative treatment options, including but not limited to, standard of care molecularly targeted agents, immunotherapy (e.g., anti -pembrolizumab/PDL1 antibodies), and chemotherapy
  • Measurable disease as per RECIST 1.1 criteria
  • At least one tumor amenable to safe ITu injections and/or biopsies
  • ECOG performance status 0 or 1
  • Demonstrate adequate organ function
  • Must be willing to comply with all protocol procedures and adhere to post-treatment care instructions

You may not qualify if:

  • Prior systemic therapy washout (dependent upon the therapy)
  • Requires use of anti-platelet or anti-coagulant therapy that cannot be safely suspended for per protocol biopsies or intra-tumoral injections.
  • CNS metastases and/or carcinomatous meningitis that have not been completely resected or completely irradiated.
  • Prior history of myocarditis
  • Known HIV/AIDS, active HBV or HCV infection.
  • Receiving high dose immunosuppressive medication or has a significant immunodeficiency (e.g. transplant recipient, etc).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (7)

USC/Norris Comprehensive Cancer Center

Los Angeles, California, 90033, United States

RECRUITING

UC Irvine Health

Orange, California, 92868, United States

RECRUITING

University of Miami

Miami, Florida, 33136, United States

RECRUITING

Community Health Network

Indianapolis, Indiana, 46250, United States

RECRUITING

UPMC- Hillman Cancer Center

Pittsburgh, Pennsylvania, 15232, United States

RECRUITING

Mary Crowley Cancer Research

Dallas, Texas, 75230, United States

RECRUITING

University of Texas MD Anderson Cancer Center

Houston, Texas, 77030, United States

RECRUITING

MeSH Terms

Conditions

Squamous Cell Carcinoma of Head and NeckUterine Cervical NeoplasmsKidney NeoplasmsCarcinoma, Renal CellMelanomaMesotheliomaCarcinoma, Non-Small-Cell Lung

Interventions

pembrolizumab

Condition Hierarchy (Ancestors)

Carcinoma, Squamous CellCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasmsHead and Neck NeoplasmsNeoplasms by SiteUterine NeoplasmsGenital Neoplasms, FemaleUrogenital NeoplasmsUterine Cervical DiseasesUterine DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital DiseasesUrologic NeoplasmsKidney DiseasesUrologic DiseasesMale Urogenital DiseasesAdenocarcinomaNeuroendocrine TumorsNeuroectodermal TumorsNeoplasms, Germ Cell and EmbryonalNeoplasms, Nerve TissueNevi and MelanomasSkin NeoplasmsSkin DiseasesSkin and Connective Tissue DiseasesAdenomaNeoplasms, MesothelialCarcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsLung DiseasesRespiratory Tract Diseases

Central Study Contacts

James Burke, MD

CONTACT

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

May 30, 2024

First Posted

June 6, 2024

Study Start

September 16, 2024

Primary Completion (Estimated)

September 30, 2027

Study Completion (Estimated)

December 31, 2027

Last Updated

April 10, 2025

Record last verified: 2025-04

Data Sharing

IPD Sharing
Will not share

Data is aggregated.

Locations