Study of RP1 Monotherapy and RP1 in Combination With Nivolumab (IGNYTE)
Cancer, Melanoma (Skin), Mismatch Repair Deficiency
About this trial
This is an interventional treatment trial for Cancer focused on measuring Oncolytic virus, Oncolytic Immuno-gene therapy, Non-melanoma Skin Cancer, Cutaneous Melanoma, Anti-PD1 failed, Melanoma (skin)
Eligibility Criteria
Inclusion Criteria:
- Have an Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-1.
- At least one measurable and injectable lesion
- Have provided a former tumor pathology specimen or be willing to supply a new tumor sample from a biopsy
- Have a predicted life expectancy of ≥ 3 months
- Measurable disease, according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 criteria
- Subjects with MSI-H or dMMR tumors: has diagnosis of MSI-H or metatstatic dMMR tumor (according to protocol definition) for whom anti PD-1 therapy is indicated, or have refused, become intolerant to or have no further therapy options available
- Subjects with NMSC: has diagnosis of locally advanced or metastatic NMSC that are not considered treatable by surgery including basal cell carcinoma, cutaneous squamous cell carcinoma, basosquamous carcinoma, Merkel cell carcinoma and other non-melanoma skin cancers (per protocol) for whom anti-PD1/PD-L1 therapy is indicated, or have refused, become intolerant to or have no further therapy options available
- Subjects with anti-PD1 failed cutaneous melanoma: has confirmed progressive disease while on anti-PD1 treatment for at least 8 weeks and documented BRAF mutation status
- Subjects with anti-PD1 failed NSCLC: has confirmed progressive disease after no more than two prior systemic treatments including anti-PD1/PD-L1 treatment
Exclusion Criteria:
- Prior treatment with an oncolytic therapy
- History of viral infections according to the protocol
- Prior complications with herpes infections
- Chronic use of anti-virals
- Uncontrolled/untreated brain metastasis
- History of interstitial lung disease
- History of non-infectious pneumonitis
- History of clinically significant cardiovascular disease
Sites / Locations
- University of Birmingham Alabama
- Banner MD Anderson Cancer CenterRecruiting
- Mayo ClinicRecruiting
- Carti Cancer CenterRecruiting
- UC San Diego
- University of Southern CaliforniaRecruiting
- UCLARecruiting
- University of California, IrvineRecruiting
- University of California- San FranciscoRecruiting
- Sylvester Comprehensive Cancer Center- University of MiamiRecruiting
- University of Iowa-Cancer Center ResearchRecruiting
- James Graham Brown Cancer Center- University of LouisvilleRecruiting
- Mayo ClinicRecruiting
- Atlantic Health SystemRecruiting
- New York University Clinical Cancer Center
- Weill Cornell Medical CollegeRecruiting
- University of Rochester Medical CenterRecruiting
- Duke Cancer CenterRecruiting
- University of Cincinnati Medical CenterRecruiting
- Providence Portland Medical Center
- MUSC HealthRecruiting
- West Cancer CenterRecruiting
- The University of Texas MD Anderson Cancer CenterRecruiting
- Eccles Outpatient Care Center- Oncology Clinical TrialsRecruiting
- Intermountain Cancer Center- Saint George Cancer CenterRecruiting
- Seattle Cancer Care Alliance- University of WashingtonRecruiting
- University of Wisconsin-Carbone Cancer Center
- CHU Besancon - Hopital Jean MinjozRecruiting
- Institut BergoniéRecruiting
- CHU DijonRecruiting
- Centre Léon Bérard LyonRecruiting
- Service de Dermatologie et Cancerologie Cutanee Hopital de la TimoneRecruiting
- CHU de Nice Hôpital l'ArchetRecruiting
- Hôpital Saint Louis APHPRecruiting
- Institut Gustave RoussyRecruiting
- Charité (Campus Benjamin Franklin)Recruiting
- University Hospital Essen, Klinik für DermatologieRecruiting
- University of Kiel (UKSH), Dep. of DermatologyRecruiting
- Uniklinik MarburgRecruiting
- Hospital Universitari Vall d'HebronRecruiting
- Hospital Clinic BarcelonaRecruiting
- Institut Catala D'Oncologia - Hospital Duran IRecruiting
- Clínica Universidad de Navarra (Madrid)Recruiting
- Hospital Universitario Virgen de la ArrixacaRecruiting
- Clinica Universitaria de NavarraRecruiting
- Hospital Universitario Virgen del RocioRecruiting
- Hospital General Universitario de ValenciaRecruiting
- University of Leeds- Teaching HospitalRecruiting
- Oxford University Hospitals NHS TrustRecruiting
- Beatson West of Scotland Cancer CenterRecruiting
- The Clatterbridge Cancer Centre NHS Foundation TrustRecruiting
- Royal Marsden HospitalRecruiting
- Southampton General HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Arm 9
Arm 10
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Dose escalation of RP1 by intratumoral (IT) injection in superficial tumors
Dose escalation of RP1 by intratumoral (IT) injection in deep/visceral tumors
Dose expansion of RP1 and nivolumab (IV) in superficial tumors
Dose expansion of RP1 and nivolumab (IV) in deep/visceral tumors
RP1 (IT) and nivolumab (IV) in melanoma
RP1 (IT) and nivolumab (IV) in MSI-H/dMMR solid tumors
RP1 (IT) and nivolumab (IV) in NMSC
RP1(IT) and nivolumab (IV) in anti-PD1 Failed Cutaneous Melanoma
RP1(IT) and nivolumab (IV) in anti-PD1/PD-L1 Failed NMSC
RP1(IT) and nivolumab (IV) in anti-PD1/PD-L1 Failed NSCLC
Dose escalation of RP1 alone in 3 cohorts with IT injections in superficial tumors
Dose escalation of RP1 alone in 3 cohorts with IT injections in deep/visceral tumors
Doses of RP1 (IT) in superficial tumors with nivolumab (IV)
Doses of RP1 (IT) in deep/visceral tumors with nivolumab (IV)
Doses of RP1 (IT) in superficial or deep tumors with nivolumab (IV) in subjects with melanoma
Doses of RP1 (IT) in superficial or deep tumors with nivolumab (IV) in subjects with MSI-H or dMMR solid tumors
Doses of RP1 (IT) in superficial or deep tumors with nivolumab (IV) in subjects with non-melanoma skin cancer
Doses of RP1 (IT) in superficial or deep tumors with nivolumab (IV) in subjects with cutaneous melanoma who have been previously treated with anti-PD1 therapy
Doses of RP1 (IT) in superficial or deep tumors with nivolumab (IV) in subjects with non-melanoma skin cancer who have been previously treated with anti-PD1/PD-L1 therapy
Doses of RP1 (IT) in superficial or deep tumors with nivolumab (IV) in subjects with non small cell lung cancer who have been previously treated with anti-PD1/PD-L1 therapy