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Study of ONCR-177 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

Primary Purpose

Cancer, Melanoma, Solid Tumor

Status
Terminated
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
ONCR-177
pembrolizumab
Sponsored by
Oncorus, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cancer

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Key Inclusion Criteria:

  • 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

Key Exclusion Criteria:

  • 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

Sites / Locations

  • City of Hope
  • Sarah Cannon Research Institute at HealthONE
  • Moffitt Cancer Center
  • Emory University
  • Massachusetts General Hospital
  • Dana-Farber Cancer Institute
  • Roswell Park Cancer Institute
  • The Ohio State University Wexner Medical Center James Cancer Hospital
  • Sarah Cannon Research Institute - Tennessee Oncology
  • The University of Texas at Austin
  • University Health Network, Princess Margaret Cancer Centre

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

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

Dose expansion of ONCR-177 in subjects with surface lesions

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

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

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

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

Arm Description

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

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

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

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

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

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

Outcomes

Primary Outcome Measures

Percentage of Dose-Limiting Toxicities (DLTs)
Percentage of subjects with DLTs
Percentage of Adverse Events (AEs)
Percentage of subjects with AEs
Percentage of Serious Adverse Events (SAEs)
Percentage of subjects with SAEs
Maximum Tolerated Dose (MTD) of ONCR-177
MTD on the data collected during dose escalation
Recommended Phase 2 Dose (RP2D) of ONCR-177
RP2D of ONCR-177 based on the data collected during dose escalation

Secondary Outcome Measures

Percentage of Objective Response Rate (ORR)
Percentage of ORR
Durable Response Rate (DRR)
DRR (continuous CR or PR ≥6 months)
Progression Free Survival (PFS)
Duration of PFS for subjects
Overall Survival (OS)
OS rate for subjects
Incidence and rate of detection of ONCR-177
Data gathered from blood, urine, swabs of injection site, dressings, and oral mucosa to determine the shedding and biodistribution of ONCR-177
Changes in the level of HSV-1 antibodies compared to baseline
Change in HSV-1 antibody levels during treatment compared to baseline

Full Information

First Posted
April 13, 2020
Last Updated
June 6, 2023
Sponsor
Oncorus, Inc.
Collaborators
Merck Sharp & Dohme LLC
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1. Study Identification

Unique Protocol Identification Number
NCT04348916
Brief Title
Study of ONCR-177 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
Official Title
A Phase 1, Open-Label, Multicenter, 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
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Terminated
Why Stopped
Terminated due to Oncorus portfolio reprioritization
Study Start Date
May 20, 2020 (Actual)
Primary Completion Date
May 31, 2023 (Actual)
Study Completion Date
May 31, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Oncorus, Inc.
Collaborators
Merck Sharp & Dohme LLC

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

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.
Detailed Description
ONCR-177 is an intratumorally administered oncolytic immunotherapy comprised of a genetically engineered HSV-1 (herpes simplex virus type 1) that selectively replicates in tumor tissue. Oncorus Inc. is developing ONCR-177 both as monotherapy and in combination with PD-1 blockade for the treatment of advanced solid tumor malignancies. This first-in-human (FIH) Phase 1 dose escalation and expansion study will determine the intratumoral dose of ONCR-177 as a monotherapy and in combination with pembrolizumab, in subjects with advanced and/or refractory cutaneous, subcutaneous or metastatic nodal solid tumors or with Liver Metastases of Solid Tumors. This protocol will enroll subjects who have at least one lesion that is visible, palpable or detectable and can be injected, and subjects who have liver metastases of solid tumors. Subjects with any cancer types who are eligible for the trial and have such lesions can be considered for enrollment. Additionally, preliminary evidence for clinical and immunologic activity will be sought to guide ongoing studies and development of ONCR-177 in subjects with cancers that are unmet medical needs. Confirmation of safety of ONCR-177 administration in combination with pembrolizumab will also be evaluated in this study, to enable development as part of combination immunotherapy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cancer, Melanoma, Solid Tumor, Squamous Cell Carcinoma of Head and Neck, Breast Cancer, Advanced Solid Tumor, Triple Negative Breast Cancer, Colorectal Carcinoma, Non-melanoma Skin Cancer, Liver Metastases

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
66 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Dose escalation of ONCR-177 by intratumoral injection in subjects with surface lesions
Arm Type
Experimental
Arm Description
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
Arm Title
Dose expansion of ONCR-177 in subjects with surface lesions
Arm Type
Experimental
Arm Description
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
Arm Title
Dose expansion of ONCR-177 and pembrolizumab in subjects with surface lesions
Arm Type
Experimental
Arm Description
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
Arm Title
Dose escalation of ONCR-177 by intratumoral injection in subjects with liver metastases
Arm Type
Experimental
Arm Description
Dose escalation of ONCR-177 intratumoral injections alone in four cohorts in subjects with advanced and/or refractory solid tumor cancer with liver metastases
Arm Title
Dose expansion of ONCR-177 by intratumoral injection in subjects with liver metastases
Arm Type
Experimental
Arm Description
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
Arm Title
Dose expansion of ONCR-177 and pembrolizumab in subjects with liver metastases
Arm Type
Experimental
Arm Description
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
Intervention Type
Biological
Intervention Name(s)
ONCR-177
Intervention Description
Intratumorally administered oncolytic immunotherapy comprised of a genetically engineered HSV-1
Intervention Type
Biological
Intervention Name(s)
pembrolizumab
Other Intervention Name(s)
MK-3475, KEYTRUDA
Intervention Description
Anti-PD-1 monoclonal antibody
Primary Outcome Measure Information:
Title
Percentage of Dose-Limiting Toxicities (DLTs)
Description
Percentage of subjects with DLTs
Time Frame
From Day 1 up to 30 days after last dose
Title
Percentage of Adverse Events (AEs)
Description
Percentage of subjects with AEs
Time Frame
From Day 1 up to 30 days after last dose
Title
Percentage of Serious Adverse Events (SAEs)
Description
Percentage of subjects with SAEs
Time Frame
From Day 1 up to 90 days after last dose
Title
Maximum Tolerated Dose (MTD) of ONCR-177
Description
MTD on the data collected during dose escalation
Time Frame
6 Months
Title
Recommended Phase 2 Dose (RP2D) of ONCR-177
Description
RP2D of ONCR-177 based on the data collected during dose escalation
Time Frame
6 Months
Secondary Outcome Measure Information:
Title
Percentage of Objective Response Rate (ORR)
Description
Percentage of ORR
Time Frame
40 Months
Title
Durable Response Rate (DRR)
Description
DRR (continuous CR or PR ≥6 months)
Time Frame
40 Months
Title
Progression Free Survival (PFS)
Description
Duration of PFS for subjects
Time Frame
40 Months
Title
Overall Survival (OS)
Description
OS rate for subjects
Time Frame
40 Months
Title
Incidence and rate of detection of ONCR-177
Description
Data gathered from blood, urine, swabs of injection site, dressings, and oral mucosa to determine the shedding and biodistribution of ONCR-177
Time Frame
6 Months
Title
Changes in the level of HSV-1 antibodies compared to baseline
Description
Change in HSV-1 antibody levels during treatment compared to baseline
Time Frame
From Day 1 up to last dose of ONCR-177 (up to 5 months)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: 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 Key Exclusion Criteria: 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
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
John Goldberg, MD
Organizational Affiliation
Oncorus, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
City of Hope
City
Duarte
State/Province
California
ZIP/Postal Code
91010
Country
United States
Facility Name
Sarah Cannon Research Institute at HealthONE
City
Denver
State/Province
Colorado
ZIP/Postal Code
80218
Country
United States
Facility Name
Moffitt Cancer Center
City
Tampa
State/Province
Florida
ZIP/Postal Code
33612
Country
United States
Facility Name
Emory University
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30322
Country
United States
Facility Name
Massachusetts General Hospital
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Facility Name
Dana-Farber Cancer Institute
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115
Country
United States
Facility Name
Roswell Park Cancer Institute
City
Buffalo
State/Province
New York
ZIP/Postal Code
14263
Country
United States
Facility Name
The Ohio State University Wexner Medical Center James Cancer Hospital
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43210
Country
United States
Facility Name
Sarah Cannon Research Institute - Tennessee Oncology
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Facility Name
The University of Texas at Austin
City
Austin
State/Province
Texas
ZIP/Postal Code
78701
Country
United States
Facility Name
University Health Network, Princess Margaret Cancer Centre
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G 2M9
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
33355229
Citation
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.
Results Reference
derived

Learn more about this trial

Study of ONCR-177 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

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