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Investigating the Combination of VB10.16 and Atezolizumab in Patients With HPV 16-positive Cervical Cancer

Primary Purpose

Cervical Cancer, Cervix Cancer

Status
Active
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
VB10.16
Atezolizumab
Sponsored by
Nykode Therapeutics ASA
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cervical Cancer focused on measuring Metastatic, Recurrent

Eligibility Criteria

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

Inclusion Criteria:

  1. Has persistent, recurrent, or metastatic non-resectable squamous cell carcinoma, adeno-squamous carcinoma, or adenocarcinoma of the cervix, who has failed or is not eligible for treatment with systemic chemotherapy, radiotherapy or other standard-of-care anticancer treatment.
  2. Tumour must be HPV16 positive. Provision of an archival tumour tissue sample not older than 2 years or new biopsy for analysing HPV16 status is mandatory.
  3. Must have a biopsy (archived or new) available for PD L1 assessment at Screening.
  4. Has measurable disease as assessed by the local site investigator/radiology as per RECIST 1.1.
  5. Has recovered from the effects of surgery, radiation therapy, or chemoradiotherapy.
  6. Has an Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 to 1 at Screening.
  7. Is aged 18 years or older.
  8. Has life expectancy of at least 6 months in the best judgement of the investigator.
  9. Is willing and able to sign a written informed consent form.

Exclusion Criteria:

  1. Patients who, in the investigator's opinion, have progressed rapidly on their previous anticancer treatment (e.g., did not achieve any response [CR, PR, or SD]).
  2. Has brain metastases (unless they have received prior treatment and are controlled and stable for at least 6 weeks before study enrolment) or leptomeningeal spread of disease.
  3. Has positive serological test for hepatitis C virus (HCV), hepatitis B virus (HBV), surface antigen (HBsAg), positive HBV core antibody. Human immunodeficiency virus (HIV).
  4. Has other concomitant or prior malignant disease,
  5. Has an active, known or suspected autoimmune disease.
  6. Is receiving systemic immunosuppression including systemic steroids or the use of immunosuppressive agents for any concurrent condition.
  7. Has known allergy to aminoglycosides or kanamycin or any study treatment component.
  8. Has history of toxic shock syndrome.
  9. Has history of idiopathic pulmonary fibrosis, drug-induced pneumonitis, organising pneumonia, immune enteritis or active pneumonitis.
  10. Has evidence or history of clinically significant cardiac disease including congestive heart failure
  11. Has ongoing toxicity from prior therapy
  12. Has severe infections within 4 weeks prior to study start
  13. Current participation in a clinical trial
  14. Has received investigational drug within 30 days before study entry.
  15. Has received vaccination against infections within 30 days before study entry.
  16. Has had prior treatment with CD137, anti-PD-1, or anti-PD-L1 therapeutic antibody or other immune checkpoint targeting agents.
  17. Has known hypersensitivity to any component of the atezolizumab or VB10.16 formulation.

Sites / Locations

  • Cliniques Universitaires Saint-Luc
  • Hopital de Libramont
  • Universitair Ziekenhuis Gent (Uz Gent)
  • Chu Ucl Namur
  • Multiprofile Hospital for Active Treatment for Women's Health - Nadezhda Sofia
  • University Multiprofile Hospital for Active Treatment "Sv. Ivan Rilski"
  • Multiprofile Hospital for Active Treatment "Serdika"" EOOD
  • University Multiprofile Hospital For Active Treatment Sofiamed
  • Masaryk Memorial Cancer Institute
  • Nemocnice Pardubickeho Kraje Pardubicka Nemocnice
  • University Hospital Kralovske Vinohrady
  • Nemocnice Na Bulovce
  • Universitatsklinikum Augsburg
  • University Clinic Carl Gustav Carus
  • Universitatsklinikum Hamburg-Eppendorf
  • Medizinische Hochschule Hannover
  • Medizinische Fakulat Mannheim Der Universitat Heidelberg
  • Oslo University Hospital
  • Jagielońskie Centum Innowacji, Centrum Badań Klinicznych JCI
  • Wielkopolskie Centrum Onkologii
  • 'Narodowy Instytut Onkologii im. Marii Skłodowskiej-Curie

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Combination Therapy

Arm Description

VB10.16 vaccinations. 11 intramuscular (i.m.) vaccinations for up to 48 weeks from first vaccination. 5 vaccinations of 3 mg VB10.16 during the first 12 weeks, followed by vaccination every 6 weeks for up to 48 weeks + Atezolizumab (1200 mg) intravenous (i.v.) infusion every 3 weeks.

Outcomes

Primary Outcome Measures

Incidence and severity of adverse events (AEs)
The number and percentage of participants that experience an adverse event (AE
Overall response rate (ORR) using Response Evaluation Criteria in Solid Tumours (RECIST) 1.1 at any time during the study
ORR as assessed by RECIST v1.1

Secondary Outcome Measures

Duration of response (DOR)
Estimate the duration of response (DOR) in patients with advanced cervical cancer
Progression-free survival (PFS)
Estimate the Progression-free survival (PFS) in patients with advanced cervical cancer
Overall survival (OS)
Overall survival (OS) in patients with advanced cervical cancer
Evaluate immunogenicity of VB10.16 in combination with atezolizumab by analysing HPV16 E6/E7-specific cellular immune responses
Systemic T-cell response

Full Information

First Posted
April 28, 2020
Last Updated
August 4, 2023
Sponsor
Nykode Therapeutics ASA
Collaborators
Roche Pharma AG, Vaccibody AS
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1. Study Identification

Unique Protocol Identification Number
NCT04405349
Brief Title
Investigating the Combination of VB10.16 and Atezolizumab in Patients With HPV 16-positive Cervical Cancer
Official Title
A Multi-Centre, Open-label Phase 2a Trial of the Combination of VB10.16 and Atezolizumab in Patients With Advanced or Recurrent, Non-resectable HPV 16-Positive Cervical Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
July 1, 2020 (Actual)
Primary Completion Date
August 4, 2023 (Actual)
Study Completion Date
March 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Nykode Therapeutics ASA
Collaborators
Roche Pharma AG, Vaccibody AS

4. Oversight

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

5. Study Description

Brief Summary
This phase IIa study is designed to evaluate the safety and efficacy of multiple dosing with VB10.16 immunotherapy in combination with atezolizumab in patients with advanced or recurrent non-resectable HPV16-positive cervical cancer, who failed or are not eligible for current standard of care.
Detailed Description
Patients will receive up to 11 intramuscular (i.m.) vaccinations of VB10.16, for up to 48 weeks from first vaccination. Patients will receive 5 vaccinations of 3 mg VB10.16 during the first 12 weeks, followed by vaccination every 6 weeks for up to 48 weeks from first immunisation (total of 11 vaccinations). Patients will receive up to 17 infusions of atezolizumab for up to 48 weeks from first treatment. Atezolizumab (1200 mg) will be administered as an intravenous (i.v.) infusion every 3 weeks. A follow-up period of up to 12 months will follow the 48 week treatment period. Response to the VB10.16 and atezolizumab combination will be assessed by computed tomography (CT)/magnetic resonance imaging (MRI) at every 9 weeks throughout the treatment period according to the RECIST 1.1 criteria.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cervical Cancer, Cervix Cancer
Keywords
Metastatic, Recurrent

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
50 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Combination Therapy
Arm Type
Experimental
Arm Description
VB10.16 vaccinations. 11 intramuscular (i.m.) vaccinations for up to 48 weeks from first vaccination. 5 vaccinations of 3 mg VB10.16 during the first 12 weeks, followed by vaccination every 6 weeks for up to 48 weeks + Atezolizumab (1200 mg) intravenous (i.v.) infusion every 3 weeks.
Intervention Type
Biological
Intervention Name(s)
VB10.16
Intervention Description
Vaccination
Intervention Type
Biological
Intervention Name(s)
Atezolizumab
Other Intervention Name(s)
Tecentriq
Intervention Description
Intravenously infusion
Primary Outcome Measure Information:
Title
Incidence and severity of adverse events (AEs)
Description
The number and percentage of participants that experience an adverse event (AE
Time Frame
48 weeks (1 year follow-up)
Title
Overall response rate (ORR) using Response Evaluation Criteria in Solid Tumours (RECIST) 1.1 at any time during the study
Description
ORR as assessed by RECIST v1.1
Time Frame
48 weeks (1 year follow-up)
Secondary Outcome Measure Information:
Title
Duration of response (DOR)
Description
Estimate the duration of response (DOR) in patients with advanced cervical cancer
Time Frame
48 weeks (1 year follow-up)
Title
Progression-free survival (PFS)
Description
Estimate the Progression-free survival (PFS) in patients with advanced cervical cancer
Time Frame
48 weeks (1 year follow-up)
Title
Overall survival (OS)
Description
Overall survival (OS) in patients with advanced cervical cancer
Time Frame
48 weeks (1 year follow-up)
Title
Evaluate immunogenicity of VB10.16 in combination with atezolizumab by analysing HPV16 E6/E7-specific cellular immune responses
Description
Systemic T-cell response
Time Frame
48 weeks (1 year follow-up)
Other Pre-specified Outcome Measures:
Title
Assess predictive biomarkers, such as programmed death-ligand 1 (PD-L1) in tumour material and investigate changes in tumour microenvironment by immunohistochemistry (IHC) and/or gene expression
Description
T cell infiltration, PD-L1 expression or other immune-oncology related genes
Time Frame
48 weeks (1 year follow-up)
Title
Correlating HPV16 circulating tumour DNA (ctDNA) in plasma with clinical response using RECIST 1.1
Description
ctDNA
Time Frame
48 weeks (1 year follow-up)

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Has persistent, recurrent, or metastatic non-resectable squamous cell carcinoma, adeno-squamous carcinoma, or adenocarcinoma of the cervix, who has failed or is not eligible for treatment with systemic chemotherapy, radiotherapy or other standard-of-care anticancer treatment. Tumour must be HPV16 positive. Provision of an archival tumour tissue sample not older than 2 years or new biopsy for analysing HPV16 status is mandatory. Must have a biopsy (archived or new) available for PD L1 assessment at Screening. Has measurable disease as assessed by the local site investigator/radiology as per RECIST 1.1. Has recovered from the effects of surgery, radiation therapy, or chemoradiotherapy. Has an Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 to 1 at Screening. Is aged 18 years or older. Has life expectancy of at least 6 months in the best judgement of the investigator. Is willing and able to sign a written informed consent form. Exclusion Criteria: Patients who, in the investigator's opinion, have progressed rapidly on their previous anticancer treatment (e.g., did not achieve any response [CR, PR, or SD]). Has brain metastases (unless they have received prior treatment and are controlled and stable for at least 6 weeks before study enrolment) or leptomeningeal spread of disease. Has positive serological test for hepatitis C virus (HCV), hepatitis B virus (HBV), surface antigen (HBsAg), positive HBV core antibody. Human immunodeficiency virus (HIV). Has other concomitant or prior malignant disease, Has an active, known or suspected autoimmune disease. Is receiving systemic immunosuppression including systemic steroids or the use of immunosuppressive agents for any concurrent condition. Has known allergy to aminoglycosides or kanamycin or any study treatment component. Has history of toxic shock syndrome. Has history of idiopathic pulmonary fibrosis, drug-induced pneumonitis, organising pneumonia, immune enteritis or active pneumonitis. Has evidence or history of clinically significant cardiac disease including congestive heart failure Has ongoing toxicity from prior therapy Has severe infections within 4 weeks prior to study start Current participation in a clinical trial Has received investigational drug within 30 days before study entry. Has received vaccination against infections within 30 days before study entry. Has had prior treatment with CD137, anti-PD-1, or anti-PD-L1 therapeutic antibody or other immune checkpoint targeting agents. Has known hypersensitivity to any component of the atezolizumab or VB10.16 formulation.
Facility Information:
Facility Name
Cliniques Universitaires Saint-Luc
City
Bruxelles
ZIP/Postal Code
1200
Country
Belgium
Facility Name
Hopital de Libramont
City
Bruxelles
ZIP/Postal Code
1200
Country
Belgium
Facility Name
Universitair Ziekenhuis Gent (Uz Gent)
City
Gent
ZIP/Postal Code
9000
Country
Belgium
Facility Name
Chu Ucl Namur
City
Namur
ZIP/Postal Code
5000
Country
Belgium
Facility Name
Multiprofile Hospital for Active Treatment for Women's Health - Nadezhda Sofia
City
Sofia
ZIP/Postal Code
1330
Country
Bulgaria
Facility Name
University Multiprofile Hospital for Active Treatment "Sv. Ivan Rilski"
City
Sofia
ZIP/Postal Code
1431
Country
Bulgaria
Facility Name
Multiprofile Hospital for Active Treatment "Serdika"" EOOD
City
Sofia
ZIP/Postal Code
1527
Country
Bulgaria
Facility Name
University Multiprofile Hospital For Active Treatment Sofiamed
City
Sofia
ZIP/Postal Code
1797
Country
Bulgaria
Facility Name
Masaryk Memorial Cancer Institute
City
Brno
ZIP/Postal Code
65653
Country
Czechia
Facility Name
Nemocnice Pardubickeho Kraje Pardubicka Nemocnice
City
Pardubice
ZIP/Postal Code
53203
Country
Czechia
Facility Name
University Hospital Kralovske Vinohrady
City
Praha
ZIP/Postal Code
10034
Country
Czechia
Facility Name
Nemocnice Na Bulovce
City
Praha
ZIP/Postal Code
180 81
Country
Czechia
Facility Name
Universitatsklinikum Augsburg
City
Augsburg
Country
Germany
Facility Name
University Clinic Carl Gustav Carus
City
Dresden
Country
Germany
Facility Name
Universitatsklinikum Hamburg-Eppendorf
City
Hamburg
Country
Germany
Facility Name
Medizinische Hochschule Hannover
City
Hannover
Country
Germany
Facility Name
Medizinische Fakulat Mannheim Der Universitat Heidelberg
City
Heidelberg
Country
Germany
Facility Name
Oslo University Hospital
City
Oslo
ZIP/Postal Code
0379
Country
Norway
Facility Name
Jagielońskie Centum Innowacji, Centrum Badań Klinicznych JCI
City
Kraków
Country
Poland
Facility Name
Wielkopolskie Centrum Onkologii
City
Poznań
Country
Poland
Facility Name
'Narodowy Instytut Onkologii im. Marii Skłodowskiej-Curie
City
Warsaw
Country
Poland

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Investigating the Combination of VB10.16 and Atezolizumab in Patients With HPV 16-positive Cervical Cancer

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