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Completed

NCT Number: NCT02045589

A Phase I Dose Escalation Study of Intratumoral VCN-01 Injections With Gemcitabine and Abraxane® in Patients With Advanced Pancreatic Cancer

The purpose of this study is to determine the safety and tolerability of three intratumoral injections of VCN-01 combined with Abraxane®/gemcitabine, and to determine the recommended phase II dose of VCN-01 combined with Abraxane®/gemcitabine.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Institut Català d'Oncologia, L'Hospitalet de Llobregat, Barcelona, Spain

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About this study

Investigational treatment is a dose-escalation regimen consisting of three VCN-01 intratumoral injections (once every 28 days at the same dose) in combination with intravenous Abraxane® and gemcitabine.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male/Female patients aged 18 years or over
  • Patients must provide written informed consent
  • Life expectancy above 3 months
  • Patients willing to comply with treatment follow-up, and to accept a biopsy at day 29 after initiation of the treatment
  • Patients with histologically confirmed diagnosis of unresectable pancreatic adenocarcinoma with symptoms related to the primary tumor. Abraxane® plus Gemcitabine should be the appropriate standard of care to be administered.
  • ECOG Performance status 0 or 1
  • Adequate baseline organ function (hematologic, liver, renal and nutritional)
  • Use a reliable method of contraception in fertile men and women

Exclusion criteria

  • Active infection or other serious illness or autoimmune disease
  • Treatment with live attenuated vaccines in the last three weeks
  • Known chronic liver disease (liver cirrhosis, chronic hepatitis)
  • Treatment with another investigational agent within its five half-lives prior to VCN-01 infusion
  • Viral syndrome diagnosed during the two weeks before inclusion
  • Chronic immunosuppressive therapy
  • Known concurrent malignant hematologic or solid disease
  • Pregnancy or lactation. Patients must agree to use effective contraception or be surgically sterile.
  • Patients receiving full-dose anticoagulant / antiplatelet therapy
  • Patients with Li Fraumeni syndrome or with previous known retinoblastoma protein pathway germinal deficiency

Treatment and study plan

VCN-01

Genetic

Genetically modified human adenovirus encoding human PH20 hyaluronidase

Gemcitabine

Drug

1000 mg/m2 intravenous administration

Abraxane®

Drug

125 mg/m2 intravenous administration

Primary outcomes

  1. Safety and Tolerability by means of Adverse Events (AEs) and laboratory data

    Time frame: At least 6 months

  2. Recommended Phase 2 Dose (RP2D) of VCN-01 in combination with Gemcitabine and Abraxane® by determination of highest feasible dose (MFD) and any Dose Limiting Toxicities

    Time frame: At least 6 months

Secondary outcomes

  1. Presence of VCN-01 in tumor

    Time frame: Day 21-28

    Determination of VCN-01 viral genome copies in tumor biopsy

  2. Viral Pharmacokinetics

    Time frame: 48 h

    Determination of VCN-01 half-life by analyzing viral genome copies in blood

  3. Viral Shedding

    Time frame: Up to day 71

    At least up to 6 months follow-up in patients at the Maximum Tolerated Dose (MTD)

  4. Neutralizing antibodies anti-VCN-01

    Time frame: 30 days after end of treatment phase

    At least up to 6 months follow-up in patients at the MTD

  5. Preliminary anti-tumor activity by Overall Response Rate (ORR)

    Time frame: CT or MRI scans every 8 weeks until disease progression

  6. Preliminary anti-tumor activity by Progression Free Survival (PFS)

    Time frame: CT or MRI scans every 8 weeks until disease progression

Sponsors and collaborators

Lead sponsor

Theriva Biologics SL

Industry

Registry information

Official study title

A Phase I, Multicenter, Open-label, Dose Escalation Study of Intratumoral Injections of VCN-01 Oncolytic Adenovirus With Intravenous Gemcitabine and Abraxane® in Advanced Pancreatic Cancer

Important dates

Study start
2014
Primary completion
2016
Study completion
2018
First posted
Jan 27, 2014
Registry last updated
Oct 1, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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