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OpenTrials
Active, Not Recruiting

NCT Number: NCT03767348

Study of RP1 Monotherapy and RP1 in Combination With Nivolumab (IGNYTE)

The Phase 2 study is a multicenter, open-label study of RP1 to further investigate safety and to estimate the efficacy of RP1 at the RP2D in combination with nivolumab in patients with Stage IIIb-IV unresectable melanoma, microsatellite instability-high (MSI-H) or mismatch repair deficient (dMMR) solid tumors, non-melanoma skin cancer (NMSC), and non-small cell lung cancer (NSCLC).

Active, Not Recruiting

This study is active but is not currently recruiting participants.

Key information

Who can participate

Healthy volunteers accepted: No

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

Key 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) who has progressed on prior anti-PD1/PD-L1 therapy.
  • 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). Patients must have received 8 weeks of anti-PD1/PD-L1 as their last line of therapy and progressed while on treatment.
  • 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: must have failed prior treatment, including PD1/PD-L1 directed therapy administered either as monotherapy or in combination with platinum-based chemotherapy or anti-CTLA-4. The most recent treatment given must have included an anti-PD1/PD-L1 directed therapy with radiologic disease progression on or after treatment.

Key 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

Treatment and study plan

RP1

Biological

Genetically modified herpes simplex type 1 virus

Nivolumab

Biological

anti-PD-1 monoclonal antibody

Other names: Opdivo

Primary outcomes

  1. Percentage of adverse events (AEs)

    Time frame: 26 months

    Percentage of subjects with adverse events (AEs)

  2. Percentage of serious adverse events (SAEs)

    Time frame: 26 months

    Percentage of subjects with serious adverse events (SAEs)

  3. Percentage of dose limiting toxicities (DLTs)

    Time frame: 26 months

    Percentage of subjects with dose limiting toxicities (DLTs)

  4. Percentage of overall response rate (ORR)

    Time frame: 26 months

    Percentage of overall response rate (ORR) for all participants

  5. Maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D) of RP1

    Time frame: 20 weeks

    Assess the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D) of RP1 based on the safety and response data collected during Phase 1 Escalation

Secondary outcomes

  1. Percentage of biologic activity

    Time frame: 20 weeks

    Percentage of subjects with biological activity determined by tumor biopsies and biomarker data

  2. Percentage subjects with detectable RP1

    Time frame: 20 weeks

    Data gathered from blood, urine, swabs of injection site, dressings, and oral mucosa to determine the shedding and biodistribution of RP1

  3. Percentage of complete response (CR)

    Time frame: 26 months

    Percentage of subjects with a complete response (CR)

  4. Median duration of response

    Time frame: 26 months

    Median duration of response of subjects

  5. Median progression-free survival

    Time frame: 26 months

    Median duration of progression-free survival of subjects

  6. Median overall survival

    Time frame: 26 months

    Median overall survival rate of subjects

Sponsors and collaborators

Lead sponsor

Replimune, Inc.

Industry

Collaborators

  • Bristol-Myers Squibb

Registry information

Official study title

An Open-Label, Multicenter, Phase 1/2 Study of RP1 as a Single Agent and in Combination With PD1 Blockade in Patients With Solid Tumors [IGNYTE]

Acronym: IGNYTE

Important dates

Study start
2017
Primary completion
2028
Study completion
2028
First posted
Dec 6, 2018
Registry last updated
Feb 13, 2026

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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