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โ† Trials
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Intratumoral Vusolimogene Oderparepvec (VO) in Combination With Pembrolizumab for Angiosarcoma

RecruitingPhase 2Ages 18 Years - anyAllVarun Monga, MBBS
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In plain words

What the trial is, and whether it could suit you

This is a multicenter, open-label study of Intratumoral Vusolimogene Oderparepvec (VO) to investigate safety and estimate when used in combination with pembrolizumab for treating participants with angiosarcoma. This is the first study evaluating this novel combination in participants with advanced angiosarcoma who have progressed after prior immunotherapy.

Sign in to get the eligibility rules as simple questions to take to your doctor.

๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: 1. Participants with biopsy proven cutaneous angiosarcoma that is locally advanced and unresectable or metastatic and has received and progressed on at least one prior immunotherapy based regimen within 6 months prior to screening. 2. At least one measurable tumor of โ‰ฅ 1 cm in longest diameter or โ‰ฅ 1.5 cm in shortest diameter (for lymph nodes) and injectable lesions which in aggregate comprise \>= 1 cm in longest diameter. 3. Participants must have received and progressed following first-line standard of care, including a taxane or anthracycline based chemotherapy regimen. 4. Measurable disease based upon Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. Lesions situated in a previously irradiated area are considered measurable if progression has been demonstrated in such lesions. 5. Life expectancy of at least 3 months, in the opinion of the treating investigator. 6. Females of childbearing potential must have a negative beta-human chorionic gonadotropin (beta-hCG) test at screening within 7 days of Cycle 1 Day 1. 7. Female participants of reproductive potential must agree to avoid becoming pregnant and adhere to a highly effective contraception method until 90 days after last dose of VO alone or 120 days after last dose of VO and pembrolizumab. 8. Male participants of reproductive potential must agree to avoid impregnating a partner and adhere to a highly effective contraception method until 90 days after last dose of VO study agent and refrain from donating sperm during this period. 9. Age \<=18 years on the day of signed informed consent. 10. Eastern Cooperative Oncology Group (ECOG) performance status \<= 1 (Karnofsky โ‰ฅ 70%) 11. Adequate hematologic function including: 1. White blood cell count (WBC) \>= 2.0 ร— 109/L 2. Absolute neutrophil count (ANC) \>= 1.5 ร— 109/L 3. Platelet count \>=100 ร— 109/L 4. Hemoglobin \>= 9 g/dL or \>= 5.6 mmol/L (without erythropoietin dependency and without packed red blood cell (pRBC) transfusion within 2 weeks of dosing) 12. Adequate hepatic function including: 1. Adequate renal function: Total bilirubin \<= 1.5 ร— upper limit of normal (ULN) (except participants with Gilbert Syndrome who must have a total bilirubin of \< 3.0 ร— ULN) or direct bilirubin \<=ULN for a participant with total bilirubin level \> 1.5 ร— ULN. If total bilirubin is \> 1.5 ร— ULN but \<= 3 ร— ULN, both aminotransferase (AST and ALT) levels must be \<= 3 ร— ULN. 2. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) \<= 3.0 ร— ULN (or \<= 5.0 ร— ULN, if liver metastases) Note: If aminotransferase levels (AST and/or ALT) are \> 3 ร— ULN but \<= 5 ร— ULN, total bilirubin must be \<= 1.5 ร— ULN. 3. Alkaline phosphatase (ALP) \<= 2.5 ร— ULN (or \<= 5.0 ร— ULN, if liver or bone metastases) 13. Blood creatinine \<= 1.5 ร— ULN or measured or calculated (using Cockcroft) creatinine clearance \>= 30 mL/minute for participants with creatinine levels \> 1.5 ร— institutional ULN. 14. Adequate coagulation: Prothrombin time (PT) or international normalization ratio (INR) \<=1.5 ร— ULN, and partial thromboplastin time (PTT) or activated partial thromboplastin time (aPTT) \<= 1.5 ร— ULN. Note: For participants who are on chronic anticoagulant therapy these participants may be enrolled if the pretreatment INR \< 2.5. 15. Adequate oxygen saturation: \>=92% on room air. 16. Ability to understand and the willingness to sign a written informed consent document. 17. Participants with a history of treated brain metastasis and, at the time of screening, asymptomatic CNS metastases are eligible, provided they meet all the following: 1. Brain imaging at screening shows no evidence of interim progression for at least 4 weeks by repeat imaging, and clinically stable for at least 2 weeks 2. Have measurable disease outside the central nervous system (CNS) 3. Only supratentorial metastases allowed 4. No ongoing requirement for corticosteroids as therapy for CNS disease; anticonvulsants at a stable dose allowed 5. No stereotactic or whole brain radiation within 14 days prior to C1D1. 18. Individuals with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen are eligible for this trial. Exclusion Criteria: 1. Prior treatment with an oncolytic therapy. 2. Currently receiving antiviral drug therapy (e.g. valacyclovir or acyclovir). 3. Has acute or chronic active hepatitis B and C virus infection or known history of hepatitis B (defined as hepatitis B surface antigen \[HBsAg\] reactive) or known active hepatitis C virus (HCV) (defined as HCV RNA \[qualitative\]) or HIV infection.Note: No testing for Hepatitis B, Hepatitis C, or HIV is required unless mandated by local health authority or if clinically indicated. 4. Had systemic infection requiring IV antibiotics or other serious infection within 14 days prior to dosing. 5. Has active significant herpetic infections or prior complications of herpes simplex 1 (HSV-1) infection (e.g., herpetic keratitis or encephalitis). 6. Systemic anticancer therapy within 4 weeks prior to enrollment or five half-lives, whichever is shorter, before the first administration of VO. Note: programmed cell death protein 1 (PD1)/programmed death-ligand 1 (PD-L1) directed therapy is allowed. 7. Has not recovered from adverse events due to prior anti-cancer therapy to \<= grade 1 or baseline. Note: participants with toxicities after prior anticancer therapies that are not considered a likely safety risk such as Grade โ‰ค 2 neuropathy or alopecia, or immune mediated AEs that are unlikely to recur with standard countermeasures (e.g., hormone replacement after adrenal crisis, stable endocrine insufficiencies such as thyroid and adrenal insufficiency), are an exception to this criterion and may qualify for the study in discussion with the Principal Investigator. 8. Is currently parti
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What it tests

  • Vusolimogene Oderparepvec (VO)
  • Pembrolizumab
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Where

1 site
University of California, San Francisco
San Francisco, United States
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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