A Randomized, Phase 2/3 Study to Investigate the Efficacy and Safety of RP2 in Combination With Nivolumab in Immune Checkpoint Inhibitor-Naïve Adult Patients With Metastatic Uveal Melanoma

Study Purpose

The purpose of this study is to measure the clinical benefits of the combination of RP2 and nivolumab as compared with the combination of nivolumab and ipilimumab in patients with metastatic uveal melanoma who have not been treated with immune checkpoint inhibitor therapy.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages N/A and Over
Gender All
More Inclusion & Exclusion Criteria

Key

Inclusion Criteria:

  • - Patients who are 18 years of age or older at the time of signed informed consent.
  • - Patients with confirmed diagnosis of metastatic Uveal melanoma not amenable to surgical resection.
  • - Has at least 1 measurable and injectable tumor of ≥ 1 cm in longest diameter (≥ 1.5 cm in the shortest axis for a lymph node [LN]) that is amenable to serial RP2 injections.
  • - Must be willing to provide tumor biopsy samples.
  • - LDH ≤ 2 × upper limit of normal (ULN).
  • - Has adequate hematologic, hepatic and renal function.
  • - Prothrombin time (PT) ≤ 1.5 × ULN (or international normalization ratio [INR] ≤ 1.3) and partial thromboplastin time (PTT) or activated partial thromboplastin time (aPTT) ≤ 1.5 × ULN.
  • - Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0 or 1.
  • - Life expectancy of > 6 months as estimated by the Investigator.
Key

Exclusion Criteria:

  • - Any exposure to immune checkpoint inhibitor (ICIs) since the time of first being diagnosed with uveal melanoma.
  • - Known acute or chronic Hepatitis B or C infection or human immunodeficiency virus (HIV) infection or any other uncontrolled infection.
  • - Current active significant herpetic infections or prior complications of HSV-1 infection.
  • - Any central nervous system (CNS) involvement of melanoma, including carcinomatous meningitis.
  • - Major surgery ≤ 2 weeks prior to the first dose of study intervention.
  • - Any bleeding, thrombotic and/or other event that places the patient at an unacceptable risk of complications of intratumoral therapy.
  • - Active, known, or suspected autoimmune disease requiring systemic treatment.
  • - Prior treatment with an oncolytic virus.
  • - Requires intermittent or chronic use of systemic (oral or IV) antivirals with known antiherpetic activity (eg, acyclovir).
  • - Systemic anticancer therapy or prior radiotherapy within 2 weeks of the first dose.
  • - Has received Investigation agent within 4 weeks or 5 half-lives (whichever longer) prior to the first dose.
  • - Conditions requiring treatment with immunosuppressive doses (> 10 mg per day of prednisone or equivalent) of systemic corticosteroids other than for corticosteroid replacement therapy within 14 days after enrollment.
Additional inclusion/ exclusion criteria are outlined in the study protocol

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT06581406
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 2/Phase 3
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Replimune Inc.
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Rahul Marpadga, MD MPH
Principal Investigator Affiliation Replimune Inc.
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Industry
Overall Status Recruiting
Countries United States
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Metastatic Uveal Melanoma
Arms & Interventions

Arms

Experimental: Test Arm: RP2 + nivolumab

RP2 (Oncolytic virus) and Nivolumab (programmed death receptor-1 (PD-1) inhibitor)

Experimental: Control Arm (Active Comparator): ipilimumab + nivolumab

Immune Checkpoint inhibitor combination

Interventions

Biological: - RP2

Genetically modified herpes simplex type 1 virus for tumor lysis and immune stimulation.

Biological: - Ipilimumab

Ipilimumab: human cytotoxic T-lymphocyte antigen 4 (CTLA-4)-blocking antibody

Biological: - Nivolumab

Nivolumab: Anti-PD-1 Monoclonal antibody

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

HonorHealth Research Insisute, Scottsdale, Arizona

Status

Recruiting

Address

HonorHealth Research Insisute

Scottsdale, Arizona, 85258

Site Contact

Justin Moser, MD

[email protected]

1-781-222-9570

Stanford Cancer Institute, Palo Alto, California

Status

Recruiting

Address

Stanford Cancer Institute

Palo Alto, California, 94304

Site Contact

Allison Betof Warner, MD

[email protected]

1-781-222-9570

University of Iowa, Iowa City, Iowa

Status

Recruiting

Address

University of Iowa

Iowa City, Iowa, 52242

Site Contact

Asad Javed, MD

[email protected]

1-781-222-9570

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