RecruitingPhase 1Phase 2NCT04349436

Study to Investigate the Efficacy and Safety of RP1 in Adult Patients With Organ Transplants and Advanced Skin Malignancies

An Open-Label, Multicenter, Phase 1B/2 Study of RP1 in Solid Organ and Hematopoietic Cell Transplant Recipients With Advanced Cutaneous Malignancies (ARTACUS)


Sponsor

Replimune, Inc.

Enrollment

90 participants

Start Date

May 15, 2020

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to assess the safety and efficacy of RP1 (administered into the tumor) in 90 patients who have received an organ transplant in the past and currently have skin cancer. The skin cancer is either locally advanced (large tumors in the skin, muscles or nerves) or metastatic (spread to other parts of the body). This study will consist of a 28-day Screening Period, a Treatment Period, and a Follow-up Period. During the Treatment Period, patients will be dosed with RP1 every two weeks for up to 2 years (104 weeks). Tumor measurements will be done approximately every 8 weeks (and additionally if needed) until progressive disease, start of subsequent anticancer therapy, or completion/discontinuation of the study. During the Follow-up Period, patients will visit the clinic at 30, 60, and 100-150 days after their last dose of RP1 for safety and quality of life assessments. Patients will continue follow-up for up to 3 years from the day of the last patient's first dose.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing RP1, an experimental treatment made from a modified herpes virus, in people who have received organ transplants and have developed advanced skin cancer. Because transplant patients take medications to suppress their immune system (to prevent rejection), treating cancer in this group is especially challenging. RP1 is an oncolytic virus — it infects and kills tumor cells directly. **You may be eligible if:** - You are 18 years or older - You have had a solid organ transplant or bone marrow transplant and have developed an advanced skin cancer — including advanced squamous cell carcinoma, basal cell carcinoma, Merkel cell carcinoma, or melanoma - Your cancer has come back or progressed after previous local surgery and/or radiation - You understand the risk that this treatment may trigger organ rejection and are willing to proceed **You may NOT be eligible if:** - You do not meet specific health and disease criteria your doctor will assess - You are unwilling to accept the risk of potential organ rejection Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BIOLOGICALRP1, intra-tumoral injection, oncolytic virus

Genetically modified herpes simplex type 1 virus


Locations(28)

Medical Dermatology Specialists

Phoenix, Arizona, United States

Mayo Clinic Arizona

Phoenix, Arizona, United States

University of California, San Diego

La Jolla, California, United States

University of California, Los Angeles

Los Angeles, California, United States

UCSF, Helen Diller Family Comprehensive Cancer Center

San Francisco, California, United States

University of Colorado Cancer Center School of Medicine

Aurora, Colorado, United States

Mayo Clinic Florida

Jacksonville, Florida, United States

University of Miami Sylvester Comprehensive Cancer Center

Miami, Florida, United States

Moffitt Cancer Center

Tampa, Florida, United States

University of Chicago

Chicago, Illinois, United States

Dana Farber Cancer Institute

Boston, Massachusetts, United States

University of Michigan

Ann Arbor, Michigan, United States

Mayo Clinic Rochester

Rochester, Minnesota, United States

Washington University in St. Louis

St Louis, Missouri, United States

Columbia University Medical Center

New York, New York, United States

Rochester Dermatologic Surgery

New York, New York, United States

University of North Carolina Lineberger Comprehensive Cancer Center

Chapel Hill, North Carolina, United States

Duke University

Durham, North Carolina, United States

University of Cincinnati

Cincinnati, Ohio, United States

The Cleveland Clinic Foundation

Cleveland, Ohio, United States

The Ohio State University Comprehensive Cancer Center

Columbus, Ohio, United States

Oregon Health and Science University

Portland, Oregon, United States

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

University of Tennessee Medical Center at Knoxville

Knoxville, Tennessee, United States

University of Texas Southwestern

Dallas, Texas, United States

MD Anderson Cancer Center

Houston, Texas, United States

Inova Schar Cancer Institute

Fairfax, Virginia, United States

VCU Massey Cancer Center

Richmond, Virginia, United States

View Full Details on ClinicalTrials.gov

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NCT04349436


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