Phase I study of intratumoral administration of CV8102 in patients with advanced melanoma, squamous cell carcinoma of the skin, squamous cell carcinoma of the head and neck, or adenoid cystic carcinoma

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Publicat a:Journal for Immunotherapy of Cancer vol. 13, no. 2 (Feb 2025), p. e009352
Autor principal: Eigentler, Thomas
Altres autors: Thomas, Ioannis, Samoylenko, Igor, Erdmann, Michael, Heinzerling, Lucie, Ochsenreither, Sebastian, Krauss, Jürgen, Oberoi, Arjun, Robert, Caroline, Lebbe, Celeste, Martin-Liberal, Juan, Koch, Lukas, Richtig, Erika, Terheyden, Patrick, Weishaupt, Carsten, Mohr, Peter, Semiletova, Yulia, Casilda Llacer Perez, Brossart, Peter, Bauernfeind, Franz Georg, Fluck, Michael, Poltoratskiy, Artem, Sekacheva, Marina, Soria, Ainara, Schmitt-Bormann, Beate, Gonzalez, Marina, Heß, Jana, Wengenmayer, Peter, Seibel, Tobias, Koch, Sven D, Quintini, Gianluca, Codó, Paula, Falk, Martin, Schönborn-Kellenberger, Oliver, Gnad-Vogt, Ulrike
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022 |a 2051-1426 
024 7 |a 10.1136/jitc-2024-009352  |2 doi 
035 |a 3163200927 
045 2 |b d20250201  |b d20250228 
084 |a 265150  |2 nlm 
100 1 |a Eigentler, Thomas  |u Department of Dermatology, Venereology and Allergology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Berlin, Germany 
245 1 |a Phase I study of intratumoral administration of CV8102 in patients with advanced melanoma, squamous cell carcinoma of the skin, squamous cell carcinoma of the head and neck, or adenoid cystic carcinoma 
260 |b BMJ Publishing Group LTD  |c Feb 2025 
513 |a Journal Article 
520 3 |a BackgroundCV8102, a toll-like receptor 7/8 and RIG I agonist, has demonstrated antitumor immune responses in preclinical studies. We investigated intratumoral (IT) administration of CV8102 in patients with anti-programmed cell death protein-1 (PD-1) therapy-naïve or anti-PD-1 therapy-refractory cutaneous melanoma (cMEL) and in patients with advanced cutaneous squamous cell carcinoma, head and neck squamous cell carcinoma and adenoid cystic carcinoma.MethodsThis open-label, cohort-based, phase I dose escalation study aimed to establish the maximum tolerated dose (MTD), recommended dose (RD), safety and preliminary efficacy of CV8102 as monotherapy or in combination with a PD-1 inhibitor. The preliminary efficacy of the RD was assessed in patients with cMEL in the expansion cohorts.ResultsBetween September 2017 and October 2022, 98 patients were enrolled in monotherapy and combination therapy dose escalation and dose expansion cohorts. Two patients in the CV8102 monotherapy dose escalation cohort experienced relevant toxicities at the 900 µg dose level. One patient had Grade 3 aspartate transaminase/alanine aminotransferase elevation which met dose-limiting toxicity (DLT) criteria. Another patient experienced Grade 3 immune-mediated pneumonitis. No DLTs occurred in the combination therapy dose escalation cohort. The MTD was not formally reached and the RD for expansion was 600 µg. Common treatment-emergent adverse events were fever (57%), chills (37%) and fatigue (25%). In the dose escalation part, objective responses occurred in 3/33 patients treated with CV8102 as monotherapy and in 2/25 patients treated with CV8102 plus a PD-1 inhibitor. In the expansion cohorts in patients with anti-PD-1 therapy-refractory melanoma, 0/10 patients treated with CV8102 as monotherapy and 5/30 patients (17%) treated in combination with a PD-1 inhibitor experienced objective responses.ConclusionsIT CV8102 was generally well tolerated with preliminary signs of efficacy as monotherapy and in combination with a PD-1 inhibitor.Trial registration number<ext-link ext-link-type="clintrialgov" xlink:href="NCT03291002">NCT03291002</ext-link>. 
653 |a Head & neck cancer 
653 |a Biomarkers 
653 |a Squamous cell carcinoma 
653 |a Vaccines 
653 |a Cell death 
653 |a Metastasis 
653 |a Melanoma 
653 |a Peptides 
653 |a Tumors 
653 |a Cancer therapies 
653 |a Immunology 
653 |a Proteins 
653 |a Skin cancer 
700 1 |a Thomas, Ioannis  |u Faculty of Medicine, University of Tübingen, Tubingen, Germany 
700 1 |a Samoylenko, Igor  |u Oncodermatology and surgical immunology unit, Blokhin Russian Cancer Research Center, Ministry of Health of Russia, Moscow, Russian Federation 
700 1 |a Erdmann, Michael  |u Department of Dermatology, Uniklinikum Erlangen, Comprehensive Cancer Center Erlangen - European Metropolitan Area of Nürnberg (CCC ER-EMN), Friedrich-Alexander-Universität (FAU), Erlangen, Germany 
700 1 |a Heinzerling, Lucie  |u Department of Dermatology &amp; Allergy, LMU University Hospital, LMU Munich, München, Germany; University Hospital Erlangen, Erlangen, Bayern, Germany 
700 1 |a Ochsenreither, Sebastian  |u Charité Comprehensive Cancer Center, Charité - Universitätsmedizin Berlin, Berlin, Germany; Department of Hematology, Oncology and Tumor Immunology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany 
700 1 |a Krauss, Jürgen  |u National Center for Tumor Diseases, Heidelberg, Germany 
700 1 |a Oberoi, Arjun  |u Vall d’Hebron University Hospital and Vall d’Hebron Institute of Oncology, Barcelona, Spain 
700 1 |a Robert, Caroline  |u Department of Oncology, Institut Gustave Roussy and Université Paris Saclay, Villejuif, France 
700 1 |a Lebbe, Celeste  |u Université Paris Cite, Dermato-Oncology and CIC AP-HP Hôpital Saint Louis and Cancer Institute APHP, Nord-Université Paris Cite, INSERM U976, Université Paris Cité, Paris, France 
700 1 |a Martin-Liberal, Juan  |u Medical Oncology Department, Catalan Institute of Oncology (ICO), Catalan Institute of Oncology, 08908 Barcelona, Spain 
700 1 |a Koch, Lukas  |u Department of Dermatology, Medical University of Graz, Graz, Austria 
700 1 |a Richtig, Erika  |u Department of Dematology, Medical University of Graz, Graz, Austria 
700 1 |a Terheyden, Patrick  |u Department of Dermatology, University of Lübeck, Lubeck, Schleswig-Holstein, Germany 
700 1 |a Weishaupt, Carsten  |u Department of Dermatology, Skin Cancer Center, University Clinic Münster, Munster, Germany 
700 1 |a Mohr, Peter  |u Department of Dermatology, Elbe Hospital, Buxtehude, Niedersachsen, Germany 
700 1 |a Semiletova, Yulia  |u St Petersburg State University Hospital, St Petersburg, Russian Federation 
700 1 |a Casilda Llacer Perez  |u Medical Oncology Intercenter Unit, Regional and Virgen de la Victoria University Hospitals, IBIMA, Malaga, Spain 
700 1 |a Brossart, Peter  |u Department of Oncology, Hematology. Cell and Immunotherapies, University Hospital Bonn, Bonn, Nordrhein-Westfalen, Germany 
700 1 |a Bauernfeind, Franz Georg  |u Department of Oncology, Hematology. Cell and Immunotherapies, University Hospital Bonn, Bonn, Nordrhein-Westfalen, Germany 
700 1 |a Fluck, Michael  |u Department of Oncology Hornheide, Fachklinik Hornheide, Münster, Germany 
700 1 |a Poltoratskiy, Artem  |u Petrov Research Institute of Oncology, St Petersburg, Russian Federation 
700 1 |a Sekacheva, Marina  |u Institute for Personalized Oncology of the World-Class Research Center "Digital Biodesign and Personalized Healthcare", Schenenov University, Moscow, Russian Federation 
700 1 |a Soria, Ainara  |u Department of Medical Oncology, Hospital Universitario Ramón y Cajal, Madrid, Madrid, Spain 
700 1 |a Schmitt-Bormann, Beate  |u CureVac SE, Wiesbaden, Germany 
700 1 |a Gonzalez, Marina  |u CureVac SE, Tübingen, Germany 
700 1 |a Heß, Jana  |u CureVac SE, Tübingen, Germany 
700 1 |a Wengenmayer, Peter  |u CureVac SE, Tübingen, Germany 
700 1 |a Seibel, Tobias  |u CureVac SE, Tübingen, Germany 
700 1 |a Koch, Sven D  |u CureVac SE, Tübingen, Germany 
700 1 |a Quintini, Gianluca  |u CureVac SE, Tübingen, Germany 
700 1 |a Codó, Paula  |u CureVac SE, Tübingen, Germany 
700 1 |a Falk, Martin  |u CureVac SE, Wiesbaden, Germany 
700 1 |a Schönborn-Kellenberger, Oliver  |u CureVac SE, Tübingen, Germany; Cogitars GmbH, Heidelberg, Germany 
700 1 |a Gnad-Vogt, Ulrike  |u CureVac SE, Wiesbaden, Germany 
773 0 |t Journal for Immunotherapy of Cancer  |g vol. 13, no. 2 (Feb 2025), p. e009352 
786 0 |d ProQuest  |t Health & Medical Collection 
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