› Forums › General Melanoma Community › NCT04291105 Phase 2 Trial of Voyager V1 in Combination With Cemiplimab
- This topic has 4 replies, 3 voices, and was last updated 3 years, 7 months ago by TimCT.
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- July 28, 2020 at 3:27 pm
Hi All,Anyone have any info on this one? My doc is trying to get me into this one, after progressing while on ipi/nivo and before we try taf/mek. The intratumoral approaches are very interesting, I’d be very interested in seeing if any data from phase 1 has been made available. Thanks for any help!
Tim
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- July 28, 2020 at 4:21 pm
As you probably know, Tim – but to help others reading, it looks as though patients in this trial will be given an anti-PD-1 product (named libtayo or cemiplimab made by Regeneron) intravenously and an intralesional (a cancer killing viral product, called Voyager V1, made by Vyriad, injected directly in to the tumor – much like CAVATAK or T-VEC). Despite finding a reference to the Phase 1 results having been presented, I have not found them. There are many adverts proclaiming the trial’s existence to investors, as is sadly typical in the world of ratties.I did find this addressing V-V1 – https://ascopubs.org/doi/abs/10.1200/JCO.2020.38.15_suppl.3090 However, as Phase 1 studies are really only dosing studies (done to determine the highest dose that can be given that will get a response but stop short of having the rattie grow three heads – very familiar with these as my Nivo study was a Phase 1 trial) it doesn’t really address responses, focusing instead on the biomarker they are using and infusion reactions. No melanoma patients are used unless there were some lumped in the 11% with “other cancers”.
Here is a report noting that V-V1 is to be combined with an anti-PD-L1 product in a phase 2 trial for colorectal cancer patients: https://immuno-oncologynews.com/2018/07/27/vyriad-expands-phase-1-trial-testing-combination-voyager-v1-bavencio/
Here is some info on cemiplimab from its use in squamous cell carcinoma -seems to have the side effect profile expected for anti-PD-1 immunotherapy: https://dermnetnz.org/topics/key-clinical-trial-evidence-for-cemiplimab/
I don’t know that any of this helps you very much. If I run across anything more pertinent I will pass it on. I wish you my best with whatever you decide. celeste
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- July 30, 2020 at 7:43 pm
TimCT, There is another trial that my mom is considering after failing ipi/nivo here is the link. This is basically herpes virus injected into tumor with opdivo infusions. I am not sure if anyone here has tried this. -
- August 27, 2020 at 1:54 pm
Hi Guys,There’s more of an update on my other thread, but I wanted to put a note on this one too. I won’t be participating in this trial right now – by the time it opened (8/25) my doctor thought I had progressed too much and too quickly to want to take a chance on this one, so I’m going the Braftovi/Mektovi route to get things under control. The BRAF inhibitors shouldn’t exclude me from this one if I should need another option in the coming months, if its still enrolling.
I’m disappointed because my doctor really thought this one would be good for me and I was looking forward to letting you guys know in real time how I was doing on it. It just took too long to develop, while my cancer was doing the exact opposite. We’ll see what the future holds!
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