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NCT04291105 Phase 2 Trial of Voyager V1 in Combination With Cemiplimab

Forums General Melanoma Community NCT04291105 Phase 2 Trial of Voyager V1 in Combination With Cemiplimab

  • Post
    TimCT
    Participant
      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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        Bubbles
        Participant
          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

            TimCT
            Participant
              Thanks Celeste, so appreciate your help!
              sks2019
              Participant
                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.

                https://clinicaltrials.gov/ct2/show/NCT03767348?term=RP1

                TimCT
                Participant
                  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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