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Virus Therapy
Phase 2 Study of Telomelysin (OBP-301) in Combination With Pembrolizumab in Esophagogastric Adenocarcinoma
Phase 2
Waitlist Available
Led By Manish Shah, MD
Research Sponsored by Weill Medical College of Cornell University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 2.5 years
Awards & highlights
No Placebo-Only Group
Summary
This trial tests a combination of a virus (OBP-301) that kills cancer cells and a drug (pembrolizumab) that helps the immune system fight cancer. It targets patients with advanced stomach and esophagus cancer who haven't responded to other treatments. Pembrolizumab has demonstrated activity in previously treated patients with various cancers, including gastric and esophageal cancers.
Eligible Conditions
- Stomach Cancer
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 2.5 years
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~2.5 years
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Overall Response Rate, as Assessed by Radiographic Imaging
Secondary study objectives
Disease Control Rate, as Assessed by Radiographic Imaging
Duration of Response, as Assessed by Radiographic Imaging
Overall Survival Rate, as Assessed by Survival
+1 moreOther study objectives
Change From Baseline in Immune Infiltrate by Multi-parameter Flow-cytometry
Change From Baseline in T-cell Response, as Measured by TCR-sequencing of Tumor Biopsies
Change From Baseline in Tumor-immune Microenvironment, as Measured by Bulk RNA Sequencing and Single-cell RNA Sequencing.
Side effects data
From 2023 Phase 2 trial • 17 Patients • NCT0392102147%
Generalized muscle weakness
47%
Anorexia
41%
Fatigue
35%
Vomiting
29%
Nausea
29%
Fever
24%
Abdominal pain
24%
Chills
18%
Diarrhea
18%
Dysphagia
18%
Dyspnea
18%
Anemia
18%
Dehydration
18%
Weight loss
18%
Other- Shortness of Breath
12%
Alkaline phosphatase increased
12%
Other (Hyponatremia)
12%
Back pain
12%
Constipation
12%
Other - Gastrointestinal disorder (Gastrointestinal bleed)
12%
Aspartate aminotransferase increased
12%
Abdominal distension
12%
Other: Muscle weakness
12%
Edema limbs
12%
Confusion
12%
Wheezing
6%
Acute coronary syndrome
6%
Dry Eye
6%
Bloating
6%
Flatulence
6%
Myalgia
6%
Muscle weakness left-sided
6%
Others - Eye disorders (Intermittent Vision fogginess and Left-sided eye lid lag)
6%
Arthralgia
6%
Hyponatremia
6%
Bone pain
6%
Other - Gastrointestinal disorder (Melena)
6%
Creatinine increased
6%
Other (Blood urea nitrogen increased)
6%
Gastroesophageal reflux disease
6%
Other - Gastrointestinal disorder (Dry heaving)
6%
Sinusitis
6%
Alanine aminotransferase increased
6%
Esophagitis
6%
Blood bilirubin increased
6%
Other - Gastrointestinal disorder (Abdominal tenderness)
6%
Other - Gastrointestinal disorder (Belching)
6%
Sinus tachycardia
6%
Other - Ear and labyrinth disorders (Decreased hearing)
6%
Other - Gastrointestinal disorder (Small bowel obstruction)
6%
Other - Gastrointestinal disorder (Dark stool)
6%
Other - Gastrointestinal disorder (Epigastric pain and Abdominal Mass)
6%
Other: Gastrointestinal Bleed
6%
Upper gastrointestinal hemorrhage
6%
Other: Type 1 Diabetes Mellitus
6%
Sepsis
6%
Pericardial Tamponade
6%
Other - Gastrointestinal disorder (Balance Issues)
6%
Flu like symptoms
6%
Other (Delayed Speech and Ill-appearing )
6%
Other (Cold Sore, Edema and Localized pain near injection site)
6%
Other (lightheadedness)
6%
Other (Cervical Adenopathy)
6%
Other (Pain to left ribs)
6%
Other (Body Aches)
6%
Other (Left flank pain)
6%
Dizziness
6%
Peripheral sensory neuropathy
6%
Tremor
6%
Other (Cranial face deficit and Facial asymmetry)
6%
Anxiety
6%
Hallucinations
6%
Other (Nervousness)
6%
Other (Slow behavior and Distress)
6%
Hematuria
6%
Other (Rectal bleeding)
6%
Hypoxia
6%
Pleural effusion
6%
Rash maculo-papular
6%
Rash acneiform
6%
Other (Pallor)
6%
Other (Small pustule on scrotum)
6%
Hypertension
6%
Hypotension
100%
80%
60%
40%
20%
0%
Study treatment Arm
Telomelysin (OBP-301)
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
1Treatment groups
Experimental Treatment
Group I: Telomelysin (OBP-301)Experimental Treatment1 Intervention
All patients will receive Telomelysin (OBP-301) at 2x10\^12 viral particles (VP)/ tumor injection administered every two weeks x 4 injections as well as standard dose pembrolizumab 200 mg IV every 3 weeks. The tumor will be injected with OBP-301 four times (d1, d15, d29, d43). The preference is to inject the primary tumor endoscopically. Metastatic lesions may be injected on a case-by-case basis after discussion with the PI (Shah).
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Telomelysin
2019
Completed Phase 2
~20
Find a Location
Who is running the clinical trial?
Weill Medical College of Cornell UniversityLead Sponsor
1,091 Previous Clinical Trials
1,154,728 Total Patients Enrolled
Oncolys BioPharma IncIndustry Sponsor
7 Previous Clinical Trials
101 Total Patients Enrolled
Manish Shah, MDPrincipal InvestigatorWeill Medical College of Cornell University
6 Previous Clinical Trials
393 Total Patients Enrolled