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Phase 2 Completed N=61 Treatment

Single-arm Trial to Evaluate the Biodistribution and Shedding of Talimogene Laherparepvec

Source: ClinicalTrials.gov NCT02014441 ↗
Enrolled (actual)
61
Serious AEs
21.7%
Results posted
Feb 2017
Primary outcomePrimary: Percentage of Participants With Detectable Talimogene Laherparepvec Deoxyribonucleic Acid (DNA) During the First Three Cycles — 98.3; 100.0; 97.5; 31.7 percentage of participants

Summary

The primary objective was to estimate the proportion of participants with detectable talimogene laherparepvec deoxyribonucleic acid (DNA) in the blood and urine at any time after administration of talimogene laherparepvec within the first 3 cycles.

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentage of Participants With Detectable Talimogene Laherparepvec Deoxyribonucleic Acid (DNA) During the First Three Cycles
98.3; 100.0; 97.5; 31.7; 29.4; 35.0
SECONDARY
Percentage of Participants With Clearance of Talimogene Laherparepvec DNA From Blood
92.7; 78.6; 100.0; 86.0; 64.7; 94.7
SECONDARY
Percentage of Participants With Clearance of Talimogene Laherparepvec DNA From Urine
100.0; 100.0; 100.0; 92.9; 100.0; 90.9
SECONDARY
Percentage of Samples With Detectable Talimogene Laherparepvec DNA on the Exterior of the Occlusive Dressing During the First Three Cycles
19.5; 17.6; 19.6
SECONDARY
Percentage of Samples With Detectable Talimogene Laherparepvec Virus on the Exterior of the Occlusive Dressing During the First Three Cycles
0.0; 0.0; 0.0
SECONDARY
Percentage of Participants With Detectable Talimogene Laherparepvec DNA on the Exterior of the Occlusive Dressing During the First Three Cycles
80.0; 76.5; 82.5
SECONDARY
Percentage of Participants With Detectable Talimogene Laherparepvec Virus on the Exterior of the Occlusive Dressing During the First Three Cycles
0.0; 0.0; 0.0
SECONDARY
Percentage of Samples From the Surface of Injected Lesions With Detectable Talimogene Laherparepvec DNA During the First Three Cycles
57.6; 53.7; 57.3
SECONDARY
Percentage of Samples From the Surface of Injected Lesions With Detectable Talimogene Laherparepvec Virus During the First Three Cycles
1.1; 3.0; 0.6
SECONDARY
Percentage of Participants With Detectable Talimogene Laherparepvec DNA on the Surface of Injected Lesions During the First Three Cycles
100.0; 100.0; 100.0
SECONDARY
Percentage of Participants With Detectable Talimogene Laherparepvec Virus on the Surface of Injected Lesions During the First Three Cycles
11.7; 23.5; 7.5
SECONDARY
Percentage of Samples From Oral Mucosa With Detectable Talimogene Laherparepvec DNA During Treatment
1.2; 2.6; 0.5
SECONDARY
Percentage of Samples From Oral Mucosa With Detectable Talimogene Laherparepvec Virus During Treatment
0.0; 0.0; 0.0
SECONDARY
Percentage of Participants With Detectable Talimogene Laherparepvec DNA in Oral Mucosa During Treatment
13.3; 23.5; 7.5
SECONDARY
Percentage of Participants With Detectable Talimogene Laherparepvec Virus in Oral Mucosa During Treatment
0.0; 0.0; 0.0
SECONDARY
Percentage of Samples From the Anogenital Area With Detectable Talimogene Laherparepvec DNA During Treatment
1.6; 0.0; 2.9
SECONDARY
Percentage of Samples With Detectable Talimogene Laherparepvec Virus in Swabs From the Anogenital Area During Treatment
0.0; 0.0
SECONDARY
Percentage of Participants With Detectable Talimogene Laherparepvec DNA in Swabs From the Anogenital Area During Treatment
19.2; 0.0; 29.4
SECONDARY
Percentage of Participants With Detectable Talimogene Laherparepvec Virus in Swabs From the Anogenital Area During Treatment
0.0; 0.0
SECONDARY
Percentage of Samples From Oral Mucosa With Detectable Talimogene Laherparepvec DNA After the End of Treatment
0.0; 0.0; 0.0
SECONDARY
Percentage of Samples From Oral Mucosa With Detectable Talimogene Laherparepvec Virus After the End of Treatment
SECONDARY
Percentage of Participants With Detectable Talimogene Laherparepvec DNA in Oral Mucosa After the End of Treatment
0.0; 0.0; 0.0
SECONDARY
Percentage of Participants With Detectable Talimogene Laherparepvec Virus in Oral Mucosa After the End of Treatment
SECONDARY
Percentage of Samples From the Anogenital Area With Detectable Talimogene Laherparepvec DNA After the End of Treatment
0.0; 0.0; 0.0
SECONDARY
Percentage of Samples From the Anogenital Area With Detectable Talimogene Laherparepvec Virus After the End of Treatment
SECONDARY
Percentage of Participants With Detectable Talimogene Laherparepvec DNA in Swabs From the Anogenital Area After the End of Treatment
0.0; 0.0; 0.0
SECONDARY
Percentage of Participants With Detectable Talimogene Laherparepvec Virus in Swabs From the Anogenital Area After the End of Treatment
SECONDARY
Number of Samples With Detectable Talimogene Laherparepvec in Lesions Suspected to be Herpetic in Origin
4
SECONDARY
Best Overall Response
9; 12; 10; 26; 1; 2
SECONDARY
Objective Response Rate
35.0
SECONDARY
Time to Response
8.7
SECONDARY
Duration of Response
NA
SECONDARY
Durable Response Rate
5.0
SECONDARY
Overall Survival
NA
SECONDARY
Number of Participants With Adverse Events (AEs)
60; 42; 12; 1; 13; 5

Eligibility Criteria

Key Inclusion Criteria

Male or female age ≥ 18 years with histologically confirmed diagnosis of melanoma and unresected stage IIIB, IIIC, IVM1a, IVM1b, or IVM1c regardless of prior line of therapy. Subject is candidate for intralesional therapy administration into cutaneous, subcutaneous, or nodal disease and must also have measurable disease, serum lactate dehydrogenase ≤ 1.5 x upper limit of normal, and Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1, and adequate hematologic, hepatic, and renal organ function.

Key Exclusion Criteria

Subject must not have clinically active cerebral metastases, greater than 3 visceral metastases (this does not include lung metastases or any nodal metastases associated with visceral organs) or any bone metastases melanoma, primary ocular or mucosal melanoma, history or evidence of symptomatic autoimmune pneumonitis, glomerulonephritis, vasculitis, or symptomatic autoimmune disease, or evidence of immunosuppression for any reason. Subject known to have acute or chronic active hepatitis B or hepatitis C infection, or human immunodeficiency virus infection will also be excluded. Subject who has active herpetic skin lesions or prior complications of herpes simplex virus type 1 ( HSV-1) infection (eg, herpetic keratitis or encephalitis), and/or requires intermittent or chronic systemic (intravenous or oral) treatment with an antiherpetic drug (eg, acyclovir), other than intermittent topical use will also be excuded. Subject must not have received previous treatment with talimogene laherparepvec.

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02014441). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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