ClinicalTrials.gg
CompletedNCT01636882CALMextUpdated Jul 9, 2019Results posted

CAVATAK in Patients With Stage IIIc or IV Malignant Melanoma to Extend Dosing to 48 Weeks (VLA-008 CALM Ext)

A Phase 2 interventional study of CVA21 in Melanoma, sponsored by Viralytics. Completed at 4 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-07-09.

Sponsored by Viralytics · Phase 2, Interventional, and Treatment

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Phase
Phase 2
Study type
Interventional
Enrollment
16
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 2,048 studies in Melanoma with a site in United States — 243 open to participants now, 439 under way, 32 of them phase 3. Melanoma · United States.

Enrollment
1,300th of 1,748
16 · median 37
Started
2012
with 77 others
Phase 2
612 of 2,048
46 open now
Registered
828th of 2,048
by date

Among the 2,048 studies in Melanoma with a site in United States, this one is the 1,300th largest by enrollment of the 1,748 interventional ones that give a count, is one of 78 that started in 2012, is one of 612 in phase 2, and was the 828th registered.

Melanoma

3,372 studies on the registry are indexed under Melanoma; 580 are open to participants now.

Browse Melanoma studies →

Open to participants now

243 of the 2,048 studies in Melanoma with a site in United States are open now. Recruiting first, the newest first:

238 more — sign in →

All 243 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 468 Melanoma studies recruiting now, 381 (81%) set no upper age limit and 49 (10%) stop at 75 or younger; 47 take children under 18; 29 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

This is an extended use study for patients who have received 10 doses of CAVATAK™ in the VLA 007 trial. There may be patients who have benefitted from the study drug and who might benefit from further treatment. In order to accommodate those patients further treatment to complete 48 weeks of CVA21 intratumoral injections will be made available.

03

Conditions studied

  • Melanoma

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Keywords

  • Melanoma
  • CALM
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

    1. Patients must have reached Week 24 of the core protocol in immune-related complete response (irCR), immune-related partial response (irPR), immune-related stable disease (irSD), or immune-related progressive disease (irPD) (unconfirmed) with evidence of tumor inflammatory reaction.
    1. If patient is in irPD (unconfirmed) status, they must not have had a decrease in their Performances Scale (KPS) score > 10 points and to be judged to not have "rapid clinical deterioration" by the investigator since the subject's last tumor measurement leading to irPD assessment.
    1. Patients must start treatment in the extension protocol within 8 weeks of their last injection administered in the core protocol.
    1. Patient is able and willing to provide written to participate in the study.
    1. Fertile males and females must agree to the use of an adequate form of , e.g., condoms for males.

Exclusion criteria

Exclusion Criteria:

    1. Tumors to be injected lying in mucosal regions or close to an airway, major blood vessel or spinal cord that, in the opinion of the Investigators, could cause occlusion or compression in the case of tumor swelling or erosion into a major vessel in the case of necrosis.
    1. If lesions are too small to be visualized or palpable for accurate injection.
    1. Currently in status of irPD (confirmed) or irPD (unconfirmed) without evidence of tumor inflammatory response, or with rapid clinical deterioration, or with a decrease of 10 points or more on their score since their last assessment before irPD (unconfirmed) assessment.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
16 participants (actual)

Study arms

  • Experimental
    CVA21

    Dose of CAVATAK up to 3 x 10⁸ TCID50 for an additional 9 treatments at 3-week intervals

    Biological: CVA21

Interventions

06

What researchers measure

Primary outcomes

  1. Safety

    Participants with Grade 3 or Higher Adverse Events

    Time frame: 12 months

07

Results

Posted Apr 23, 2018

Participant flow

Subjects were recruited from medical clinics from 03 July 2012 to 29 July 2015 (last subject enrolled in VLA-008).

Participant flow — Overall Study
MilestoneCVA21
Started16
Completed16
Not completed0

Outcome measures

PrimarySafety

Participants with Grade 3 or Higher Adverse Events

Time frame:
12 months
Reported as:
Number · participants
Safety
participantsCVA21
Safety16

Adverse events

Collected over 1 year. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
CVA211/16 (6.3%)2/16 (12.5%)13/16 (81.3%)
Most frequent serious events
Most frequent serious events
EventCVA21
Cardiac arrestCardiac disorders1/16
Motor DysfunctionNervous system disorders1/16
Most frequent other events
Showing 10 of 48
Most frequent other events
EventCVA21
FatigueGeneral disorders3/16
PainGeneral disorders3/16
NauseaGastrointestinal disorders3/16
DizzinessNervous system disorders3/16
CoughRespiratory, thoracic and mediastinal disorders3/16
Sinus congestionRespiratory, thoracic and mediastinal disorders3/16
ChillsGeneral disorders2/16
Influenza like illnessGeneral disorders2/16
DiarrhoeaGastrointestinal disorders2/16
VomitingGastrointestinal disorders2/16

Baseline characteristics

Age, Continuous
Age, Continuous(years)CVA21
Mean68.1 ± 12.8
Sex: Female, Male
Sex: Female, Male(Participants)CVA21
Female4
Male12
Region of Enrollment
Region of Enrollment(Participants)CVA21
United States16
08

Study locations

4 sites
  • Oncology Specialists
    Park Ridge, Illinois 60714, United States
  • Providence Medical Centre
    Portland, Oregon 97213, United States
  • Mary Crowley Medical Center
    Dallas, Texas 75230, United States
  • Huntsman Cancer Institute
    Salt Lake City, Utah 84112, United States
09

References and documents

Publications

  • Andtbacka RHI, Curti B, Daniels GA, Hallmeyer S, Whitman ED, Lutzky J, Spitler LE, Zhou K, Bommareddy PK, Grose M, Wang M, Wu C, Kaufman HL. Clinical Responses of Oncolytic Coxsackievirus A21 (V937) in Patients With Unresectable Melanoma. J Clin Oncol. 2021 Dec 1;39(34):3829-3838. doi: 10.1200/JCO.20.03246. Epub 2021 Aug 31. PubMed 34464163 ↗
10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jul 2012 to primary completion in Apr 2016, 45 months.

Results were first posted in Apr 2018, 2 years after primary completion.

Of 106 industry-sponsored phase 2 interventional studies under Melanoma, half reached primary completion within 35 months of starting (the median), counting those still running; a quarter within 26 and three quarters within 60. This study's 45 months is above that.

Counting every sponsor, half of 384 studies reached it within 53 months; a quarter within 32 and three quarters within 90.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 5, 2012
First posted
Jul 10, 2012
StartActual
Jul 3, 2012
Primary completionActual
Apr 6, 2016
CompletionActual
Apr 6, 2016
Results first posted
Apr 23, 2018
Last update
Jul 9, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 9, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01636882
Lead sponsor
Viralytics
Responsible party
Sponsor
First posted
Jul 10, 2012
Start date
Jul 3, 2012
Primary completion
Apr 6, 2016
Completion
Apr 6, 2016
Results posted
Apr 23, 2018
Last update
Jul 9, 2019
View the source record on ClinicalTrials.gov ↗

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Discussion

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