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CompletedNCT02045589Updated Oct 1, 2018

A Phase I Dose Escalation Study of Intratumoral VCN-01 Injections With Gemcitabine and Abraxane® in Patients With Advanced Pancreatic Cancer

A Phase 1 interventional study of VCN-01 and Gemcitabine in Pancreatic Adenocarcinoma and Metastatic Pancreatic Adenocarcinoma, sponsored by Theriva Biologics SL. Completed at 3 sites in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-10-01.

Sponsored by Theriva Biologics SL · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
8
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

The purpose of this study is to determine the safety and tolerability of three intratumoral injections of VCN-01 combined with Abraxane®/gemcitabine, and to determine the recommended phase II dose of VCN-01 combined with Abraxane®/gemcitabine.

Read the detailed description

Investigational treatment is a dose-escalation regimen consisting of three VCN-01 intratumoral injections (once every 28 days at the same dose) in combination with intravenous Abraxane® and gemcitabine.

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Conditions studied

  • Pancreatic Adenocarcinoma
  • Metastatic Pancreatic Adenocarcinoma

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Keywords

  • Cancer
  • Pancreatic adenocarcinoma
  • Locally advanced
  • Metastatic
  • Gemcitabine
  • Oncolytic virus
  • Abraxane®
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In context

Adenocarcinoma

2,004 studies on the registry are indexed under Adenocarcinoma; 375 are open to participants now.

This study's enrollment of 8 is below the median of 45 across 1,553 interventional studies indexed under Adenocarcinoma.

Browse Adenocarcinoma studies →

Lead sponsor

Theriva Biologics SL is the lead sponsor of 4 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

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

Inclusion criteria

  • Male/Female patients aged 18 years or over
  • Patients must provide written informed consent
  • Life expectancy above 3 months
  • Patients willing to comply with treatment follow-up, and to accept a biopsy at day 29 after initiation of the treatment
  • Patients with histologically confirmed diagnosis of unresectable pancreatic adenocarcinoma with symptoms related to the primary tumor. Abraxane® plus Gemcitabine should be the appropriate standard of care to be administered.
  • ECOG Performance status 0 or 1
  • Adequate baseline organ function (hematologic, liver, renal and nutritional)
  • Use a reliable method of contraception in fertile men and women

Exclusion criteria

Exclusion Criteria:

  • Active infection or other serious illness or autoimmune disease
  • Treatment with live attenuated vaccines in the last three weeks
  • Known chronic liver disease (liver cirrhosis, chronic hepatitis)
  • Treatment with another investigational agent within its five half-lives prior to VCN-01 infusion
  • Viral syndrome diagnosed during the two weeks before inclusion
  • Chronic immunosuppressive therapy
  • Known concurrent malignant hematologic or solid disease
  • Pregnancy or lactation. Patients must agree to use effective contraception or be surgically sterile.
  • Patients receiving full-dose anticoagulant / antiplatelet therapy
  • Patients with Li Fraumeni syndrome or with previous known retinoblastoma protein pathway germinal deficiency
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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
8 participants (actual)

Study arms

  • Experimental
    Dose Escalation, Combination

    Three intratumoral administrations of VCN-01 oncolytic adenovirus every 28 days in combination with Abraxane® and Gemcitabine.

    Genetic: VCN-01 · Drug: Gemcitabine · Drug: Abraxane®

Interventions

  • GeneticVCN-01

    Genetically modified human adenovirus encoding human PH20 hyaluronidase

  • DrugGemcitabine

    1000 mg/m2 intravenous administration

  • DrugAbraxane®

    125 mg/m2 intravenous administration

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What researchers measure

Primary outcomes

  1. Safety and Tolerability by means of Adverse Events (AEs) and laboratory data

    Time frame: At least 6 months

  2. Recommended Phase 2 Dose (RP2D) of VCN-01 in combination with Gemcitabine and Abraxane® by determination of highest feasible dose (MFD) and any Dose Limiting Toxicities

    Time frame: At least 6 months

Secondary outcomes

  1. Presence of VCN-01 in tumor

    Determination of VCN-01 viral genome copies in tumor biopsy

    Time frame: Day 21-28

  2. Viral Pharmacokinetics

    Determination of VCN-01 half-life by analyzing viral genome copies in blood

    Time frame: 48 h

  3. Viral Shedding

    At least up to 6 months follow-up in patients at the Maximum Tolerated Dose (MTD)

    Time frame: Up to day 71

  4. Neutralizing antibodies anti-VCN-01

    At least up to 6 months follow-up in patients at the MTD

    Time frame: 30 days after end of treatment phase

  5. Preliminary anti-tumor activity by Overall Response Rate (ORR)

    Time frame: CT or MRI scans every 8 weeks until disease progression

  6. Preliminary anti-tumor activity by Progression Free Survival (PFS)

    Time frame: CT or MRI scans every 8 weeks until disease progression

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Study locations

3 sites
  • Institut Català d'Oncologia
    L'Hospitalet De Llobregat, Barcelona 08908, Spain
  • Centro Integral Oncológico Clara Campal
    Madrid, 25080, Spain
  • Hospital Universitario 12 de Octubre
    Madrid, 28041, Spain
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References and documents

Publications

  • Bazan-Peregrino M, Garcia-Carbonero R, Laquente B, Alvarez R, Mato-Berciano A, Gimenez-Alejandre M, Morgado S, Rodriguez-Garcia A, Maliandi MV, Riesco MC, Moreno R, Ginesta MM, Perez-Carreras M, Gornals JB, Prados S, Perea S, Capella G, Alemany R, Salazar R, Blasi E, Blasco C, Cascallo M, Hidalgo M. VCN-01 disrupts pancreatic cancer stroma and exerts antitumor effects. J Immunother Cancer. 2021 Nov;9(11):e003254. doi: 10.1136/jitc-2021-003254. PubMed 35149591 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 1, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02045589
Lead sponsor
Theriva Biologics SL
Responsible party
Sponsor
First posted
Jan 27, 2014
Start date
Jan 2014
Primary completion
Oct 2016
Completion
Sep 2018
Last update
Oct 1, 2018

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2018. You cannot join it, but the record below documents what was studied.

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