- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04068181
Talimogene Laherparepvec With Pembrolizumab in Melanoma Following Progression on Prior Anti-PD-1 Based Therapy (MASTERKEY-115) (Mk-3475-A07/KEYNOTE-A07).
Phase 2 Study of Talimogene Laherparepvec in Combination With Pembrolizumab in Subjects With Unresectable/Metastatic Stage IIIB-IVM1d Melanoma Who Have Progressed on Prior Anti PD-1 Based Therapy
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
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New South Wales
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North Sydney, New South Wales, Australia, 2060
- Melanoma Institute Australia
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Queensland
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Southport, Queensland, Australia, 4215
- Tasman Oncology Research
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South Australia
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Woodville South, South Australia, Australia, 5011
- The Queen Elizabeth Hospital
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Victoria
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Melbourne, Victoria, Australia, 3004
- The Alfred Hospital
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Melbourne, Victoria, Australia, 3000
- Peter MacCallum Cancer Centre
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Quebec, Canada, G1R 2J6
- CHU de Québec-Université Laval
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Ontario
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Toronto, Ontario, Canada, M5G 2M9
- Princess Margaret Cancer Centre
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Quebec
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Montreal, Quebec, Canada, H3T 1E2
- Jewish General Hospital
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Bordeaux, France, 33075
- Centre Hospitalier Universitaire de Bordeaux - Hôpital Saint André
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Grenoble Cedex 9, France, 38043
- Centre Hospitalier Universitaire de Grenoble - Hopital Nord Michallon
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Nantes Cedex 1, France, 44093
- Centre Hospitalier Universitaire de Nantes, Hôpital Hôtel Dieu
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Paris, France, 75010
- Hopital Saint Louis
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Pierre Benite Cedex, France, 69495
- Centre Hospitalier Lyon Sud
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Villejuif, France, 94805
- Gustave Roussy
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Dresden, Germany, 01307
- Universitätsklinikum Carl Gustav Carus der Technischen Universität Dresden
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Hannover, Germany, 30625
- Medizinische Hochschule Hannover
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Regensburg, Germany, 93053
- Universitätsklinikum Regensburg
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Tübingen, Germany, 72076
- Universitätsklinikum Tübingen
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Athens, Greece, 11527
- General Hospital of Athens Laiko
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Ioannina, Greece, 45500
- University Hospital of Ioannina
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Thessaloniki, Greece, 546 22
- Bioclinic of Thessaloniki
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Bergamo, Italy, 24127
- Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII
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Meldola FC, Italy, 47014
- IRCCS - Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori"
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Milano, Italy, 20141
- IRCCS Istituto Europeo di Oncologia
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Amsterdam, Netherlands, 1066 CX
- Nederlands Kanker Instituut, Antoni van Leeuwenhoekziekenhuis
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Rotterdam, Netherlands, 3015 GD
- Erasmus Medisch Centrum
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Gdansk, Poland, 80-214
- Uniwersyteckie Centrum Kliniczne Centrum Medycyny Nieinwazyjnej
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Poznan, Poland, 60-780
- Szpital Kliniczny im Heliodora Swiecickiego Uniwersytetu Medycznego im Karola Marcinkowskiego w Pozn
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Warszawa, Poland, 02-781
- Narodowy Instytut Onkologii im Marii Sklodowskiej-Curie â€" Panstwowy Instytut Badawczy
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Barcelona, Spain, 08035
- Hospital Universitari Vall d Hebron
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Madrid, Spain, 28046
- Hospital Universitario La Paz
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Madrid, Spain, 28050
- Hospital Universitario Madrid Sanchinarro
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AndalucÃ-a
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Malaga, AndalucÃ-a, Spain, 29010
- Hospital Clinico Universitario Virgen de la Victoria
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PaÃ-s Vasco
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San Sebastian, PaÃ-s Vasco, Spain, 20014
- Onkologikoa
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London, United Kingdom, SW3 6JJ
- Royal Marsden Hospital
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London, United Kingdom, SE1 9RT
- Guys Hospital
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California
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Santa Barbara, California, United States, 93105
- Sansum Clinic
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Delaware
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Newark, Delaware, United States, 19713
- Medical Oncology Hematology Consultants Helen F Graham Cancer Center
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Florida
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Orlando, Florida, United States, 32806
- University of Florida Health Cancer Center at Orlando Health
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Kentucky
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Louisville, Kentucky, United States, 40202
- University of Louisville James Graham Brown Cancer Center
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Minnesota
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Fridley, Minnesota, United States, 55432
- Allina Health Systems dba Virginia Piper Cancer Institute
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New York
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Albany, New York, United States, 12208
- New York Oncology Hematology, PC
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Ohio
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Cleveland, Ohio, United States, 44195
- Cleveland Clinic
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Texas
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Austin, Texas, United States, 78731
- Texas Oncology Austin Central
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Dallas, Texas, United States, 75246
- Baylor Scott and White Research Institute
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The Woodlands, Texas, United States, 77380
- United States Oncology Regulatory Affairs Corporate Office
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Key Inclusion Criteria:
- Age ≥ 18 years with histologically confirmed diagnosis of stage IIIB to IVM1d melanoma and for whom surgery is not recommended. Subjects with stage IVM1d disease may be enrolled with up to 3 cerebral metastases, provided that all lesions have been adequately treated with stereotactic radiation therapy, craniotomy, or gamma knife therapy, with no evidence of progression and not requiring steroids for at least 2 months prior to enrollment.
- Subjects must have measurable disease and be a candidate for intralesional therapy administration into cutaneous, subcutaneous, or nodal lesions.
- Subjects must have had prior treatment (for at least 2 to 3 consecutive cycles within an 8 week period) with a PD-1 inhibitor and have confirmed disease progression (as defined by RECIST v1.1 criteria). The anti-PD-1 therapy must be the immediate prior line of therapy before enrollment and subjects with disease progression on more than 1 line of anti-PD-1 therapy are not eligible.
- ECOG performance status of 0 or 1.
- Adequate hematologic, renal, hepatic, and coagulation function.
Key Exclusion Criteria:
- Subjects considered by the investigator to have rapid clinical progression due to melanoma
- Subjects with prior treatment and disease progression on more than 1 line of anti-PD-1 therapy
- Stage IVM1d subjects must not have greater than 3 cerebral melanoma metastases, or clinically active cerebral melanoma metastases requiring therapy, and/or carcinomatous meningitis regardless of clinical stability.
- Primary uveal or mucosal melanoma, history or evidence of melanoma associated with immunodeficiency states or history of other malignancy within the past 3 years.
- Subjects must not have history or evidence of symptomatic autoimmune glomerulonephritis, vasculitis, or other symptomatic autoimmune disease, or active autoimmune disease or syndrome requiring systemic treatment in the past 2 years (ie, with use of disease modifying agents, steroids or immunosuppressive agents) except vitiligo or resolved childhood asthma/atopy, or evidence of clinically significant immunosuppression.
- Subjects may not have been previously treated with talimogene laherparepvec or any other oncolytic virus.
- Subjects must not have active herpetic skin lesions or prior complications of herpetic infection and must not require intermittent or chronic treatment with an antiherpetic drug (eg, acyclovir), other than intermittent topical use.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
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Experimental: Cohort 1 - Locally Recurrent/Metastatic - Primary Resistance
Includes participants who received anti-PD1 therapy in the locally recurrent/metastatic setting and experienced a best overall response of disease progression or stable disease prior to confirmed disease progression. Participants will receive talimogene laherparepvec at an initial dose of up to 4.0 mL of 10^6 plaque-forming units (PFU)/mL on Day 1. Subsequent doses of up to 4.0 mL of 10^8 PFU/mL will be administered every 3 weeks for up to 35 cycles in total. Participants will also receive pembrolizumab at a dose of 200 mg every 3 weeks for up to 35 cycles. |
Intravenous (IV) infusion.
Intralesional injection into injectable cutaneous, subcutaneous and nodal legions.
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Experimental: Cohort 2 - Locally Recurrent/Metastatic - Acquired Resistance
Includes participants who received anti-PD-1 therapy in the locally recurrent/metastatic setting and experienced confirmed disease progression following a complete or partial response on anti-PD-1 therapy. Participants will receive talimogene laherparepvec at an initial dose of up to 4.0 mL of 10^6 plaque-forming units (PFU)/mL on Day 1. Subsequent doses of up to 4.0 mL of 10^8 PFU/mL will be administered every 3 weeks for up to 35 cycles in total. Participants will also receive pembrolizumab at a dose of 200 mg every 3 weeks for up to 35 cycles. |
Intravenous (IV) infusion.
Intralesional injection into injectable cutaneous, subcutaneous and nodal legions.
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Experimental: Cohort 3 - Adjuvant Setting -Disease Free Interval < 6 months
Includes participants who received anti-PD-1 therapy in the adjuvant setting and experienced confirmed disease progression following a disease-free interval of < 6 months after starting the adjuvant anti-PD-1 therapy. Participants will receive talimogene laherparepvec at an initial dose of up to 4.0 mL of 10^6 plaque-forming units (PFU)/mL on Day 1. Subsequent doses of up to 4.0 mL of 10^8 PFU/mL will be administered every 3 weeks for up to 35 cycles in total. Participants will also receive pembrolizumab at a dose of 200 mg every 3 weeks for up to 35 cycles. |
Intravenous (IV) infusion.
Intralesional injection into injectable cutaneous, subcutaneous and nodal legions.
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Experimental: Cohort 4 - Adjuvant Setting -Disease Free Interval ≥ 6 months
Includes participants who received anti PD-1 therapy in the adjuvant setting and experienced confirmed disease progression following a disease-free interval of ≥ 6 months after starting the adjuvant PD-1 inhibitor. Participants will receive talimogene laherparepvec at an initial dose of up to 4.0 mL of 10^6 plaque-forming units (PFU)/mL on Day 1. Subsequent doses of up to 4.0 mL of 10^8 PFU/mL will be administered every 3 weeks for up to 35 cycles in total. Participants will also receive pembrolizumab at a dose of 200 mg every 3 weeks for up to 35 cycles. |
Intravenous (IV) infusion.
Intralesional injection into injectable cutaneous, subcutaneous and nodal legions.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Objective Response Rate (ORR) Per Modified RECIST v1.1
Time Frame: Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
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ORR was defined as the incidence of a best overall response (BOR) of complete response (CR) or partial response (PR) per modified RECIST v1.1:
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Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Complete Response Rate (CRR) Per Modified RECIST v1.1
Time Frame: Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
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CRR was defined as the incidence of a BOR of CR per modified RECIST v1.1:
Confirmation of CR was not required per modified RECIST v1.1. |
Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
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Complete Response Rate (iCRR) Per Modified Immune-related Response Criteria (irRC) RECIST v1.1
Time Frame: Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
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iCRR was defined as the incidence of a best overall response (iBOR) of a complete response (iCR) per modified irRC-RECIST:
Confirmation of iCR was required per modified irRC-RECIST. |
Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
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BOR Per Modified RECIST v1.1
Time Frame: Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
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BOR was the best overall visit response up to & including the first overall visit response of PD:
Confirmation of CR, PR & PD were not required per modified RECIST 1.1. |
Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
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Best Overall Response (iBOR) Per Modified irRC-RECIST
Time Frame: Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
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iBOR was defined as the best overall visit response up to and including the first overall visit response of progressive disease (iPD) per modified irRC-RECIST:
Confirmation of iCR, iPR and iPD was required per modified irRC-RECIST. |
Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
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Durable Response Rate (DRR) Per Modified RECIST v1.1
Time Frame: Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
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DRR was defined as the percentage of participants with a CR or PR per modified RECIST v1.1 with a duration of response (DOR) ≥ 6 months. One month was calculated based on 365.25 days per year.
Confirmation of CR and PR were not required per modified RECIST v1.1. |
Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
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Durable Response Rate (iDRR) Per Modified irRC-RECIST
Time Frame: Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
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iDRR was defined as the percentage of participants with an iCR or iPR per modified irRC-RECIST with a duration of response (iDOR) ≥ 6 months. One month was calculated based on 365.25 days per year.
Confirmation of iCR and iPR were required per modified irRC-RECIST. |
Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
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DOR Per Modified RECIST v1.1
Time Frame: Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
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DOR was defined as the time from the date of an initial response of CR or PR to the earlier of PD/death. Participants who had not ended their response at the time of analysis were censored at their last evaluable tumor assessment date before start of first subsequent anticancer therapy. One month was calculated based on 365.25 days per year.
Confirmation of CR, PR and PD were not required per modified RECIST v1.1. |
Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
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iDOR Per Modified irRC-RECIST
Time Frame: Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
|
iDOR was defined as the time from the date of an initial response that is subsequently confirmed to the earlier of iPD per modified irRC-RECIST. Participants who had not ended their response at the time of analysis were censored at their last evaluable tumor assessment date before start of first subsequent anticancer therapy. One month was calculated based on 365.25 days per year.
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Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
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Disease Control Rate (DCR) Per Modified RECIST v1.1
Time Frame: Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
|
DCR per modified RECIST v1.1 was defined as the incidence of a BOR of CR, PR or SD.
Confirmation of CR and PR were not required per modified RECIST v1.1. |
Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
|
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Disease Control Rate (iDCR) Per Modified irRC-RECIST
Time Frame: Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
|
iDCR per modified irRC-RECIST was defined as the incidence of an iBOR of iCR, iPR or iSD.
Confirmation of iCR and iPR were required per modified irRC-RECIST. |
Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
|
|
Objective Response Rate (iORR) Per Modified irRC-RECIST
Time Frame: Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
|
iORR was defined as the incidence of an iBOR of iCR or iPR per modified irRC-RECIST
Confirmation of iCR and iPR were required per modified irRC-RECIST. |
Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
|
|
Progression Free Survival (PFS) Per Modified RECIST v1.1
Time Frame: Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
|
PFS per modified RECIST 1.1 was defined as the interval from first dose to the earlier event of PD or death from any cause. Participants without an event were censored at their last evaluable post-baseline tumor assessment if available, otherwise were censored on study Day 1. One month was calculated based on 365.25 days per year. - PD: At least a 20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5mm. Unequivocal progression of existing non-target lesions. |
Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
|
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Progression Free Survival (iPFS) Per Modified irRC-RECIST
Time Frame: Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
|
iPFS per modified irRC-RECIST was defined as the interval from first dose to the earlier event of iPD or death from any cause. Participants without an event were censored at their last evaluable post-baseline tumor assessment if available, otherwise were censored on study Day 1. One month was calculated based on 365.25 days per year. - iPD: Increase in tumor burden ≥ 20% and at least 5 mm absolute increase. |
Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
|
|
Overall Survival (OS)
Time Frame: Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
|
OS was defined as the interval from first dose to death from any cause.
Participants without an event were censored at the last date known to be alive.
One month was calculated based on 365.25 days per year.
|
Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
|
|
Number of Participants Who Experienced a Treatment-emergent Adverse Event (TEAE)
Time Frame: Serious TEAEs were collected up to 90 days post-last dose of treatment. Non-serious TEAEs were collected up to 30 days post-last dose of treatment. The maximum duration of treatment exposure was 105.9 weeks.
|
Evaluation of TEAEs included the number of participants with at least 1:
Serious TEAEs were collected up to 90 days post-last dose of treatment. Non-serious TEAEs were collected up to 30 days post-last dose of treatment. A CTCAE grade ≥ 3 was determined using the CTCAE grading systems based on CTCAE version 5.0 per the below definitions:
Abnormal laboratory tests were also recorded as TEAEs. |
Serious TEAEs were collected up to 90 days post-last dose of treatment. Non-serious TEAEs were collected up to 30 days post-last dose of treatment. The maximum duration of treatment exposure was 105.9 weeks.
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Time to First Subsequent Anti-cancer Therapy
Time Frame: Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
|
Time to first subsequent anti-cancer therapy was defined as the time from enrollment to the start of subsequent anticancer therapy.
Participants who did not start subsequent anticancer therapy were censored as the last known to be alive date.
One month was calculated based on 365.25 days per year.
|
Every 12 weeks. Maximum overall time on-study (treatment + follow up) was 46.23 months
|
Collaborators and Investigators
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Neoplasms by Site
- Neoplasms
- Neoplasms by Histologic Type
- Skin Diseases
- Neuroectodermal Tumors
- Neoplasms, Germ Cell and Embryonal
- Neoplasms, Nerve Tissue
- Neuroendocrine Tumors
- Nevi and Melanomas
- Skin Neoplasms
- Melanoma
- Antineoplastic Agents, Immunological
- Immune Checkpoint Inhibitors
- Antineoplastic Agents
- Molecular Mechanisms of Pharmacological Action
- Talimogene laherparepvec
- Pembrolizumab
Other Study ID Numbers
- 20180115
- 2019-001906-61 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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