Phase 2 Study of V937 Plus Pembrolizumab

  • Research type

    Research Study

  • Full title

    A Phase 2, Randomized Clinical Study of Intravenous or Intratumoral Administration of V937 in Combination with Pembrolizumab (MK-3475) Versus Pembrolizumab Alone in Participants with Advanced/Metastatic Melanoma

  • IRAS ID

    270818

  • Contact name

    James Larkin

  • Contact email

    James.Larkin@rmh.nhs.uk

  • Eudract number

    2019-002034-36

  • Duration of Study in the UK

    3 years, 6 months, 25 days

  • Research summary

    Melanoma is the most serious form of skin cancer and strikes adults of all ages. There are approximately 11,000 deaths annually in the World Health Organisation (WHO) Europe region and the 5-year survival rate is 15% once patients have progressed to late stage disease.

    Significant progress has been made in the field of immunotherapy to treat cancer, however, many advanced cancer patients do not respond to immunotherapy alone. There is a great unmet medical need for therapeutic agents that can enhance the effect of immunotherapy.

    V937 is an oncolytic viral therapy developed to treat advanced cancers by preferentially infecting cancer cells. There is increasing evidence that suggests a viral infection within a tumour will cause an inflammatory response which may stimulate an immune response against a patient’s cancer.

    Pembrolizumab has been developed to block PD1/PDL1 interaction, thereby increasing the immune attack on cancers. Programmed cell death 1 (PD1) is a protein present on the surface of immune (attacking) cells which fight cancer. When immune cells meet cancer cells, PD1 becomes activated by programmed cell death ligands 1 and 2 (PDL1 and PDL2) which are proteins on the surface of cancer cells. The activated immune cells die thus stopping them from attacking the cancer.

    The purpose of the study is to assess whether V937 in combination with pembrolizumab is superior to pembrolizumab alone in patients with melanoma.

    The phase II study will last approximately 3 years and will recruit approximately 135 male/female participants aged 18 years or over. They will be randomly assigned into one of three treatment arms and will receive treatment in 21 cycles for approximately 2 years following an initial 28-day cycle.

    The study is sponsored and funded by Merck Sharp & Dohme Limited (MSD). It will take place at 2 study centres in the UK.

  • REC name

    London - Hampstead Research Ethics Committee

  • REC reference

    19/LO/1451

  • Date of REC Opinion

    16 Sep 2019

  • REC opinion

    Favourable Opinion