A phase 1b single-arm trial of intratumoral oncolytic virus V937 in combination with pembrolizumab in patients with advanced melanoma: results from the CAPRA study

Background CAPRA (NCT02565992) evaluated Coxsackievirus A21 (V937) + pembrolizumab for metastatic/unresectable stage IIIB–IV melanoma. Methods Patients received intratumoral V937 on days 1, 3, 5, and 8 (then every 3 weeks [Q3W]) and intravenous pembrolizumab 2 mg/kg Q3W from day 8. Primary endpoint...

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Veröffentlicht in:Cancer Immunology, Immunotherapy Immunotherapy, 2023-06, Vol.72 (6), p.1405-1415
Hauptverfasser: Silk, Ann W., O’Day, Steven J., Kaufman, Howard L., Bryan, Jennifer, Norrell, Jacqueline T., Imbergamo, Casey, Portal, Daniella, Zambrano-Acosta, Edwin, Palmeri, Marisa, Fein, Seymour, Wu, Cai, Guerreiro, Leslie, Medina, Daniel, Bommareddy, Praveen K., Zloza, Andrew, Fox, Bernard A., Ballesteros-Merino, Carmen, Ren, Yixin, Shafren, Darren, Grose, Mark, Vieth, Joshua A., Mehnert, Janice M.
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container_end_page 1415
container_issue 6
container_start_page 1405
container_title Cancer Immunology, Immunotherapy
container_volume 72
creator Silk, Ann W.
O’Day, Steven J.
Kaufman, Howard L.
Bryan, Jennifer
Norrell, Jacqueline T.
Imbergamo, Casey
Portal, Daniella
Zambrano-Acosta, Edwin
Palmeri, Marisa
Fein, Seymour
Wu, Cai
Guerreiro, Leslie
Medina, Daniel
Bommareddy, Praveen K.
Zloza, Andrew
Fox, Bernard A.
Ballesteros-Merino, Carmen
Ren, Yixin
Shafren, Darren
Grose, Mark
Vieth, Joshua A.
Mehnert, Janice M.
description Background CAPRA (NCT02565992) evaluated Coxsackievirus A21 (V937) + pembrolizumab for metastatic/unresectable stage IIIB–IV melanoma. Methods Patients received intratumoral V937 on days 1, 3, 5, and 8 (then every 3 weeks [Q3W]) and intravenous pembrolizumab 2 mg/kg Q3W from day 8. Primary endpoint was safety. Results Median time from first dose to data cutoff was 32.0 months. No dose-limiting toxicities occurred; 14% (5/36) of patients experienced grade 3‒5 treatment-related adverse events. Objective response rate was 47% (complete response, 22%). Among 17 responders, 14 (82%) had responses ≥ 6 months. Among 8 patients previously treated with immunotherapy, 3 responded (1 complete, 2 partial). Responses were associated with increased serum CXCL10 and CCL22, suggesting viral replication contributes to antitumor immunity. For responders versus nonresponders, there was no difference in baseline tumor PD-L1 expression, ICAM1 expression, or CD3 + infiltrates. Surprisingly, the baseline cell density of CD3 + CD8 − T cells in the tumor microenvironment was significantly lower in responders compared with nonresponders ( P  = 0.0179). Conclusions These findings suggest responses to this combination may be seen even in patients without a typical “immune-active” microenvironment. Trial registration number NCT02565992.
doi_str_mv 10.1007/s00262-022-03314-1
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Methods Patients received intratumoral V937 on days 1, 3, 5, and 8 (then every 3 weeks [Q3W]) and intravenous pembrolizumab 2 mg/kg Q3W from day 8. Primary endpoint was safety. Results Median time from first dose to data cutoff was 32.0 months. No dose-limiting toxicities occurred; 14% (5/36) of patients experienced grade 3‒5 treatment-related adverse events. Objective response rate was 47% (complete response, 22%). Among 17 responders, 14 (82%) had responses ≥ 6 months. Among 8 patients previously treated with immunotherapy, 3 responded (1 complete, 2 partial). Responses were associated with increased serum CXCL10 and CCL22, suggesting viral replication contributes to antitumor immunity. For responders versus nonresponders, there was no difference in baseline tumor PD-L1 expression, ICAM1 expression, or CD3 + infiltrates. Surprisingly, the baseline cell density of CD3 + CD8 − T cells in the tumor microenvironment was significantly lower in responders compared with nonresponders ( P  = 0.0179). Conclusions These findings suggest responses to this combination may be seen even in patients without a typical “immune-active” microenvironment. Trial registration number NCT02565992.</description><identifier>ISSN: 0340-7004</identifier><identifier>EISSN: 1432-0851</identifier><identifier>DOI: 10.1007/s00262-022-03314-1</identifier><identifier>PMID: 36445410</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Animals ; Antibodies, Monoclonal, Humanized - adverse effects ; Cancer Research ; CCL22 protein ; CD3 antigen ; CD8 antigen ; Cell density ; CXCL10 protein ; Goats ; Humans ; Immunology ; Immunotherapy ; Intercellular adhesion molecule 1 ; Lymphocytes T ; Medicine ; Medicine &amp; Public Health ; Melanoma ; Melanoma - drug therapy ; Metastases ; Oncology ; Oncolysis ; Oncolytic Viruses ; PD-L1 protein ; Pembrolizumab ; Tumor Microenvironment ; Tumors</subject><ispartof>Cancer Immunology, Immunotherapy, 2023-06, Vol.72 (6), p.1405-1415</ispartof><rights>The Author(s) 2022</rights><rights>2022. The Author(s).</rights><rights>The Author(s) 2022. 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Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-43858cb1627049ba5acc50e015657d78e17b58440514cd671d2ebed8b31406ee3</citedby><cites>FETCH-LOGICAL-c475t-43858cb1627049ba5acc50e015657d78e17b58440514cd671d2ebed8b31406ee3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10198910/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10198910/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,41488,42557,51319,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36445410$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Silk, Ann W.</creatorcontrib><creatorcontrib>O’Day, Steven J.</creatorcontrib><creatorcontrib>Kaufman, Howard L.</creatorcontrib><creatorcontrib>Bryan, Jennifer</creatorcontrib><creatorcontrib>Norrell, Jacqueline T.</creatorcontrib><creatorcontrib>Imbergamo, Casey</creatorcontrib><creatorcontrib>Portal, Daniella</creatorcontrib><creatorcontrib>Zambrano-Acosta, Edwin</creatorcontrib><creatorcontrib>Palmeri, Marisa</creatorcontrib><creatorcontrib>Fein, Seymour</creatorcontrib><creatorcontrib>Wu, Cai</creatorcontrib><creatorcontrib>Guerreiro, Leslie</creatorcontrib><creatorcontrib>Medina, Daniel</creatorcontrib><creatorcontrib>Bommareddy, Praveen K.</creatorcontrib><creatorcontrib>Zloza, Andrew</creatorcontrib><creatorcontrib>Fox, Bernard A.</creatorcontrib><creatorcontrib>Ballesteros-Merino, Carmen</creatorcontrib><creatorcontrib>Ren, Yixin</creatorcontrib><creatorcontrib>Shafren, Darren</creatorcontrib><creatorcontrib>Grose, Mark</creatorcontrib><creatorcontrib>Vieth, Joshua A.</creatorcontrib><creatorcontrib>Mehnert, Janice M.</creatorcontrib><title>A phase 1b single-arm trial of intratumoral oncolytic virus V937 in combination with pembrolizumab in patients with advanced melanoma: results from the CAPRA study</title><title>Cancer Immunology, Immunotherapy</title><addtitle>Cancer Immunol Immunother</addtitle><addtitle>Cancer Immunol Immunother</addtitle><description>Background CAPRA (NCT02565992) evaluated Coxsackievirus A21 (V937) + pembrolizumab for metastatic/unresectable stage IIIB–IV melanoma. Methods Patients received intratumoral V937 on days 1, 3, 5, and 8 (then every 3 weeks [Q3W]) and intravenous pembrolizumab 2 mg/kg Q3W from day 8. Primary endpoint was safety. Results Median time from first dose to data cutoff was 32.0 months. No dose-limiting toxicities occurred; 14% (5/36) of patients experienced grade 3‒5 treatment-related adverse events. Objective response rate was 47% (complete response, 22%). Among 17 responders, 14 (82%) had responses ≥ 6 months. Among 8 patients previously treated with immunotherapy, 3 responded (1 complete, 2 partial). Responses were associated with increased serum CXCL10 and CCL22, suggesting viral replication contributes to antitumor immunity. For responders versus nonresponders, there was no difference in baseline tumor PD-L1 expression, ICAM1 expression, or CD3 + infiltrates. Surprisingly, the baseline cell density of CD3 + CD8 − T cells in the tumor microenvironment was significantly lower in responders compared with nonresponders ( P  = 0.0179). Conclusions These findings suggest responses to this combination may be seen even in patients without a typical “immune-active” microenvironment. 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O’Day, Steven J. ; Kaufman, Howard L. ; Bryan, Jennifer ; Norrell, Jacqueline T. ; Imbergamo, Casey ; Portal, Daniella ; Zambrano-Acosta, Edwin ; Palmeri, Marisa ; Fein, Seymour ; Wu, Cai ; Guerreiro, Leslie ; Medina, Daniel ; Bommareddy, Praveen K. ; Zloza, Andrew ; Fox, Bernard A. ; Ballesteros-Merino, Carmen ; Ren, Yixin ; Shafren, Darren ; Grose, Mark ; Vieth, Joshua A. ; Mehnert, Janice M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-43858cb1627049ba5acc50e015657d78e17b58440514cd671d2ebed8b31406ee3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Animals</topic><topic>Antibodies, Monoclonal, Humanized - adverse effects</topic><topic>Cancer Research</topic><topic>CCL22 protein</topic><topic>CD3 antigen</topic><topic>CD8 antigen</topic><topic>Cell density</topic><topic>CXCL10 protein</topic><topic>Goats</topic><topic>Humans</topic><topic>Immunology</topic><topic>Immunotherapy</topic><topic>Intercellular adhesion molecule 1</topic><topic>Lymphocytes T</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Melanoma</topic><topic>Melanoma - drug therapy</topic><topic>Metastases</topic><topic>Oncology</topic><topic>Oncolysis</topic><topic>Oncolytic Viruses</topic><topic>PD-L1 protein</topic><topic>Pembrolizumab</topic><topic>Tumor Microenvironment</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Silk, Ann W.</creatorcontrib><creatorcontrib>O’Day, Steven J.</creatorcontrib><creatorcontrib>Kaufman, Howard L.</creatorcontrib><creatorcontrib>Bryan, Jennifer</creatorcontrib><creatorcontrib>Norrell, Jacqueline T.</creatorcontrib><creatorcontrib>Imbergamo, Casey</creatorcontrib><creatorcontrib>Portal, Daniella</creatorcontrib><creatorcontrib>Zambrano-Acosta, Edwin</creatorcontrib><creatorcontrib>Palmeri, Marisa</creatorcontrib><creatorcontrib>Fein, Seymour</creatorcontrib><creatorcontrib>Wu, Cai</creatorcontrib><creatorcontrib>Guerreiro, Leslie</creatorcontrib><creatorcontrib>Medina, Daniel</creatorcontrib><creatorcontrib>Bommareddy, Praveen K.</creatorcontrib><creatorcontrib>Zloza, Andrew</creatorcontrib><creatorcontrib>Fox, Bernard A.</creatorcontrib><creatorcontrib>Ballesteros-Merino, Carmen</creatorcontrib><creatorcontrib>Ren, Yixin</creatorcontrib><creatorcontrib>Shafren, Darren</creatorcontrib><creatorcontrib>Grose, Mark</creatorcontrib><creatorcontrib>Vieth, Joshua A.</creatorcontrib><creatorcontrib>Mehnert, Janice M.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database (Proquest)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; 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Methods Patients received intratumoral V937 on days 1, 3, 5, and 8 (then every 3 weeks [Q3W]) and intravenous pembrolizumab 2 mg/kg Q3W from day 8. Primary endpoint was safety. Results Median time from first dose to data cutoff was 32.0 months. No dose-limiting toxicities occurred; 14% (5/36) of patients experienced grade 3‒5 treatment-related adverse events. Objective response rate was 47% (complete response, 22%). Among 17 responders, 14 (82%) had responses ≥ 6 months. Among 8 patients previously treated with immunotherapy, 3 responded (1 complete, 2 partial). Responses were associated with increased serum CXCL10 and CCL22, suggesting viral replication contributes to antitumor immunity. For responders versus nonresponders, there was no difference in baseline tumor PD-L1 expression, ICAM1 expression, or CD3 + infiltrates. Surprisingly, the baseline cell density of CD3 + CD8 − T cells in the tumor microenvironment was significantly lower in responders compared with nonresponders ( P  = 0.0179). Conclusions These findings suggest responses to this combination may be seen even in patients without a typical “immune-active” microenvironment. Trial registration number NCT02565992.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>36445410</pmid><doi>10.1007/s00262-022-03314-1</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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1432-0851
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source MEDLINE; SpringerLink Journals (MCLS); PubMed Central
subjects Animals
Antibodies, Monoclonal, Humanized - adverse effects
Cancer Research
CCL22 protein
CD3 antigen
CD8 antigen
Cell density
CXCL10 protein
Goats
Humans
Immunology
Immunotherapy
Intercellular adhesion molecule 1
Lymphocytes T
Medicine
Medicine & Public Health
Melanoma
Melanoma - drug therapy
Metastases
Oncology
Oncolysis
Oncolytic Viruses
PD-L1 protein
Pembrolizumab
Tumor Microenvironment
Tumors
title A phase 1b single-arm trial of intratumoral oncolytic virus V937 in combination with pembrolizumab in patients with advanced melanoma: results from the CAPRA study
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T10%3A34%3A46IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20phase%201b%20single-arm%20trial%20of%20intratumoral%20oncolytic%20virus%20V937%20in%20combination%20with%20pembrolizumab%20in%20patients%20with%20advanced%20melanoma:%20results%20from%20the%20CAPRA%20study&rft.jtitle=Cancer%20Immunology,%20Immunotherapy&rft.au=Silk,%20Ann%20W.&rft.date=2023-06-01&rft.volume=72&rft.issue=6&rft.spage=1405&rft.epage=1415&rft.pages=1405-1415&rft.issn=0340-7004&rft.eissn=1432-0851&rft_id=info:doi/10.1007/s00262-022-03314-1&rft_dat=%3Cproquest_pubme%3E2815843086%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2815843086&rft_id=info:pmid/36445410&rfr_iscdi=true