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GAd-209-FSP low dose

Phase 1

Solid Tumor, Adult | Monoclonal antibody | Oncology |Merck & Company, Inc.|Last Updated: Feb 13, 2026

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment115

FDA Designations

No designations recorded

Clinical trial landscape

GAd-209-FSP low dose · 1 trial · 1 indication

Phase 1 1
NCT04041310Nous-209 Genetic Vaccine for the Treatment of Microsatellite Unstable Solid TumorsSolid Tumor, Adult
ACTIVE NOT_RECRUITING115 Analytics
PHASE1ACTIVE NOT_RECRUITING
Nous-209 Genetic Vaccine for the Treatment of Microsatellite Unstable Solid Tumors
Solid Tumor, AdultUnlock trial analytics

Study Endpoints

Primary Endpoints

Toxicity (DLT assessment), in Phase I, Cohort A
Within 28 days

Toxicity analyzed within 28-days from the administration of the prime vaccination with GAd20-209-FSP

Safety and Tolerability, in Phase I, Cohort A and B.
Up to 110 weeks

AEs as characterized by type, severity (graded by the National Cancer Institute \[NCI\] Common Terminology Criteria for Adverse Events \[CTCAE\] v.5.0), timing, seriousness, and relationship to study treatments.

Overall Response Rate (ORR) at any time during the study, in Phase II (Cohort C and D).
18 months

Assessed using RECIST v1.1

Secondary Endpoints

Immunogenicity (T cell responses against vaccine FSPs) in Phase I, Cohorts A and B
Through study completion, an average of 2 years
Safety and tolerability (local and systemic AEs), in Phase II (Cohort C and D)
Up to 24 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Cohort A - Dose-escalationEXPERIMENTALPhase I. Part 1. Dose escalation cohort. Subjects treated with low dose or with high dose of GAd20-209-FSP prime and MVA-209-FSP boosts to define the RP2D, in combination with pembrolizumab. Phase I. Part 2 - Extended Follow-up from week 27 to week 110. Subjects with unresectable or metastatic deficient mismatch repair (dMMR) or MSI-H CRC, gastric, or gastro-esophageal junction (G-E junction) tumors.
Cohort B - Expansion Cohort Phase IEXPERIMENTALPhase I. Part 1. Expansion cohort at RP2D. Subjects treated with RP2D dose of GAd20-209-FSP prime and MVA-209-FSP boosts, in combination with pembrolizumab. Phase I. Part 2 - Extended Follow-up from week 27 to week 110. Subjects with unresectable or metastatic dMMR or MSI-H CRC, gastric, or G-E junction tumors.
Cohort C - Expansion cohort Phase IIEXPERIMENTALPhase II. Subjects with locally advanced unresectable or metastatic, microsatellite instability high (MSI-H) or dMMR CRC who are eligible for anti-PD-1 1st line of treatment. Subjects will be randomized with an allocation ratio 2:1 to Nous-209 vaccine plus Keytruda® (pembrolizumab) combination therapy versus pembrolizumab monotherapy.
Cohort D - Expansion cohort Phase IIEXPERIMENTALPhase II. Subjects with locally advanced unresectable or metastatic, microsatellite instability high (MSI-H) or dMMR CRC who have had radiographic progression (PD) after having a best response of stable disease (SD) or better on/after anti-PD1 treatment. Nous-209 vaccine plus Keytruda® (pembrolizumab) combination therapy.

Interventions

NameTypeDescription
GAd-209-FSP low doseBIOLOGICALGAd20-209-FSP IP, low dose
MVA-209-FSP low doseBIOLOGICALMVA-209-FSP IP, low dose
GAd-209-FSP high doseBIOLOGICALGAd20-209-FSP IP, high dose
MVA-209-FSP high doseBIOLOGICALMVA-209-FSP IP, high dose
GAd20-209-FSP, RP2DBIOLOGICALGAd20-209-FSP IP, RP2D
MVA-209-FSP, RP2DBIOLOGICALMVA-209-FSP IP, RP2D
KEYTRUDA®DRUGanti-PD-1 checkpoint inhibitor (200 mg; Q3W)
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites46

Inclusion Criteria for Cohort C (Phase II) In order to be eligible, the subject must: 1. Have the ability to comprehend and willingness to provide written informed consent (ICF) for the study. 2. Have previously proven microsatellite instability-high (MSI-H) or mismatch repair deficient (dMMR) sta...

Countries:United StatesBelgiumCanadaItalySpainUnited Kingdom
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