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Pexastimogene Devacirepvec

Phase 1

Renal Cell Carcinoma | Monoclonal antibody | Oncology |Regeneron Pharmaceuticals, Inc.|Last Updated: Oct 27, 2022

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedCONTROLLEDBiomarker
Total Trials1
Total Enrollment89
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03294083A Study of Recombinant Vaccinia Virus in Combination With Cemiplimab for Renal Cell CarcinomaPHASE1 ACTIVE NOT_RECRUITING 89Jun 7, 2018Nov 1, 2023Oct 27, 202218 United States, Australia +1
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Study Endpoints
Primary Endpoints
Maximum tolerated dose(MTD) / Maximum feasible dose (MFD)
36 days after first treatment

MTD/MFD of Pexa-Vec administered by IV infusion in combination with Cemiplimab

Severity and frequency of adverse events to determine safety of Pexa-Vec administered by IV infusions or IT injections in combination with IV Cemiplimab
From date of first treatment until 28 days after last treatment

Safety will be determined by assessing the severity and frequency of adverse events and laboratory toxicity using CTCAE v4.03

Overall response rate
Every 9 weeks, then every 12 weeks after 1 year until date of first documented progression, up to 72 months

Evaluate anti-tumor activity and efficacy of IV or IT Pexa-Vec combined with IV Cemiplimab with respect to overall response rate (ORR) per Response Evaluation Criteria In Solid Tumors (RECIST 1.1)

Secondary Endpoints
Progression free survival
Every 9 weeks, then every 12 weeks after 1 year until date of first documented progression, up to 72 months
Disease control rate
Every 9 weeks, then every 12 weeks after 1 year until date of first documented progression, up to 72 months
Best radiographic response
Every 9 weeks, then every 12 weeks after 1 year until date of first documented progression, up to 72 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Part 1, Dose escalationEXPERIMENTALPexa-Vec will be administered via IV infusion at a dose of 3 x 10\^8 pfu once per week for 4 treatments. Based on the occurrence of dose-limiting toxicities, patients may subsequently be enrolled to receive Pexa-Vec on the same schedule at a dose of 1 x 10\^9 pfu. Cemiplimab will be administered via IV infusion every 3 weeks.
Part 2-Arm A, Pexa-Vec (IT) and CemiplimabEXPERIMENTALPexa-Vec will be administered via IT (intratumoral) injection every 2 weeks for 3 treatments. Cemiplimab will be administered via IV infusion every 3 weeks.
Part 2-Arm B, CemiplimabEXPERIMENTALCemiplimab will be administered via IV infusion every 3 weeks. At disease progression, Pexa-Vec will be administered via IT (intratumoral) injection every 2 weeks for 3 treatments. Cemiplimab will continue every 3 weeks.
Part 2-Arm C, Pexa-Vec (IV) and CemiplimabEXPERIMENTALPexa-Vec will be administered via IV infusion once per week for 4 treatments. Cemiplimab will be administered via IV infusion every 3 weeks.
Part 2-Arm D, Pexa-Vec (IV) and CemiplimabEXPERIMENTALPexa-Vec will be administered via IV infusion once per week for 4 treatments. Cemiplimab will be administered via IV infusion every 3 weeks.
Interventions
NameTypeDescription
Pexastimogene Devacirepvec (Pexa-Vec)BIOLOGICALPexa-Vec is a vaccinia virus based oncolytic immunotherapy designed to stimulate the immune system following infection and replication within tumor cells
CemiplimabBIOLOGICALCemiplimab is a monoclonal antibody to Programmed Death-1 (PD-1)
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites18

Inclusion Criteria: * Histologically or cytologically confirmed metastatic or unresectable clear cell renal cell carcinoma (ccRCC) * Part 2 Arm D ONLY: Patients must be refractory to anti PD-1 or anti-PD-L1 (either as monotherapy or in-combination with other approved checkpoint inhibitors or target...

Countries:United StatesAustraliaSouth Korea
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT03294083primaryCompletionDate: changed
LOWMay 24, 2026NCT03294083studyFirstPostDate: changed