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Pexastimogene Devacirepvec

Phase 1

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

Target and mechanism

Molecular targetCSF2
Target classVaccine Antigen
ModalityMonoclonal antibody

Also known as Pexastimogene Devacirepvec (Pexa-Vec)

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLED
Total Trials1
Total Enrollment89

FDA Designations

No designations recorded

Clinical trial landscape

Pexastimogene Devacirepvec · 1 trial · 1 indication

Phase 1 1
NCT03294083A Study of Recombinant Vaccinia Virus in Combination With Cemiplimab for Renal Cell CarcinomaRenal Cell Carcinoma
ACTIVE NOT_RECRUITING89 Analytics
PHASE1ACTIVE NOT_RECRUITING
A Study of Recombinant Vaccinia Virus in Combination With Cemiplimab for Renal Cell Carcinoma
Renal Cell CarcinomaUnlock trial analytics

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 to 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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Frequently asked questions about Pexastimogene Devacirepvec

What is Pexastimogene Devacirepvec used for?

Pexastimogene Devacirepvec, also known as Pexa-Vec, is an investigational gene therapy being studied for the treatment of Renal Cell Carcinoma. It is currently in Phase 1 clinical development and is not yet approved by regulatory authorities.

What does Pexastimogene Devacirepvec target?

Pexastimogene Devacirepvec is a gene therapy that belongs to the -vec/-gene (gene tx) target class. It is designed to deliver genetic material into cells to produce a therapeutic effect, specifically in the context of Renal Cell Carcinoma.

Who makes Pexastimogene Devacirepvec?

Pexastimogene Devacirepvec is being developed by Regeneron Pharmaceuticals, Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol REGN.

What phase is Pexastimogene Devacirepvec in?

Pexastimogene Devacirepvec is currently in Phase 1 clinical development. It is an investigational drug and has not been approved by the FDA or any other regulatory agency for the treatment of Renal Cell Carcinoma.

What clinical trials is Pexastimogene Devacirepvec in?

Pexastimogene Devacirepvec is being studied in a Phase 1 clinical trial with the identifier NCT03294083. This trial, titled 'A Study of Recombinant Vaccinia Virus in Combination With Cemiplimab for Renal Cell Carcinoma,' is active but not recruiting and has an enrollment of 89 participants.

Is Pexastimogene Devacirepvec the same as Pexa-Vec?

Yes, Pexastimogene Devacirepvec is also known as Pexa-Vec. Both names refer to the same investigational gene therapy being developed for Renal Cell Carcinoma.