Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
VRx-3996 and valganciclovir · 1 trial · 2 indications
Number (percentage) of patients experiencing at least one treatment-emergent adverse event, defined as those untoward medical events with onset after the first dose of study drug or existing events that worsened after the first dose during the study
Number (percentage) of patients experiencing a DLT during the first cycle (28 days) of study treatment in Phase 1b, defined as an adverse event (AE) or clinically significant abnormal laboratory value that was at least possibly related to study drugs and was not primarily related to disease, disease progression, concomitant medication(s), or intercurrent illness. In addition, to be considered a DLT, the AE had to meet at least one of the following criteria: * Grade 4 anemia unexplained by underlying disease * Grade 4 febrile neutropenia * Grade 4 neutropenia lasting \>5 days * Any other Grade 4 hematologic toxicity (thrombocytopenia, neutropenia, febrile neutropenia, anemia) of any duration * Grade 4 or higher tumor lysis syndrome * Grade 3 or higher thrombocytopenia (with or without bleeding) * Any requirement for platelet transfusion * Grade 3 or higher non-hematologic toxicity despite adequate supportive care * Results in a dose hold of \>7 consecutive days
Number (percentage) of patients with a best overall complete response (CR) or partial response (PR) according to the Lugano 2014 criteria (Cheson, Bruce D. et al. J Clin Oncology 2014;32(27):3059-68), where CR included complete metabolic response (no/minimal fluorodeoxyglucose \[FDG\] uptake) and radiologic response (target lesions regress to ≤1.5 cm in longest transverse diameter of a lesion) and no new lesions, and PR included partial metabolic response (reduced FDG uptake compared with baseline) or radiologic response (target lesions ≤ 50% decrease in the sum of the product of perpendicular diameters of up to 6 target measurable nodes and extranodal sites)
| Arm | Type | Description |
|---|---|---|
| Phase 1b Dose Escalation | EXPERIMENTAL | VRx-3996 (cohort 1) and valganciclovir VRx-3996 (cohort 2) and valganciclovir VRx-3996 (cohort 3) and valganciclovir VRx-3996 (cohort 4) and valganciclovir VRx-3996 (cohort 5) and valganciclovir |
| Phase 2 Expansion - Capsule | EXPERIMENTAL | VRx-3996 and valganciclovir at the recommended Phase 2 dose (RP2D) |
| Phase 2 Expansion - Tablet | EXPERIMENTAL | VRx-3996 and valganciclovir at the recommended Phase 2 dose (RP2D) |
| Name | Type | Description |
|---|---|---|
| VRx-3996 and valganciclovir | COMBINATION_PRODUCT | second-generation histone deacetylase (HDAC) inhibitor, nanatinostat (previously referred to as either VRx-3996 or CHR-3396) |
Key Inclusion Criteria: * Relapsed/refractory, pathologically confirmed Epstein-Barr Virus positive (EBV+) lymphoid malignancy or lymphoproliferative disease * Absence of available therapy with reasonable likelihood of cure or significant clinical benefit * Adequate hematologic, hepatic and renal f...
VRx-3996 and valganciclovir is an investigational combination being studied for the treatment of Epstein-Barr Virus-Associated Lymphoma and lymphoproliferative disorders. It is a small molecule therapy in Phase 1 clinical development for oncology indications.
VRx-3996 and valganciclovir is being developed by Viracta Therapeutics, Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol VIRX.
VRx-3996 and valganciclovir is in Phase 1 clinical development. It is an investigational therapy and has not been approved by the FDA. One Phase 1 trial has been completed.
VRx-3996 and valganciclovir was studied in a completed Phase 1 trial, NCT03397706, titled 'Dose Escalation & Expansion Study of Oral VRx-3996 & Valganciclovir in Subjects With EBV+ Lymphoid Malignancies.' The trial enrolled 64 participants in the United States and Brazil.
VRx-3996 and valganciclovir is a combination therapy that includes valganciclovir, an antiviral drug, together with VRx-3996. The combination is being studied for Epstein-Barr Virus-Associated Lymphoma, whereas valganciclovir alone is used for other indications.