Actively Recruiting

Phase 1
Age: 18Years +
All Genders
NCT06736379

Intratumoral Delivery of Viral Replicon (saRNA) Particles Expressing IL-12 in Head and Neck Cancer

Led by VLP Therapeutics · Updated on 2026-01-20

41

Participants Needed

1

Research Sites

137 weeks

Total Duration

On this page

Sponsors

V

VLP Therapeutics

Lead Sponsor

S

Stanford University

Collaborating Sponsor

AI-Summary

What this Trial Is About

The goal of this clinical trial is to assess the safety and tolerability of a virus replicon particle (VRP) encapsulated saRNA encoding IL-12 when injected into in head and neck cancer patients. The main questions being addressed are: The safety and tolerability of intratumoral (IT) injections of VRP-encapsulated saRNA encoding IL-12 (VLPONC-01) The tumor response to IT injections of VLPONC-01 The tumor response due to the combination of IT injections of VLPONC-01 and system IV administration of neoadjuvant pembrolizumab (anti-PD-1) treatment Researchers will compare neoadjuvant pembrolizumab alone to the combination therapy to see if the combination enhances tumor responses.

CONDITIONS

Official Title

Intratumoral Delivery of Viral Replicon (saRNA) Particles Expressing IL-12 in Head and Neck Cancer

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Cohort A: Patients with unresectable or recurrent/metastatic head and neck cancer with at least one injectable tumor not scheduled for surgery
  • Prior treatment with platinum chemotherapy, 5-Fluorouracil, taxane chemotherapy, cetuximab, or gemcitabine for primary tumor
  • Prior treatment with anti-PD-1/PD-L1 therapy alone or with chemotherapy
  • Must have progressed after PD-1 or PD-L1 checkpoint inhibitor therapy with progression confirmed by CT scans
  • Patients with EGFR mutation or ALK rearrangement previously treated with tyrosine kinase inhibitors
  • Cohort C: Patients with at least one measurable resectable lesion, clinical stage I-IVb, confirmed HNSCC, scheduled for tumor surgical resection
  • Eastern Cooperative Oncology Group (ECOG) performance status 0-1
  • Primary tumors must be suitable for intratumoral injection larger than 1 cm
  • Patients with local recurrence or new primary tumor allowed
  • Age 18 years or older
  • Adequate bone marrow and organ function, including specified blood count and liver function levels
  • Ability to understand and provide written informed consent
  • Life expectancy greater than 12 weeks
  • Willing and able to comply with scheduled visits, treatments, and study procedures
Not Eligible

You will not qualify if you...

  • Tumors not feasible for injection due to proximity to vital organs or neurovascular structures
  • Women of childbearing potential without negative pregnancy tests before first treatment
  • Women and men must agree to use two effective contraception methods or abstain from sexual activity during and 6 months after treatment
  • Patients expecting to receive other anti-cancer treatments before surgery with unresolved toxicity
  • Participation in another investigational drug study within 30 days
  • Uncontrolled illnesses not responding to treatment
  • Use of immunosuppressive medication within 28 days before first injection, except certain corticosteroids
  • Women who are breastfeeding
  • History of allogeneic organ transplant requiring immunosuppressives
  • Active or uncontrolled infections including HIV or chronic hepatitis B or C
  • Any condition interfering with study treatment evaluation or patient safety
  • Known hypersensitivity to any immune therapy drugs

AI-Screening

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Trial Site Locations

Total: 1 location

1

Stanford University

Stanford, California, United States, 34305

Actively Recruiting

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Research Team

C

Clinical Research Coordinator

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

4

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