Clinical activity of single-dose systemic oncolytic VSV virotherapy in patients with relapsed refractory T-cell lymphoma.
Joselle Cook, Kah-Whye Peng, Thomas E Witzig...
https://pubmed.ncbi.nlm.nih.gov/35175355/Actively Recruiting
Led by Mayo Clinic · Updated on 2026-07-01
21
Participants Needed
2
Research Sites
169 weeks
Total Duration
This research aims to find the best dose and assess side effects of a modified virus called recombinant vesicular stomatitis virus VSV carrying human sodium iodide symporter and interferon beta genes VSV-hIFN-NIS, combined with cemiplimab, in patients with T-cell lymphoma. The study focuses on relapsed or refractory peripheral T-cell lymphoma and explores how this viral and immunotherapy combination may affect cancer cells and the immune system. Participants receive cemiplimab through an intravenous infusion three days before getting the VSV-hIFN-NIS virus intravenously on day 1, as long as their disease does not progress and side effects are manageable. Some patients may also take ruxolitinib by mouth for symptom relief. Throughout the study, patients undergo various imaging scans such as SPECT, CT, and PET scans. Tumor biopsies, bone marrow biopsies, and blood samples may also be collected. After treatment, patients are monitored closely for 28 days, then every three months for up to one year or until their disease worsens, followed by check-ups every six months for an additional year. Researchers measure side effects of grade 3 or higher and track clinical response, progression-free survival, and overall survival for up to two years. Participants provide consent and biological samples to support research during their involvement, which may last several years.
CONDITIONS
Intravenous Vesicular Stomatitis Virus in Patients With Peripheral T-cell Lymphoma
C
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Mayo Clinic
Lead Sponsor
National Cancer Institute (NCI)
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Group E – IV VSV-IFNβ-NIS, cemiplimab, ruxolitinib | PTCL Expansion Cohort – IV VSV-IFNβ-NIS, cemiplimab, ruxolitinib |
|---|---|---|
| What is this treatment? | Experimental combination of intravenous vesicular stomatitis virus expressing human interferon beta and sodium-iodide symporter (VSV-IFNβ-NIS), cemiplimab, and ruxolitinib for relapsed PTCL. | Expansion cohort testing the same combination regimen—IV VSV-IFNβ-NIS plus cemiplimab and ruxolitinib—in adults with relapsed PTCL. |
| Role in the study | Primary experimental cohort evaluating safety and clinical response of the combination therapy in adults with relapsed peripheral T-cell lymphoma. | Exploratory expansion to assess broader outcome data in similar eligible patients using the same combination regimen. |
| Primary clinical use | Investigational regimen for adults with relapsed peripheral T-cell lymphoma, intended to evaluate safety and response. | Exploratory expansion of investigational regimen for the same clinical purpose as Group E, targeting relapsed PTCL. |
| How is it given? | VSV-IFNβ-NIS and cemiplimab administered intravenously. Ruxolitinib given by mouth according to protocol schedule. | Same protocol: VSV-IFNβ-NIS and cemiplimab via IV infusion; ruxolitinib orally. |
| Evidence status | Prior published early-phase study of single-dose VSV virotherapy in relapsed/refractory T-cell lymphoma suggests clinical activity. Current trial expands investigation with combination of VSV-IFNβ-NIS, cemiplimab, and ruxolitinib. | Evidence status is identical: published study supports clinical activity for single-agent VSV virotherapy; this expansion evaluates the combination approach. |
| Important limitations | Trial is not randomized and focuses only on relapsed PTCL. Small sample size and experimental regimen may limit generalizability. Long-term safety and comparative effectiveness against standard care are not established. | Expansion cohort shares the same limitations: non-randomized early-phase trial, small patient population, and experimental approach without current-care comparator. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - Until disease progression or unacceptable toxicity
Participants receive cemiplimab intravenously on day -3 and VSV-hIFNβ-NIS intravenously on day 1. Some may take ruxolitinib orally for symptom management. Imaging scans and biopsies are performed to monitor the disease and treatment effects.
Regular imaging and sample collection visits
Duration - Up to 2 years
After treatment, participants are monitored for side effects and disease status with visits every 3 months for up to 1 year or until disease progression, then every 6 months for an additional year.
Scheduled follow-up visits every 3 to 6 months
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Joselle Cook, Kah-Whye Peng, Thomas E Witzig...
https://pubmed.ncbi.nlm.nih.gov/35175355/Mayo Clinic
Lead Sponsor
National Cancer Institute (NCI)
Collaborating Sponsor