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Phase Ib/II of TG4001 and Avelumab in HPV16 Positive R/M Cancers

A Phase Ib/II Trial Evaluating the Combination of TG4001 and Avelumab in Patients With HPV-16 Positive Recurrent or Metastatic Malignancies.

Status
Active, not recruiting
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03260023
Enrollment
143
Registered
2017-08-24
Start date
2017-09-01
Completion date
2026-12-01
Last updated
2026-02-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

HPV-Related Carcinoma, HPV-Related Cervical Carcinoma, HPV-Related Anal Squamous Cell Carcinoma, HPV-Related Penile Squamous Cell Carcinoma, HPV-Related Vulvar Squamous Cell Carcinoma

Keywords

Avelumab, Cancer, Anti PD-L1, Therapeutic Vaccine

Brief summary

The study will consist of two parts : In the phase Ib: safety will be assessed in consecutive cohorts of 3 to 6 participants at increasing doses of TG4001 in combination with avelumab according to a 3+3 design. There will be no intra-participant dose escalation. In the phase II part 1, evaluation of efficacy and further evaluation of safety of the combination of TG4001 and avelumab will be performed in a single arm of participants with recurrent or metastatic HPV-16 positive advanced malignancies. In the phase II part 2, evaluation of efficacy of the combination of TG4001 and avelumab will be performed in a randomized, open-label controlled study comparing TG4001 in combination with avelumab to avelumab alone in participants with HPV-16 positive advanced malignancies. In both phases, evaluation of tumor response will be done locally according to RECIST 1.1. All participants will be followed up until disease progression, death, or unacceptable toxicity, or study withdrawal for any reason, whichever occurs first.

Interventions

BIOLOGICALTG4001

PhIb: Dose escalation PhII: Established RP2D for TG4001

DRUGAvelumab

Anti PD-L1

Sponsors

Transgene
Lead SponsorINDUSTRY
Merck KGaA, Darmstadt, Germany
CollaboratorINDUSTRY
EMD Serono Research & Development Institute, Inc.
CollaboratorINDUSTRY
Pfizer
CollaboratorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Female or male participants, aged at least 18 years (no upper limit of age) * ECOG PS 0 or 1 * Life expectancy of at least 3 months * Participants with histologically or cytologically documented metastatic or refractory/recurrent HPV-16 + cancer: cervical, vulvar, vaginal, penile and anal. * Disease MUST not be amenable to curative surgery resection or curative radiotherapy with documented disease progression * Prior therapy: * No more than one prior systemic treatment for recurrent /metastatic disease * Prior treatment for recurrent or metastatic disease is not required for: * Participants with recurrence/progression within 6 months after completion of prior multimodal therapy for localized or locally advanced disease * Participants who are unsuitable for platinum-based therapy * Participants who refuse chemotherapy or other standard therapies for the treatment of metastatic or recurrent disease * Limited hepatic disease for participants with liver metastases at baseline * Availability of tumor tissue from biopsy * At least one measurable lesion by CT scan according to RECIST 1.1. * Adequate hematological, hepatic and renal function * Negative blood pregnancy test at screening for women of childbearing potential * Highly effective contraception for both male and female participants if the risk of conception exists during the study period and for 3 months after the last study treatment administration

Exclusion criteria

* Prior exposure to cancer immunotherapy including cancer vaccines, any antibody/drug targeting T cell co-regulatory proteins (immune checkpoints) * Participants under chronic treatment with systemic corticosteroids or other immunosuppressive drugs for a period of at least 4 weeks and whose treatment was not stopped 2 weeks prior to the first study treatment, with the exception of participants with adrenal insufficiency who may continue corticosteroids at physiological replacement dose, equivalent to ≤ 10 mg prednisone daily. Steroids with no or minimal systemic effect (topical, inhalation) are allowed * Participants with CNS metastases except those with brain metastases treated locally and clinically stable during 4 weeks prior to start of study treatment, and those without ongoing neurological symptoms that are related to the brain localization of the disease * Other active malignancy requiring concurrent systemic intervention * Participants with previous malignancies other than the target malignancy to be investigated in this trial (except non-melanoma skin cancers, and the following in situ cancers: bladder, gastric, colon, endometrial, cervical/dysplasia, melanoma, or breast) are excluded unless a complete remission was achieved at least 2 years prior to study entry AND no additional therapy is required during the study period * Participant with any organ transplantation, including allogeneic stem cell transplantation * Known severe hypersensitivity reactions to monoclonal antibodies (Grade ≥ 3 NCI-CTC), any history of anaphylaxis, or uncontrolled asthma * Any known allergy or reaction to eggs, gentamycin or attributed to compounds of similar chemical or biological composition to therapeutic vaccines/immunotherapeutic products * Any known allergy or reaction to any component of anti-PD-L1/PD-1 or its excipients * Participants with known history or any evidence of active interstitial lung disease / pneumonitis * Participants with active, known, or suspected auto-immune disease or immunodeficiency, except type I diabetes mellitus, hypothyroidism only requiring hormone replacement or skin disorders (such as vitiligo, psoriasis) not requiring systemic treatment * Clinically significant (that is, active) cardiovascular disease: cerebral vascular accident/stroke or myocardial infarction (\< 6 months prior to enrollment), unstable angina pectoris, congestive heart failure (New York Heart Association Classification Class ≥ II), or serious uncontrolled cardiac arrhythmia requiring medication/active intervention, history of myocarditis * History of uncontrolled intercurrent illness including but not limited to: * Hypertension uncontrolled by standard therapies (not stabilized to 150/90 mmHg or lower) * Uncontrolled diabetes (e.g., hemoglobin A1c ≥ 8%) * Uncontrolled infection

Design outcomes

Primary

MeasureTime frameDescription
Phase Ib: To Evaluate the Safety and Tolerability of the Combination of TG4001 Plus Avelumab in Participants With Recurrent or Metastatic HPV-16 Positive Advanced MalignanciesFrom Day 1 to Day 28Dose limiting toxicities (DLTs) includes the following: * Grade ≥ 3 drug related adverse event (AEs). However, fatigue, nausea/vomiting adequately treated with anti-emetics, endocrinopathies adequately controlled with one physiologic hormone replacement, skin toxicity and single laboratory values out of normal range without any clinical correlate, asymptomatic grade ≥3 lipase or amylase elevation, tumor flare defined as local pain, irritation, or rash localized at sites of known or suspected tumor or a transient Grade 3 infusion adverse event are excluded. * Liver function test abnormality: * AST or ALT \> 5 x ULN * Total bilirubin \> 3 x ULN * Concurrent AST or ALT \> 3 x ULN and total bilirubin \> 2 x ULN * Drug related AE requiring treatment interruption for more than 2 weeks
Phase II Part 1: Overall Response Rate (ORR) by RECIST 1.1From treatment start, every 6 weeks for the first 9 months, then every 12 weeks up to 2 years.Percentage of participants whose best overall response is either a Complete Response or a Partial Response according to Response Evaluation Criteria In Solid Tumors (RECIST v1.0) criteria over the the total number of evaluable participants. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by CT/MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.", or similar definition that is accurate and appropriate.
Phase II Part 2 Cohort A: Progression Free Survival (PFS) by RECIST 1.1From randomization: Every 6 weeks for the first 9 months, then every 12 weeks through study completion, for an average of 1 year.PFS is defined as the time from the date of randomization to the date of first documented tumor progression or death due to any cause, whichever occurs first. If a participant has not had a PFS event at the cut-off date for analysis or at the date when a further antineoplastic therapy (other than those planned as study treatment in the protocol) is started, PFS will be censored at the date of last evaluable tumor assessment before the cut-off or start of further antineoplastic therapy.
Progression Free Survival (PFS) Phase II Part 2 Cohort A by StratificationFrom randomization: Every 6 weeks for the first 9 months, then every 12 weeks through study completion, for an average of 1 year.PFS is defined as the time from the date of randomization to the date of first documented tumor progression or death due to any cause, whichever occurs first. If a participant has not had a PFS event at the cut-off date for analysis or at the date when a further antineoplastic therapy (other than those planned as study treatment in the protocol) is started, PFS will be censored at the date of last evaluable tumor assessment before the cut-off or start of further antineoplastic therapy.

Secondary

MeasureTime frameDescription
Overall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort AFrom treatment start (phase Ib) / randomization (phase II part 2) : Every 6 weeks for the first 9 months, then every 12 weeks up to 2 years.Percentage of participants whose best overall response is either a Complete Response or a Partial Response according to Response Evaluation Criteria In Solid Tumors (RECIST v1.0) criteria over the the total number of evaluable participants. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by CT/MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.", or similar definition that is accurate and appropriate.
Progression Free Survival (PFS) (Phase Ib, Phase II Part 1)From treatment start (phase Ib, phase II part 1): Every 6 weeks for the first 9 months, then every 12 weeks through study completion, for an average of 1 year.PFS is defined as the time from the date of first study treatment administration (Phase Ib, Phase II Part1) to the date of first documented tumor progression or death due to any cause, whichever occurs first. If a participant has not had a PFS event at the cut-off date for analysis or at the date when a further antineoplastic therapy (other than those planned as study treatment in the protocol) is started, PFS will be censored at the date of last evaluable tumor assessment before the cut-off or start of further antineoplastic therapy.
Overall Survival (OS) : Phase Ib, Phase II Part 1, Phase II Part 2 Cohort AFrom treatment start : Phase Ib, Phase II part 1 / from randomization: Phase II part 2 Cohort A through study completion, for an average of 4.5 years.Time from the date of first study treatment administration Phase Ib, Phase II part 1 or time from the date of randomization Phase II part 2 Cohort A to the date of death due to any cause. If a patient is not known to have died survival will be censored at the date of last contact.
Duration of Overall Response (DoR): Phase Ib, Phase II Part 1, Phase II Part 2 Cohort AFrom treatment start Phase Ib, Phase II part 1 / from randomization Phase II part 2 Cohort A : every 6 weeks for the first 9 months, then every 12 weeks through study completion, for an average of 2.5 years.Duration of overall response in weeks (DoR) applies only to patients whose best overall response is CR or PR. The start date is the date of first documented response (CR or PR) and the end date is the date of event defined as first documented disease progression or death due to underlying cancer.
Proportion of Progressive Disease Phase II Part 2 Cohort BFrom randomization: every 6 weeks up to 24 weeks.Number of participants with liver metastases at baseline who has a documented disease progression as per RECIST1.1.

Countries

France, Spain, United States

Participant flow

Recruitment details

From 01 September 2017 through 27 March 2024, a total of 361 participants were screened. Phase Ib: 01 September 2017 until 11 April 2018 Phase II part 1: 04 October 2018 until 10 August 2020 Phase II part 2: 03 Jun 2021 until 27 March 2024

Pre-assignment details

Out of 361 screened participants, 143 were included in the trial and 142 were administered with trial interventions. 218 participants were not included (main reasons: 48.6% inclusion criterion of having histologically or cytologically documented HPV-16+ cancer, 18.8% inclusion criterion of having adequate hematological, hepatic and renal function)

Participants by arm

ArmCount
Phase I - TG4001 5x10e6 Pfu + Avelumab
Participants received 5x10e6 pfu TG4001 subcutaneously along with 10 mg/kg avelumab intravenously until disease progression, unacceptable toxicity, participant withdrawal from study for any reason.
3
Phase I - TG4001 5x10e7 Pfu + Avelumab
Participants received 5x10e7 pfu TG4001 subcutaneously along with 10 mg/kg avelumab intravenously until disease progression, unacceptable toxicity, participant withdrawal from study for any reason.
6
Phase II Part 1 - TG4001 5x10e7 Pfu + Avelumab
Participants received 5x10e7 pfu TG4001 subcutaneously along with 10 mg/kg avelumab intravenously until disease progression, unacceptable toxicity, participant withdrawal from study for any reason.
34
Phase II Part 2 - Cohort A - Participants Without Liver Metastases - TG4001 5x10e7 Pfu + Avelumab
Participants received 5x10e7 pfu TG4001 subcutaneously along with 800 mg avelumab intravenously until disease progression, unacceptable toxicity, participant withdrawal from study for any reason.
46
Phase II Part 2 - Cohort A - Participants Without Liver Metastases - Avelumab
Participants received 800 mg avelumab intravenously until disease progression, unacceptable toxicity, participant withdrawal from study for any reason.
44
Phase II Part 2 - Cohort B - Participants With Liver Metastases - TG4001 5x10e7 Pfu + Avelumab
Participants received 5x10e7 pfu TG4001 subcutaneously along with 800 mg avelumab intravenously until disease progression, unacceptable toxicity, participant withdrawal from study for any reason.
5
Phase II Part 2 - Cohort B - Participants With Liver Metastases - Avelumab
Participants received 800 mg avelumab intravenously until disease progression, unacceptable toxicity, participant withdrawal from study for any reason.
4
Total142

Baseline characteristics

CharacteristicPhase II Part 2 - Cohort B - Participants With Liver Metastases - TG4001 5x10e7 Pfu + AvelumabTotalPhase II Part 2 - Cohort B - Participants With Liver Metastases - AvelumabPhase I - TG4001 5x10e6 Pfu + AvelumabPhase I - TG4001 5x10e7 Pfu + AvelumabPhase II Part 1 - TG4001 5x10e7 Pfu + AvelumabPhase II Part 2 - Cohort A - Participants Without Liver Metastases - TG4001 5x10e7 Pfu + AvelumabPhase II Part 2 - Cohort A - Participants Without Liver Metastases - Avelumab
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
1 Participants38 Participants2 Participants0 Participants3 Participants9 Participants9 Participants14 Participants
Age, Categorical
Between 18 and 65 years
4 Participants104 Participants2 Participants3 Participants3 Participants25 Participants37 Participants30 Participants
Age, Continuous43.0 years56.0 years67.5 years52.0 years65.5 years56.0 years57.0 years56.5 years
ECOG Performance Status
ECOG Status 0
3 Participants47 Participants1 Participants0 Participants4 Participants10 Participants18 Participants11 Participants
ECOG Performance Status
ECOG Status 1
2 Participants95 Participants3 Participants3 Participants2 Participants24 Participants28 Participants33 Participants
Primary tumor location
Anal
2 Participants52 Participants4 Participants2 Participants0 Participants17 Participants14 Participants13 Participants
Primary tumor location
Cervical
3 Participants61 Participants0 Participants0 Participants1 Participants8 Participants25 Participants24 Participants
Primary tumor location
Oropharyngeal
0 Participants10 Participants0 Participants1 Participants4 Participants5 Participants0 Participants0 Participants
Primary tumor location
Penile
0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants
Primary tumor location
Vaginal
0 Participants9 Participants0 Participants0 Participants1 Participants3 Participants2 Participants3 Participants
Primary tumor location
Vulvar
0 Participants9 Participants0 Participants0 Participants0 Participants1 Participants4 Participants4 Participants
Race and Ethnicity Not Collected0 Participants
Region of Enrollment
France
4 participants127 participants4 participants3 participants6 participants34 participants39 participants37 participants
Region of Enrollment
Spain
1 participants14 participants0 participants0 participants0 participants0 participants6 participants7 participants
Region of Enrollment
United States
0 participants1 participants0 participants0 participants0 participants0 participants1 participants0 participants
Sex: Female, Male
Female
5 Participants125 Participants4 Participants2 Participants2 Participants25 Participants43 Participants44 Participants
Sex: Female, Male
Male
0 Participants17 Participants0 Participants1 Participants4 Participants9 Participants3 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
deaths
Total, all-cause mortality
1 / 30 / 612 / 347 / 465 / 441 / 50 / 4
other
Total, other adverse events
3 / 36 / 634 / 3446 / 4643 / 445 / 54 / 4
serious
Total, serious adverse events
1 / 34 / 618 / 3416 / 4618 / 442 / 50 / 4

Outcome results

Primary

Phase Ib: To Evaluate the Safety and Tolerability of the Combination of TG4001 Plus Avelumab in Participants With Recurrent or Metastatic HPV-16 Positive Advanced Malignancies

Dose limiting toxicities (DLTs) includes the following: * Grade ≥ 3 drug related adverse event (AEs). However, fatigue, nausea/vomiting adequately treated with anti-emetics, endocrinopathies adequately controlled with one physiologic hormone replacement, skin toxicity and single laboratory values out of normal range without any clinical correlate, asymptomatic grade ≥3 lipase or amylase elevation, tumor flare defined as local pain, irritation, or rash localized at sites of known or suspected tumor or a transient Grade 3 infusion adverse event are excluded. * Liver function test abnormality: * AST or ALT \> 5 x ULN * Total bilirubin \> 3 x ULN * Concurrent AST or ALT \> 3 x ULN and total bilirubin \> 2 x ULN * Drug related AE requiring treatment interruption for more than 2 weeks

Time frame: From Day 1 to Day 28

Population: Phase Ib : All participants included and who received any amount of study treatment were included in the SAF. Any participant who was assigned a participant number, but did not receive any study treatment was not included in the SAF.~Phase II part 1 and Phase II part 2: the outcome measure safety and tolerability has not been defined as primary endpoint.~Therefore Phase II part 1 and Phase II part 2 are not included in the analysis population for safety and tolerability as primary endpoint.

ArmMeasureValue (NUMBER)
Phase I - TG4001 5x10e6 Pfu + AvelumabPhase Ib: To Evaluate the Safety and Tolerability of the Combination of TG4001 Plus Avelumab in Participants With Recurrent or Metastatic HPV-16 Positive Advanced Malignancies0 DLT
Phase I - TG4001 5x10e7 Pfu + AvelumabPhase Ib: To Evaluate the Safety and Tolerability of the Combination of TG4001 Plus Avelumab in Participants With Recurrent or Metastatic HPV-16 Positive Advanced Malignancies0 DLT
Primary

Phase II Part 1: Overall Response Rate (ORR) by RECIST 1.1

Percentage of participants whose best overall response is either a Complete Response or a Partial Response according to Response Evaluation Criteria In Solid Tumors (RECIST v1.0) criteria over the the total number of evaluable participants. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by CT/MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR., or similar definition that is accurate and appropriate.

Time frame: From treatment start, every 6 weeks for the first 9 months, then every 12 weeks up to 2 years.

Population: Phase II part 1 (Evaluable per protocol): Participants dosed with both IMPs and with at least baseline and post-baseline evaluable CT-scan at week 6 according to RECIST 1.1 and no major inc/exc, dosing or protocol violation, except if participant progressed or died due to disease.~Phase Ib and phase II part 2: the outcome measure ORR has not been defined as primary endpoint.~Therefore Phase Ib and phase II part 2 are not included in the analysis population for ORR as primary endpoint.

ArmMeasureGroupValue (NUMBER)
Phase I - TG4001 5x10e6 Pfu + AvelumabPhase II Part 1: Overall Response Rate (ORR) by RECIST 1.1Overall Response Rate16.67 percentage of participants
Phase I - TG4001 5x10e6 Pfu + AvelumabPhase II Part 1: Overall Response Rate (ORR) by RECIST 1.1Disease Control Rate (DCR)46.67 percentage of participants
Phase I - TG4001 5x10e6 Pfu + AvelumabPhase II Part 1: Overall Response Rate (ORR) by RECIST 1.1Complete Response (CR)3.33 percentage of participants
Phase I - TG4001 5x10e6 Pfu + AvelumabPhase II Part 1: Overall Response Rate (ORR) by RECIST 1.1Partial Response (PR)13.33 percentage of participants
Phase I - TG4001 5x10e6 Pfu + AvelumabPhase II Part 1: Overall Response Rate (ORR) by RECIST 1.1Stable Disease (SD)30.0 percentage of participants
Phase I - TG4001 5x10e6 Pfu + AvelumabPhase II Part 1: Overall Response Rate (ORR) by RECIST 1.1Progressive disease (PD)53.33 percentage of participants
Comparison: A Simon's two-stage design will be used. The null hypothesis for response rate H0 is set at 10% corresponding to the response rate observed in second line participants, the alternate hypothesis of efficacy is set at HA=25%, the type I error α is set at 5% one sided, the type II error β is set at 20% (power=80%).
Primary

Phase II Part 2 Cohort A: Progression Free Survival (PFS) by RECIST 1.1

PFS is defined as the time from the date of randomization to the date of first documented tumor progression or death due to any cause, whichever occurs first. If a participant has not had a PFS event at the cut-off date for analysis or at the date when a further antineoplastic therapy (other than those planned as study treatment in the protocol) is started, PFS will be censored at the date of last evaluable tumor assessment before the cut-off or start of further antineoplastic therapy.

Time frame: From randomization: Every 6 weeks for the first 9 months, then every 12 weeks through study completion, for an average of 1 year.

Population: Phase II part 2, Cohort A: All randomized participants who were adminstered at least one dose of IMP(s) according to the treatment allocated at randomization. (FAS)~For Phase Ib, Phase II part 1 and Phase II part 2 Cohort B : the outcome measure PFS has not been defined as primary endpoint Therefore Phase Ib, Phase II part 1 and Phase II part 2 Cohort B are not included in the analysis population for PFS as primary endpoint.

ArmMeasureValue (MEDIAN)
Phase I - TG4001 5x10e6 Pfu + AvelumabPhase II Part 2 Cohort A: Progression Free Survival (PFS) by RECIST 1.13.0 Months
Phase I - TG4001 5x10e7 Pfu + AvelumabPhase II Part 2 Cohort A: Progression Free Survival (PFS) by RECIST 1.12.8 Months
Comparison: Efficacy will be evaluated by comparing the PFS between TG4001 arm versus TG4001 \& avelumab arm with an adaptive approach. With one-sided type I error α at 5%, 76 events are needed to reach a power of 95%, corresponding to around 80 participants enrolled. To stick with initial timelines for final analyses and limiting the loss of statistical power, PFS analysis will be performed based on at least 69 events.p-value: 0.28190% CI: [0.59, 1.29]Log Rank
Primary

Progression Free Survival (PFS) Phase II Part 2 Cohort A by Stratification

PFS is defined as the time from the date of randomization to the date of first documented tumor progression or death due to any cause, whichever occurs first. If a participant has not had a PFS event at the cut-off date for analysis or at the date when a further antineoplastic therapy (other than those planned as study treatment in the protocol) is started, PFS will be censored at the date of last evaluable tumor assessment before the cut-off or start of further antineoplastic therapy.

Time frame: From randomization: Every 6 weeks for the first 9 months, then every 12 weeks through study completion, for an average of 1 year.

Population: Phase II part 2 Cohort A: All randomized participants who were adminstered at least one dose of IMP(s) according to the treatment allocated at randomization. (FAS)~For Phase Ib, Phase II part 1 and Phase II part 2 Cohort B : the outcome measure PFS has not been defined as primary endpoint.~Therefore Phase Ib, Phase II part 1 and Phase II part 2 Cohort B are not included in the analysis population for PFS as primary endpoint.

ArmMeasureValue (MEDIAN)
Phase I - TG4001 5x10e6 Pfu + AvelumabProgression Free Survival (PFS) Phase II Part 2 Cohort A by Stratification4.3 Months
Phase I - TG4001 5x10e7 Pfu + AvelumabProgression Free Survival (PFS) Phase II Part 2 Cohort A by Stratification2.1 Months
Phase II Part 2 - Cohort A - Anal Cancer - TG4001 5x10e7 Pfu + AvelumabProgression Free Survival (PFS) Phase II Part 2 Cohort A by Stratification3.0 Months
Phase II Part 2 - Cohort A - Anal Cancer - AvelumabProgression Free Survival (PFS) Phase II Part 2 Cohort A by Stratification3.0 Months
Phase II Part 2 - Cohort A - Genital Cancer - TG4001 5x10e7 Pfu + AvelumabProgression Free Survival (PFS) Phase II Part 2 Cohort A by Stratification1.6 Months
Phase II Part 2 - Cohort A - Genital Cancer - AvelumabProgression Free Survival (PFS) Phase II Part 2 Cohort A by Stratification7.2 Months
Secondary

Duration of Overall Response (DoR): Phase Ib, Phase II Part 1, Phase II Part 2 Cohort A

Duration of overall response in weeks (DoR) applies only to patients whose best overall response is CR or PR. The start date is the date of first documented response (CR or PR) and the end date is the date of event defined as first documented disease progression or death due to underlying cancer.

Time frame: From treatment start Phase Ib, Phase II part 1 / from randomization Phase II part 2 Cohort A : every 6 weeks for the first 9 months, then every 12 weeks through study completion, for an average of 2.5 years.

Population: For phase Ib, phase II part 1 and phase II part 2 Cohort A, analysis population consists of all included participants who were dosed with IMP(s) according to treatment allocation and who have a confirmed response according to RECIST1.1.~For Phase II part 2 Cohort B, the outcome measure duration of overall response has not been defined as secondary endpoint. Therefore Phase II part 2 cohort B is not included in the analysis population.

ArmMeasureValue (MEDIAN)
Phase I - TG4001 5x10e7 Pfu + AvelumabDuration of Overall Response (DoR): Phase Ib, Phase II Part 1, Phase II Part 2 Cohort A53.7 Weeks
Phase II Part 2 - Cohort A - Anal Cancer - TG4001 5x10e7 Pfu + AvelumabDuration of Overall Response (DoR): Phase Ib, Phase II Part 1, Phase II Part 2 Cohort A25.1 Weeks
Phase II Part 2 - Cohort A - Anal Cancer - AvelumabDuration of Overall Response (DoR): Phase Ib, Phase II Part 1, Phase II Part 2 Cohort A90.3 Weeks
Phase II Part 2 - Cohort A - Genital Cancer - TG4001 5x10e7 Pfu + AvelumabDuration of Overall Response (DoR): Phase Ib, Phase II Part 1, Phase II Part 2 Cohort A55.9 Weeks
Secondary

Overall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort A

Percentage of participants whose best overall response is either a Complete Response or a Partial Response according to Response Evaluation Criteria In Solid Tumors (RECIST v1.0) criteria over the the total number of evaluable participants. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by CT/MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR., or similar definition that is accurate and appropriate.

Time frame: From treatment start (phase Ib) / randomization (phase II part 2) : Every 6 weeks for the first 9 months, then every 12 weeks up to 2 years.

Population: For Phase Ib / Phase II part 2 Cohort A: All participants who received at least one dose of IMP(s) according to treatment allocation.~Phase II part 1 and phase II part 2 Cohort B: the outcome measure ORR has not been defined as secondary endpoint.~Therefore Phase II part 1 and phase II part 2 Cohort B are not included in the analysis population for ORR as secondary endpoint.

ArmMeasureGroupValue (NUMBER)
Phase I - TG4001 5x10e6 Pfu + AvelumabOverall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort AStable Disease (SD)33.3 percentage of participants
Phase I - TG4001 5x10e6 Pfu + AvelumabOverall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort ADisease Control Rate (DCR)33.3 percentage of participants
Phase I - TG4001 5x10e6 Pfu + AvelumabOverall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort AProgressive Disease (PD)66.7 percentage of participants
Phase I - TG4001 5x10e6 Pfu + AvelumabOverall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort AOverall Response Rate (ORR)0.0 percentage of participants
Phase I - TG4001 5x10e6 Pfu + AvelumabOverall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort AComplete Response (CR)0.0 percentage of participants
Phase I - TG4001 5x10e6 Pfu + AvelumabOverall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort APartial Response (PR)0.0 percentage of participants
Phase I - TG4001 5x10e7 Pfu + AvelumabOverall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort AComplete Response (CR)0.0 percentage of participants
Phase I - TG4001 5x10e7 Pfu + AvelumabOverall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort AOverall Response Rate (ORR)50.0 percentage of participants
Phase I - TG4001 5x10e7 Pfu + AvelumabOverall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort AStable Disease (SD)33.3 percentage of participants
Phase I - TG4001 5x10e7 Pfu + AvelumabOverall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort APartial Response (PR)50.0 percentage of participants
Phase I - TG4001 5x10e7 Pfu + AvelumabOverall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort AProgressive Disease (PD)16.7 percentage of participants
Phase I - TG4001 5x10e7 Pfu + AvelumabOverall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort ADisease Control Rate (DCR)83.3 percentage of participants
Phase II Part 2 - Cohort A - Anal Cancer - TG4001 5x10e7 Pfu + AvelumabOverall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort AProgressive Disease (PD)34.8 percentage of participants
Phase II Part 2 - Cohort A - Anal Cancer - TG4001 5x10e7 Pfu + AvelumabOverall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort ADisease Control Rate (DCR)65.2 percentage of participants
Phase II Part 2 - Cohort A - Anal Cancer - TG4001 5x10e7 Pfu + AvelumabOverall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort APartial Response (PR)6.5 percentage of participants
Phase II Part 2 - Cohort A - Anal Cancer - TG4001 5x10e7 Pfu + AvelumabOverall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort AComplete Response (CR)8.7 percentage of participants
Phase II Part 2 - Cohort A - Anal Cancer - TG4001 5x10e7 Pfu + AvelumabOverall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort AOverall Response Rate (ORR)15.2 percentage of participants
Phase II Part 2 - Cohort A - Anal Cancer - TG4001 5x10e7 Pfu + AvelumabOverall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort AStable Disease (SD)50.0 percentage of participants
Phase II Part 2 - Cohort A - Anal Cancer - AvelumabOverall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort AProgressive Disease (PD)31.8 percentage of participants
Phase II Part 2 - Cohort A - Anal Cancer - AvelumabOverall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort AOverall Response Rate (ORR)13.6 percentage of participants
Phase II Part 2 - Cohort A - Anal Cancer - AvelumabOverall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort ADisease Control Rate (DCR)68.2 percentage of participants
Phase II Part 2 - Cohort A - Anal Cancer - AvelumabOverall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort AComplete Response (CR)2.3 percentage of participants
Phase II Part 2 - Cohort A - Anal Cancer - AvelumabOverall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort APartial Response (PR)11.4 percentage of participants
Phase II Part 2 - Cohort A - Anal Cancer - AvelumabOverall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort AStable Disease (SD)54.5 percentage of participants
Comparison: In Phase II part 2 cohort A, statistical Test stratified by indication to compare the Overall Response Rate between TG4001+Avelumab versus Avelumab alone.p-value: 0.832Cochran-Mantel-Haenszel
Secondary

Overall Survival (OS) : Phase Ib, Phase II Part 1, Phase II Part 2 Cohort A

Time from the date of first study treatment administration Phase Ib, Phase II part 1 or time from the date of randomization Phase II part 2 Cohort A to the date of death due to any cause. If a patient is not known to have died survival will be censored at the date of last contact.

Time frame: From treatment start : Phase Ib, Phase II part 1 / from randomization: Phase II part 2 Cohort A through study completion, for an average of 4.5 years.

Population: Phase Ib: All participants included and who received any amount of study treatment.~Phase II part 1: Evaluable participants' population. Phase II part 2 Cohort A: All randomized participants who were administered at least one dose of IMP(s) according to the treatment allocated at randomization.~For the Phase II part 2 Cohort B, the outcome measure Overall Survival has not been defined as secondary endpoint. Therefore Phase II part 2 Cohort B is not included in the analysis population.

ArmMeasureValue (MEDIAN)
Phase I - TG4001 5x10e6 Pfu + AvelumabOverall Survival (OS) : Phase Ib, Phase II Part 1, Phase II Part 2 Cohort A5.6 Months
Phase I - TG4001 5x10e7 Pfu + AvelumabOverall Survival (OS) : Phase Ib, Phase II Part 1, Phase II Part 2 Cohort A26.2 Months
Phase II Part 2 - Cohort A - Anal Cancer - TG4001 5x10e7 Pfu + AvelumabOverall Survival (OS) : Phase Ib, Phase II Part 1, Phase II Part 2 Cohort A10.3 Months
Phase II Part 2 - Cohort A - Anal Cancer - AvelumabOverall Survival (OS) : Phase Ib, Phase II Part 1, Phase II Part 2 Cohort A16.6 Months
Phase II Part 2 - Cohort A - Genital Cancer - TG4001 5x10e7 Pfu + AvelumabOverall Survival (OS) : Phase Ib, Phase II Part 1, Phase II Part 2 Cohort A16.5 Months
Secondary

Progression Free Survival (PFS) (Phase Ib, Phase II Part 1)

PFS is defined as the time from the date of first study treatment administration (Phase Ib, Phase II Part1) to the date of first documented tumor progression or death due to any cause, whichever occurs first. If a participant has not had a PFS event at the cut-off date for analysis or at the date when a further antineoplastic therapy (other than those planned as study treatment in the protocol) is started, PFS will be censored at the date of last evaluable tumor assessment before the cut-off or start of further antineoplastic therapy.

Time frame: From treatment start (phase Ib, phase II part 1): Every 6 weeks for the first 9 months, then every 12 weeks through study completion, for an average of 1 year.

Population: For Phase Ib: All participants included and who received any amount of study treatment.~For phase II part 1: Evaluable participants population (EPP)~Phase II part 2, cohort A and cohort B : the outcome measure PFS has not been defined as secondary endpoint.~Therefore Phase II part 2, cohort A and cohort B are not included in the analysis population for PFS as secondary endpoint.

ArmMeasureValue (MEDIAN)
Phase I - TG4001 5x10e6 Pfu + AvelumabProgression Free Survival (PFS) (Phase Ib, Phase II Part 1)1.6 Months
Phase I - TG4001 5x10e7 Pfu + AvelumabProgression Free Survival (PFS) (Phase Ib, Phase II Part 1)12.0 Months
Phase II Part 2 - Cohort A - Anal Cancer - TG4001 5x10e7 Pfu + AvelumabProgression Free Survival (PFS) (Phase Ib, Phase II Part 1)1.5 Months
Secondary

Proportion of Progressive Disease Phase II Part 2 Cohort B

Number of participants with liver metastases at baseline who has a documented disease progression as per RECIST1.1.

Time frame: From randomization: every 6 weeks up to 24 weeks.

Population: Phase II part 2 Cohort B: All randomized participants administered with at least one dose of IMP(s) according to allocation at randomization (FAS). One participant (cohort B - Avelumab) was excluded from analysis because no IMP has been administered.~Phase Ib, Phase II part 1 and Phase II part 2 Cohort A, proportion of progressive disease has not been defined as secondary endpoint. Therefore phase Ib, Phase II part 1 and Phase II part 2 Cohort A are not included in the analysis population.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Phase I - TG4001 5x10e6 Pfu + AvelumabProportion of Progressive Disease Phase II Part 2 Cohort BNon progressive disease2 Participants
Phase I - TG4001 5x10e6 Pfu + AvelumabProportion of Progressive Disease Phase II Part 2 Cohort BProgressive disease <= 6 weeks2 Participants
Phase I - TG4001 5x10e6 Pfu + AvelumabProportion of Progressive Disease Phase II Part 2 Cohort BProgressive disease <= 12 weeks3 Participants
Phase I - TG4001 5x10e6 Pfu + AvelumabProportion of Progressive Disease Phase II Part 2 Cohort BProgressive disease <= 24 weeks3 Participants
Phase I - TG4001 5x10e7 Pfu + AvelumabProportion of Progressive Disease Phase II Part 2 Cohort BProgressive disease <= 24 weeks3 Participants
Phase I - TG4001 5x10e7 Pfu + AvelumabProportion of Progressive Disease Phase II Part 2 Cohort BNon progressive disease0 Participants
Phase I - TG4001 5x10e7 Pfu + AvelumabProportion of Progressive Disease Phase II Part 2 Cohort BProgressive disease <= 12 weeks3 Participants
Phase I - TG4001 5x10e7 Pfu + AvelumabProportion of Progressive Disease Phase II Part 2 Cohort BProgressive disease <= 6 weeks1 Participants

Source: ClinicalTrials.gov · Data processed: Feb 17, 2026