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
Conditions
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
PhIb: Dose escalation PhII: Established RP2D for TG4001
Anti PD-L1
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| 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 | From Day 1 to Day 28 | 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 |
| Phase II Part 1: Overall Response Rate (ORR) by RECIST 1.1 | From 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 1.1 | From 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 Stratification | From 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
| Measure | Time frame | Description |
|---|---|---|
| Overall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort A | 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. | 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 A | 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. | 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 A | 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. | 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 B | From 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
| Arm | Count |
|---|---|
| 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 |
| Total | 142 |
Baseline characteristics
| Characteristic | Phase II Part 2 - Cohort B - Participants With Liver Metastases - TG4001 5x10e7 Pfu + Avelumab | Total | Phase II Part 2 - Cohort B - Participants With Liver Metastases - Avelumab | Phase I - TG4001 5x10e6 Pfu + Avelumab | Phase I - TG4001 5x10e7 Pfu + Avelumab | Phase II Part 1 - TG4001 5x10e7 Pfu + Avelumab | Phase II Part 2 - Cohort A - Participants Without Liver Metastases - TG4001 5x10e7 Pfu + Avelumab | Phase II Part 2 - Cohort A - Participants Without Liver Metastases - Avelumab |
|---|---|---|---|---|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 1 Participants | 38 Participants | 2 Participants | 0 Participants | 3 Participants | 9 Participants | 9 Participants | 14 Participants |
| Age, Categorical Between 18 and 65 years | 4 Participants | 104 Participants | 2 Participants | 3 Participants | 3 Participants | 25 Participants | 37 Participants | 30 Participants |
| Age, Continuous | 43.0 years | 56.0 years | 67.5 years | 52.0 years | 65.5 years | 56.0 years | 57.0 years | 56.5 years |
| ECOG Performance Status ECOG Status 0 | 3 Participants | 47 Participants | 1 Participants | 0 Participants | 4 Participants | 10 Participants | 18 Participants | 11 Participants |
| ECOG Performance Status ECOG Status 1 | 2 Participants | 95 Participants | 3 Participants | 3 Participants | 2 Participants | 24 Participants | 28 Participants | 33 Participants |
| Primary tumor location Anal | 2 Participants | 52 Participants | 4 Participants | 2 Participants | 0 Participants | 17 Participants | 14 Participants | 13 Participants |
| Primary tumor location Cervical | 3 Participants | 61 Participants | 0 Participants | 0 Participants | 1 Participants | 8 Participants | 25 Participants | 24 Participants |
| Primary tumor location Oropharyngeal | 0 Participants | 10 Participants | 0 Participants | 1 Participants | 4 Participants | 5 Participants | 0 Participants | 0 Participants |
| Primary tumor location Penile | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants |
| Primary tumor location Vaginal | 0 Participants | 9 Participants | 0 Participants | 0 Participants | 1 Participants | 3 Participants | 2 Participants | 3 Participants |
| Primary tumor location Vulvar | 0 Participants | 9 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 4 Participants | 4 Participants |
| Race and Ethnicity Not Collected | — | 0 Participants | — | — | — | — | — | — |
| Region of Enrollment France | 4 participants | 127 participants | 4 participants | 3 participants | 6 participants | 34 participants | 39 participants | 37 participants |
| Region of Enrollment Spain | 1 participants | 14 participants | 0 participants | 0 participants | 0 participants | 0 participants | 6 participants | 7 participants |
| Region of Enrollment United States | 0 participants | 1 participants | 0 participants | 0 participants | 0 participants | 0 participants | 1 participants | 0 participants |
| Sex: Female, Male Female | 5 Participants | 125 Participants | 4 Participants | 2 Participants | 2 Participants | 25 Participants | 43 Participants | 44 Participants |
| Sex: Female, Male Male | 0 Participants | 17 Participants | 0 Participants | 1 Participants | 4 Participants | 9 Participants | 3 Participants | 0 Participants |
Adverse events
| Event type | EG000 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 / 3 | 0 / 6 | 12 / 34 | 7 / 46 | 5 / 44 | 1 / 5 | 0 / 4 |
| other Total, other adverse events | 3 / 3 | 6 / 6 | 34 / 34 | 46 / 46 | 43 / 44 | 5 / 5 | 4 / 4 |
| serious Total, serious adverse events | 1 / 3 | 4 / 6 | 18 / 34 | 16 / 46 | 18 / 44 | 2 / 5 | 0 / 4 |
Outcome results
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Phase I - TG4001 5x10e6 Pfu + Avelumab | 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 | 0 DLT |
| Phase I - TG4001 5x10e7 Pfu + Avelumab | 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 | 0 DLT |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Phase I - TG4001 5x10e6 Pfu + Avelumab | Phase II Part 1: Overall Response Rate (ORR) by RECIST 1.1 | Overall Response Rate | 16.67 percentage of participants |
| Phase I - TG4001 5x10e6 Pfu + Avelumab | Phase II Part 1: Overall Response Rate (ORR) by RECIST 1.1 | Disease Control Rate (DCR) | 46.67 percentage of participants |
| Phase I - TG4001 5x10e6 Pfu + Avelumab | Phase II Part 1: Overall Response Rate (ORR) by RECIST 1.1 | Complete Response (CR) | 3.33 percentage of participants |
| Phase I - TG4001 5x10e6 Pfu + Avelumab | Phase II Part 1: Overall Response Rate (ORR) by RECIST 1.1 | Partial Response (PR) | 13.33 percentage of participants |
| Phase I - TG4001 5x10e6 Pfu + Avelumab | Phase II Part 1: Overall Response Rate (ORR) by RECIST 1.1 | Stable Disease (SD) | 30.0 percentage of participants |
| Phase I - TG4001 5x10e6 Pfu + Avelumab | Phase II Part 1: Overall Response Rate (ORR) by RECIST 1.1 | Progressive disease (PD) | 53.33 percentage of participants |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase I - TG4001 5x10e6 Pfu + Avelumab | Phase II Part 2 Cohort A: Progression Free Survival (PFS) by RECIST 1.1 | 3.0 Months |
| Phase I - TG4001 5x10e7 Pfu + Avelumab | Phase II Part 2 Cohort A: Progression Free Survival (PFS) by RECIST 1.1 | 2.8 Months |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase I - TG4001 5x10e6 Pfu + Avelumab | Progression Free Survival (PFS) Phase II Part 2 Cohort A by Stratification | 4.3 Months |
| Phase I - TG4001 5x10e7 Pfu + Avelumab | Progression Free Survival (PFS) Phase II Part 2 Cohort A by Stratification | 2.1 Months |
| Phase II Part 2 - Cohort A - Anal Cancer - TG4001 5x10e7 Pfu + Avelumab | Progression Free Survival (PFS) Phase II Part 2 Cohort A by Stratification | 3.0 Months |
| Phase II Part 2 - Cohort A - Anal Cancer - Avelumab | Progression Free Survival (PFS) Phase II Part 2 Cohort A by Stratification | 3.0 Months |
| Phase II Part 2 - Cohort A - Genital Cancer - TG4001 5x10e7 Pfu + Avelumab | Progression Free Survival (PFS) Phase II Part 2 Cohort A by Stratification | 1.6 Months |
| Phase II Part 2 - Cohort A - Genital Cancer - Avelumab | Progression Free Survival (PFS) Phase II Part 2 Cohort A by Stratification | 7.2 Months |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase I - TG4001 5x10e7 Pfu + Avelumab | Duration of Overall Response (DoR): Phase Ib, Phase II Part 1, Phase II Part 2 Cohort A | 53.7 Weeks |
| Phase II Part 2 - Cohort A - Anal Cancer - TG4001 5x10e7 Pfu + Avelumab | Duration of Overall Response (DoR): Phase Ib, Phase II Part 1, Phase II Part 2 Cohort A | 25.1 Weeks |
| Phase II Part 2 - Cohort A - Anal Cancer - Avelumab | Duration of Overall Response (DoR): Phase Ib, Phase II Part 1, Phase II Part 2 Cohort A | 90.3 Weeks |
| Phase II Part 2 - Cohort A - Genital Cancer - TG4001 5x10e7 Pfu + Avelumab | Duration of Overall Response (DoR): Phase Ib, Phase II Part 1, Phase II Part 2 Cohort A | 55.9 Weeks |
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.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Phase I - TG4001 5x10e6 Pfu + Avelumab | Overall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort A | Stable Disease (SD) | 33.3 percentage of participants |
| Phase I - TG4001 5x10e6 Pfu + Avelumab | Overall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort A | Disease Control Rate (DCR) | 33.3 percentage of participants |
| Phase I - TG4001 5x10e6 Pfu + Avelumab | Overall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort A | Progressive Disease (PD) | 66.7 percentage of participants |
| Phase I - TG4001 5x10e6 Pfu + Avelumab | Overall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort A | Overall Response Rate (ORR) | 0.0 percentage of participants |
| Phase I - TG4001 5x10e6 Pfu + Avelumab | Overall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort A | Complete Response (CR) | 0.0 percentage of participants |
| Phase I - TG4001 5x10e6 Pfu + Avelumab | Overall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort A | Partial Response (PR) | 0.0 percentage of participants |
| Phase I - TG4001 5x10e7 Pfu + Avelumab | Overall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort A | Complete Response (CR) | 0.0 percentage of participants |
| Phase I - TG4001 5x10e7 Pfu + Avelumab | Overall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort A | Overall Response Rate (ORR) | 50.0 percentage of participants |
| Phase I - TG4001 5x10e7 Pfu + Avelumab | Overall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort A | Stable Disease (SD) | 33.3 percentage of participants |
| Phase I - TG4001 5x10e7 Pfu + Avelumab | Overall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort A | Partial Response (PR) | 50.0 percentage of participants |
| Phase I - TG4001 5x10e7 Pfu + Avelumab | Overall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort A | Progressive Disease (PD) | 16.7 percentage of participants |
| Phase I - TG4001 5x10e7 Pfu + Avelumab | Overall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort A | Disease Control Rate (DCR) | 83.3 percentage of participants |
| Phase II Part 2 - Cohort A - Anal Cancer - TG4001 5x10e7 Pfu + Avelumab | Overall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort A | Progressive Disease (PD) | 34.8 percentage of participants |
| Phase II Part 2 - Cohort A - Anal Cancer - TG4001 5x10e7 Pfu + Avelumab | Overall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort A | Disease Control Rate (DCR) | 65.2 percentage of participants |
| Phase II Part 2 - Cohort A - Anal Cancer - TG4001 5x10e7 Pfu + Avelumab | Overall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort A | Partial Response (PR) | 6.5 percentage of participants |
| Phase II Part 2 - Cohort A - Anal Cancer - TG4001 5x10e7 Pfu + Avelumab | Overall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort A | Complete Response (CR) | 8.7 percentage of participants |
| Phase II Part 2 - Cohort A - Anal Cancer - TG4001 5x10e7 Pfu + Avelumab | Overall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort A | Overall Response Rate (ORR) | 15.2 percentage of participants |
| Phase II Part 2 - Cohort A - Anal Cancer - TG4001 5x10e7 Pfu + Avelumab | Overall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort A | Stable Disease (SD) | 50.0 percentage of participants |
| Phase II Part 2 - Cohort A - Anal Cancer - Avelumab | Overall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort A | Progressive Disease (PD) | 31.8 percentage of participants |
| Phase II Part 2 - Cohort A - Anal Cancer - Avelumab | Overall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort A | Overall Response Rate (ORR) | 13.6 percentage of participants |
| Phase II Part 2 - Cohort A - Anal Cancer - Avelumab | Overall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort A | Disease Control Rate (DCR) | 68.2 percentage of participants |
| Phase II Part 2 - Cohort A - Anal Cancer - Avelumab | Overall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort A | Complete Response (CR) | 2.3 percentage of participants |
| Phase II Part 2 - Cohort A - Anal Cancer - Avelumab | Overall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort A | Partial Response (PR) | 11.4 percentage of participants |
| Phase II Part 2 - Cohort A - Anal Cancer - Avelumab | Overall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort A | Stable Disease (SD) | 54.5 percentage of participants |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase I - TG4001 5x10e6 Pfu + Avelumab | Overall Survival (OS) : Phase Ib, Phase II Part 1, Phase II Part 2 Cohort A | 5.6 Months |
| Phase I - TG4001 5x10e7 Pfu + Avelumab | Overall Survival (OS) : Phase Ib, Phase II Part 1, Phase II Part 2 Cohort A | 26.2 Months |
| Phase II Part 2 - Cohort A - Anal Cancer - TG4001 5x10e7 Pfu + Avelumab | Overall Survival (OS) : Phase Ib, Phase II Part 1, Phase II Part 2 Cohort A | 10.3 Months |
| Phase II Part 2 - Cohort A - Anal Cancer - Avelumab | Overall Survival (OS) : Phase Ib, Phase II Part 1, Phase II Part 2 Cohort A | 16.6 Months |
| Phase II Part 2 - Cohort A - Genital Cancer - TG4001 5x10e7 Pfu + Avelumab | Overall Survival (OS) : Phase Ib, Phase II Part 1, Phase II Part 2 Cohort A | 16.5 Months |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Phase I - TG4001 5x10e6 Pfu + Avelumab | Progression Free Survival (PFS) (Phase Ib, Phase II Part 1) | 1.6 Months |
| Phase I - TG4001 5x10e7 Pfu + Avelumab | Progression Free Survival (PFS) (Phase Ib, Phase II Part 1) | 12.0 Months |
| Phase II Part 2 - Cohort A - Anal Cancer - TG4001 5x10e7 Pfu + Avelumab | Progression Free Survival (PFS) (Phase Ib, Phase II Part 1) | 1.5 Months |
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.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Phase I - TG4001 5x10e6 Pfu + Avelumab | Proportion of Progressive Disease Phase II Part 2 Cohort B | Non progressive disease | 2 Participants |
| Phase I - TG4001 5x10e6 Pfu + Avelumab | Proportion of Progressive Disease Phase II Part 2 Cohort B | Progressive disease <= 6 weeks | 2 Participants |
| Phase I - TG4001 5x10e6 Pfu + Avelumab | Proportion of Progressive Disease Phase II Part 2 Cohort B | Progressive disease <= 12 weeks | 3 Participants |
| Phase I - TG4001 5x10e6 Pfu + Avelumab | Proportion of Progressive Disease Phase II Part 2 Cohort B | Progressive disease <= 24 weeks | 3 Participants |
| Phase I - TG4001 5x10e7 Pfu + Avelumab | Proportion of Progressive Disease Phase II Part 2 Cohort B | Progressive disease <= 24 weeks | 3 Participants |
| Phase I - TG4001 5x10e7 Pfu + Avelumab | Proportion of Progressive Disease Phase II Part 2 Cohort B | Non progressive disease | 0 Participants |
| Phase I - TG4001 5x10e7 Pfu + Avelumab | Proportion of Progressive Disease Phase II Part 2 Cohort B | Progressive disease <= 12 weeks | 3 Participants |
| Phase I - TG4001 5x10e7 Pfu + Avelumab | Proportion of Progressive Disease Phase II Part 2 Cohort B | Progressive disease <= 6 weeks | 1 Participants |