A Clinical Study of Intratumoral MVR-T3011 (T3011) Given as a Single Agent and in Combination With Intravenous Pembrolizumab in Participants With Advanced or Metastatic Solid Tumors

Last updated: October 6, 2025
Sponsor: ImmVira Pharma Co. Ltd
Overall Status: Active - Recruiting

Phase

1/2

Condition

Sarcoma

Head And Neck Cancer

Non-small Cell Lung Cancer

Treatment

T3011

T3011 + pembrolizumab

Clinical Study ID

NCT04370587
CTIV1708
  • Ages > 18
  • All Genders

Study Summary

This is a Phase 1/2a, open-label, study to evaluate the safety and preliminary efficacy of intratumoral T3011 given alone and in combination with intravenous pembrolizumab in partients with advanced or metastatic solid tumors.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  1. Age 18 years or older.

  2. Disease progression after standard of care (SOC) therapy or in the opinion of

  3. The Investigator unlikely to benefit from SOC therapy. Inclusion Diagnosis Phase 1 -Histologically or pathologically confirmed locally recurrent or metastatic advancedmalignancy. Phase 2a Part 1 i. Arm A - locally recurrent or metastatic melanoma. Participantsmust have received no more than 3 prior regimens for advanced or metastatic disease. ii. Arm B - locally recurrent or metastatic HNSCC. It must also meet the followingcriteria: 1) Disease progression to platinum-containing chemotherapy; 2) Failure toanti-PD-1/PDL1 blockade after receiving at least 2 doses alone or in combination. iii. Arm C - Sarcoma. Participants must have received no more than three lines ofprior anti-cancer therapies. iv. Arm D - locally recurrent or metastatic cSCC. Participants must have received nomore than 3 prior regimens for advanced or metastatic disease. Phase 2a Part 2 i.v. Arm E - Histologically or pathologically confirmed NSCLC thatis advanced or recurrent, without EGFR mutation or ALK rearrangement. Participantsmust have received at least one line but no more than three lines of prioranti-cancer therapies.

  4. Measurable disease per RECIST version 1.1.

  5. Must have at least 1 tumor lesion that is accessible for IT injection of T3011 inthe opinion of the investigator.

  6. Eastern Cooperative Oncology Group (ECOG) performance status 0-1.

  7. Life expectancy > 12 weeks.

  8. Demonstrate adequate organ function as defined by acceptable laboratory testingresults.

  9. Women of child-bearing potential (WCBP) and men must agree to use adequatecontraception prior to study entry, while on study treatment, and for six monthsafter receiving last dose of T3011. WCBP must have a negative serum pregnancy testprior to W1D1.

  10. Last dose of previous anticancer therapy ≥ 21 days, radiotherapy > 21 days, orsurgical intervention > 21 days prior to the first dose of T3011.

  11. Recovered from all prior anticancer therapy toxicities.

  12. Willingness to provide fresh tumor biopsy specimens as specified in the Schedule ofAssessments.

  13. Capable of understanding and complying with protocol requirements.

  14. Signed and dated institutional review board/independent ethics committee-approvedinformed consent form before any protocol-directed screening procedures areperformed.

Exclusion

Key Exclusion Criteria:

  1. Have only uninjectable tumors..

  2. Patients with injectable tumors impinging upon major airways or blood vessels.

  3. HNSCC only: Prior re-irradiation field containing carotid artery.

  4. Greater than 3 distant metastatic lymph node regions and/or metastatic lesions orthe largest distant metastases with a diameter of more than 3 cm (non-sarcoma)/5 cm (sarcoma) unless the lesion is to be injected.

  5. Prior treatment with another OV (including T-VEC), tumor vaccines, cellular therapyor gene therapy.

  6. Prior intolerance to anti-PD-(L)1 monoclonal antibody or history of immunotherapyrelated non-infectious pneumonitis/interstitial lung disease.

  7. Prior treatment with anti-PD-(L)1 monoclonal antibody in combination with IL-12.

  8. Requires continued concurrent therapy with any drug active against HSV.

  9. Live vaccines, attenuated vaccines within 4 weeks prior to initiation of studytreatment (participants vaccinated with inactivated vaccines can be enrolled.

  10. Primary or acquired immunodeficient states.

  11. Pregnant or lactating.

  12. Prior organ transplantation.

  13. Active hepatitis B virus, hepatitis C virus, and HIV infection or a positiveserological test at Screening within 14 days of dosing with T3011.

  14. Active autoimmune disease or medical conditions requiring chronic steroid orimmunosuppressive therapy within 4 weeks prior to first administration of studytreatment.

  15. History of or current central nervous system metastases.

  16. History of seizure disorders within 6 months of Screening.

  17. Active oral or skin herpes lesion at Screening.

  18. Active interstitial lung disease (ILD)/pneumonitis or a history of ILD/pneumonitisrequiring treatment with systemic steroids.

  19. Congestive heart failure, active coronary artery disease, unevaluated new onsetangina within 3 months or unstable angina, or clinically significant cardiacarrhythmias.

  20. History of allergic reactions attributed to compounds of similar biologicalcomposition to HSV-1, IL-12, or anti-PD-1 monoclonal antibody.

  21. Active infection with SARS-CoV-2 virus. 21. Participants with moderate to large amount of pleural effusion, ascites or pericardial effusion who need drug or medical intervention.

  22. Other systemic conditions or organ abnormalities that, in the opinion of the investigator, may interfere with the conduct and/or interpretation of the current study.

Study Design

Total Participants: 30
Treatment Group(s): 2
Primary Treatment: T3011
Phase: 1/2
Study Start date:
September 17, 2020
Estimated Completion Date:
January 10, 2027

Study Description

This is a Phase 1/2a, open-label, first-in-human study of T3011 given via intratumoral (IT) injection as a single agent and in combination with IV pembrolizumab in participants with advanced or metastatic solid tumors. The Phase 1 portion of the study is a single agent dose escalation which will use a 3+3 design to evaluate escalating doses of T3011. Total enrollment will depend on the toxicities and/or activity observed, with approximately 15 to 30 evaluable participants enrolled. Once the RP2D is established Phase 2a Part 1 will enroll approximately 10 participants with locally recurrent or metastatic melanoma (in Arm A) 23 to 53 participants with HNSCC in Arm B, 40 to 80 participants with sarcoma in Arm C and 10 participants with cSCC in Arm D. During Phase 2a Part 1 the safety, tolerability, and preliminary efficacy of T3011 as a single agent will be evaluated. Phase 2a Part 2 will enroll in parallel to Phase 2a Part 1 once the RP2D is established. The safety, tolerability, and preliminary efficacy of IT T3011 given in combination with IV pembrolizumab will be evaluated in 15 participants with histologically or pathologically confirmed metastatic NSCLC (Arm E). A rollover arm is also included in this study to allow participants who have documented progression on T3011 alone to receive T3011 in combination with pembrolizumab if considered eligible.

Connect with a study center

  • Southern Oncology

    Bedford Park,
    Australia

    Site Not Available

  • Southern Oncology

    Bedford Park 2076918,
    Australia

    Active - Recruiting

  • Peninsula & South Eastern Haematology and Oncology Group

    Frankston,
    Australia

    Site Not Available

  • Peninsula & South Eastern Haematology and Oncology Group

    Frankston 2166144,
    Australia

    Active - Recruiting

  • The Alfred

    Melbourne,
    Australia

    Site Not Available

  • The Alfred

    Melbourne 2158177,
    Australia

    Active - Recruiting

  • Banner MD Anderson Cancer Center

    Gilbert, Arizona 85234
    United States

    Site Not Available

  • Banner MD Anderson Cancer Center

    Gilbert 5295903, Arizona 5551752 85234
    United States

    Completed

  • Dana Farber Cancer Institute

    Boston, Massachusetts 02215
    United States

    Site Not Available

  • Massachusetts General Hospital

    Boston, Massachusetts 02114
    United States

    Active - Recruiting

  • Dana Farber Cancer Institute

    Boston 4930956, Massachusetts 6254926 02215
    United States

    Active - Recruiting

  • Massachusetts General Hospital

    Boston 4930956, Massachusetts 6254926 02114
    United States

    Active - Recruiting

  • University of Pittsburgh Medical Center

    Pittsburgh, Pennsylvania 15232
    United States

    Site Not Available

  • University of Pittsburgh Medical Center

    Pittsburgh 5206379, Pennsylvania 6254927 15232
    United States

    Active - Recruiting

  • Mary Crowley Cancer Research

    Dallas, Texas 75230
    United States

    Site Not Available

  • Mary Crowley Cancer Research

    Dallas 4684888, Texas 4736286 75230
    United States

    Active - Recruiting

  • Virginia Cancer Specialists

    Fairfax, Virginia 22031
    United States

    Site Not Available

  • Virginia Cancer Specialists

    Fairfax 4758023, Virginia 6254928 22031
    United States

    Active - Recruiting

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