Intratumoral PH-762 for Cutaneous Carcinoma

Last updated: January 24, 2025
Sponsor: Phio Pharmaceuticals Inc.
Overall Status: Active - Recruiting

Phase

1

Condition

Melanoma

Malignant Melanoma

Lung Cancer

Treatment

PH-762

Clinical Study ID

NCT06014086
PHIO-762-2301
  • Ages > 18
  • All Genders

Study Summary

The goal of this clinical trial is to evaluate the safety and tolerability of intratumoral injections of PH-762 in squamous cell carcinoma, melanoma, or Merkel cell carcinomas of the skin, to understand what the body does to the PH-762, and to observe how the tumor responds to the drug. Participants will receive four injections of PH-762 at weekly intervals, into a single tumor, followed by surgical removal of the tumor approximately two weeks later.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  • Histologically confirmed cutaneous squamous cell carcinoma (cSCC), melanoma, orMerkel cell carcinoma, meeting one of the following criteria:

  • cSCC, resectable local tumors: must be Stage II or lower, amenable to curativeresection and in a location where acceptable surgical margins are anticipated

  • cSCC, unresectable local tumors: must be Stage II or lower, tumor has beenunresponsive to prior radiation therapy or is not a candidate for curativeradiation therapy

  • cSCC, metastatic disease: disease has progressed during or following priorcheckpoint inhibitor therapy (anti-PD-1 or anti-PD-L1 antibody)

  • Melanoma, metastatic disease: Stage IV disease with a cutaneous lesion that hasprogressed during or following checkpoint inhibitor therapy (anti-PD-1/-PD-L1),and if BRAF-mutation is present, has progressed during or following priortreatment with anti-BRAF + MEK therapy

  • Merkel cell carcinoma, metastatic disease: Stage IV disease with a cutaneouslesion that has progressed during or following checkpoint inhibitor therapy (anti-PD-1/PD-L1)

  • A minimum of one tumor of ≥ 1.0 cm and < 3.0 cm in longest dimension that isaccessible (with or without imaging guidance) for intratumoral injection and forbiopsy and surgical excision must be present. The tumor is not necrotic,hemorrhagic, or friable, and is not within 2 cm of the eye or within 0.5 cm of or onthe lip (including the vermilion border) and is not in a mucosal or viscerallocation.

Exclusion

Key Exclusion Criteria:

  • Other malignancy within prior 3 years, with certain exceptions.

  • Current cancer chemotherapy, radiation therapy, immunotherapy, or biologic therapy.

  • Any serious or uncontrolled medical disorder including auto-immune disease that mayincrease the risk associated with study participation or study drug administration,or interfere with the interpretation of study results.

  • Females who are pregnant or are breastfeeding.

Study Design

Total Participants: 30
Treatment Group(s): 1
Primary Treatment: PH-762
Phase: 1
Study Start date:
November 07, 2023
Estimated Completion Date:
September 30, 2025

Study Description

PH-762 is a potent RNAi molecule targeting PD-1. PH-762 can inhibit the immune checkpoint PD-1 in the tumor and thereby impede tumor growth. As a preoperative therapy, it may decrease the lesion size and has the potential to improve surgical morbidity. Intratumoral immunotherapy aims to use the tumor as a 'self-vaccine'. The local immune stimulation can induce robust priming of an anti-tumor immune response while generating systemic (abscopal) tumor responses, mediated by properly activated anti-tumor immune cells in the circulation. Local delivery of immunotherapy is expected to minimize systemic exposure and off-target toxicities.

This is a non-comparative study of neoadjuvant monotherapy using PD-1 targeting self-delivering RNAi (PH-762) in adult subjects with cutaneous squamous cell carcinoma, melanoma, or Merkel cell carcinoma. The study treatment consists of four intratumoral injections of PH-762 at weekly intervals, into a single tumor lesion. Excision of the tumor will occur approximately two weeks following the fourth dose of IT PH-762, and the subjects will be followed for an additional 11 weeks.

Connect with a study center

  • Banner MD Anderson Cancer Center

    Gilbert, Arizona 85234
    United States

    Active - Recruiting

  • Paradigm Clinical Research

    San Diego, California 92108
    United States

    Active - Recruiting

  • George Washington University

    Washington, District of Columbia 20037
    United States

    Site Not Available

  • Integrity Research

    Delray Beach, Florida 33445
    United States

    Active - Recruiting

  • Phio Pharmaceuticals Corp.

    Marlborough, Massachusetts 01752
    United States

    Site Not Available

  • Centricity Research

    Columbus, Ohio 43213
    United States

    Active - Recruiting

  • UPMC Department of Dermatology

    Pittsburgh, Pennsylvania 15213
    United States

    Active - Recruiting

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