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Safety and Preliminary Efficacy of VIR-5525 and VIR-5525 + Pembrolizumab in Participants With Locally Advanced or Metastatic Solid Tumors

NCT 06960395

Brief Summary

This Phase 1, first-in-human (FIH), dose-escalation and dose-expansion study is designed to evaluate the safety, PK, and preliminary anti-tumor activity of VIR-5525 as a monotherapy and in combination with pembrolizumab in participants with solid tumors that are known to express EGFR.

The study will be conducted in the following 4 parts:

  • Part 1: VIR-5525 monotherapy dose escalation
  • Part 2: VIR-5525 monotherapy dose expansion
  • Part 3: VIR-5525 plus pembrolizumab dose escalation
  • Part 4: VIR-5525 plus pembrolizumab dose expansion

Intervention / Treatment 

  • Drug: VIR-5525
  • Drug: Pembrolizumab

Inclusion Criteria:

  • I 01. Are ≥ 18 years of age, or at the country’s legal age of majority of the legal adult age is >18 years, at the time of signing the ICF.
  • I 02. Have an ECOG performance status of 0 to 1.
  • I 03. Have a life expectancy of at least 12 weeks.
  • I 04. Have histological, pathological, or cytological confirmation of disease type that is unresectable, locally advanced, or metastatic.
  • I 05. Have measurable disease per RECIST v1.1 as assessed by the local site investigator/radiology. Lesions situated in a previously irradiated area are considered measurable if progression has been demonstrated in such lesions.
  • I 06. Have diseases under study, lines of therapy, and biomarker status, as follows:
  • Have one of the following:
    • (Parts 1 and 3): NSCLC (nonsquamous or squamous histology), CRC, HNSCC, or CSCC.                                                                                                                                                   Note: Participants with nasopharyngeal tumors are eligible. Note: Participants with upper esophageal or salivary gland tumors are not eligible.

OR

    • Have a solid tumor with EGFR amplification (as previously determined locally with an analytically validated assay in a certified testing laboratory).
  • Have no available standard systemic therapy; or standard therapy is intolerable, not effective, or not accessible; or participant has refused standard therapy.

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