Rp1

Clinical trials are investigating Rp1 in people with early-stage triple-negative breast cancer. The studies are looking at safety, side effects, and how well Rp1 works when given with atezolizumab before surgery. The main goal is to see whether this treatment can lower the amount of cancer left at the time of surgery.

Table of contents

Trial overview

The trial studied Rp1 together with atezolizumab in the neo-adjuvant setting for early-stage triple-negative breast cancer.[1] Neo-adjuvant means treatment given before surgery.[1]

The study title describes this as oncolytic immunotherapy, but the source data mainly show that the trial tested the combination of Rp1 and atezolizumab before surgery in this cancer group.[1]

Who was studied

The trial enrolled patients with early-stage triple-negative breast cancer.[1] This means the study focused on people whose breast cancer was found at an early stage and had the triple-negative type.[1]

The source data do not give the full list of entry rules, so we can only say that the study population was early-stage triple-negative breast cancer patients.[1]

What was tested

The intervention list includes atezolizumab and vusolimogene oderparepvec, which the trial title and summary connect to Rp1.[1] The brief summary says the safety run-in was designed to evaluate the safety and toxicity of the combination Atezolizumab plus RP1 oncolytic immunotherapy.[1]

In simple terms, the researchers were checking whether the treatment combination could be given safely before surgery and whether it might help reduce the amount of cancer left behind.[1]

Study phase and design

This was an interventional study, which means the researchers gave a treatment and then measured what happened.[1] The trial was a Phase 2 study and also included a safety run-in part.[1]

A safety run-in is an early part of a study used to check safety before the main part continues.[1] In this trial, that early step looked at the combination of Atezolizumab plus Rp1.[1]

Main endpoints

The safety run-in endpoint was the incidence, nature, and severity of adverse events, with severity graded using NCI CTCAE v5.0.[1] This means the study counted unwanted medical problems, described what they were, and measured how serious they were.[1]

The Phase 2 endpoint was the residual cancer burden, or RCB 0-1 rate, at the time of surgery in patients with no increase in ctDNA after cycle 3.[1] Residual cancer burden means how much cancer is still present after treatment, and ctDNA is cancer-related DNA found in the blood.[1]

The brief summary adds that the main Phase 2 goal was to measure the rate of RCB 0-1 at definitive surgery in subjects who had completed at least one cycle of treatment.[1]

Trial status and size

The trial is listed as completed.[1] It enrolled 51 participants.[1]

Because the study is completed, the source data focus on the trial plan, target group, and outcome measures rather than final results.[1]

Trial ID Phase Condition studied Status Enrollment
2022-502311-12-00 Phase 2 Early-stage triple-negative breast cancer Completed 51

Ongoing Clinical Trials on Rp1

  • Study of Atezolizumab and RP1 for Patients with Early-Stage Triple-Negative Breast Cancer

    Not recruiting

    2 1 1 1
    Investigated diseases:
    Investigated drugs:
    France

Glossary

  • Adverse events: Medical problems or side effects that happen during a study. They may or may not be caused by the treatment.
  • Atezolizumab: A treatment used in this trial together with Rp1. The source data list it as Tecentriq.
  • Clinical trial: A research study in people that tests whether a treatment is safe and whether it may help a disease.
  • Completed: The study has finished collecting the planned trial data.
  • Early-stage: Cancer that has been found before it has spread very far.
  • Enrolment: The number of people who joined the study.
  • Neo-adjuvant: Treatment given before the main treatment, often before surgery, to try to reduce the cancer.
  • Phase 2: A trial stage that usually looks more closely at whether a treatment works and continues to monitor safety.
  • Residual cancer burden: The amount of cancer left after treatment, measured at surgery.
  • Safety run-in: A small early part of a study used to check safety before the main study continues.
  • Triple-negative breast cancer: A type of breast cancer with no estrogen receptor, progesterone receptor, or HER2, which affects treatment choices.

References

  1. https://clinicaltrials.gov/study/2022-502311-12-00