clinical studies

overview

Several clinical trials of ISA Pharmaceuticals´ lead compound ISA101b are ongoing or planned in HPV16-positive cancer indications, in particular in patients suffering from cervical cancer and head & neck cancer.

The goals of the company-sponsored CervISA trial have been met. In this study, patients were treated with standard-of-care chemotherapy and precisely timed ISA101. Prolonged overall survival is associated with strong antigen-specific T cell responses, so called high responders. The paper titled ‘Strong vaccine responses during chemotherapy are associated with prolonged survival’ has been published in Science Translational Medicine and can be found here.

At the MD Anderson Cancer Center, the team of Prof. B. Glisson conducted a clinical trial in incurable HPV16-positive cancer patients. In this study, patients were treated with a combination of ISA101 and nivolumab, an anti-PD-1 being developed by Bristol Meyers Squibb. In patients with relapsed head  & neck cancer, the percentage of patients with a meaningful tumor response was twice the rate achieved with nivolumab monotherapy. Results were published in JAMA Oncology (Massarelli et al. 2018).

To date, combinations with ISA101b were well-tolerated and safe, without increase in serious adverse events compared to chemotherapy or anti-PD-1 alone.

Currently, ISA101b is being studied in combination with cemiplimab (Libtayo®), an anti-PD-1 antibody being developed by Regeneron and Sanofi. There are three trials ongoing with this combination under our strategic collaboration with Regeneron: two in HPV16-positive oropharyngeal cancer and one in cervical cancer.

If you would like to receive more information about ongoing trials, please send an e-mail to info@isa-pharma.com.

current clinical trials

A Randomized Phase 2 Study of Cemiplimab (Libtayo®)+ ISA101b in HPV16-Positive Oropharyngeal Cancer (OpcemISA)

Study ID: NCT03669718

A blinded, placebo-controlled, randomized, phase 2 study in which subjects will be randomly assigned 1:1 to cemiplimab plus placebo or cemiplimab plus ISA101b.

This study will assess the ability of ISA101b to improve Overall Response Rate (ORR) in subjects with HPV16-positive OPC when combined with cemiplimab, an investigational anti-PD-1 antibody being developed by Regeneron Pharmaceuticals. ISA101b is a therapeutic cancer vaccine that induces specific immune responses to the oncogenic E6 and E7 antigens from HPV16. Trials in HPV16-driven malignancies indicate it has activity in these indications, including oropharyngeal and cervical cancers. Cemiplimab is a PD-1 antibody that is being jointly developed by Regeneron and Sanofi.

A Phase II Study of Cemiplimab and ISA101b in Patients With Recurrent/Metastatic HPV16 Positive Oropharyngeal Cancer (ProcemISA)

Study ID: NCT04398524

A phase 2 open-label study that will include 86 patients.
This study will assess the ability of ISA101b in combination with cemiplimab (Libtayo®) to improve Overall Response Rate (ORR) in patients with HPV16-positive OPC that have experienced disease progression on prior anti-PD-1 therapy. ISA101b induces strong and specific immune responses to HPV16 virus proteins, and (re-)establishes a powerful T-cell immune response against virus infected and/or cancerous cells and tissues. It is using ISA’s proprietary Synthetic Long Peptide (SLP®) technology. Libtayo is an anti-PD-1 antibody that is being jointly developed by Regeneron and Sanofi.

Cemiplimab and ISA101b Vaccine in Adult Participants With Recurrent/Metastatic Human Papillomavirus (HPV)16 Cervical Cancer Who Have Experienced Disease Progression After First Line Chemotherapy

Study ID: NCT04646005

A phase 2 open-label study that will include 103 patients.
This study will assess the ability of ISA101b in combination with cemiplimab (Libtayo®) to improve Overall Response Rate (ORR) in patients with recurrent/metastatic HPV16 positive cervical cancer who have experienced disease progression after first line chemotherapy. ISA101b induces strong and specific immune responses to HPV16 virus proteins, and (re-)establishes a powerful T-cell immune response against virus infected and/or cancerous cells and tissues. It is using ISA’s proprietary Synthetic Long Peptide (SLP®) technology. Libtayo is an anti-PD-1 antibody that is being jointly developed by Regeneron and Sanofi.

HPV-16 Vaccination and Pembrolizumab Plus Cisplatin for “Intermediate Risk” HPV-16-associated Head and Neck Squamous Cell Carcinoma

Study ID: NCT04646005

A phase 2 open-label study that will include 50 patients.

This study is conducted and sponsored by UPMC Hillman Cancer Center, the University of Pittsburgh, PA, and supported by Merck & Co., Inc and ISA Pharmaceuticals B.V. The trial in previously untreated patients with intermediate-risk head and neck cancer associated with human papilloma virus subtype 16 (HPV-16) will evaluate the efficacy of ISA101b and pembrolizumab (Keytruda®) in combination with cisplatin and radiotherapy

Hespecta Vaccination in HPV+ Tumors or Malignant Lesions

Study ID: NCT02821494

completed clinical trials

Study of the Therapeutic Vaccine (ISA101/ISA101b) to Treat Advanced or Recurrent Cervical Cancer (CervISA)

Study ID: NCT02128126

Results: Melief et al. 2020 Science Translational Medicine (interim results)

Nivolumab and HPV-16 Vaccination in Patients With HPV-16 Positive Incurable Solid Tumors

Study ID: NCT02426892

Results: Massarelli et al. 2018 JAMA Oncology

Therapeutic HPV-16 Vaccination for the Treatment of Anal Dysplasia (VACCAIN-T)

Study ID: NCT01923116

early ISA101 trials