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Genetically Engineered Herpes Virus Shrinks Melanoma Tumors and Advances to Phase 3 Trial

Phase 1–2 results published July 8 demonstrate systemic tumor regression with RP1 plus nivolumab ahead of a global Phase 3 launch.

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Stock image of a doctor inspecting a patient's mole for skin cancer,
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© NIAID via Flickr

Overview

  • Published July 8 in the Journal of Clinical Oncology and presented at ASCO, RP1 combined with nivolumab induced at least 30% tumor shrinkage in one-third of 140 patients and complete regressions in nearly one-sixth.
  • RP1, a modified HSV-1 virus, selectively replicates in injected melanoma cells and triggers immune responses that also shrink uninjected lesions.
  • Patients tolerated the combination well, reporting mostly mild adverse events over up to eight cycles of RP1 and nivolumab.
  • Replimune and Keck Medicine of USC have initiated the IGNYTE-3 global Phase 3 trial enrolling over 400 patients with immunotherapy-resistant advanced melanoma.
  • After granting priority review in January, the FDA is scheduled to decide on accelerated approval for RP1 plus nivolumab by July 22, 2025.