Phase I Trial of Intravenous VCN-01 Oncolytic Adenovirus and Durvalumab in Patients with Head and Neck Metastatic Squamous Cell Carcinoma Refractory to Immunotherapy.
Maria Jove, Irene Braña, Marc Oliva et al.
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In 30 seconds
This Phase I trial evaluated the safety and efficacy of intravenous VCN-01 oncolytic adenovirus combined with durvalumab in patients with recurrent/metastatic head and neck squamous cell carcinoma (HNSCC) refractory to immunotherapy. The sequential administration of VCN-01 and durvalumab resulted in the longest overall survival of 17.3 months in the high-dose group, with 61.1% of patients alive beyond 12 months.
Key findings
- Arm II HD showed the longest overall survival of 17.3 months.
- 61.1% of patients were alive beyond 12 months.
- Two dose-limiting toxicities occurred in arm I LD, one in arm II LD.
- Increased PD-L1 expression correlated with overall survival.
Why it matters
The findings suggest that sequential treatment with VCN-01 and durvalumab may enhance survival outcomes in patients with HNSCC who have not responded to prior immunotherapy, indicating a potential new therapeutic strategy.