About this trial
This phase I trial studies the best dose and side effects of recombinant vesicular stomatitis virus (VSV) carrying the human (h) sodium iodide symporter (NIS) and Interferon (IFN) beta (β) genes (VSV-hIFNβ-NIS) in combination with cemiplimab in patients with T-cell lymphoma. A virus, called VSV-hIFNβ-NIS, which has been changed in a certain way, may be able to kill cancer cells without damaging normal cells. Immunotherapy with ipilmumab and cemiplimab may induce changes in body's immune system and may interfere with the ability of tumor cells to grow and spread.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age >= 18 years
Group E only: Relapsed peripheral T-cell lymphoma (PTCL) of the following histologies: peripheral T-cell lymphoma-NOS (PTCL-NOS); anaplastic large cell (ALCL), and mycosis fungoides (MF)
Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) =< 2 times upper limit of normal (ULN) (obtained =< 15 days prior to registration)
Creatinine =< 2.0 mg/dL (obtained =< 15 days prior to registration)
Disqualifiers
Availability of and patient acceptance of curative therapy
Uncontrolled infection
Active tuberculosis or hepatitis, or chronic hepatitis
Chemotherapy (IMIDs, alkylating agents, proteosome inhibitors) =< 2 weeks prior to registration
Trial design
Parallel
Treatments tested in this trial
Biopsy
Procedure/SurgeryUndergo tumor biopsy
Biospecimen Collection
Procedure/SurgeryUndergo blood sample collection
Bone Marrow Biopsy
Procedure/SurgeryUndergo bone marrow biopsy
Computed Tomography
Procedure/SurgeryUndergo SPECT/CT
Positron Emission Tomography
Procedure/SurgeryUndergo PET scan
Recombinant Vesicular Stomatitis Virus-expressing Human Interferon Beta and Sodium-Iodide Symporter
Biological/VaccineGiven IV
Single Photon Emission Computed Tomography
Procedure/SurgeryUndergo SPECT/CT
Cemiplimab
Biological/VaccineGiven IV
Ruxolitinib
DrugGiven PO
Treatment groups
Trial outcomes
Primary outcomes
Incidence of adverse events of grade 3 or higher
Assessed according to Common Terminology Criteria for Adverse Events (CTCAE) version 4.0.
Secondary outcomes
Clinical response
Response to treatment will be recorded as stringent Complete Response (sCR), complete response (CR), very good partial response (VGPR), partial response (PR), Minimal Response (MR), stable disease (SD), and progressive disease (PD).
Progression-free survival (PFS)
PFS is defined as the time from study enrollment to disease progression or death due to any cause.
Overall survival (OS)
OS is defined as the time from study enrollment to death due to any cause.
Sponsors and contacts
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Mayo Clinic
Lead sponsor
National Cancer Institute (NCI)
Collaborator