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DRUG:

vocimagene amiretrorepvec/extended release flucytosine (DB107)

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Other names: DB107, DB-107, DB 107, Toca 511/Toca FC, Toca511/Toca FC, Toca-511/Toca-FC, Toca 511, vocimagene amiretrorepvec-flucytosine gene therapy, ABC 511/FC
Associations
Trials
Company:
ApolloBio, Denovo
Drug class:
Thymidylate synthase inhibitor, Cytosine deaminase inhibitor
Associations
Trials
20d
Enrollment open
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vocimagene amiretrorepvec/extended release flucytosine (DB107)
3ms
New P2 trial
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vocimagene amiretrorepvec/extended release flucytosine (DB107)
almost3years
Current evidence and challenges of systematic therapies for adult recurrent glioblastoma: Results from clinical trials. (PubMed, Chin J Cancer Res)
Regorafenib, rindopepimut and neoadjuvant programmed death 1 (PD-1) inhibitors are promising agents for rGBM, while regorafenib is effective in both O-methylguanine DNA methyltransferase (MGMT) promoter methylated and unmethylated patients. Temozolomide rechallenge and alkylating agents combined with bevacizumab can be useful for patients with MGMT methylation, and patients with isocitrate dehydrogenase (IDH) mutations or second recurrence can benefit from vocimagene amiretrorepvec (Toca 511). Some phase I trials on targeted therapy and immunotherapy have shown positive results, and results from further studies are expected. In addition to the analysis of existing clinical trial results, forthcoming trials should be well designed, and patients are encouraged to participate in appropriate clinical trials.
Clinical • Journal • PD(L)-1 Biomarker • IO biomarker
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MGMT (6-O-methylguanine-DNA methyltransferase)
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Avastin (bevacizumab) • temozolomide • Stivarga (regorafenib) • Rintega (rindopepimut) • vocimagene amiretrorepvec/extended release flucytosine (DB107)
over3years
Effect of Vocimagene Amiretrorepvec in Combination With Flucytosine vs Standard of Care on Survival Following Tumor Resection in Patients With Recurrent High-Grade Glioma: A Randomized Clinical Trial. (PubMed, JAMA Oncol)
For the SOC control group, patients received investigators' choice of single therapy: lomustine, temozolomide, or bevacizumab. Among patients who underwent tumor resection for first or second recurrence of glioblastoma or anaplastic astrocytoma, administration of Toca 511 and Toca FC, compared with SOC, did not improve overall survival or other efficacy end points. ClinicalTrials.gov Identifier: NCT02414165.
Clinical • Journal • Combination therapy
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IDH1 (Isocitrate dehydrogenase (NADP(+)) 1)
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Avastin (bevacizumab) • temozolomide • lomustine • vocimagene amiretrorepvec/extended release flucytosine (DB107)
over4years
A Study of Toca 511, a Retroviral Replicating Vector, Combined With Toca FC in Patients With Solid Tumors or Lymphoma (Toca 6) (clinicaltrials.gov)
P1b, N=21, Terminated, Tocagen Inc. | N=30 --> 21 | Active, not recruiting --> Terminated; Sponsor decision
Clinical • Enrollment change • Trial termination
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KRAS (KRAS proto-oncogene GTPase) • TP53 (Tumor protein P53) • PIK3CA (Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) • FLT3 (Fms-related tyrosine kinase 3) • NRAS (Neuroblastoma RAS viral oncogene homolog) • BRCA1 (Breast cancer 1, early onset) • BRCA2 (Breast cancer 2, early onset) • IDH1 (Isocitrate dehydrogenase (NADP(+)) 1) • CDKN2A (Cyclin Dependent Kinase Inhibitor 2A) • DNMT3A (DNA methyltransferase 1) • ERBB3 (V-erb-b2 avian erythroblastic leukemia viral oncogene homolog 3) • RB1 (RB Transcriptional Corepressor 1) • NF1 (Neurofibromin 1) • KEAP1 (Kelch Like ECH Associated Protein 1) • MGMT (6-O-methylguanine-DNA methyltransferase) • RUNX1 (RUNX Family Transcription Factor 1) • ASXL1 (ASXL Transcriptional Regulator 1) • KDR (Kinase insert domain receptor) • TET2 (Tet Methylcytosine Dioxygenase 2) • KMT2D (Lysine Methyltransferase 2D) • PTCH1 (Patched 1) • MSH6 (MutS homolog 6) • CDK12 (Cyclin dependent kinase 12) • PTPN11 (Protein Tyrosine Phosphatase Non-Receptor Type 11) • NOTCH2 (Notch 2) • KDM6A (Lysine Demethylase 6A) • PIK3R1 (Phosphoinositide-3-Kinase Regulatory Subunit 1) • SETD2 (SET Domain Containing 2, Histone Lysine Methyltransferase) • PIK3CB (Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit beta) • STAG2 (Stromal Antigen 2) • NSD1 (Nuclear Receptor Binding SET Domain Protein 1) • MAP3K1 (Mitogen-Activated Protein Kinase Kinase Kinase 1) • SOX9 (SRY-Box Transcription Factor 9) • DICER1 (Dicer 1 Ribonuclease III) • PIK3C2B (Phosphatidylinositol-4-Phosphate 3-Kinase Catalytic Subunit Type 2 Beta) • CDKN1A (Cyclin-dependent kinase inhibitor 1A) • CDKN1B (Cyclin dependent kinase inhibitor 1B) • CHD4 (Chromodomain Helicase DNA Binding Protein 4) • GATA3 (GATA binding protein 3)
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IDH1 mutation • KEAP1 mutation • MGMT promoter methylation • PTCH1 mutation • STAG2 mutation • MGMT mutation
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vocimagene amiretrorepvec/extended release flucytosine (DB107)