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Trial · NCT03260023

Phase Ib/II of TG4001 and Avelumab in HPV16 Positive R/M Cancers

NCT03260023, Phase 1, Phase 2, Active not recruiting, Transgene; results first posted 2025-12-02

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Phase Ib/II of TG4001 and Avelumab in HPV16 Positive R/M Cancers. Trials, record NCT03260023. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03260023

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Phase Ib/II of TG4001 and Avelumab in HPV16 Positive R/M Cancers
NCT number
NCT03260023
Status
Active not recruiting
Phases
Phase 1, Phase 2
Enrollment
143 participants, actual
Lead sponsor
Transgene
Conditions
HPV-Related Carcinoma, HPV-Related Cervical Carcinoma, HPV-Related Anal Squamous Cell Carcinoma, HPV-Related Penile Squamous Cell Carcinoma, HPV-Related Vulvar Squamous Cell Carcinoma
Interventions
TG4001, Avelumab
First posted
2017-08-24
Last updated
2026-02-05
Results first posted
2025-12-02

Source ClinicalTrials.gov

Registered outcomes9

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPhase Ib: To Evaluate the Safety and Tolerability of the Combination of TG4001 Plus Avelumab in Participants With Recurrent or Metastatic HPV-16 Positive Advanced MalignanciesFrom Day 1 to Day 28
Dose limiting toxicities (DLTs) includes the following: * Grade ≥ 3 drug related adverse event (AEs). However, fatigue, nausea/vomiting adequately treated with anti-emetics, endocrinopathies adequately controlled with one physiologic hormone replacement, skin toxicity and single laboratory values out of normal range without any clinical correlate, asymptomatic grade ≥3 lipase or amylase elevation, tumor flare defined as local pain, irritation, or rash localized at sites of known or suspected tumor or a transient Grade 3 infusion adverse event are excluded. * Liver function test abnormality: * AST or ALT \> 5 x ULN * Total bilirubin \> 3 x ULN * Concurrent AST or ALT \> 3 x ULN and total bilirubin \> 2 x ULN * Drug related AE requiring treatment interruption for more than 2 weeks
PrimaryPhase II Part 1: Overall Response Rate (ORR) by RECIST 1.1From treatment start, every 6 weeks for the first 9 months, then every 12 weeks up to 2 years.
Percentage of participants whose best overall response is either a Complete Response or a Partial Response according to Response Evaluation Criteria In Solid Tumors (RECIST v1.0) criteria over the the total number of evaluable participants. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by CT/MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.", or similar definition that is accurate and appropriate.
PrimaryPhase II Part 2 Cohort A: Progression Free Survival (PFS) by RECIST 1.1From randomization: Every 6 weeks for the first 9 months, then every 12 weeks through study completion, for an average of 1 year.
PFS is defined as the time from the date of randomization to the date of first documented tumor progression or death due to any cause, whichever occurs first. If a participant has not had a PFS event at the cut-off date for analysis or at the date when a further antineoplastic therapy (other than those planned as study treatment in the protocol) is started, PFS will be censored at the date of last evaluable tumor assessment before the cut-off or start of further antineoplastic therapy.
PrimaryProgression Free Survival (PFS) Phase II Part 2 Cohort A by StratificationFrom randomization: Every 6 weeks for the first 9 months, then every 12 weeks through study completion, for an average of 1 year.
PFS is defined as the time from the date of randomization to the date of first documented tumor progression or death due to any cause, whichever occurs first. If a participant has not had a PFS event at the cut-off date for analysis or at the date when a further antineoplastic therapy (other than those planned as study treatment in the protocol) is started, PFS will be censored at the date of last evaluable tumor assessment before the cut-off or start of further antineoplastic therapy.
SecondaryOverall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort AFrom treatment start (phase Ib) / randomization (phase II part 2) : Every 6 weeks for the first 9 months, then every 12 weeks up to 2 years.
Percentage of participants whose best overall response is either a Complete Response or a Partial Response according to Response Evaluation Criteria In Solid Tumors (RECIST v1.0) criteria over the the total number of evaluable participants. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by CT/MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.", or similar definition that is accurate and appropriate.
SecondaryProgression Free Survival (PFS) (Phase Ib, Phase II Part 1)From treatment start (phase Ib, phase II part 1): Every 6 weeks for the first 9 months, then every 12 weeks through study completion, for an average of 1 year.
PFS is defined as the time from the date of first study treatment administration (Phase Ib, Phase II Part1) to the date of first documented tumor progression or death due to any cause, whichever occurs first. If a participant has not had a PFS event at the cut-off date for analysis or at the date when a further antineoplastic therapy (other than those planned as study treatment in the protocol) is started, PFS will be censored at the date of last evaluable tumor assessment before the cut-off or start of further antineoplastic therapy.
SecondaryOverall Survival (OS) : Phase Ib, Phase II Part 1, Phase II Part 2 Cohort AFrom treatment start : Phase Ib, Phase II part 1 / from randomization: Phase II part 2 Cohort A through study completion, for an average of 4.5 years.
Time from the date of first study treatment administration Phase Ib, Phase II part 1 or time from the date of randomization Phase II part 2 Cohort A to the date of death due to any cause. If a patient is not known to have died survival will be censored at the date of last contact.
SecondaryDuration of Overall Response (DoR): Phase Ib, Phase II Part 1, Phase II Part 2 Cohort A
From treatment start Phase Ib, Phase II part 1 / from randomization Phase II part 2 Cohort A : every 6 weeks for the first 9 months, then every 12 weeks through study completion, for an average of 2.5 years.
Duration of overall response in weeks (DoR) applies only to patients whose best overall response is CR or PR. The start date is the date of first documented response (CR or PR) and the end date is the date of event defined as first documented disease progression or death due to underlying cancer.
SecondaryProportion of Progressive Disease Phase II Part 2 Cohort BFrom randomization: every 6 weeks up to 24 weeks.Number of participants with liver metastases at baseline who has a documented disease progression as per RECIST1.1.

Outcomes9

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPhase Ib: To Evaluate the Safety and Tolerability of the Combination of TG4001 Plus Avelumab in Participants With Recurrent or Metastatic HPV-16 Positive Advanced MalignanciesFrom Day 1 to Day 28
Phase Ib : All participants included and who received any amount of study treatment were included in the SAF. Any participant who was assigned a participant number, but did not receive any study treatment was not included in the SAF.~Phase II part 1 and Phase II part 2: the outcome measure safety and tolerability has not been defined as primary endpoint.~Therefore Phase II part 1 and Phase II part 2 are not included in the analysis population for safety and tolerability as primary endpoint.
DLTNUMBER
PRIMARYPhase II Part 1: Overall Response Rate (ORR) by RECIST 1.1From treatment start, every 6 weeks for the first 9 months, then every 12 weeks up to 2 years.
Phase II part 1 (Evaluable per protocol): Participants dosed with both IMPs and with at least baseline and post-baseline evaluable CT-scan at week 6 according to RECIST 1.1 and no major inc/exc, dosing or protocol violation, except if participant progressed or died due to disease.~Phase Ib and phase II part 2: the outcome measure ORR has not been defined as primary endpoint.~Therefore Phase Ib and phase II part 2 are not included in the analysis population for ORR as primary endpoint.
percentage of participantsNUMBER
PRIMARYPhase II Part 2 Cohort A: Progression Free Survival (PFS) by RECIST 1.1From randomization: Every 6 weeks for the first 9 months, then every 12 weeks through study completion, for an average of 1 year.
Phase II part 2, Cohort A: All randomized participants who were adminstered at least one dose of IMP(s) according to the treatment allocated at randomization. (FAS)~For Phase Ib, Phase II part 1 and Phase II part 2 Cohort B : the outcome measure PFS has not been defined as primary endpoint Therefore Phase Ib, Phase II part 1 and Phase II part 2 Cohort B are not included in the analysis population for PFS as primary endpoint.
MonthsMEDIAN
PRIMARYProgression Free Survival (PFS) Phase II Part 2 Cohort A by StratificationFrom randomization: Every 6 weeks for the first 9 months, then every 12 weeks through study completion, for an average of 1 year.
Phase II part 2 Cohort A: All randomized participants who were adminstered at least one dose of IMP(s) according to the treatment allocated at randomization. (FAS)~For Phase Ib, Phase II part 1 and Phase II part 2 Cohort B : the outcome measure PFS has not been defined as primary endpoint.~Therefore Phase Ib, Phase II part 1 and Phase II part 2 Cohort B are not included in the analysis population for PFS as primary endpoint.
MonthsMEDIAN
SECONDARYOverall Response Rate (ORR) by Using RECIST 1.1 : Phase Ib, Phase II Part 2 Cohort AFrom treatment start (phase Ib) / randomization (phase II part 2) : Every 6 weeks for the first 9 months, then every 12 weeks up to 2 years.
For Phase Ib / Phase II part 2 Cohort A: All participants who received at least one dose of IMP(s) according to treatment allocation.~Phase II part 1 and phase II part 2 Cohort B: the outcome measure ORR has not been defined as secondary endpoint.~Therefore Phase II part 1 and phase II part 2 Cohort B are not included in the analysis population for ORR as secondary endpoint.
percentage of participantsNUMBER
SECONDARYProgression Free Survival (PFS) (Phase Ib, Phase II Part 1)From treatment start (phase Ib, phase II part 1): Every 6 weeks for the first 9 months, then every 12 weeks through study completion, for an average of 1 year.
For Phase Ib: All participants included and who received any amount of study treatment.~For phase II part 1: Evaluable participants population (EPP)~Phase II part 2, cohort A and cohort B : the outcome measure PFS has not been defined as secondary endpoint.~Therefore Phase II part 2, cohort A and cohort B are not included in the analysis population for PFS as secondary endpoint.
MonthsMEDIAN
SECONDARYOverall Survival (OS) : Phase Ib, Phase II Part 1, Phase II Part 2 Cohort AFrom treatment start : Phase Ib, Phase II part 1 / from randomization: Phase II part 2 Cohort A through study completion, for an average of 4.5 years.
Phase Ib: All participants included and who received any amount of study treatment.~Phase II part 1: Evaluable participants' population. Phase II part 2 Cohort A: All randomized participants who were administered at least one dose of IMP(s) according to the treatment allocated at randomization.~For the Phase II part 2 Cohort B, the outcome measure Overall Survival has not been defined as secondary endpoint. Therefore Phase II part 2 Cohort B is not included in the analysis population.
MonthsMEDIAN
SECONDARYDuration of Overall Response (DoR): Phase Ib, Phase II Part 1, Phase II Part 2 Cohort A
From treatment start Phase Ib, Phase II part 1 / from randomization Phase II part 2 Cohort A : every 6 weeks for the first 9 months, then every 12 weeks through study completion, for an average of 2.5 years.
For phase Ib, phase II part 1 and phase II part 2 Cohort A, analysis population consists of all included participants who were dosed with IMP(s) according to treatment allocation and who have a confirmed response according to RECIST1.1.~For Phase II part 2 Cohort B, the outcome measure duration of overall response has not been defined as secondary endpoint. Therefore Phase II part 2 cohort B is not included in the analysis population.
WeeksMEDIAN
SECONDARYProportion of Progressive Disease Phase II Part 2 Cohort BFrom randomization: every 6 weeks up to 24 weeks.
Phase II part 2 Cohort B: All randomized participants administered with at least one dose of IMP(s) according to allocation at randomization (FAS). One participant (cohort B - Avelumab) was excluded from analysis because no IMP has been administered.~Phase Ib, Phase II part 1 and Phase II part 2 Cohort A, proportion of progressive disease has not been defined as secondary endpoint. Therefore phase Ib, Phase II part 1 and Phase II part 2 Cohort A are not included in the analysis population.
ParticipantsCOUNT_OF_PARTICIPANTS

Results by group60

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Phase Ib: To Evaluate the Safety and Tolerability of the Combination of TG4001 Plus Avelumab in Participants With Recurrent or Metastatic HPV-16 Positive Advanced MalignanciesPhase I - TG4001 5x10e6 Pfu + Avelumab0DLT
Phase Ib: To Evaluate the Safety and Tolerability of the Combination of TG4001 Plus Avelumab in Participants With Recurrent or Metastatic HPV-16 Positive Advanced MalignanciesPhase I - TG4001 5x10e7 Pfu + Avelumab0DLT
Phase II Part 1: Overall Response Rate (ORR) by RECIST 1.1Phase II Part 1 - TG4001 5x10e7 Pfu + AvelumabOverall Response Rate16.6795% Confidence Interval 5.64 to 34.72percentage of participants
Phase II Part 1: Overall Response Rate (ORR) by RECIST 1.1Phase II Part 1 - TG4001 5x10e7 Pfu + AvelumabDisease Control Rate (DCR)46.6795% Confidence Interval 28.34 to 65.67percentage of participants
Phase II Part 1: Overall Response Rate (ORR) by RECIST 1.1Phase II Part 1 - TG4001 5x10e7 Pfu + AvelumabComplete Response (CR)3.3395% Confidence Interval 0.08 to 17.22percentage of participants
Phase II Part 1: Overall Response Rate (ORR) by RECIST 1.1Phase II Part 1 - TG4001 5x10e7 Pfu + AvelumabPartial Response (PR)13.3395% Confidence Interval 3.76 to 30.72percentage of participants
Phase II Part 1: Overall Response Rate (ORR) by RECIST 1.1Phase II Part 1 - TG4001 5x10e7 Pfu + AvelumabStable Disease (SD)30.095% Confidence Interval 14.73 to 49.40percentage of participants
Phase II Part 1: Overall Response Rate (ORR) by RECIST 1.1Phase II Part 1 - TG4001 5x10e7 Pfu + AvelumabProgressive disease (PD)53.3395% Confidence Interval 34.33 to 71.66percentage of participants
Phase II Part 2 Cohort A: Progression Free Survival (PFS) by RECIST 1.1Phase II Part 2 - Cohort A - Participants Without Liver Metastases - TG4001 5x10e7 Pfu + Avelumab3.090% Confidence Interval 2.0 to 4.4Months
Phase II Part 2 Cohort A: Progression Free Survival (PFS) by RECIST 1.1Phase II Part 2 - Cohort A - Participants Without Liver Metastases - Avelumab2.890% Confidence Interval 1.7 to 4.2Months

Participant flow21

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPhase I - TG4001 5x10e6 Pfu + Avelumab3
Overall StudySTARTEDPhase I - TG4001 5x10e7 Pfu + Avelumab6
Overall StudySTARTEDPhase II Part 1 - TG4001 5x10e7 Pfu + Avelumab34
Overall StudySTARTEDPhase II Part 2 - Cohort A - Participants Without Liver Metastases - TG4001 5x10e7 Pfu + Avelumab46
Overall StudySTARTEDPhase II Part 2 - Cohort A - Participants Without Liver Metastases - Avelumab44
Overall StudySTARTEDPhase II Part 2 - Cohort B - Participants With Liver Metastases - TG4001 5x10e7 Pfu + Avelumab5
Overall StudySTARTEDPhase II Part 2 - Cohort B - Participants With Liver Metastases - Avelumab5
Overall StudyCOMPLETEDPhase I - TG4001 5x10e6 Pfu + Avelumab3
Overall StudyCOMPLETEDPhase I - TG4001 5x10e7 Pfu + Avelumab5
Overall StudyCOMPLETEDPhase II Part 1 - TG4001 5x10e7 Pfu + Avelumab25

Adverse events3,255

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersPhase I - TG4001 5x10e6 Pfu + Avelumab234
otherAnaemiaBlood and lymphatic system disordersPhase I - TG4001 5x10e7 Pfu + Avelumab060
otherAnaemiaBlood and lymphatic system disordersPhase II Part 1 - TG4001 5x10e7 Pfu + Avelumab153426
otherAnaemiaBlood and lymphatic system disordersPhase II Part 2 - Cohort A - Participants Without Liver Metastases - TG4001 5x10e7 Pfu + Avelumab174643
otherAnaemiaBlood and lymphatic system disordersPhase II Part 2 - Cohort A - Participants Without Liver Metastases - Avelumab134429
otherAnaemiaBlood and lymphatic system disordersPhase II Part 2 - Cohort B - Participants With Liver Metastases - TG4001 5x10e7 PFU + Avelumab254
otherAnaemiaBlood and lymphatic system disordersPhase II Part 2 - Cohort B - Participants With Liver Metastases - Avelumab040
otherAntiphospholipid syndromeBlood and lymphatic system disordersPhase I - TG4001 5x10e6 Pfu + Avelumab030
otherAntiphospholipid syndromeBlood and lymphatic system disordersPhase I - TG4001 5x10e7 Pfu + Avelumab060
otherAntiphospholipid syndromeBlood and lymphatic system disordersPhase II Part 1 - TG4001 5x10e7 Pfu + Avelumab1341

Adverse event totals21

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPhase I - TG4001 5x10e6 Pfu + Avelumab13
Total, all-cause mortalityPhase I - TG4001 5x10e7 Pfu + Avelumab06
Total, all-cause mortalityPhase II Part 1 - TG4001 5x10e7 Pfu + Avelumab1234
Total, all-cause mortalityPhase II Part 2 - Cohort A - Participants Without Liver Metastases - TG4001 5x10e7 Pfu + Avelumab746
Total, all-cause mortalityPhase II Part 2 - Cohort A - Participants Without Liver Metastases - Avelumab544
Total, all-cause mortalityPhase II Part 2 - Cohort B - Participants With Liver Metastases - TG4001 5x10e7 PFU + Avelumab15
Total, all-cause mortalityPhase II Part 2 - Cohort B - Participants With Liver Metastases - Avelumab04
Total, other adverse eventsPhase I - TG4001 5x10e6 Pfu + Avelumab33
Total, other adverse eventsPhase I - TG4001 5x10e7 Pfu + Avelumab66
Total, other adverse eventsPhase II Part 1 - TG4001 5x10e7 Pfu + Avelumab3434

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
37506588RESULT

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03260023

GET https://conductscience.org/api/trials/v1/NCT03260023/results?page=2