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Solid Tumor MalignanciesPhase 1NCT06960395

Safety and Preliminary Efficacy of VIR-5525 and VIR-5525 + Pembrolizumab in Participants With Locally Advanced or Metastatic Solid Tumors

A Phase 1 study testing VIR-5525 and Pembrolizumab in people with Solid Tumor Malignancies and EGFR Positive Solid Tumors, run by Vir Biotechnology, Inc. at 4 sites in 2 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This Phase 1, first-in-human (FIH), dose-escalation and dose-expansion study is designed to evaluate the safety, PK, and preliminary anti-tumor activity of VIR-5525 as a monotherapy and in combination with pembrolizumab in participants with solid tumors that are known to express EGFR. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
VIR-5525 and Pembrolizumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
450 participants
Where
4 sitesin 2 countries
Study dates
22 Jul 2025to Aug 2029
Phase
Phase 1
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • I 01. Are ≥ 18 years of age, or at the country's legal age of majority of the legal adult age is >18 years, at the time of signing the ICF.
  • I 02. Have an ECOG performance status of 0 to 1.
  • I 03. Have a life expectancy of at least 12 weeks.
  • I 04. Have histological, pathological, or cytological confirmation of disease type that is unresectable, locally advanced, or metastatic.
  • I 05. Have measurable disease per RECIST v1.1 as assessed by the local site investigator/radiology. Lesions situated in a previously irradiated area are considered measurable if progression has been demonstrated in such lesions.
  • I 06. Have diseases under study, lines of therapy, and biomarker status, as follows:
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  • Have one of the following:
  • (Parts 1 and 3): NSCLC (nonsquamous or squamous histology), CRC, HNSCC, or CSCC.
  • Note: Participants with nasopharyngeal tumors are eligible. Note: Participants with upper esophageal or salivary gland tumors are not eligible.
  • OR
  • Have a solid tumor with EGFR amplification (as previously determined locally with an analytically validated assay in a certified testing laboratory).
  • Have no available standard systemic therapy; or standard therapy is intolerable, not effective, or not accessible; or participant has refused standard therapy.

Who cannot join

  • E 01. Are a WOCBP with a positive serum or urine pregnancy test within 72 hours prior to treatment.
  • E 02. Have acute or chronic infections, including the following:
  • Acute or chronic active Epstein-Barr virus (EBV) infection (Exception: asymptomatic EBV-positive participants are still eligible)
  • Chronic active EBV disease defined as a chronic illness lasting at least 6 months, an increased EBV level in either the tissue or the blood, and lack of evidence of a known underlying immunodeficiency
  • History of hepatitis B infection (defined as hepatitis B surface antigen [HBsAg] reactive) or known active hepatitis C virus (HCV) infection (defined as HCV [HCV RNA; qualitative] is detected)
  • History of HIV infection. No HIV testing is required unless mandated by the local health authority.
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  • Active infection requiring systemic therapy within 14 days of Cycle 1 Day 1
  • Known positive COVID-19 test result at screening (Exception: If follow-up test is negative, participants may be eligible if asymptomatic and upon consultation with medical monitor)
  • E 03. Have a concomitant medical or inflammatory condition that may increase the risk of toxicity to VIR-5525 or pembrolizumab, per the investigator
  • E 04. Have a QT interval corrected by Fridericia's method (QTcF) that is >480 ms
  • E 05. Have received prior systemic anti-cancer therapy, including investigational agents, within 5 half-lives prior to first dose of study intervention. For drugs with a long t1/2, such as mAbs, or for drugs for which the t1/2 is not known, the last dose should not have been within 28 days prior to first dose of study intervention.
  • Note: If the participant has had major surgery, the participant must have recovered adequately from the procedure and/or any complications from the surgery prior to starting study intervention.
  • E 06. Have received prior radiotherapy within 2 weeks of start of study intervention Note: Participants must have recovered from all radiation-related toxicities to Grade ≤1 or baseline, must not require corticosteroids, and must not have had radiation pneumonitis.
  • Exception: External beam radiotherapy, including palliative external radiation, is allowed.
  • A 1-week washout is permitted for palliative radiation (≤2 weeks of radiotherapy) to non-CNS disease.
  • The above information is not intended to contain all considerations relevant to the potential participation in a clinical trial.

Trial locations and contacts

4 sites in 2 countries. Contact the study team or a site near you to ask about taking part.

4 sites in 2 countries

United States2 sites, 2 recruiting
  • MD Anderson

    Houston, Texas, 77030

    Recruiting
  • Honor Health Research Institute

    Scottsdale, Arizona, 85258-4566

    Recruiting

Other trials in United States

Australia2 sites, 2 recruiting
  • Wollongong Hospital

    Wollongong, New South Wales, 2500

    Recruiting
  • Princess Alexandra Hospital

    Woolloongabba, Queensland, 4102

    Recruiting

Other trials in Australia

About this study

Official title: A Phase 1, First-in-Human Study of the Safety, Pharmacokinetics, and Preliminary Efficacy of VIR-5525 Alone and in Combination With Pembrolizumab in Participants With Locally Advanced or Metastatic Solid Tumors

This Phase 1, first-in-human (FIH), dose-escalation and dose-expansion study is designed to evaluate the safety, PK, and preliminary anti-tumor activity of VIR-5525 as a monotherapy and in combination with pembrolizumab in participants with solid tumors that are known to express EGFR.

The study will be conducted in the following 4 parts:

  • Part 1: VIR-5525 monotherapy dose escalation
  • Part 2: VIR-5525 monotherapy dose expansion
  • Part 3: VIR-5525 plus pembrolizumab dose escalation
  • Part 4: VIR-5525 plus pembrolizumab dose expansion
Being tested
VIR-5525, Pembrolizumab
Keywords
VIR-5525

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • VIR-5525Drug

    Also called AMX-525

    Pharmaceutical Form: Solution for Infusion Route of Administration: Intravenous (IV) infusion

  • PembrolizumabDrug

    Pharmaceutical Form: Solution for Infusion Route of Administration: Intravenous (IV) infusion

Study groups in NCT06960395
Study groupRoleWhat they receive
Part 1: VIR-5525 Monotherapy Dose EscalationExperimentalScreening Period: Up to 28 days Treatment Period: Once successfully screened, enrolled participants may receive study intervention of VIR-5525 in monotherapy.
Receives: Drug: VIR-5525
Part 2: VIR-5525 Monotherapy Dose ExpansionExperimentalScreening Period: Up to 28 days Treatment Period: Once successfully screened, enrolled participants may receive study intervention of VIR-5525 in monotherapy.
Receives: Drug: VIR-5525
Part 3: VIR-5525 Combination Dose EscalationExperimentalScreening Period: Up to 28 days Treatment Period: Once successfully screened, enrolled participants may receive study intervention of VIR-5525 in combination with pembrolizumab.
Receives: Drug: VIR-5525; Drug: Pembrolizumab
Part 4: VIR-5525 Combination Dose ExpansionExperimentalScreening Period: Up to 28 days Treatment Period: Once successfully screened, enrolled participants may receive study intervention of VIR-5525 in combination with pembrolizumab.
Receives: Drug: VIR-5525; Drug: Pembrolizumab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Primary Safety Objectives (Parts 1 and 3)

    Objective: To evaluate the safety and tolerability of escalating doses of VIR-5525 as monotherapy (Part 1) and in combination with pembrolizumab (Part 3).

    Endpoint: Incidence and severity of AEs, including DLTs, with severity determined according to NCI CTCAE v5.0, ASTCT CRS, or ASTCT ICANS Consensus Grading, as appropriate.

    Measured: From Cycle 1, Day 1 (each cycle is 21 days), up to approximately 52 months.

  2. Primary Safety Objectives (Parts 1 and 3)

    Objective: To determine the recommended dose(s) for expansion cohorts of VIR-5525 as monotherapy (Part 1) and in combination with pembrolizumab (Part 3).

    Endpoint: Incidence and severity of AEs, including DLTs, with severity determined according to NCI CTCAE v5.0, ASTCT CRS, or ASTCT ICANS Consensus Grading, as appropriate.

    Measured: From Cycle 1, Day 1 (each cycle is 21 days), up to approximately 52 months.

  3. Primary Efficacy Objectives (Parts 2 and 4)

    Objective: To evaluate the preliminary anti-tumor activity of VIR-5525 as monotherapy (Part 2) and in combination with pembrolizumab (Part 4) at the recommended dose(s) for expansion cohorts.

    Endpoint: Objective response, defined as a CR or PR per RECIST v1.1.

    Measured: From Cycle 1, Day 1 (each cycle is 21 days), up to approximately 52 months.

Secondary outcomes (9)
  1. Secondary Safety Objectives (Parts 1 and 3)

    Objective: To further evaluate the safety and tolerability of VIR-5525 as a monotherapy (Part 2) and in combination with pembrolizumab (Part 4).

    Endpoint: Incidence and severity of AEs, with severity determined according to NCI CTCAE v5.0, ASTCT CRS, or ASTCT ICANS Consensus Grading, as appropriate.

    Measured: From Cycle 1, Day 1 (each cycle is 21 days), up to approximately 52 months.

  2. Secondary Efficacy Objectives (Parts 1 and 3)

    Objective: To evaluate the preliminary anti-tumor activity of VIR-5525 as monotherapy (Part 1) and in combination with pembrolizumab (Part 3).

    Endpoint: Objective response, defined as a CR or PR per RECIST v1.1.

    Endpoint: DOR, defined as the time from the first occurrence of a documented objective response to the time of the first documented disease progression or death from any cause, whichever occurs first, per RECIST v1.1.

    Measured: From Cycle 1, Day 1 (each cycle is 21 days), up to approximately 52 months.

  3. Secondary Efficacy Objectives (Parts 2 and 4)

    Objective: To further evaluate the preliminary anti-tumor activity of VIR-5525 as monotherapy (Part 2) and in combination with pembrolizumab (Part 4) at the recommended dose(s) for expansion cohorts and schedule.

    Endpoint: DOR, defined as the time from the first occurrence of a documented objective response to the time of the first documented disease progression or death from any cause, whichever occurs first, per RECIST v1.1.

    Measured: From Cycle 1, Day 1 (each cycle is 21 days), up to approximately 52 months.

  4. Secondary Efficacy Objectives (Parts 2 and 4)

    Objective: To further evaluate the preliminary anti-tumor activity of VIR-5525 as monotherapy (Part 2) and in combination with pembrolizumab (Part 4) at the recommended dose(s) for expansion cohorts and schedule.

    Endpoint: PFS (per investigator using RECIST v1.1), defined as the length of time from the start of treatment until first documented disease progression or death.

    Measured: From Cycle 1, Day 1 (each cycle is 21 days), up to approximately 52 months.

  5. Secondary PK Objectives (Parts 1 Through 4)

    Objective: To characterize the PK profile of VIR-5525 as monotherapy (Parts 1 and 2) and in combination with pembrolizumab (Parts 3 and 4).

    Endpoint: PK parameters of VIR-5525, including, but not limited to, area under the curve (AUC), calculated as data allow.

    Measured: From Cycle 1, Day 1 (each cycle is 21 days), up to approximately 52 months.

  6. Secondary PK Objectives (Parts 1 Through 4)

    Objective: To characterize the PK profile of VIR-5525 as monotherapy (Parts 1 and 2) and in combination with pembrolizumab (Parts 3 and 4).

    Endpoint: PK parameters of VIR-5525, including, but not limited to, maximum concentration of the drug (Cmax), calculated as data allow.

    Measured: From Cycle 1, Day 1 (each cycle is 21 days), up to approximately 52 months.

  7. Secondary PK Objectives (Parts 1 Through 4)

    Objective: To characterize the PK profile of VIR-5525 as monotherapy (Parts 1 and 2) and in combination with pembrolizumab (Parts 3 and 4).

    Endpoint: PK parameters of VIR-5525, including, but not limited to, time to peak drug concentration (tmax), calculated as data allow.

    Measured: From Cycle 1, Day 1 (each cycle is 21 days), up to approximately 52 months.

  8. Secondary PK Objectives (Parts 1 Through 4)

    Objective: To characterize the PK profile of VIR-5525 as monotherapy (Parts 1 and 2) and in combination with pembrolizumab (Parts 3 and 4).

    Endpoint: PK parameters of VIR-5525, including, but not limited to, drug accumulation ratio (Rac), calculated as data allow.

    Measured: From Cycle 1, Day 1 (each cycle is 21 days), up to approximately 52 months.

  9. Secondary Immunogenicity Objectives (Parts 1 Through 4)

    Objective: To evaluate the immunogenicity of VIR-5525 as monotherapy (Parts 1 and 2) and in combination with pembrolizumab (Parts 3 and 4).

    Endpoint: Incidence of ADAs to VIR-5525 at baseline and incidence of treatment-emergent ADAs to VIR-5525.

    Measured: From Cycle 1, Day 1 (each cycle is 21 days), up to approximately 52 months.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 May 2025
  2. Study start22 Jul 2025
  3. Primary completionAug 2029 (estimated)
  4. Study completionAug 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
450 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06960395
Sponsor's protocol ID
VIR-5525-V101
Other IDs
U1111-1294-8156, 2023-508555-39, AMX-525, 2023
Status last verified
Apr 2026
First submitted
21 Apr 2025
Last updated
13 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing VIR-5525 and Pembrolizumab in people with Solid Tumor Malignancies and EGFR Positive Solid Tumors, run by Vir Biotechnology, Inc. at 4 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 12 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 13 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in United States, Australia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Study Inquiry (1-415-654-5281, clinicaltrials@vir.bio), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Primary Safety Objectives (Parts 1 and 3) (time frame: From Cycle 1, Day 1 (each cycle is 21 days), up to approximately 52 months.). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Apr 2026.

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