Pancreas Cancer, MetastaticPhase 1/2VIRAGE2NCT07701486
A Study of More Frequent Dosing of VCN-01 Combined With Standard Chemotherapy in Patients With Newly Diagnosed Metastatic Pancreatic Cancer
A Phase 1/2 study testing VCN-01 oncolytic adenovirus (zabilugene almadenorepvec) and Nab-paclitaxel + Gemcitabine in people with Pancreas Cancer, Metastatic and Pancreas Cancer, Stage IV, run by Theriva Biologics SL at 1 site in Spain.
Trial summary
The goal of this clinical trial is to learn if the new administration regimen of VCN-01, given together with the standard chemotherapy drugs gemcitabine and nab-paclitaxel (GnP), is safe and well tolerated. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Pancreas Cancer, Metastatic, Pancreas Cancer, Stage IV, Ductal Adenocarcinoma of the Pancreas
- What is being tested?
- VCN-01 oncolytic adenovirus (zabilugene almadenorepvec) and Nab-paclitaxel + Gemcitabine
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 6 participants
- Where
- 1 siteSpain
- Study dates
- 31 Jul 2026to 1 Dec 2027
- Phase
- Phase 1/2
- 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
- Written informed consent obtained prior to initiating any trial-specific procedures or assessments.
- Male or female patients aged 18 years or over.
- Patients with histologically or cytologically confirmed pancreatic adenocarcinoma that is metastatic (stage IV) at diagnosis and who have not received any treatment for their pancreatic cancer.
- Patients must be able to receive their first dose of VCN-01 ≤6 weeks after their metastatic pancreatic cancer diagnosis.
- Patients must have at least one measurable tumor lesion that can be imaged for assessments according to RECIST 1.1.
- ECOG performance status of 0 or 1 at enrollment.
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- Must be willing to comply with the trial intervention, including prophylactic medications, and procedures.
- Adequate baseline organ function (hematologic, liver, renal) within the 7 days prior to enrollment:
- Hematology:
- Leukocytes ≥3.0x103 mcL
- Absolute neutrophil count ≥1.5x10⁹/L
- Hemoglobin ≥9 g/dL
- Platelets ≥100x10⁹/L
- Coagulation:
- Prothrombin time or international normalized ratio ≤1x upper limit of normal (ULN)
- Activated partial thromboplastin time ≤1.2xULN
- Hepatic:
- Total bilirubin ≤1.5xULN
- ALT and AST ≤2.5xULN (<5xULN is acceptable if liver metastases are present)
- Renal:
- Serum creatinine ≤1.5xULN; or,
- If serum creatinine >1.5xULN, an estimated creatinine clearance >50 mL/min using the Cockcroft and Gault formula
- Nutritional:
- Serum Albumin ≥30 g/L
- Adequate left ventricular ejection fraction (LVEF) ≥ 50% measured by ECHO or MUGA and QT interval corrected by Fridericia (QTcF) assessment ≤ 450 ms for men or ≤ 470 ms for women.
Who cannot join
- Unwillingness to complete the trial procedures for geographic, psychiatric, or social reasons.
- Patient has previously received treatment for their metastatic pancreatic cancer with surgery, radiotherapy, chemotherapy or investigational therapy; except that:
- Palliative radiotherapy for pain is permitted;
- Placement of a biliary stent/tube is permitted.
- Patients who, in the opinion of the investigator, have symptoms or signs suggesting clinically unacceptable deterioration during the Screening Period.
- Active infection or other serious illness or autoimmune disease at the moment of enrollment. Active infection includes:
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- Tuberculosis (TB; clinical evaluation that includes clinical history, physical examination and radiographic findings, and TB testing in line with local practice.
- Patients with past or resolved TB are eligible to participate.
- Hepatitis B Virus (HBV; positive HBV surface antigen [HBsAg] result).
- HBV carriers (patients positive for HBsAg without an active infection) are not eligible to participate;
- Patients requiring antiviral medicines for HBV prophylaxis or treatment are not eligible to participate;
- Patients with a past or resolved HBV infection (defined as the presence of hepatitis B core antibody [HBcAb] and absence of HBsAg) are eligible to participate provided that blood HBV DNA is negative at enrollment.
- Hepatitis C Virus (HCV; positive HCV Ribonucleic acid [RNA]).
- Patients requiring antiviral medicines for HCV prophylaxis or treatment are not eligible to participate;
- Patients positive for HCV antibody are eligible to participate (only if polymerase chain reaction is negative for HCV RNA).
- Human immunodeficiency virus (positive HIV 1/2 antibodies)
- Active infection or other serious illness or autoimmune disease at the moment of enrollment. Active infection includes:
- Tuberculosis (TB; clinical evaluation that includes clinical history, physical examination and radiographic findings, and TB testing in line with local practice.
- Patients with past or resolved TB are eligible to participate.
- Hepatitis B Virus (HBV; positive HBV surface antigen [HBsAg] result).
- HBV carriers (patients positive for HBsAg without an active infection) are not eligible to participate;
- Patients requiring antiviral medicines for HBV prophylaxis or treatment are not eligible to participate;
- Patients with a past or resolved HBV infection (defined as the presence of hepatitis B core antibody [HBcAb] and absence of HBsAg) are eligible to participate provided that blood HBV DNA is negative at enrollment.
- Hepatitis C Virus (HCV; positive HCV Ribonucleic acid [RNA]).
- Patients requiring antiviral medicines for HCV prophylaxis or treatment are not eligible to participate;
- Patients positive for HCV antibody are eligible to participate (only if polymerase chain reaction is negative for HCV RNA).
- Human immunodeficiency virus (positive HIV 1/2 antibodies)
- Known chronic liver disease (e.g. liver cirrhosis, liver fibrosis, chronic hepatitis); except that:
- Patients with fatty liver disease are eligible to participate if their liver transaminases meet inclusion criterion 8.
- Concurrent malignant hematologic or solid disease; except that:
- Patients with a prior history of cancer are eligible to participate if they are in complete remission from their prior cancer for at least 3 years.
- Patients with Li Fraumeni syndrome or with previously known retinoblastoma protein pathway germline deficiency.
- Patients with untreated brain metastases and/or leptomeningeal carcinomatosis with progressive symptoms despite corticosteroid coverage; except that:
- Patients with brain metastases with stable symptoms are eligible to participate.
- Patients with previous pneumonitis or interstitial lung disease.
- Patients with pre-existing sensory neuropathy >G1
- Clinical evidence of deep vein thrombosis, pulmonary embolism or arterial thromboembolic event during the Screening Period.
- Patients with superficial vein thrombosis are eligible to participate.
- Patients with uncontrolled coagulopathy.
- Any other condition, disease, metabolic dysfunction (e.g., uncontrolled diabetes mellitus), active or uncontrolled infection/inflammation, physical examination finding, mental state or clinical laboratory finding that would contraindicate participation in the clinical trial due to concerns over safety or potential non-compliance with clinical trial procedures.
- A female patient, who is pregnant or lactating.
- Female patients of reproductive potential must agree to use a highly effective method of birth control. Male patients must agree to use condoms.
- Treatment with live attenuated vaccines in the last 3 weeks before the administration of the IMP.
- Treatment with an adenovirus type-5 (Ad5)-based COVID-vaccine in the last 12 weeks before the administration of the IMP.
- Treatment with another investigational agent within five of that investigational agent's half-lives prior to the administration of the IMP.
- Chronic immunosuppressive therapy; except that:
- Inhaled corticosteroids are permitted;
- Oral or IV corticosteroids with a dose lower than 10 mg prednisone or equivalent/day are permitted;
- Dexamethasone up to a maximum dose of 1 mg/day is permitted.
- Known allergy or hypersensitivity to any of the trial-specific interventions or any of their excipients.
- Subjects, for whom first line treatment options other than the combination nab-paclitaxel/gemcitabine are recommended by the investigator.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Spain1 site, 1 recruiting
- Recruiting
Hospital 12 de Octubre
Madrid, Madrid, 28041
Victoria López, Study Coordinator, +34 91 390 8950 ext. 452750, rcarbonero@gmail.com
Rocío García Carbonero, Dr
About this study
Official title: A Phase IIa, Single-arm, Single-center, Open Label, Proof-of-concept Trial Evaluating Increased Frequency Dosing of VCN-01 (Zabilugene Almadenorepvec) in Combination With Nab-Paclitaxel/Gemcitabine (GnP) in Patients With Newly-Diagnosed Metastatic Pancreatic Cancer
The goal of this clinical trial is to learn if the new administration regimen of VCN-01, given together with the standard chemotherapy drugs gemcitabine and nab-paclitaxel (GnP), is safe and well tolerated. The behaviour of VCN-01 in the organism will be assessed, together with the possible benefits of this administration regimen. This study includes adults with newly diagnosed pancreatic ductal adenocarcinoma (PDAC) that has spread to other parts of the body (stage IV) and who have not received prior treatment for pancreatic cancer.
Participants will receive three planned doses of VCN-01, given once every 56 days. Each dose of VCN-01 is followed one week later by two cycles of standard chemotherapy with gemcitabine and nab-paclitaxel. Participants will be monitored throughout the study for safety and side effects.
- Conditions
- Pancreas Cancer, Metastatic, Pancreas Cancer, Stage IV, Ductal Adenocarcinoma of the Pancreas
- Being tested
- VCN-01 oncolytic adenovirus (zabilugene almadenorepvec), Nab-paclitaxel + Gemcitabine
- Keywords
- VCN-01, mPDAC, gemcitabine, nab-paclitaxel
- Medical subject headings
- Pancreatic Neoplasms, Neoplasm Metastasis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
VCN-01 oncolytic adenovirus (zabilugene almadenorepvec)Biological
The initial dosing regimen for this study comprises up to three "macrocycles", each of which comprises one dose of VCN-01 followed one week later by 2 cycles of GnP according to standard of care (SoC)
Nab-paclitaxel + GemcitabineDrug
IV nab-paclitaxel (starting dose 125 mg/m²) followed by IV gemcitabine (starting dose 1,000 mg/m²) according to SoC clinical practice (GnP SoC). Dose modifications and interruptions permitted per prescribing information/SmPC.
| Study group | Role | What they receive |
|---|---|---|
| High dose | Experimental | The initial dosing regimen for this study comprises three "macrocycles", each of which comprises one dose of VCN-01 followed one week later by 2 cycles of GnP according to standard of care Receives: Biological: VCN-01 oncolytic adenovirus (zabilugene almadenorepvec); Drug: Nab-paclitaxel + Gemcitabine |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence of Treatment-Emergent Adverse Events
Frequency and proportion of participants experiencing AEs/SAEs; descriptive statistics for laboratory values.
Measured: From enrolment up to 30-days from the last dose of study intervention
Pharmacokinetics (PK) of VCN-01
VCN-01 concentration in blood at predefined time points.
Measured: From enrollment up to 30 days from the last dose of study intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Jul 2026
- Study start31 Jul 2026
- Primary completion1 Aug 2027 (estimated)
- Study completion1 Dec 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Pancreas Cancer, MetastaticStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 1/2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Model description
- Three planned doses of VCN-01 administered every 56 days, combined with GnP treatment in the participant Population
- Masking
- None (open label)
- Enrolment
- 6 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Theriva Biologics SL
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07701486
- Sponsor's protocol ID
- P-VCNA-004
- Acronym
- VIRAGE2
- Status last verified
- Oct 2026
- First submitted
- 8 Jul 2026
- Last updated
- 22 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 22 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase IIa, Single-arm, Single-center, Open Label, Proof-of-concept Trial Evaluating Increased Frequency Dosing of VCN-01 (Zabilugene Almadenorepvec) in Combination With Nab-Paclitaxel/Gemcitabine (GnP) in Patients With Newly-Diagnosed Metastatic Pancreatic Cancer
- ClinicalTrials.gov ID
- NCT07701486
- Acronym / sponsor ID
- VIRAGE2 / P-VCNA-004
- Conditions
- Pancreas Cancer, Metastatic, Pancreas Cancer, Stage IV, Ductal Adenocarcinoma of the Pancreas
- Keywords
- VCN-01, mPDAC, gemcitabine, nab-paclitaxel
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 6 participants (estimated)
- Lead sponsor
- Theriva Biologics SLIndustry (pharma, biotech, devices)
- Study start
- 31 Jul 2026 (actual)
- Primary completion
- 1 Aug 2027 (estimated)
- Study completion
- 1 Dec 2027 (estimated)
- First posted
- 14 Jul 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The goal of this clinical trial is to learn if the new administration regimen of VCN-01, given together with the standard chemotherapy drugs gemcitabine and nab-paclitaxel (GnP), is safe and well tolerated. The behaviour of VCN-01 in the organism will be assessed, together with the possible benefits of this administration regimen. This study includes adults with newly diagnosed pancreatic ductal adenocarcinoma (PDAC) that has spread to other parts of the body (stage IV) and who have not received prior treatment for pancreatic cancer.
Participants will receive three planned doses of VCN-01, given once every 56 days. Each dose of VCN-01 is followed one week later by two cycles of standard chemotherapy with gemcitabine and nab-paclitaxel. Participants will be monitored throughout the study for safety and side effects.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- Three planned doses of VCN-01 administered every 56 days, combined with GnP treatment in the participant Population
| Arm | Type | Receives |
|---|---|---|
| High dose | Experimental | Biological: VCN-01 oncolytic adenovirus (zabilugene almadenorepvec), Drug: Nab-paclitaxel + GemcitabineThe initial dosing regimen for this study comprises three "macrocycles", each of which comprises one dose of VCN-01 followed one week later by 2 cycles of GnP according to standard of care |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (25 listed)
- Written informed consent obtained prior to initiating any trial-specific procedures or assessments.
- Male or female patients aged 18 years or over.
- Patients with histologically or cytologically confirmed pancreatic adenocarcinoma that is metastatic (stage IV) at diagnosis and who have not received any treatment for their pancreatic cancer.
- Patients must be able to receive their first dose of VCN-01 ≤6 weeks after their metastatic pancreatic cancer diagnosis.
- Patients must have at least one measurable tumor lesion that can be imaged for assessments according to RECIST 1.1.
Key exclusion criteria (51 listed)
- Unwillingness to complete the trial procedures for geographic, psychiatric, or social reasons.
- Patient has previously received treatment for their metastatic pancreatic cancer with surgery, radiotherapy, chemotherapy or investigational therapy; except that:
- Palliative radiotherapy for pain is permitted;
- Placement of a biliary stent/tube is permitted.
- Patients who, in the opinion of the investigator, have symptoms or signs suggesting clinically unacceptable deterioration during the Screening Period.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| VCN-01 oncolytic adenovirus (zabilugene almadenorepvec)The initial dosing regimen for this study comprises up to three "macrocycles", each of which comprises one dose of VCN-01 followed one week later by 2 cycles of GnP according to standard of care (SoC) | Biological | High dose |
| Nab-paclitaxel + GemcitabineIV nab-paclitaxel (starting dose 125 mg/m²) followed by IV gemcitabine (starting dose 1,000 mg/m²) according to SoC clinical practice (GnP SoC). Dose modifications and interruptions permitted per prescribing information/SmPC. | Drug | High dose |
Primary outcome
Incidence of Treatment-Emergent Adverse Events
Time frame: From enrolment up to 30-days from the last dose of study intervention
Frequency and proportion of participants experiencing AEs/SAEs; descriptive statistics for laboratory values.
Pharmacokinetics (PK) of VCN-01
Time frame: From enrollment up to 30 days from the last dose of study intervention
VCN-01 concentration in blood at predefined time points.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Oct 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing VCN-01 oncolytic adenovirus (zabilugene almadenorepvec) and Nab-paclitaxel + Gemcitabine in people with Pancreas Cancer, Metastatic and Pancreas Cancer, Stage IV, run by Theriva Biologics SL at 1 site in Spain.
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 25 inclusion and 51 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 22 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Spain. 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 combined 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.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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 Manel Cascalló CEO, PhD (+93936899365, mcascallo@therivabio.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Incidence of Treatment-Emergent Adverse Events (time frame: From enrolment up to 30-days from the last dose of study intervention). The study lists 2 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 22 Oct 2026; AzTrials last refreshed its copy on 8 Nov 2026.