Cancer-Fighting virus injected directly into tumors shows promise in early trial
NCT ID NCT04725331
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This early-phase trial tested a new treatment called BT-001, a virus designed to infect and kill cancer cells, given alone or with the immunotherapy drug pembrolizumab. The study involved 31 people with advanced solid tumors like melanoma, lung cancer, or sarcoma that had spread. The goal was to see if the combination was safe and could shrink tumors, but the trial was stopped early, so we have limited information on how well it works.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- BT-001 (a modified virus that targets tumors) and pembrolizumab (an immunotherapy drug)
- What this could lead to
- If successful, this approach could offer a new way to shrink tumors by combining a virus that attacks cancer cells with an immunotherapy that boosts the immune system.
- What could go wrong
- The trial was terminated early, so results are limited. The approach is still experimental, and side effects from the virus or immune reactions could be serious.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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31 people
The number who actually took part.
- Started
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Feb 2021
- Finished
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Oct 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Have at least 1 injectable measurable cutaneous, subcutaneous or nodal lesion (direct injection or through the use of ultrasound guidance) not exceeding 50mm in longest diameter and whenever possible 1 distant non-injected measurable lesion. * Provision of a fresh tumor sample of the lesion that will be injected first and, whenever possible, from another lesion that is planned to be injected, at baseline and be willing to supply new tumor samples from a biopsy during treatment. * Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1. * Have adequate hematological, hepatic and renal functions. * Have histologically confirmed, advanced/metastatic sarcoma (soft tissue and bone), Merkel cell carcinoma, melanoma, triple negative breast cancer or non-small cell lung cancer, with cutaneous or, palpable subcutaneous lesions or easily injectable lymph nodes. * Have failed and/or are intolerant to standard therapeutic options. Exclusion Criteria: * Have had major surgery within 4 weeks of first study drug administration. * Have received prior treatment with a vaccinia oncolytic virus. * Have received prior systemic anti-cancer therapy including investigational agents within 4 weeks prior to the start of treatment. * Have received prior radiotherapy within 2 weeks of start of study treatment or have had a history of radiation pneumonitis * Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy within 28 days prior the first dose of study drugs * Have a known additional malignancy that is progressing or has required active treatment within the past 3 years. * Have an active autoimmune disease that has required systemic treatment in past 2 years (i.e., with use of disease modifying agents, corticosteroids or immunosuppressive drugs). * Have a history of (non-infectious) pneumonitis / interstitial lung disease that required steroids or has current pneumonitis / interstitial lung disease * Have an active infection requiring systemic therapy * Have a known history of HIV infection * Is taking an anticoagulant medication that cannot be interrupted prior to IT injections * Have had an allogenic tissue/solid organ transplant or allogenic stem cell or bone marrow transplantation * History of severe exfoliative skin conditions (e.g., eczema or atopic dermatitis) requiring systemic therapy for more than 4 weeks within 2 years prior to BT-001 initiation. * Have received prior therapy with an anti-PD-1, anti-PD-L1, or anti PD L2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor (e.g., CTLA-4, OX 40, CD137), and was discontinued from that treatment due to a Grade 3 or higher immune-related Adverse Event (irAE). * Have known active CNS metastases and/or carcinomatous meningitis. * Have a known history of Hepatitis B (defined as HBsAg reactive) or known active Hepatitis C virus (defined as HCV RNA \[qualitative\] is detected) infection.n. * Woman of childbearing potential who has a positive serum pregnancy test (within 72 hours) prior to the start of treatment. * Have received or receiving any live or live-attenuated vaccine within 30 days prior to the first dose of study intervention.. * History of myocarditis or congestive heart failure, unstable angina, uncontrolled infection, or myocardial infarction 6 months prior to clinical trial entry. * Interstitial lung disease that is symptomatic and may interfere with the detection or management of suspected drug-related pulmonary toxicity * Is currently participating in or has participated in a study of an investigational agent or has used an investigational device within 4 weeks prior to the first dose of study treatment * Have severe hypersensitivity to the active substance or, to any of the excipients of (≥Grade 3) to pembrolizumab. and/or any of its excipients
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Centre Léon Bérard
Lyon, 69008, France
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Clinique Universitaire Saint-Luc
Brussels, 1200, Belgium
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Hôpital Saint-Louis AP-HP
Paris, 75010, France
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Institut Bergonié
Bordeaux, 33000, France
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Institut Gustave Roussy
Villejuif, 94800, France
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