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Experimental combo targets Hard-to-Treat HPV cancers

NCT ID NCT03260023

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing This study
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study tests a combination of two drugs—TG4001 (a biologic that targets HPV) and avelumab (an immunotherapy)—in people with advanced HPV-16 cancers that cannot be removed by surgery or cured by radiation. The trial has two phases: first, to find a safe dose, and second, to see if the combination shrinks tumors better than avelumab alone. About 143 participants with cervical, anal, penile, or vulvar cancers are being enrolled.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
TG4001 (a vaccine-like biologic) and avelumab (an immunotherapy drug)
What this could lead to
If it works, this could offer a new treatment option for people with advanced HPV-16 cancers that have stopped responding to other therapies.
What could go wrong
This is an early-phase trial (Phase 1/2) with a small number of participants. The combination may cause serious side effects, and it is not yet known if it works better than existing treatments.

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

Phase 1/2

Runs two stages together: safety and dose first, then whether the treatment works.

Participants

143 people

The number who actually took part.

Started

Sep 2017

Expected to finish

Dec 2026

An estimate. End dates often move.

Lead sponsor

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

18 years and older

Sex

Anyone

Healthy volunteers

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

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Female or male participants, aged at least 18 years (no upper limit of age) * ECOG PS 0 or 1 * Life expectancy of at least 3 months * Participants with histologically or cytologically documented metastatic or refractory/recurrent HPV-16 + cancer: cervical, vulvar, vaginal, penile and anal. * Disease MUST not be amenable to curative surgery resection or curative radiotherapy with documented disease progression * Prior therapy: * No more than one prior systemic treatment for recurrent /metastatic disease * Prior treatment for recurrent or metastatic disease is not required for: * Participants with recurrence/progression within 6 months after completion of prior multimodal therapy for localized or locally advanced disease * Participants who are unsuitable for platinum-based therapy * Participants who refuse chemotherapy or other standard therapies for the treatment of metastatic or recurrent disease * Limited hepatic disease for participants with liver metastases at baseline * Availability of tumor tissue from biopsy * At least one measurable lesion by CT scan according to RECIST 1.1. * Adequate hematological, hepatic and renal function * Negative blood pregnancy test at screening for women of childbearing potential * Highly effective contraception for both male and female participants if the risk of conception exists during the study period and for 3 months after the last study treatment administration Exclusion Criteria: * Prior exposure to cancer immunotherapy including cancer vaccines, any antibody/drug targeting T cell co-regulatory proteins (immune checkpoints) * Participants under chronic treatment with systemic corticosteroids or other immunosuppressive drugs for a period of at least 4 weeks and whose treatment was not stopped 2 weeks prior to the first study treatment, with the exception of participants with adrenal insufficiency who may continue corticosteroids at physiological replacement dose, equivalent to ≤ 10 mg prednisone daily. Steroids with no or minimal systemic effect (topical, inhalation) are allowed * Participants with CNS metastases except those with brain metastases treated locally and clinically stable during 4 weeks prior to start of study treatment, and those without ongoing neurological symptoms that are related to the brain localization of the disease * Other active malignancy requiring concurrent systemic intervention * Participants with previous malignancies other than the target malignancy to be investigated in this trial (except non-melanoma skin cancers, and the following in situ cancers: bladder, gastric, colon, endometrial, cervical/dysplasia, melanoma, or breast) are excluded unless a complete remission was achieved at least 2 years prior to study entry AND no additional therapy is required during the study period * Participant with any organ transplantation, including allogeneic stem cell transplantation * Known severe hypersensitivity reactions to monoclonal antibodies (Grade ≥ 3 NCI-CTC), any history of anaphylaxis, or uncontrolled asthma * Any known allergy or reaction to eggs, gentamycin or attributed to compounds of similar chemical or biological composition to therapeutic vaccines/immunotherapeutic products * Any known allergy or reaction to any component of anti-PD-L1/PD-1 or its excipients * Participants with known history or any evidence of active interstitial lung disease / pneumonitis * Participants with active, known, or suspected auto-immune disease or immunodeficiency, except type I diabetes mellitus, hypothyroidism only requiring hormone replacement or skin disorders (such as vitiligo, psoriasis) not requiring systemic treatment * Clinically significant (that is, active) cardiovascular disease: cerebral vascular accident/stroke or myocardial infarction (\< 6 months prior to enrollment), unstable angina pectoris, congestive heart failure (New York Heart Association Classification Class ≥ II), or serious uncontrolled cardiac arrhythmia requiring medication/active intervention, history of myocarditis * History of uncontrolled intercurrent illness including but not limited to: * Hypertension uncontrolled by standard therapies (not stabilized to 150/90 mmHg or lower) * Uncontrolled diabetes (e.g., hemoglobin A1c ≥ 8%) * Uncontrolled infection

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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

  • CHU Besançon

    Besançon, France

  • CLCC Georges-François Leclerc

    Dijon, France

  • Centre Léon Bérard

    Lyon, France

  • Centre Paul Strauss - ICANS - Institut de cancérologie Strasbourg Europe

    Strasbourg, France

  • Fundación de Investigación Biomédica Hospital Clínico San Carlos

    Madrid, Spain

  • Fundación de Investigación biomédica H. 12 de Octubre

    Madrid, Spain

  • Hopital de la Timone

    Marseille, France

  • Hospital General de Valencia

    Valencia, Spain

  • Hospital Virgen de La Victoria

    Málaga, Spain

  • Hospital Virgen de las Nieves

    Granada, Spain

  • Hôpital Saint André - CHU de Bordeaux

    Bordeaux, France

  • Hôpitaux Civils de Colmar - Hôpital Pasteur

    Colmar, France

  • I.C.O. Gauducheau

    Saint-Herblain, France

  • I.C.O. Paul Papin

    Angers, France

  • ICO Badalona - Hospital Germans Trias i Pujol

    Badalona, Spain

  • Institut Claudius Regaud - IUCT - Oncopole

    Toulouse, France

  • Institut Curie

    Paris, France

  • Institut Gustave Roussy

    Villejuif, France

  • Mayo Clinic

    Jacksonville, Florida, 32224, United States

  • Mayo Clinic

    Rochester, Minnesota, 55905, United States

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