VNX-202 gene therapy for HER2-positive solid tumors
Official title: A Phase 1/2, First-in-Human Study of VNX-202 Gene Therapy in Patients With HER2-Positive Cancer
Run by Vironexis Biotherapeutics Inc. · NCT07192432 · Data updated 2026-11-12
This study will test a one-time IV gene therapy (VNX-202) that instructs the liver to produce a HER2-targeting protein to treat adults with HER2-positive solid tumors who have had prior therapy or are at high risk of relapse.
Quick facts
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 27 (estimated) |
| Sponsor | Vironexis Biotherapeutics Inc. Industry-sponsored |
| Locations | 11 sites (Los Angeles, California and 10 other locations) |
| Status | Recruiting |
| Started | November 18, 2025 |
| Main results expected | September 2033 |
| Study ends | October 2033 |
| Registry record updated | July 28, 2026 |
| Trial ID | NCT07192432 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18 or older with histologically or cytologically confirmed HER2-positive solid tumors, ECOG 0–1, acceptable organ and hematologic function, AAV capsid antibody ≤1:400, and either metastatic disease progressed after prior therapy (Part 1) or early-stage disease at high risk of relapse (Part 2).
✕Probably not a fit
Patients with active CNS or leptomeningeal disease, significant hepatotoxicity (AST/ALT >2x ULN), history of thrombotic microangiopathy or cardiomyopathy, pregnancy or lactation, high anti-AAV titers, or other exclusionary comorbidities are unlikely to benefit or be eligible for this approach.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a first-in-human Phase 1/2, open-label, dose-escalation and expansion study of VNX-202, an AAV vector designed to drive continuous systemic secretion of a secreted anti-HER2/anti-CD3 diabody called GP202. Part 1 (about 12 patients) uses escalating single IV doses to find the minimal dose that achieves target steady-state PK levels at 8 weeks without dose-limiting toxicities and to define the recommended Part 2 dose. Part 2 (about 15 patients) will enroll patients with earlier-stage, high relapse–risk HER2-positive disease to characterize safety and preliminary anti-tumor activity at the selected dose. Safety monitoring includes standard labs, hepatic assessments, and long-term follow-up for AAV-related events and immune-mediated toxicities.
Why it matters
Potential benefit: If successful, a single infusion could provide long-term, steady production of a HER2-targeting engager, reducing the need for repeated dosing and potentially improving sustained tumor control.
How similar studies have gone: While bispecific T-cell engagers and AAV-based antibody-expression approaches have shown activity in other settings, delivering a secreted anti-HER2/anti-CD3 diabody via AAV is a novel, first-in-human strategy.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age: ≥18 years of age * Histologically or cytologically confirmed diagnosis of HER-2 positive solid tumor as defined in the protocol * Part 1: presence of advanced or metastatic disease that has progressed during or following previous treatment * Part 2: Early stage HER-2 positive cancers with high risk for relapse following completion of SOC or after neoadjuvant systemic treatment * AAV specified capsid total antibody ≤1:400 * ECOG performance status of 0 or 1 * Life expectancy ≥3 months * Protocol-specified ranges for renal, liver, cardiac and pulmonary function * Protocol-specified ranges for hematology parameters Exclusion Criteria: * Hepatoxicity (AST or ALT \> 2x upper limit of normal) * Known active CNS or leptomeningeal disease * History of thrombotic microangiopathy or cardiomyopathy, or evidence of sensory neuropathy * Pregnant or nursing (lactating) women * History of other malignancy within 5 years prior to screening as defined in protocol * History of hypersensitivity to corticosteroids or history of corticosteroid-related toxicity Concurrent anti-cancer treatment in another investigational trial
Where it's running
-
Valkyrie Clinical Trials
Los Angeles, California, United States Recruiting -
SCRI Denver DDU at HealthOne
Denver, Colorado, United States Recruiting -
Mayo Clinic
Jacksonville, Florida, United States Recruiting -
Mayo Clinic
Rochester, Minnesota, United States Recruiting -
Hackensack Medical Center
Hackensack, New Jersey, United States Recruiting -
Memorial Sloan Kettering Cancer Center
New York, New York, United States Recruiting
Show 5 more locations
-
Cleveland Clinic
Cleveland, Ohio, United States Recruiting -
Thomas Jefferson University, Sidney Kimmel Cancer Center
Philadelphia, Pennsylvania, United States Recruiting -
SCRI Oncology Partners
Nashville, Tennessee, United States Recruiting -
UT MD Anderson Cancer Center
Houston, Texas, United States Recruiting -
VCU Massey CTO Phase I Solid Team
Richmond, Virginia, United States Recruiting
Study contacts
- Study coordinator: Allen Reha
- Email: allen.reha@vironexis.com
- Phone: 908-938-6019
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Testing MT-304, an mRNA lipid-nanoparticle anti-HER2 CAR therapy, in adults with advanced HER2-expressing solid tumors.
This will test MT-304, given alone or with nivolumab, in adults with advanced HER2-expressing solid tumors to find a safe dose and look for early signs of benefit.
-
Combining SHR-A1811 with other treatments for advanced solid tumors
This study is testing if a new treatment called SHR-A1811, when combined with other cancer therapies, can help people with advanced solid tumors that have HER2.
-
XYA02 in advanced solid tumors
This trial tests XYA02 in adults with MUC1-expressing advanced or relapsed solid tumors to see if it is safe, tolerable, and can shrink tumors.
-
TROP2-targeted CAR-NK cell therapy for advanced solid tumors
This study tests EB-NK-301, an off-the-shelf CAR-NK cell therapy, in adults with advanced or metastatic TROP2-expressing solid tumors after standard treatments have failed.
-
VRN101099 for HER2-positive solid tumors
This study will test whether the oral drug VRN101099 is safe and can control tumor growth in adults with HER2-positive solid tumors who have no standard treatment options.
-
Evaluating IAM1363 for HER2-related cancers
This study is testing a new treatment called IAM1363 to see if it can help people with advanced cancers that have changes in the HER2 gene.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.