Clinical trial Recruiting at 11 sites Phase1; Phase2 Interventional Ages 18 and up

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.

More HER2 Expressing Solid Tumors trials

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment27 (estimated)
SponsorVironexis Biotherapeutics Inc.
Industry-sponsored
Locations11 sites (Los Angeles, California and 10 other locations)
StatusRecruiting
StartedNovember 18, 2025
Main results expectedSeptember 2033
Study endsOctober 2033
Registry record updatedJuly 28, 2026
Trial IDNCT07192432 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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    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.

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  • 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.

    Recruiting at 15 sites Phase 1/2 Jiangsu HengRui Medicine Co., Ltd. · Hefei, Anhui and 14 other locations · NCT06015048

  • XYA02 in advanced solid tumors

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  • VRN101099 for HER2-positive solid tumors

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  • Evaluating IAM1363 for HER2-related cancers

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.