Clinical trial • Phase II • Oncology|Dermatology
BIFIKAFUSP ALFA for Locally advanced basal cell carcinoma
Phase II trial of BIFIKAFUSP ALFA for Locally advanced basal cell carcinoma.
Overview
- Trial Therapeutic Area
- Oncology|Dermatology
- Trial Disease
- Locally advanced basal cell carcinoma
- Trial Stage
- Phase II
- Drug Modality
- Peptide/protein/enzyme
Key dates
- Initial CTIS Submission Date
- 02-10-2025
- First CTIS Authorization Date
- 10-02-2026
Trial design
Randomised, active comparator arms: l19il2 (darleukin; active substance: bifikafusp alfa) intralesional injection; l19tnf (fibromun; active substance: onfekafusp alfa) intralesional injection; combination arm l19il2/l19tnf intralesional injection. doses (product entries): darleukin max total dose 2.17 mg; fibromun max total dose 0.4 mg. scheduling details not specified in ctis metadata.-controlled Phase II trial in Spain, Germany, Greece and others.
- Randomised
- Yes
- Comparator
- Active comparator arms: L19IL2 (Darleukin; active substance: BIFIKAFUSP ALFA) intralesional injection; L19TNF (Fibromun; active substance: ONFEKAFUSP ALFA) intralesional injection; combination arm L19IL2/L19TNF intralesional injection. Doses (product entries): Darleukin max total dose 2.17 mg; Fibromun max total dose 0.4 mg. Scheduling details not specified in CTIS metadata.
- Target Sample Size
- 95
Eligibility
Recruits 95 No vulnerable populations selected (isVulnerablePopulationSelected=false). Consent to participate is obtained using country-specific subject information and informed consent forms (documents listed for Spain, Germany, Greece, Italy). No specific assent/paediatric consent arrangements are described in the available CTIS metadata..
- Vulnerable Population
- No vulnerable populations selected (isVulnerablePopulationSelected=false). Consent to participate is obtained using country-specific subject information and informed consent forms (documents listed for Spain, Germany, Greece, Italy). No specific assent/paediatric consent arrangements are described in the available CTIS metadata.
Inclusion criteria
- {"criterion_text":"- Patients with high risk, locally advanced histologically confirmed (non-metastatic, node negative, single or multifocal), BCC and amenable to intratumoral injection, not eligible or refusing surgery or radiation therapy according to the evaluation of a local interdisciplinary tumor board.\n- Patients with at least one injectable and measurable cutaneous or subcutaneous lesion.\n- Patients must not have received prior checkpoint inhibitors systemic treatment\n- Patients may have received prior surgery and/or radiation therapy.\n- Patients must have a histologically confirmed disease\n- BCC that has recurred in the same location after two or more surgical procedures and curative resection is deemed unlikely\n- Anticipated substantial morbidity and/or deformity from surgery\n- Medical conditions predisposing to poor surgical outcome\n- Other conditions considered to be medically contraindicating must be discussed with the Medical Monitor before enrolling the patient.\n- ECOG Performance Status/WHO Performance Status ≤ 1.\n- Hemoglobin > 10.0 g/dL.\n- Platelets > 100 x 109/L.\n- ALT and AST, GGT and Lipase ≤ 1.5 x the upper limit of normal (ULN).\n- All acute toxic effects (excluding alopecia) of any prior therapy must have resolved to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE v. 5.0) Grade ≤ 1 unless otherwise specified\n- Patients must have previously received radiotherapy for their locally advanced BCC, unless it was contraindicated or not appropriate"}
Exclusion criteria
- {"criterion_text":"- Presence of concomitant malignancies, with the exception of any cancer curatively treated more than 3 years prior to study entry and of tumors with a negligible risk for metastasis or death, such as adequately treated squamous-cell carcinoma of the skin\n- Radiation therapy on the tumor sites in the 4 weeks prior to study drug administration.\n- Current topical or systemic chemotherapy, targeted therapy immunotherapy\n- Patients with node positive BCC who are candidates for checkpoint inhibitor therapy\n- Presence of visceral metastasis.\n- Presence of active serious infections or other severe conditions requiring treatment, including positive tests for HIV-1/2, HBV, or HCV. For HBV, HBsAg and anti-HBc must be tested; if previously exposed, HBV-DNA must be negative. For HCV, HCV-RNA or antibody testing is required\n- History within the last year of acute or subacute coronary syndromes including myocardial infarction, unstable or severe stable angina pectoris, inadequately treated cardiac arrhythmias and heart insufficiency\n- Any abnormalities observed during baseline ECG investigations that are considered clinically significant by the investigator.\n- Chronically impaired renal function as indicated by creatinine clearance < 60 mL/min/1.73m2 or for patients older than 65 years without albuminuria or proteinuria, creatinine clearance < 45 L/min/1.73m2.\n- Known arterial aneurysms.\n- INR > 3.\n- Uncontrolled hypertension.\n- Known uncontrolled coagulopathy or bleeding disorder.\n- Known hepatic cirrhosis or severe pre-existing hepatic impairment."}
Endpoints
Primary endpoints
- {"endpoint_text":"- The primary objective of the study is to evaluate the efficacy of L19IL2 or L19TNF or L19IL2/L19TNF.","definition_or_measurement_approach":""}
Recruitment
- Planned Sample Size
- 95
- Recruitment Window Months
- 57
- Consent Approach
- Informed consent is obtained using country-specific subject information and informed consent forms (documents available for Spain, Germany, Greece, Italy). No site-level assent or age-specific consent processes are described in the CTIS metadata; language-specific forms correspond to the country of the site (not explicitly detailed in metadata).
Geography
- Total Number Of Sites
- 12
- Total Number Of Participants
- 85
Spain
- Earliest CTIS Part Ii Submission Date
- 30-01-2026
- Latest Decision Or Authorization Date
- 16-02-2026
- Processing Time Days
- 17
- Number Of Sites
- 1
- Number Of Participants
- 24
Sites
- Site Name
- Hospital Clinic De Barcelona
- Department Name
- Dermatology
- Principal Investigator Name
- Augustin Toll Abello
- Principal Investigator Email
- atoll@clinic.cat
- Contact Person Name
- Augustin Toll Abello
- Contact Person Email
- atoll@clinic.cat
Germany
- Earliest CTIS Part Ii Submission Date
- 29-01-2026
- Latest Decision Or Authorization Date
- 11-02-2026
- Processing Time Days
- 13
- Number Of Sites
- 6
- Number Of Participants
- 26
Sites
- Site Name
- Universitaetsklinikum Essen AöR
- Department Name
- Dermatology
- Principal Investigator Name
- Dirk Schadendorf
- Principal Investigator Email
- dirk.schadendorf@uk-essen.de
- Contact Person Name
- Dirk Schadendorf
- Contact Person Email
- dirk.schadendorf@uk-essen.de
- Site Name
- Universitaetsklinikum Halle (Saale) AöR
- Department Name
- Dermatology
- Principal Investigator Name
- Johannes Wohlrab
- Principal Investigator Email
- johannes.wohlrab@medizin.uni-halle.de
- Contact Person Name
- Johannes Wohlrab
- Contact Person Email
- johannes.wohlrab@medizin.uni-halle.de
- Site Name
- Universitaetsklinikum Augsburg
- Department Name
- Dermatology
- Principal Investigator Name
- Julia Welzel
- Principal Investigator Email
- dermatologie@uk-ausburg.de
- Contact Person Name
- Julia Welzel
- Contact Person Email
- dermatologie@uk-ausburg.de
- Site Name
- Universitaetsklinikum Schleswig-Holstein AöR
- Department Name
- Dermatology
- Principal Investigator Name
- Katharina Kahler
- Principal Investigator Email
- kkaehler@dermatology.uni-kiel.de
- Contact Person Name
- Katharina Kahler
- Contact Person Email
- kkaehler@dermatology.uni-kiel.de
- Site Name
- Universitaetsklinikum Tuebingen AöR
- Department Name
- Dermatology
- Principal Investigator Name
- Lukas Flatz
- Principal Investigator Email
- lukas.flatz@med.uni-tuebingen.de
- Contact Person Name
- Lukas Flatz
- Contact Person Email
- lukas.flatz@med.uni-tuebingen.de
- Site Name
- Charite Universitaetsmedizin Berlin KöR
- Department Name
- Dermatology
- Principal Investigator Name
- Thomas Eigentler
- Principal Investigator Email
- thomas.eigentler@charite.de
- Contact Person Name
- Thomas Eigentler
- Contact Person Email
- thomas.eigentler@charite.de
Greece
- Earliest CTIS Part Ii Submission Date
- 13-11-2025
- Latest Decision Or Authorization Date
- 11-02-2026
- Processing Time Days
- 90
- Number Of Sites
- 1
- Number Of Participants
- 10
Sites
- Site Name
- Andreas Syngros Hospital Of Venereal And Dermatological Diseases
- Department Name
- Dermatology-Venereology
- Principal Investigator Name
- alexandros Stratigos
- Principal Investigator Email
- alstrat2@gmail.com
- Contact Person Name
- alexandros Stratigos
- Contact Person Email
- alstrat2@gmail.com
Italy
- Earliest CTIS Part Ii Submission Date
- 08-01-2026
- Latest Decision Or Authorization Date
- 10-02-2026
- Processing Time Days
- 33
- Number Of Sites
- 4
- Number Of Participants
- 25
Sites
- Site Name
- Humanitas Mirasole S.p.A.
- Department Name
- oncology and hematology
- Principal Investigator Name
- paolo bossi
- Principal Investigator Email
- paolo.bossi@hunimed.eu
- Contact Person Name
- paolo bossi
- Contact Person Email
- paolo.bossi@hunimed.eu
- Site Name
- IRCCS Istituto Nazionale Tumori Fondazione Pascale
- Department Name
- SC Oncologia clinica sperimentale del melanoma
- Principal Investigator Name
- Ascierto Paolo
- Principal Investigator Email
- p.ascierto@istitutotumori.na.it
- Contact Person Name
- Ascierto Paolo
- Contact Person Email
- p.ascierto@istitutotumori.na.it
- Site Name
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS
- Department Name
- UOC Dermatologia
- Principal Investigator Name
- Ketty Peris
- Principal Investigator Email
- ketty.peris@unicatt.it
- Contact Person Name
- Ketty Peris
- Contact Person Email
- ketty.peris@unicatt.it
- Site Name
- Azienda Ospedaliero-Universitaria Senese
- Department Name
- immuniterapia oncologica
- Principal Investigator Name
- annamaria digiamoco
- Principal Investigator Email
- annamaria.digiacomo@unisi.it
- Contact Person Name
- annamaria digiamoco
- Contact Person Email
- annamaria.digiacomo@unisi.it
Sponsor
Primary sponsor
- Full Name
- Philogen S.p.A.
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- Italy
Contract research organisations
- Name
- Pharmassist Ltd.
- Responsibilities
- sponsor duties (sponsorDuties id 914996, code 1); contact s.chatziioannou@pharmassist-cro.com; phone 00302106560700
Third parties
- {"country":"Greece","full_name":"Pharmassist Ltd.","duties_or_roles":"sponsorDuties code 1; contact s.chatziioannou@pharmassist-cro.com, phone 00302106560700","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- Darleukin
- Active Substance
- BIFIKAFUSP ALFA
- Modality
- Peptide/protein/enzyme
- Routes Of Administration
- Intralesional use
- Route
- Intralesional
- Authorisation Status
- Authorised (prodAuthStatus 1, euMpNumber PRD75347)
- Dose Levels
- maxTotalDoseAmount 2.17 mg; maxDailyDoseAmount 2.17 mg
- Maximum Dose
- 2.17 mg (total/max daily as per product entry)
- Investigational Product Name
- Fibromun
- Active Substance
- ONFEKAFUSP ALFA
- Modality
- Peptide/protein/enzyme
- Routes Of Administration
- Intralesional use
- Route
- Intralesional
- Authorisation Status
- Authorised (prodAuthStatus 1, euMpNumber PRD97068)
- Dose Levels
- maxTotalDoseAmount 0.4 mg; maxDailyDoseAmount 0.4 mg
- Maximum Dose
- 0.4 mg (total/max daily as per product entry)
- Combination Treatment
- Yes
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