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
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
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
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
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

Related trials

Other published trials that may interest you.