Combination Bevacizumab and PRGN-2012 in Adults With Recurrent Respiratory Papillomatosis (RRP)
NCT07756840 · Status: NOT_YET_RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 50
Last updated 2026-08-11
Summary
Background:
Recurrent respiratory papillomatosis (RRP) is a rare disease that causes wart-like growths called papillomas to grow in the airway, most often in the voice box, windpipe, or lungs. These growths can make it hard to speak or breathe. Surgery can remove the papillomas, but they often come back. In some cases, they can become cancerous.
Objective:
This study istesting whether two treatments used together (PRGN-2012, a vaccine-based treatment and bevacizumab, a drug that affects blood vessel growth) can help control RRP and reduce the chance that papillomas will grow back.
Eligibility:
Adults aged 18 years and older may be able to join the study if they have RRP and meet certain treatment history requirements. This may include people who have previously received PRGN-2012 or bevacizumab, or people who have needed more than 2 surgeries to remove papillomas.
Design:
Before starting treatment, participants will have screening tests to make sure the study is safe for them. These tests may include a physical exam with blood and urine tests, heart function testing, imaging scans, and an endoscopy. During an endoscopy, a thin, flexible tube with a small camera will look at the inside of the nose, throat, voice box, and upper windpipe.
Participants will receive study treatment during 7 clinic visits over about 6 months. Bevacizumab is given through a vein amd PRGEN-2012 is given as an injection under the skin of the arm or leg. Participants may receive 1 or both drugs at each visit.
After completing treatmen, participants will return for 4 follow-up visits over 1 year. These visits may include repeat imaging, blood and urine tests, and other exams. After that, the study team will contact participantsby phone or email every 3 months for 2 years.
If their RRP gets worse during the follow-up period, they may be able to receive a second course of treatment using the same schedule....
Conditions
- Respiratory Recurrent Papillomatosis (RRP)
- Human Papillomavirus (HPV)
- Papillomavirus Infection
- Laryngeal Diseases
- Tracheal Diseases
- Respiratory Tract Neoplasm
Interventions
- DRUG
-
PRGN-2012
PRGN-2012 (5x10\^11 PU) will be administered on Days 85, 100, 128, and 170.
- DRUG
-
Administration of IV bevacizumab will be done on D1, D22, D43, D85, and D170 at a dose of 10 mg/kg during Course 1 (and Course 2 if applicable).
Sponsors & Collaborators
-
National Cancer Institute (NCI)
lead NIH
Principal Investigators
-
Scott M Norberg, D.O. · National Cancer Institute (NCI)
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 120 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-08-16
- Primary Completion
- 2029-07-01
- Completion
- 2030-07-01
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
TMV Vaccine Therapy Alone and With Pembrolizumab for the Treatment of Recurrent and/or Metastatic Head and Neck Squamous Cell Cancer
NCT06868433 ·Status: RECRUITING ·Phase: PHASE1
-
A Phase II Study of Neoadjuvant E7 TCR T Cell Immunotherapy for Borderline Resectable and Unresectable Stage I HPV-Associated Oropharyngeal Cancer
NCT04044950 ·Status: WITHDRAWN ·Phase: PHASE2
-
A Phase II Study of Epstein-Barr Virus-Specific Immunotherapy for Nasopharyngeal Carcinoma
NCT00834093 ·Status: COMPLETED ·Phase: PHASE2
-
Intratumoral PV701 in Treating Patients With Advanced or Recurrent Unresectable Squamous Cell Carcinoma of the Head and Neck
NCT00081211 ·Status: TERMINATED ·Phase: PHASE1
-
Phase II Trial of Neoadjuvant Chemotherapy (NAC) Alone or in Combination With Immunotherapy Vaccine PRGN-2009 in Subjects With Newly Diagnosed HPV-Associated Oropharyngeal (Head and Neck) Cancer
NCT06223568 ·Status: RECRUITING ·Phase: PHASE2
-
Neoadjuvant Immunoradiotherapy With Evorpacept and Pembrolizumab in HPVOPC (Human Papilloma Virus Oropharynx Cancer)
NCT05787639 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Autologous T Cells Targeting HPV16 HPV18 & Survivin in Patients With R/R HPV-related Oropharyngeal Cancers
NCT05582590 ·Status: NOT_YET_RECRUITING ·Phase: PHASE1
-
Peptide Vaccine to Prevent Recurrence of Nasopharyngeal Cancer
NCT00078494 ·Status: COMPLETED ·Phase: PHASE1
-
Phase 1/2 Study of Autologous SCG142 TCR T Cells in Patients With HPV16/52-positive Carcinoma
NCT06505551 ·Status: NOT_YET_RECRUITING ·Phase: PHASE1/PHASE2
-
T Cell Receptor Immunotherapy Targeting HPV-16 E6 for HPV-Associated Cancers
NCT02280811 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Atezolizumab and Bevacizumab in Treating Patients With Recurrent, Persistent, or Metastatic Cervical Cancer
NCT02921269 ·Status: COMPLETED ·Phase: PHASE2
-
pBI-11 & TA-HPV (With Pembrolizumab as Treatment for Patients w/Advanced, PD-L1 CPS≥1, hrHPV+ Oropharyngeal Cancer
NCT05799144 ·Status: RECRUITING ·Phase: PHASE2
-
Individualized Treatment Treating Patients With Stage II-IVB Nasopharyngeal Cancer Based on EBV DNA
NCT02135042 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2/PHASE3
-
PRGN-2009 in Combination With Pembrolizumab in Patients With Recurrent or Metastatic Cervical Cancer
NCT06157151 ·Status: RECRUITING ·Phase: PHASE2
-
Toripalimab in Combination With Standard Treatment for Human Papillomavirus (HPV) Positive Throat Cancer
NCT07290621 ·Status: RECRUITING ·Phase: PHASE2
-
Nivolumab and HPV-16 Vaccination in Patients With HPV-16 Positive Incurable Solid Tumors
NCT02426892 ·Status: COMPLETED ·Phase: PHASE2
-
TGF-beta Resistant Cytotoxic T-lymphocytes in Treatment of EBV-positive Nasopharyngeal Carcinoma / RESIST-NPC
NCT02065362 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1
-
Safety Study of EF-022 in Adults With Recurrent Respiratory Papillomatosis (RRP)
NCT02854761 ·Status: UNKNOWN ·Phase: PHASE1
-
Bevacizumab in Treating Patients With Angiosarcoma
NCT00288015 ·Status: COMPLETED ·Phase: PHASE2
-
A Clinical Trial Investigating the Safety, Tolerability, and Therapeutic Effects of BNT113 in Combination With Pembrolizumab Versus Pembrolizumab Alone for Patients With a Form of Head and Neck Cancer Positive for Human Papilloma Virus 16 and Expressing the Protein PD-L1
NCT04534205 ·Status: RECRUITING ·Phase: PHASE2/PHASE3
-
E7 TCR T Cells for Human Papillomavirus-Associated Cancers
NCT02858310 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Vaccine Therapy in Treating Patients With Persistent or Recurrent Cervical Cancer
NCT01266460 ·Status: COMPLETED ·Phase: PHASE2
-
Atezolizumab and Bevacizumab in Treating Patients With Rare Solid Tumors
NCT03074513 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
E7 TCR Cell Induction Immunotherapy for Stage II and Stage III HPV-Associated Oropharyngeal Cancer
NCT04015336 ·Status: TERMINATED ·Phase: PHASE2
-
Epstein-Barr Virus-Specific Immunotherapy for Nasopharyngeal Carcinoma
NCT00431210 ·Status: COMPLETED ·Phase: PHASE1