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RecruitingLast updated: 22 July 2026

ADZE1.C-001: Evaluating an injectable virus therapy that destroys cancer cells and may stimulate the immune system in people with advanced melanomaA Phase 1, Open-Label, Dose Escalation Study to Evaluate the Safety, Tolerability, Pharmacodynamics and Preliminary Efficacy of Intratumoural Adze1.C in Participants With Metastatic Melanoma

Trial purpose

Medical clipboardCancer treatment

Tumor type

Skin Cancers Skin

Age

People18+

Trial acronym

ADZE1.C-001

Clinical summary

Summary

This clinical trial is testing a new experimental treatment called Adze1.C for adults with advanced melanoma.

Adze1.C is a type of oncolytic virus therapy. Oncolytic viruses are specifically designed to infect and destroy cancer cells. They may also help the body's immune system recognise and attack cancer.

The main goals of this Phase 1 trial are to:

  • Find the highest dose of Adze1.C that can be given safely
  • Learn about the treatment's side effects and how well people tolerate it
  • Understand how the treatment works in the body
  • Look for early signs that the treatment may help control the cancer

Who can take part?
You may be eligible for this study if you:

  • are aged 18 years or older
  • have Stage IIIB to IV melanoma
  • have melanoma that cannot be removed with surgery (unresectable)
  • and/or your cancer has spread to other parts of the body (metastatic)
  • are not responding, or not suitable for, standard treatments

Up to 30 participants will take part at several hospitals and cancer centres.

What does participation involve?
Participants will receive Adze1.C as an injection directly into a tumour.

Treatment begins with a low introductory dose. Three weeks later, participants will receive a higher dose, depending on which study group (cohort) they are assigned to.

There are three dose groups: low dose, medium dose, and high dose.

Researchers will gradually increase the dose between groups of participants to help determine the safest dose level.

After the higher dose is given, participants will continue to receive injections every 2 weeks. Doctors will closely monitor participants for side effects and other safety concerns throughout the study.

People who continue to meet the study requirements may be able to stay on treatment for up to 14 weeks.

Conditions

This trial is treating people with advanced or metastatic melanoma

Eligibility

Inclusion

  • Male or female participants aged 18 years or older at Screening.
  • Histologically confirmed unresectable Stage IIIB to IV metastatic melanoma.
  • Refractory to, or unsuitable for, standard treatment options as determined by the investigator.
  • Not a suitable candidate for curative resection.
  • Presence of measurable disease per iRECIST (excluding irradiated lesions unless progression post-radiation is documented).
  • Presence of at least one injectable melanoma lesion and/or tumor-involved lymph node suitable for intratumoral administration.
  • ECOG performance status of 0 or 1 at Screening.
  • Stable visceral metastases and stable CNS metastases may be eligible if protocol-defined eligibility requirements are met.
  • Willing and able to provide written informed consent and comply with study procedures.

Exclusion

  • Uncontrolled intercurrent illness, including but not limited to:

    • Active systemic infection or fever ≥ 38°C within 5 days prior to Screening
    • Symptomatic congestive heart failure
    • NYHA Class III or IV heart failure
    • Unstable angina or arrhythmia
    • Leptomeningeal disease, active uncontrolled or symptomatic brain metastases, CNS haemorrhage, uncontrolled peri-tumoural oedema, or conditions associated with high risk of CNS inflammation
    • Psychiatric illness or social conditions that limit compliance
  • Visceral metastatic disease that is not clinically and radiographically stable or requires urgent medical intervention.
  • Immunocompromised status or known HIV infection with ongoing antiretroviral therapy.
  • Active or clinically significant liver disease, including:

    • Hepatitis B surface antigen (HBsAg) positive
    • Hepatitis C virus RNA positive
  • History of organ transplantation.
  • Prior treatment with adenovirus therapy.
  • Prior oncolytic virus treatment within 2 months of Screening.
  • Use of systemic immunosuppressants or other immune-modifying drugs must be discontinued 14 days prior to the first dose.
  • Use of cidofovir within 14 days of Adze1.C dosing.
  • Any other condition which, in the investigator's judgment, would make the participant inappropriate for the study.

Inclusion

  • Your cancer has spread to other parts of the body (metastatic) or has grown into nearby parts of the body (locally advanced).
  • Your cancer has not spread to other parts of the body, but it is not possible to perform surgery to remove it (unresectable).
  • You have had treatment but your cancer has gotten worse or has not responded to the treatment you have been given.

Exclusion

  • You have certain types of non-cancer medical conditions.
  • You have had certain treatments, surgical procedures or drugs.
Message

Clinical trials have complex eligibility criteria, and other criteria may apply for this trial. Ask your doctor about whether this trial could be right for you.

Participating hospitals

Recruiting hospitals

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More information

Trial Identifiers

Information on this page is partially produced from ClinicalTrials.gov *. View further details about this trial on the registry via the links below:

Trial sponsor

Adze Biotechnology Australia Pty Ltd

Scientific Title

A Phase 1, Open-Label, Dose Escalation Study to Evaluate the Safety, Tolerability, Pharmacodynamics and Preliminary Efficacy of Intratumoural Adze1.C in Participants With Metastatic Melanoma

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