Platform Study of VSV-Based Recombinant Oncolytic Viruses for the Treatment of Advanced Malignant Tumors
A Phase I Platform Study of VSV-Based Recombinant Oncolytic Viruses for the Treatment of Advanced Malignant Tumors
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Yanjie Han, MD
- Phone Number: +86010-87788165
- Email: annyhan_1997@163.com
Study Contact Backup
- Name: Shuhang Wang, MD
- Phone Number: 13581809307
- Email: wangshuhang@cicams.ac.cn
Study Locations
-
-
Hebei
-
Langfang, Hebei, China
- Recruiting
- Cancer Hospital Chinese Academy of Medical Scienc
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Voluntarily sign the informed consent form, understand this study, and agree to comply with the protocol and complete all trial procedures
- Be at least 18 years of age at the time of signing the ICF, with no gender restrictions.
- Patients with advanced solid tumors confirmed by histopathological/cytological examination of primary and/or metastatic lesions.
- Patients who have failed standard therapy, lack a standard last-line treatment option, or are medically ineligible for standard therapy.
- Subjects with an ECOG performance status of 0-2 and an estimated survival of ≥12 weeks.
- Adequate organ and hematopoietic function: Absolute neutrophil count (ANC) ≥ 1.5 × 10⁹/LPlatelet count ≥ 75 × 10⁹/L (no platelet transfusion or thrombopoietin (TPO) therapy within 2 weeks prior to first dose)Hemoglobin ≥ 90 g/L (no blood transfusion within 2 weeks)Serum creatinine ≤ 1.5 × upper limit of normal (ULN) or creatinine clearance (CCr) ≥ 50 mL/min Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 3.0 × ULN for patients with liver metastases, AST and ALT < 5 × ULN, Serum total bilirubin (TBIL) ≤ 2 × ULN, International Normalized Ratio (INR) ≤ 1.5 × ULN, or activated partial thromboplastin time (APTT) ≤ 1.5 × ULN
- Women of childbearing potential must have a negative pregnancy test within 7 days prior to treatment initiation.
- Male and female subjects of reproductive potential must agree to use reliable contraception during the trial and for at least 6 months after the last dose. Translated with DeepL.com (free version)
Exclusion Criteria:
- Subjects with other active malignancies within the past 5 years. Exceptions include subjects who have achieved complete remission and require no follow-up treatment, and subjects with malignancies within the scope of the indication.
- Lesions intended for injection with a maximum diameter >100 mm;
- Subjects who have participated in or are currently participating in other drug or medical device clinical trials within the past 4 weeks;
- Subjects scheduled for or who have previously undergone tissue/organ transplantation;
- Subjects with Human Immunodeficiency Virus (HIV) infection who have experienced AIDS-related opportunistic infections within the past 12 months, or who have a CD4+ T-cell (CD4+) count < 350 cells/uL Patients with positive hepatitis B surface antigen (HBsAg) and/or hepatitis B core antibody (HBcAb) at screening, with HBV-DNA above the lower limit of detection patients with positive HCV antibody at screening and HCV-RNA above the lower limit of detection subjects with positive syphilis serology
- Subjects requiring antiviral medication during the study period or within 5 half-lives of antiviral medication at the time of first dosing.
- Subjects requiring therapeutic anticoagulant medication during the study period.
- Subjects with uncontrolled active infection of ≥Grade 3 severity according to CTCAE v5.0 that is clinically significant
- Received antineoplastic therapy (chemotherapy, radiotherapy, biologic therapy, endocrine therapy, immunotherapy, etc.) within 4 weeks prior to first dose Received small-molecule targeted therapy or oral fluorouracil-based agents within 2 weeks prior to first dose or within 5 half-lives (whichever is longer) Received Chinese herbal medicine or proprietary Chinese medicine with antitumor indications within 2 weeks prior to first dose Received Chinese herbal medicine or proprietary Chinese medicine with antitumor indications within 2 weeks prior to first dose Received nitrosourea or mitomycin C within 6 weeks prior to first dose Palliative radiotherapy for non-target lesions is permitted (≥2 weeks prior to first dose)
- Uncontrolled hypertension, pulmonary hypertension, or unstable angina myocardial infarction, coronary artery bypass grafting, or stenting within 6 months prior to dosing history of chronic heart failure at New York Heart Association (NYHA) functional class III-IV Severe arrhythmias requiring treatment (excluding atrial fibrillation or paroxysmal supraventricular tachycardia deemed by the investigator to have no impact on the trial), including QTcF ≥ 450 ms in males or ≥ 470 ms in females (calculated using Fridericia's formula) cerebrovascular accident (CVA) or transient ischemic attack (TIA) within 6 months prior to enrollment
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: VM7V02
VM7V02: 1 mL/vial, 6.0E10 PFU/mL,Administer twice every two weeks.
|
Administer twice every two weeks.
|
|
Experimental: VM8V02
VM8V02:1 mL/vial, 6.0E10 PFU/mL,Administer twice every two weeks.
|
Administer twice every two weeks.
|
|
Experimental: VM8V01
VM8V01: 1 mL/vial, 6.0E10 PFU/mL,Administer twice every two weeks.
|
Administer twice every two weeks.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence of Adverse Events (AEs)
Time Frame: From signing ICF until 24 months after the last infusion.
|
Incidence and severity of treatment-emergent adverse events (TEAEs) graded according to NCI CTCAE v5.0.
|
From signing ICF until 24 months after the last infusion.
|
|
Incidence of Dose-Limiting Toxicities (DLTs)
Time Frame: Within 21 days after administration
|
Incidence and characteristics of DLTs graded according to NCI CTCAE v5.0.
The DLT observation period is 21 days post-administration.
|
Within 21 days after administration
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Duration of Response (DOR)
Time Frame: Imaging assessments will be conducted within 28 days prior to first dose, every 6 weeks (±7 days) during treatment, and every 12 weeks during follow-up until disease progression,up to 24 months.
|
The time from the first documentation of objective tumor response (CR or PR) to the first documentation of objective tumor progression or death from any cause.
|
Imaging assessments will be conducted within 28 days prior to first dose, every 6 weeks (±7 days) during treatment, and every 12 weeks during follow-up until disease progression,up to 24 months.
|
|
Progression-Free Survival (PFS)
Time Frame: Imaging assessments will be conducted within 28 days prior to first dose, every 6 weeks (±7 days) during treatment, and every 12 weeks during follow-up until disease progression,up to 24 months.
|
The time from the first dose of study drug until the first documentation of objective tumor progression or death from any cause.
|
Imaging assessments will be conducted within 28 days prior to first dose, every 6 weeks (±7 days) during treatment, and every 12 weeks during follow-up until disease progression,up to 24 months.
|
|
Overall Survival (OS)
Time Frame: Imaging assessments will be conducted within 28 days prior to first dose, every 6 weeks (±7 days) during treatment, and every 12 weeks during follow-up until disease progression,up to 24 months.
|
The time from the first dose of study drug to death from any cause.
|
Imaging assessments will be conducted within 28 days prior to first dose, every 6 weeks (±7 days) during treatment, and every 12 weeks during follow-up until disease progression,up to 24 months.
|
|
Objective Response Rate (ORR)
Time Frame: Imaging assessments will be conducted within 28 days prior to first dose, every 6 weeks (±7 days) during treatment, and every 12 weeks during follow-up until disease progression,up to 24 months.
|
Overall response rate assessed per RECIST 1.1
|
Imaging assessments will be conducted within 28 days prior to first dose, every 6 weeks (±7 days) during treatment, and every 12 weeks during follow-up until disease progression,up to 24 months.
|
|
Biodistribution and Viral Shedding of VSV
Time Frame: Starting before the first dose and continuing until 28 days (±7 days) after the last dose
|
Measurement of VSV viral load/concentration in blood, urine, saliva, feces, and at the injection site to evaluate viral distribution and clearance.
|
Starting before the first dose and continuing until 28 days (±7 days) after the last dose
|
|
Changes in Peripheral Blood Cytokine Levels
Time Frame: Starting before the first dose and continuing until 28 days (±7 days) after the last dose
|
Assessment of cytokine levels following VSV injection.
|
Starting before the first dose and continuing until 28 days (±7 days) after the last dose
|
|
Changes in C-reactive Protein (CRP) Levels
Time Frame: Starting before the first dose and continuing until 28 days (±7 days) after the last dose
|
Assessment of systemic inflammatory response by measuring serum CRP levels.
|
Starting before the first dose and continuing until 28 days (±7 days) after the last dose
|
|
Changes in Peripheral Lymphocyte Subsets
Time Frame: Starting before the first dose and continuing until 28 days (±7 days) after the last dose
|
Assessment of the proportions and/or absolute counts of T cells, B cells, and NK cells in peripheral blood.
|
Starting before the first dose and continuing until 28 days (±7 days) after the last dose
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Shuhang Wang, Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
Other Study ID Numbers
- VSV-A01
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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