- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07656116
Platform Study of VSV-Based Recombinant Oncolytic Viruses for the Treatment of Advanced Malignant Tumors
14. juni 2026 opdateret af: Cancer Institute and Hospital, Chinese Academy of Medical Sciences
A Phase I Platform Study of VSV-Based Recombinant Oncolytic Viruses for the Treatment of Advanced Malignant Tumors
To evaluate the safety and tolerability of combined administration of VSV injection solutions carrying different targets via multiple routes for treating advanced malignant solid tumors.
Studieoversigt
Status
Rekruttering
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
This is an open-label, dose-escalation phase I clinical trial designed to evaluate the safety and tolerability of combined administration of vesicular stomatitis virus (VSV) injection solutions carrying different targets via multiple routes in patients with advanced malignant solid tumors, and to preliminarily explore the maximum tolerated dose (MTD), recommended phase II dose (RP2D), as well as the preliminary anti-tumor activity and pharmacokinetic (PK)/pharmacodynamic (PD) characteristics of this regimen.
Undersøgelsestype
Interventionel
Tilmelding (Anslået)
27
Fase
- Fase 1
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiekontakt
- Navn: Yanjie Han, MD
- Telefonnummer: +86010-87788165
- E-mail: annyhan_1997@163.com
Undersøgelse Kontakt Backup
- Navn: Shuhang Wang, MD
- Telefonnummer: 13581809307
- E-mail: wangshuhang@cicams.ac.cn
Studiesteder
-
-
Hebei
-
Langfang, Hebei, Kina
- Rekruttering
- Cancer Hospital Chinese Academy of Medical Scienc
-
-
Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Ingen
Beskrivelse
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
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Ikke-randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: VM7V02
VM7V02: 1 mL/vial, 6.0E10 PFU/mL,Administer twice every two weeks.
|
Administer twice every two weeks.
|
|
Eksperimentel: VM8V02
VM8V02:1 mL/vial, 6.0E10 PFU/mL,Administer twice every two weeks.
|
Administer twice every two weeks.
|
|
Eksperimentel: VM8V01
VM8V01: 1 mL/vial, 6.0E10 PFU/mL,Administer twice every two weeks.
|
Administer twice every two weeks.
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Forekomst af bivirkninger (AEs)
Tidsramme: Fra underskrivelse af ICF indtil 24 måneder efter den sidste infusion.
|
Forekomst og sværhedsgrad af behandlingsrelaterede bivirkninger (TEAEs) graderet efter NCI CTCAE v5.0.
|
Fra underskrivelse af ICF indtil 24 måneder efter den sidste infusion.
|
|
Incidence of Dose-Limiting Toxicities (DLTs)
Tidsramme: 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
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Duration of Response (DOR)
Tidsramme: 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)
Tidsramme: 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)
Tidsramme: 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)
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
|
Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Efterforskere
- Studieleder: Shuhang Wang, Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart (Faktiske)
29. januar 2026
Primær færdiggørelse (Anslået)
31. januar 2027
Studieafslutning (Anslået)
31. januar 2027
Datoer for studieregistrering
Først indsendt
28. januar 2026
Først indsendt, der opfyldte QC-kriterier
14. juni 2026
Først opslået (Faktiske)
18. juni 2026
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
18. juni 2026
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
14. juni 2026
Sidst verificeret
1. juni 2026
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Andre undersøgelses-id-numre
- VSV-A01
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
INGEN
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