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
Aperçu de l'étude
Statut
Statut
Les conditions
Les conditions
Intervention / Traitement
Intervention / Traitement
Description détaillée
Type d'étude
Type d'étude
Inscription (Estimé)
Inscription
Phase
Phase
- La phase 1
Contacts et emplacements
Coordonnées de l'étude
Coordonnées de l'étude
- Nom: Yanjie Han, MD
- Numéro de téléphone: +86010-87788165
- E-mail: annyhan_1997@163.com
Sauvegarde des contacts de l'étude
- Nom: Shuhang Wang, MD
- Numéro de téléphone: 13581809307
- E-mail: wangshuhang@cicams.ac.cn
Lieux d'étude
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Hebei
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Langfang, Hebei, Chine
- Recrutement
- Cancer Hospital Chinese Academy of Medical Scienc
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-
Critères de participation
Critère d'éligibilité
Critère d'éligibilité
Âges éligibles pour étudier
- Adulte
- Adulte plus âgé
Accepte les volontaires sains
La 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
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Non randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Aucun (étiquette ouverte)
Nombre de bras
Armes et Interventions
Groupe de participants / BrasGroupe de participants / Bras |
Intervention / TraitementIntervention / Traitement |
|---|---|
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Expérimental: VM7V02
VM7V02: 1 mL/vial, 6.0E10 PFU/mL,Administer twice every two weeks.
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Administer twice every two weeks.
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Expérimental: VM8V02
VM8V02:1 mL/vial, 6.0E10 PFU/mL,Administer twice every two weeks.
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Administer twice every two weeks.
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Expérimental: VM8V01
VM8V01: 1 mL/vial, 6.0E10 PFU/mL,Administer twice every two weeks.
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Administer twice every two weeks.
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Que mesure l'étude ?
Principaux critères de jugement
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Incidence des événements indésirables (EI)
Délai: De la signature du CIF jusqu'à 24 mois après la dernière perfusion.
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Incidence et sévérité des événements indésirables émergents du traitement (TEAEs) classés selon NCI CTCAE v5.0.
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De la signature du CIF jusqu'à 24 mois après la dernière perfusion.
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Incidence of Dose-Limiting Toxicities (DLTs)
Délai: Within 21 days after administration
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Incidence and characteristics of DLTs graded according to NCI CTCAE v5.0.
The DLT observation period is 21 days post-administration.
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Within 21 days after administration
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Mesures de résultats secondaires
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Duration of Response (DOR)
Délai: 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.
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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.
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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.
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Progression-Free Survival (PFS)
Délai: 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.
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The time from the first dose of study drug until the first documentation of objective tumor progression or death from any cause.
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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.
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Overall Survival (OS)
Délai: 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.
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The time from the first dose of study drug to death from any cause.
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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.
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Objective Response Rate (ORR)
Délai: 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.
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Overall response rate assessed per RECIST 1.1
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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.
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Biodistribution and Viral Shedding of VSV
Délai: Starting before the first dose and continuing until 28 days (±7 days) after the last dose
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Measurement of VSV viral load/concentration in blood, urine, saliva, feces, and at the injection site to evaluate viral distribution and clearance.
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Starting before the first dose and continuing until 28 days (±7 days) after the last dose
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Changes in Peripheral Blood Cytokine Levels
Délai: Starting before the first dose and continuing until 28 days (±7 days) after the last dose
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Assessment of cytokine levels following VSV injection.
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Starting before the first dose and continuing until 28 days (±7 days) after the last dose
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Changes in C-reactive Protein (CRP) Levels
Délai: Starting before the first dose and continuing until 28 days (±7 days) after the last dose
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Assessment of systemic inflammatory response by measuring serum CRP levels.
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Starting before the first dose and continuing until 28 days (±7 days) after the last dose
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Changes in Peripheral Lymphocyte Subsets
Délai: Starting before the first dose and continuing until 28 days (±7 days) after the last dose
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Assessment of the proportions and/or absolute counts of T cells, B cells, and NK cells in peripheral blood.
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Starting before the first dose and continuing until 28 days (±7 days) after the last dose
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Collaborateurs et enquêteurs
Parrainer
Parrainer
Les enquêteurs
Les enquêteurs
- Directeur d'études: Shuhang Wang, Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Début de l'étude
Achèvement primaire (Estimé)
Achèvement primaire
Achèvement de l'étude (Estimé)
Achèvement de l'étude
Dates d'inscription aux études
Première soumission
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Première publication
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour publiée
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Dernière vérification
Plus d'information
Termes liés à cette étude
Mots clés
Autres numéros d'identification d'étude
Autres numéros d'identification d'étude
- VSV-A01
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
Informations sur les médicaments et les dispositifs, documents d'étude
Étudie un produit pharmaceutique réglementé par la FDA américaine
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