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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

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.

Aperçu de l'étude

Statut

Recrutement

Les conditions

Intervention / Traitement

Description détaillée

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.

Type d'étude

Interventionnel

Inscription (Estimé)

27

Phase

  • La phase 1

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Coordonnées de l'étude

Sauvegarde des contacts de l'étude

Lieux d'étude

    • Hebei
      • Langfang, Hebei, Chine
        • Recrutement
        • Cancer Hospital Chinese Academy of Medical Scienc

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

  • Adulte
  • Adulte plus âgé

Accepte les volontaires sains

Non

La description

Inclusion Criteria:

  1. Voluntarily sign the informed consent form, understand this study, and agree to comply with the protocol and complete all trial procedures
  2. Be at least 18 years of age at the time of signing the ICF, with no gender restrictions.
  3. Patients with advanced solid tumors confirmed by histopathological/cytological examination of primary and/or metastatic lesions.
  4. Patients who have failed standard therapy, lack a standard last-line treatment option, or are medically ineligible for standard therapy.
  5. Subjects with an ECOG performance status of 0-2 and an estimated survival of ≥12 weeks.
  6. 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
  7. Women of childbearing potential must have a negative pregnancy test within 7 days prior to treatment initiation.
  8. 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:

  1. 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.
  2. Lesions intended for injection with a maximum diameter >100 mm;
  3. Subjects who have participated in or are currently participating in other drug or medical device clinical trials within the past 4 weeks;
  4. Subjects scheduled for or who have previously undergone tissue/organ transplantation;
  5. 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
  6. Subjects requiring antiviral medication during the study period or within 5 half-lives of antiviral medication at the time of first dosing.
  7. Subjects requiring therapeutic anticoagulant medication during the study period.
  8. Subjects with uncontrolled active infection of ≥Grade 3 severity according to CTCAE v5.0 that is clinically significant
  9. 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)
  10. 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

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: Traitement
  • Répartition: Non randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Aucun (étiquette ouverte)

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: VM7V02
VM7V02: 1 mL/vial, 6.0E10 PFU/mL,Administer twice every two weeks.
Administer twice every two weeks.
Expérimental: VM8V02
VM8V02:1 mL/vial, 6.0E10 PFU/mL,Administer twice every two weeks.
Administer twice every two weeks.
Expérimental: VM8V01
VM8V01: 1 mL/vial, 6.0E10 PFU/mL,Administer twice every two weeks.
Administer twice every two weeks.

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Incidence des événements indésirables (EI)
Délai: De la signature du CIF jusqu'à 24 mois après la dernière perfusion.
Incidence et sévérité des événements indésirables émergents du traitement (TEAEs) classés selon NCI CTCAE v5.0.
De la signature du CIF jusqu'à 24 mois après la dernière perfusion.
Incidence of Dose-Limiting Toxicities (DLTs)
Délai: 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

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
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.
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)
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.
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)
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.
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)
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.
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
Délai: 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
Délai: 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
Délai: 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
Délai: 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

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Les enquêteurs

  • Directeur d'études: Shuhang Wang, Cancer Institute and Hospital, Chinese Academy of Medical Sciences

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude (Réel)

29 janvier 2026

Achèvement primaire (Estimé)

31 janvier 2027

Achèvement de l'étude (Estimé)

31 janvier 2027

Dates d'inscription aux études

Première soumission

28 janvier 2026

Première soumission répondant aux critères de contrôle qualité

14 juin 2026

Première publication (Réel)

18 juin 2026

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

18 juin 2026

Dernière mise à jour soumise répondant aux critères de contrôle qualité

14 juin 2026

Dernière vérification

1 juin 2026

Plus d'information

Termes liés à cette 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) ?

NON

Informations sur les médicaments et les dispositifs, documents d'étude

Étudie un produit pharmaceutique réglementé par la FDA américaine

Non

Étudie un produit d'appareil réglementé par la FDA américaine

Non

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

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