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
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Descrizione dettagliata
Tipo di studio
Tipo di studio
Iscrizione (Stimato)
Iscrizione
Fase
Fase
- Fase 1
Contatti e Sedi
Contatto studio
Contatto studio
- Nome: Yanjie Han, MD
- Numero di telefono: +86010-87788165
- Email: annyhan_1997@163.com
Backup dei contatti dello studio
- Nome: Shuhang Wang, MD
- Numero di telefono: 13581809307
- Email: wangshuhang@cicams.ac.cn
Luoghi di studio
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Hebei
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Langfang, Hebei, Cina
- Reclutamento
- Cancer Hospital Chinese Academy of Medical Scienc
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
- Adulto
- Adulto più anziano
Accetta volontari sani
Descrizione
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
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Non randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Nessuno (etichetta aperta)
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
|---|---|
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Sperimentale: 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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Sperimentale: 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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Sperimentale: 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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Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Incidenza degli Eventi Avversi (EA)
Lasso di tempo: Dalla firma del consenso informato fino a 24 mesi dopo l'ultima infusione.
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Incidenza e gravità degli eventi avversi emergenti dal trattamento (TEAE) classificati secondo NCI CTCAE v5.0.
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Dalla firma del consenso informato fino a 24 mesi dopo l'ultima infusione.
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Incidence of Dose-Limiting Toxicities (DLTs)
Lasso di tempo: 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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Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Duration of Response (DOR)
Lasso di tempo: 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)
Lasso di tempo: 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)
Lasso di tempo: 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)
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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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Collaboratori e investigatori
Sponsor
Sponsor
Investigatori
Investigatori
- Direttore dello studio: Shuhang Wang, Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Inizio studio
Completamento primario (Stimato)
Completamento primario
Completamento dello studio (Stimato)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- VSV-A01
Piano per i dati dei singoli partecipanti (IPD)
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Informazioni su farmaci e dispositivi, documenti di studio
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