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VG161 is a recombinant human-IL12/15/PDL1B oncolytic HSV-1 Injectable. This Phase I study will be conducted in HSV-seropositive subjects with advanced malignant solid tumors that are refractory to conventional therapies. This is an open label study to determine the safety and tolerability of VG161, and recommended dose of VG161 for Phase II trials.
The trial will be conducted in 7 dose ascending cohorts, including 3 single dose accelerated titration design pilots and 4 multiple dose escalation groups.
Descriptive statistics will be used to summarize all data.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Single Arm | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Recombinant Human IL12/15-PDL1B Oncolytic HSV-1 Injection (Vero Cell)) | Drug | Intratumoral injection only. The dosing date can be the Day 1 only or Days 1 through 5. |
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| Measure | Description | Time Frame |
|---|---|---|
| MTD/RP2D | MTD (Maximum tolerable dose) / RP2D (Recommended dose for phase II) | 1 month |
| Occurence of DLT | Occurence of DLT (Dose Limiting Toxicity) | 1 month |
| Numbers of DLT | Numbers of DLT (Dose Limiting Toxicity) | 1 month |
| Occurence of AE and SAE(NCI CTCAE 5.0) | Occurence of Adverse Event (AE) and Serious Adverse Event (SAE) (NCI CTCAE 5.0) | 7 months |
| Frequency of AE and SAE(NCI CTCAE 5.0) | Frequency of Adverse Event (AE) and Serious Adverse Event (SAE) (NCI CTCAE 5.0) | 7 months |
| Measure | Description | Time Frame |
|---|---|---|
| Tmax(h) | Time to peak | At the end of Cycle 1 (each cycle is 28 days) |
| Cmax(copies/ugDNA) | Maximum concentration | At the end of Cycle 1 (each cycle is 28 days) |
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Inclusion Criteria:
1) Hematology blood (no blood transfusion or colony stimulating factor treatment within 14 days): Absolute neutrophil count (ANC)≥1.5×10^9L, Platelets ( PLT)≥75×10^9L, hemoglobin (Hb)≥85g/L; 2) Liver function: Total Serum bilirubin (TBIL)≤1.5×ULN (the upper limit of the reference range), Alanine aminotransferase (ALT)≤3×ULN, aspartate aminotransferase (AST)≤3×ULN (acceptable for patients with liver metastasis or liver cancer: TBIL≤5×ULN, AST≤5×ULN, ALT≤5×ULN); 3) Renal function: Serum creatinine≤1.5×ULN, and creatinine clearance≥50 ml/min (calculated per Cockcroft-Gault formula); 4) Coagulation function: activated partial thromboplastin time (APTT)≤1.5×ULN, international standardized ratio (INR)≤1.5×ULN.
7. Subjects of childbearing potential (male and female) must agree to use a reliable contraceptive method (hormone or barrier method or abstinence) during the study and for at least 90 days following the last dose; females of childbearing potential must have a negative blood or urine pregnancy test within 7 days of study enrollment.
8. Signed written informed consent.
Exclusion Criteria:
1)Ventricular arrhythmias requiring clinical intervention; 2)QTc interval >480 ms; 3)Acute coronary syndrome, congestive heart failure, stroke or other cardiovascular events of III grade or above within 6 months; 4)The cardiac function grade≥II or left ventricular ejection fraction (LVEF) <50% per the New York Heart Association (NYA); 5)Uncontrolled hypertension. 13. Subjects with active or past autoimmune diseases that are likely to recur (e.g. systemic lupus erythematosus, rheumatoid arthritis, vasculitis, etc.); acceptable for patients with clinically stable autoimmune thyroiditis.
14. Subjects with any prior ≥Grade 3 immune-related adverse event (irAE) while receiving any previous immunotherapy agent.
15. known to have alcohol or drug dependence. 16. Persons with mental disorders or poor compliance. 17. Pregnant or lactating women. 18. Subjects with any significant unrelated systemic illness that to the investigator's opinion would compromise the subject's eligibility to participate the study.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jin Li, doctor | Contact | 13761222111 | lijin@csco.org.cn |
| Name | Affiliation | Role |
|---|---|---|
| Jin Li, doctor | Shanghai East Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| ShangHai East hospital | Recruiting | Shanghai | Shanghai Municipality | China |
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| ORR | Evaluate Objective Response Rate by RECIST 1.1. | 7 months |
| DCR | Evaluate Disease Control Rate by RECIST 1.1. | 7 months |
| mPFS | Evaluate medium Progression Free Survival by RECIST 1.1. | 7 months |
| CD3+, CD4+, CD8+ | Concentration of CD3+, CD4+, CD8+ | 7 months |
| IL15 | Concentration of IL15 | 7 months |
| PD-L1, PD-1 | Concentration of PD-L1, PD-1, | 7 months |
| Existence of Biomarkers | PD-L1, Nectin2, HVEM | 4 months |
| Xin Hua Hospital Affiliated to ShangHai Jiao Tong University School of Medicine | Recruiting | Shanghai | Shanghai Municipality | China |
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