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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 primary liver cancer that are refractory to conventional therapies. This is an open label study and it's divided into two parts.
Part 1: This part is ascending dose design to determine the safety and tolerability of VG161 and find recommended dose of VG161.
Part 2: This part is extended dose design to determine the effectiveness of VG161.
Part 1: This part will be conducted in 5 dose ascending cohorts, including 2 accelerated titration design dose group and 3 dose escalation groups. Descriptive statistics will be used to summarize data.
Part 2: This part will only include the part 1 recommended dose. Hypothesis test and descriptive statistics will be used to summarize data.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| VG161 | Experimental | Part1:
Part2: Depends on the recommended dose in Part1 |
|
| 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. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Part1: MTD/Recommended dose | MTD (Maximum tolerable dose) /Recommended dose | 7 month |
| Part1: Occurence of DLT | Occurence of DLT (Dose Limiting Toxicity) | 1month |
| Part1: Numbers of DLT | Numbers of DLT (Dose Limiting Toxicity) | 1 month |
| Part1: 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 |
| Part1: 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 |
| Part2:ORR | Evaluate Objective Response Rate by RECIST 1.1 | 7 months |
| Measure | Description | Time Frame |
|---|---|---|
| Part1:Tmax(h) | Time to peak | At the end of Cycle 1 (each cycle is 28 days) |
| Part1:Cmax(copies/ugDNA) | Maximum concentration | At the end of Cycle 1 (each cycle is 28 days) |
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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)≤5×ULN, aspartate aminotransferase (AST)≤5×ULN; 3)Child-Pugh A-B level; 4) Renal function: Serum creatinine≤1.5×ULN, and creatinine clearance≥45 ml/min (calculated per Cockcroft-Gault formula); 5) Coagulation function: activated partial thromboplastin time (APTT)≤1.5×ULN, prothrombin time(PT) ≤1.5×ULN, international standardized ratio (INR)≤1.5×ULN.
6. Subjects who are HBV-DNA negative; or HBV-DNA positive are required to receive treatment in accordance with the 'Guidelines for the prevention and treatment of chronic hepatitis B' (2019 Edition) or clinical practice.
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 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. Previous immunotherapy with an immune-related adverse event (irAE) such as immune-related pneumonia, myocarditis, etc., which, in the judgement of the investigator, may affect the safety of the investigational drug. 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 | |
|---|---|---|---|---|
| Tingbo Liang, MD.PhD. | Contact | 0571-87236666 | liangtingbo@zju.edu.cn |
| Name | Affiliation | Role |
|---|---|---|
| Tingbo Liang | Zhejiang University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Affiliated Hospital, Zhejiang University School of Medicine | Recruiting | Hangzhou | Zhejiang | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40108464 | Derived | Shen Y, Bai X, Zhang Q, Liang X, Jin X, Zhao Z, Song W, Tan Q, Zhao R, Jia W, Gu S, Shi G, Zheng Z, Wei G, Wang Y, Fang T, Li Y, Wang Z, Yang Z, Guo S, Lin D, Wei F, Wang L, Sun X, Qin A, Xie L, Qiu Y, Bao W, Rahimian S, Singh M, Murad Y, Shang J, Chu M, Huang M, Ding J, Chen W, Ye Y, Chen Y, Li X, Liang T. Oncolytic virus VG161 in refractory hepatocellular carcinoma. Nature. 2025 May;641(8062):503-511. doi: 10.1038/s41586-025-08717-5. Epub 2025 Mar 19. |
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| ID | Term |
|---|---|
| D006528 | Carcinoma, Hepatocellular |
| D008113 | Liver Neoplasms |
| ID | Term |
|---|---|
| D000230 | Adenocarcinoma |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
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|
| Part1:ORR | Evaluate Objective Response Rate by iRECIST | 7 months |
| Part1:DOR | Evaluate Disease Control Rate by iRECIST | 7 months |
| Part1:PFS | Evaluate medium Progression Free Survival by iRECIST | 7 months |
| Part1:OS rate | Evaluate Overall Survival rate | 17 months |
| Part 1:CD3+, CD4+, CD8+ | Concentration of CD3+, CD4+, CD8+ | 7 months |
| Part 1:IL15 | Concentration of IL15 | 7 months |
| Part 1:PD-L1, PD-1 | Concentration of PD-L1, PD-1 | 7 months |
| Part 2:PFS | Evaluate medium Progression Free Survival by iRECIST | 7 months |
| Part 2:OS rate | Evaluate Overall Survival rate | 17 months |
| Part 2: OS | Overall Survival | 17 months |
| Part 2:DOR | Evaluate Disease Control Rate by iRECIST | 7 months |
| Part 2:Safety indicators:AEs | Incidence of adverse events (NCI CTCAE 5.0) | 7 months |
| Part 2:Safety indicators:ECOG | Incidence of abnormal ECOG scores | 7 months |
| Part 2:Safety indicators:12-lead electrocardiograms | Incidence of abnormal 12-lead electrocardiograms | 7 months |
| Part 2:Safety indicators:laboratory tests results | Incidence of abnormal laboratory tests results | 7 months |
| Part 2:CD3+, CD4+, CD8+ | Concentration of CD3+, CD4+, CD8+ | 7 months |
| Part 2:IL15 | Concentration of IL15 | 7 months |
| Part 2:PD-L1, PD-1 | Concentration of PD-L1, PD-1 | 7 months |
| D009369 | Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D004066 | Digestive System Diseases |
| D008107 | Liver Diseases |