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Safety Run-in Cohort (cohort 1):
10 patients will be treated with IT injection of VG161 in the cohort 1 at dose level of 1.0x10E8 PFU x 3 days.
Monotherapy Cohorts (Cohort 2 and 3) Cohort 2 (HCC) This part is a single-agent, single one-dose level and single-arm design. Approximately 39 subjects will be enrolled in the study to receive VG161. In the first stage, 21 subjects will be enrolled. If there is only 1 or fewer subjects has been observed with objective response and no more than 12 (<13) subjects have PFS longer than 3 months, the trial will be stopped. Otherwise, this study will continue to enter the second stage, and 18 additional subjects will be added, and the total number of trial subjects will reach 39.
Cohort 3 (ICC) This part is a single-agent, single one-dose level and single-arm design. The trial will be carried out in two periods. In the first period, a total of 20 subjects will be enrolled. If there is only 1 or fewer response case in the 20 subjects, the trial will be stopped to investigate the efficacy of the IP, otherwise, subjects will continue to enter the second period, and 13 additional subjects will be added, and the total number of trial cases will reach 33.
Cohort 4 (ICC and HCC) Combination with Nivolumab Combination cohort and subjects will receive VG161 at the same schedule as the monotherapy cohorts and 240 mg of intravenous Nivolumab on days 8 and 15 of each treatment cycle. The Nivolumab dose can be changed to 480 mg every 4 weeks after cycle one based on investigator's discretion.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Safety Run-in Cohort | Experimental | 10 patients will be treated with IT injection of VG161 in the cohort 1 at dose level of 1.0x10E8 PFU x 3 days. |
|
| Cohort 2 (HCC) | Experimental | 21 patients will be treated with IT injection of VG161 in the cohort 1 at dose level of 1.0x10E8 PFU x 3 days. |
|
| Cohort 3 (ICC) | Experimental | 20 patients will be treated with IT injection of VG161 in the cohort 1 at dose level of 1.0x10E8 PFU x 3 days. |
|
| Cohort 4 (HCC and ICC) | Experimental | Up to 12 patients will be treated with IT injection of VG161 ar dose level of 1.0x10E8 PFU x 3 days. and Nivolumab per approved label. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| VG161 | Drug | Name: VG161 (Recombinant Human IL12/15-PDL1B Oncolytic HSV-1 Injection (Vero Cell)) Concentration/Content: ≥1×107 PFU/mL; 1.0 mL/vial. Actual titer will be recorded on Certificate of Analysis. Composition: VG161,50 mM Tris-HCl, 150mM NaCl, <5% glycerol Route of Administration: Intratumoral injection or image guided intratumoral injections. |
| Measure | Description | Time Frame |
|---|---|---|
| Safety in Cohort1 | Occurrence and severity of AEs, SAEs (according to NCI CTCAE version 5.0) in Safety Run-in Cohort (cohort 1) | 12 months |
| ORR | Objective response rate in HCC Cohort (Cohort 2) and ICC Cohort (Cohort 3) | 12 months |
| PFS | Progression-free survival in HCC Cohort (Cohort 2) | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Blood concentration of VG161 | Quantity of Blood concentration of VG161 in cohort 1 | 12 months |
| PD-L1 blocking peptide and IL12, IL-15 concentrations | Quantity of PD-L1 blocking peptide and IL12, IL-15 concentrations in cohort 1 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Naghmeh Esmaeili | Contact | 7785589840 | nesmaeili@virogin.com | |
| Mike Teng | Contact | miketeng@virogin.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mayo Clinic | Recruiting | Phoenix | Arizona | 85054 | United States |
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| Label | URL |
|---|---|
| Virogin Biotech Website | View source |
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|
| Nivolumab Injection [Opdivo] | Drug | immunotherapy treatment |
|
| 12 months |
| serum antibodies in cohort 1 | Quantity of serum antibodies in cohort 1 | 12 months |
| Viral shedding | VG161 DNA tested in cohort 1 | 12 months |
| Immunogenicity endpoints | serum antibodies (ADA and Nab) at different time points in cohort 1 | 12 months |
| ORR in cohort 1 | objective response rate in Cohort1 | 12 months |
| PFS | Progression-free survival in all cohorts | 12 months |
| OS | Overall survival rate in all cohorts | 12 months |
| DOR | Duration of response in all cohorts | 12 months |
| Safety in Cohort2 and Cohort3 | Occurrence and severity of AEs, SAEs (according to NCI CTCAE version 5.0) in cohort 2 and cohort 3 | 12 months |
| peripheral blood lymphocyte subsets | Quantity of peripheral blood lymphocyte subsets (CD3+, CD4+, CD8+, CD4+/CD8+ ratio, CD19+, CD16+CD56+ (NK) cells) in cohort 2 and cohort 3 | 12 months |
| plasma cytokines | Quantity of plasma cytokines (IL-15, IL-6, TNF-a, IFN-γ) in cohort 2 and cohort 3 | 12 months |
| immune-related indicators | Quantity of immune-related indicators (PD-L1, PD-1, CD69, CD8+Ki67high) in cohort 2 and cohort 3 | 12 months |
| anti-HSV-1 antibody | Quantity of anti-HSV-1 antibody in cohort 2 and cohort 3 | 12 months |
| Mayo Clinic Florida | Recruiting | Jacksonville | Florida | 32224 | United States |
|
| Mayo Clinic | Recruiting | Rochester | Minnesota | 55905 | United States |
|
| ID | Term |
|---|---|
| D006528 | Carcinoma, Hepatocellular |
| D018281 | Cholangiocarcinoma |
| ID | Term |
|---|---|
| D000230 | Adenocarcinoma |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008113 | Liver Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D004066 | Digestive System Diseases |
| D008107 | Liver Diseases |
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| ID | Term |
|---|---|
| D000077594 | Nivolumab |
| ID | Term |
|---|---|
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
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