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This is a Phase II clinical study to evaluate the efficacy and safety of intravesical T3011 injection in participants with BCG-unresponsive high-risk NMIBC or BCG-exposed, chemotherapy-unresponsive intermediate/high-risk NMIBC.
In Cohort A, participants will be enrolled with pathologically confirmed high-risk non-muscle invasive bladder cancer (NMIBC) (CIS with or without Ta or T1 papillary) which is unresponsive to BCG treatment.
In Cohort B, participants will be enrolled with pathologically confirmed high-risk non-muscle invasive bladder cancer (NMIBC) (Ta/T1 papillary without CIS) which is unresponsive to BCG treatment.
In Cohort C, participants will be enrolled with pathologically confirmed high-risk non-muscle invasive bladder cancer (NMIBC) (CIS with or without Ta or T1 papillary) which has previously been exposed to BCG and is unresponsive to chemotherapy treatment.
In Cohort D, participants will be enrolled with pathologically confirmed intermediate/high-risk non-muscle invasive bladder cancer (NMIBC) (Ta/T1 papillary without CIS) which has previously been exposed to BCG and is unresponsive to chemotherapy treatment.
In all cohorts, study treatment will be administered as a weekly induction course for the first 6 weeks.
For high-risk participants, a reinduction course administered to participants who have residual CIS or high-grade Ta disease at the 3-month evaluation. Following induction, If the tumor assessment indicates CR or no recurrence the participant enters the maintenance phase, T3011 is administered once every 3 weeks (Q3W).
For intermediate-risk participants, a reinduction course administered to participants who have low-grade Ta disease at the 3-month evaluation. Following induction, the participant achieving no recurrence (e.g., no tumor) enters the maintenance phase, T3011 is administered once every 3 weeks (Q3W).
Disease status will be assessed using cystoscopy, urine cytology, histopathology (if performed), and imaging examinations (if performed) every 3 months during treatment period or until disease recurrence.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| T3011 | Experimental | T3011 will be given once a week (QW) for 6 weeks during the induction treatment course, the following 6 weeks are only for observation and then the 3-month efficacy assessment will be conducted. During the maintenance period, T3011 will be given every 3 weeks (Q3W) until about 24 months or meeting the criteria for treatment discontinuation. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| T3011 | Biological | T3011 will be administered at a dose of 1x10^10 PFU intravesically. |
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| Measure | Description | Time Frame |
|---|---|---|
| Complete Response Rate in patients with CIS | 3,6,12 months time point from the date of the first dose of T3011 | |
| Recurrence Free Survival Rate in patients with Ta/T1 (without CIS) | 3,6,12 months time point from the date of the first dose of T3011 | |
| Incidence rates of Grade ≥3 treatment-related adverse events (TRAEs) | 24 months | |
| Incidence rates of TRAEs leading to treatment discontinuation, dose modification or treatment interruption. | 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Complete Response Rate in patients with CIS | 18,24 months time point from the date of the first dose of T3011 | |
| Recurrence Free Survival Rate in patients with Ta/T1 (without CIS) | 18,24 months time point from the date of the first dose of T3011 |
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Inclusion Criteria:
Participants may enter the study only if they meet all the following criteria:
Male or female, aged ≥18 years at the time of signing the ICF.
The participants will need to meet the following criteria:
All toxicities caused by prior radiotherapy, chemotherapy or other treatments have recovered to Grade ≤1 (CTCAE 5.0) (except for alopecia), including but not limited to urinary tract infection, urinary tract irritation, and macroscopic hematuria; participants with Grade >1 anti-neoplastic treatment-related toxicities during the screening period may be enrolled after discussion of the investigators and the sponsor.
Eastern Cooperative Oncology Group (ECOG) performance status score of 0-2.
Expected survival ≥24 weeks.
Laboratory test values meeting the following requirements :
For women of childbearing potential (WOCBP), the serum pregnancy test prior to the first dose must be negative and the potential participant must promise to use medically acceptable and effective methods of contraception. after signing the ICF until at least 6 months after the last dose.
Male participants of child-bearing potential must agree to use medically acceptable and effective methods of contraception after signing the ICF until at least 6 months after the last dose; in addition, male potential participants must agree not to donate sperm during this period.
Participants who understand and voluntarily sign the written ICF and are willing and able to comply with all trial requirements.
Exclusion Criteria:
Participants meeting any of the following criteria will not be allowed to participate in this study:
Participants meet the following criteria:
Planning to receive any anti-neoplastic therapy other than the investigational products during this study.
A history of allergic reactions to HSV-1, IL-12, or anti-PD-1 antibodies or biological components similar to them, or known allergic reactions to any component of the T3011 formulation.
A history of brain metastasis or imaging-confirmed brain metastasis , leptomeningeal disease, or spinal cord compression.
Concurrent or prior history of other malignancies than that treated in this study.
History or evidence of high-risk cardiovascular diseases, including but not limited to:
The following prior or concurrent immune disorders that in the investigator's opinion would pose unpredictable risks to the participants:
Unexplainable fever >38.5℃ during the screening or on the day of treatment (fever judged as tumor-induced by the investigator is eligible for enrollment) that in the investigator's opinion will affect the participation in this trial or interfere with the efficacy assessment.
The following persistent or active infections: human immunodeficiency virus (HIV) antibody-positive, hepatitis B surface antigen [HBsAg] positive with HBV DNA level ≥2000 IU/mL, hepatitis C virus (HCV) antibody positive with detectable HCV RNA, and other active infections requiring systemic treatment.
Prior history of splenectomy or organ transplantation.
Having previously received treatment with oncolytic virus (e.g., T-VEC, CG0070).
Requiring oral or intravenous use of anti-herpes virus drugs, including but not limited to acyclovir, valaciclovir, penciclovir, famciclovir, ganciclovir, foscarnet, and cidofovir (except for those to be used locally, such as topically), during the study.
Participants with known psychiatric disorders that may affect compliance in trial or with poor compliance.
Participants with a history of drug abuse (including "recreational use") or substance abuse (including alcohol) within one year prior to signing ICF.
Being pregnant or breast feeding, or planning to become pregnant or give birth during this trial.
Having received any live attenuated vaccine within 4 weeks prior to investigational product or planning to receive such vaccines during the study.
Having undergone a major surgery.
Any diseases that at the investigator's discretion may confound the trial results, interfere with the participation in the entire trial, and/or would make participating in the trial not in the participant's best interest, or a medical history with treatment or laboratory abnormalities, or any other circumstances that would make it inappropriate for the participant to be enrolled.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jasmine Yang | Contact | 86-512-66202028 | xu.yang@immviragroup.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| East Valley Urology Center | Not yet recruiting | Queen Creek | Arizona | 85140 | United States |
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| Safety Endpoints |
| 24 months |
| Florida Urology Partners, LLP | Recruiting | Tampa | Florida | 33615 | United States |
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