Phase
Condition
Carcinoma
Liver Cancer
Liver Disorders
Treatment
VG161
Nivolumab Injection [Opdivo]
Clinical Study ID
Ages > 18 All Genders
Study Summary
Eligibility Criteria
Inclusion
Inclusion Criteria:
Signed written informed consent.
Males or females aged 18 years and older.
Performance status: Eastern Cooperative Oncology Group (ECOG) 0 or 1.
For subject in Cohort 2: cytologically confirmed advanced/metastatic or surgicallyunresectable HCC, with documented disease progression after at least two lines ofFDA approved systemic therapy, including immunotherapy or anti-angiogenesis therapyas the first line treatment and at least one regimen of the following agents as thesecond line: anti-angiogenesis agents, tyrosine kinase inhibitors or immunotherapy.
For subject in Cohort 3: Histologically or cytologically confirmedadvanced/metastatic or surgically unresectable ICC, with documented diseaseprogression after chemotherapy as the first line systemic therapy. For patients withknown IDH1 mutation, they must receive the appropriate targeted therapy with a IDH1inhibitor and for patients with MSI-H tumors, they must receive immunotherapy withPD-1 inhibitors.
For subjects in Cohort 1 and Cohort 4: should fulfill either inclusion criteria 4)or 5).
Liver function: Child-Pugh A-B for cohort 1 and 2.
At least one measurable lesion per RECIST 1.1
At least 1 injectable lesion; ≥15 mm in longest diameter and deemed injectable asper Investigator's discretion. Subjects with deep or visceral lesions (such ashepatic or intraperitoneal lymph nodes) that can be safely injected under guidedimaging can be considered for intratumoral injection of VG161..
Exclusion
Exclusion Criteria:
Participation in any trial of any other investigational agent within the last 4weeks prior to dosing. Wash out periods to be reviewed on a case by case basis withMedical Monitor, as required.
Tumors to be injected lying in mucosal regions or close to an airway, major bloodvessel or spinal cord that, in the opinion of the Investigators, could causeocclusion or compression in the case of tumor swelling or erosion into a majorvessel in the case of necrosis.
Subjects with any primary Central Nervous System (CNS) malignancy including gliomaand current, active, progressing CNS malignancy, including carcinomatosis meningitisare excluded. Subjects with treated brain metastases are eligible if there is noevidence of progression for at least 4 weeks after CNS-directed treatment, asascertained by clinical examination and brain imaging (magnetic resonance imaging [MRI] or computed tomography [CT] scan) during the screening period and off steroids (for at least 2 weeks prior to first dose of IP).
Major surgery within 14 days prior to dosing.
Intercurrent serious infections within 28 days prior to Screening or treatedsystematically with antibiotics within 14 days prior to signing ICF.
Life-threatening illness unrelated to cancer.
Active Herpes infection.
Treatment with antiviral agents within 14 days prior to dosing.
Uncontrolled congestive heart failure.
Known to test positive for human immunodeficiency virus (HIV) or syphilis.
Active infection including hepatitis B (HBV) or hepatitis C (HCV) that currentlyunder anti-virus treatment which can affect study drug treatment as perinvestigator's decision.
Use of ganciclovir or acyclovir within 14 days prior to dosing.
Subjects with a condition requiring systemic treatment with either corticosteroids (>10 mg daily prednisone equivalent) or other immunosuppressive medications within 14 days prior to dosing. Inhaled or topical steroids, and adrenal replacementsteroid doses ≤10 mg daily prednisone equivalent, are permitted in the absence ofactive autoimmune disease.
Subjects who have been on systemic anticoagulants within 14 days prior to dosingand/or with International Normalized Ratio (INR) > 1.5 x the upper limit of thereference range are excluded from this study.
Subjects with prior radiation therapy to the tumor lesion to be injected areexcluded from the study, unless there is evidence of tumor progression in the mostrecent imaging, following completion of radiotherapy.
Study Design
Connect with a study center
Mayo Clinic
Phoenix, Arizona 85054
United StatesActive - Recruiting
Mayo Clinic Florida
Jacksonville, Florida 32224
United StatesActive - Recruiting
Mayo Clinic
Rochester, Minnesota 55905
United StatesActive - Recruiting
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