Last updated: May 23, 2023
Sponsor: Shanghai Yunying Medical Technology
Overall Status: Active - Recruiting
Phase
1
Condition
Liver Cancer
Ovarian Cancer
Sarcoma
Treatment
Recombinant oncolytic herpes simplex virus type 1 (R130)
Clinical Study ID
NCT05886075
AQNH-R130-AST
Ages 18-75 All Genders
Study Summary
Eligibility Criteria
Inclusion
Inclusion Criteria:
- Patients with advanced solid tumors clearly diagnosed by histology and/or cytology.
- Failure of standard treatment or patient unwillingness to receive other antitumortherapy.
- Age 18 to 75 years.
- Subjects with ECOG score of 0-2.
- Expected survival of 3 months or more.
- Have at least one measurable lesion (according to RECIST 1.1 criteria) that isamenable to intratumoral or intraperitoneal drug delivery.
- Subjects must have appropriate organ function, and laboratory tests during thescreening period must meet the following requirements: a) absolute neutrophil count (ANC) ≥ 1.5 × 109/L, platelets (PLT) ≥ 80 × 109/L, and hemoglobin (Hb) ≥ 85 g/L; b)serum creatinine (Cr) and blood urea nitrogen (BUN) within 1.5 times the upper limitof normal values; c) serum c) serum total bilirubin (TBIL) ≤ 2 times the upper limitof normal values; d) glutamic aminotransferase (ALT) and glutamic oxalaceticaminotransferase (AST) ≤ 2.5 times the upper limit of normal values; subjects withliver metastases do not exceed 5 times the upper limit of normal values; e) activatedpartial thromboplastin time (APTT), prothrombin time (PT) within 1.5 times the upperlimit of normal values.
- Any treatment for malignancy, including radiotherapy, chemotherapy and biologicalagents, must be discontinued 28 days prior to R130 treatment.
- Eligible patients of childbearing potential must agree to use a reliable method ofcontraception (hormonal or barrier method or abstinence) with their partner for theduration of the trial and for at least 180 days after the last dose; female patientsof childbearing potential must have a negative urine pregnancy test within 7 daysprior to enrollment.
- Subjects voluntarily sign an informed consent form and are in good compliance.
Exclusion
Exclusion Criteria:
- Have had any serious adverse reactions associated with immunotherapy.
- Subjects with any severe and/or uncontrolled disease, including: a) poorly controlledhypertension (systolic blood pressure ≥ 150 mmHg or diastolic blood pressure ≥ 100mmHg); b) suffering from class I or higher myocardial ischemia or myocardialinfarction, arrhythmia (QTc ≥ 470 ms and ≥ grade 2 congestive heart failure (New YorkHeart Association (NYHA) classification); c) active or uncontrolled severe infection (≥ CTCAE grade 2 infection); d) Patients with previous organ transplantation, bonemarrow transplantation (hematopoietic stem cell transplantation) and severe immunedeficiency; e) Urine routine suggesting urine protein ≥++ and confirmed 24-hour urineprotein quantification > 1.0 g.
- Patients with past history of type I diabetes mellitus or HIV.
- Severe abnormalities in thyroid and cortisol testing; active, known or suspectedautoimmune disease requiring systemic therapy.
- Patients with severe prior interstitial lung changes (as determined by theinvestigator).
- Patients with active tuberculosis and a strong positive OT test.
- Patients with active bleeding or severe coagulation dysfunction.
- Have had antitumor therapy, including endocrine, chemotherapy, radiotherapy, targetedtherapy, immunotherapy and antitumor herbal therapy, 4 weeks prior to the first dose.
- Have not recovered to CTCAE 4.0 grade rating 0 or 1 level of toxicity after previousantineoplastic therapy.
- Current active hepatitis B, active hepatitis C, immunodeficiency virus or other activeinfection of clinical significance.
- Patients who have undergone surgery of grade 3 or higher or whose surgical wounds havenot healed within 4 weeks prior to enrollment.
- Pregnant, lactating and planning to have children within six months.
- Subjects who, in the judgment of the investigator, are unsuitable for participation inthis trial for any reason.
Study Design
Total Participants: 24
Treatment Group(s): 1
Primary Treatment: Recombinant oncolytic herpes simplex virus type 1 (R130)
Phase: 1
Study Start date:
March 30, 2023
Estimated Completion Date:
March 31, 2025
Connect with a study center
The PLA Navy Anqing Hospital
Anqing, Anhui 246000
ChinaActive - Recruiting
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