OH2 Injection in Solid Tumors
Primary Purpose
Solid Tumor, Melanoma
Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
OH2 injection
Keytruda
Sponsored by
About this trial
This is an interventional treatment trial for Solid Tumor focused on measuring Oncolytic Virus
Eligibility Criteria
Inclusion Criteria:
- The non-operative stage III or stage IV malignant tumor patients with clear diagnosis by pathology and/ or cytology; breast cancer, gastrointestinal adenocarcinoma, liver cancer, cervical cancer, malignant melanoma, head and neck tumors, Priority inclusion in soft tissue sarcomas (mainly for melanoma patients at the dose extension phase).
- The absence of a conventional effective treatment or treatment failure or recurrence by a conventional method.
- Male or female patients, aged 18 ≤ 75 years (including boundary value), general physical condition score ECOG 0 ≤ 1, expected survival time more than 3 months.
- Prior anti-tumor treatment (including endocrine, chemical/ radiotherapy,targeted therapy) was over 4 weeks (more than 6 weeks of discontinuation using nitroso-and mitomycin-based chemotherapy) and was recovered to grade 1 from the side effects of prior treatment.
- Those who have undergone major surgery will have to undergo surgery for four weeks.
- There is at least one measurable lesion that is suitable for intratumoral injection. According to RECIST version 1.1, it is determined that at least once the CT or MRI examination shows the tumor lesion, it is possible to measure the tumor focus. The measured tumor focus is defined as the longest diameter ≥ 10 mm and the scanning thickness is not more than 5.0 mm. For lymph node lesions, the short diameter is ≥ 15 mm.
- There is no serious dysfunction of the main organs.
- (a) WBC≥3.0×109/L,ANC≥2.0×109/L ,PLT≥100×109/L,Hb≥90 g/L; (b) BUN and Scr. were in the upper limit of 1.5 times of the normal value; (c) TBIL≤ 1.5 times the upper limit of the normal value. (d) ALT and AST ≤ 2.5 times the upper limit of normal value; The value of patients with liver metastasis did not exceed 5 times the upper limit of normal value. (e) Coagulation function is normal (PT and APPT are within 1.5 times of the upper limit of normal value).
- Female subjects and their spouses received effective contraceptives during and within 3 months of treatment.
- Subjects with herpes in the reproductive organs needed three months after the end of herpes.
- The informed consent was voluntarily signed and the expected compliance was good.
Exclusion Criteria:
- Severe medical diseases, including severe heart disease, cerebrovascular disease, uncontrolled diabetes, uncontrolled hypertension, severe infection, active digestive tract ulcer, abnormal immune function (including, but not limited to, rheumatoid arthritis, lupus erythematosus, Sjogren's syndrome, etc.).
- History of primary grape-film melanoma or other malignant tumors in the 3 years prior to treatment. (use of combination drugs only)
- Past or present immunodeficiency diseases. (use of combination drugs only)
- Treated with PD-1/PD-L1 or PD-L2 monoantigens or inhibitors that have been used or used in the past. (use of combination drugs only)
- Autoimmune diseases requiring systemic treatment (e.g. steroids or immunosuppressants) during the first 2 years of treatment, such as autoimmune pneumonia, glomerular nephritis, vasculitis and other symptoms of autoimmune diseases; Except for wind or child asthma. (use of combination drugs only)
- Have uncontrolled primary or brain metastatic tumors.
- Suffering from uncontrolled mental illness, infectious diseases.
- The lesions cannot meet the requirements of injection capacity in the tumor body.
- Pregnant or lactating women.
- Other experimental therapies or antiviral therapy are used or are being used within 4 weeks of treatment.
- Other clinical studies have been taken in the past 4 weeks.
- Allergy to herpes virus and drug ingredients.
- The researchers believe that there is any reason why the patient is not suitable to participate in this trial.
Sites / Locations
- Peking University Cancer HospitalRecruiting
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Dose expansion
Arm Description
Dose expansion trial comprises of 2 cohorts. In cohort 1, OH2 injection will be administered at 1x10e7CCID50/mL . In cohort 2, OH2 injection will be administered at 1x10e7CCID50/mL in combination with Keytruda injection, an anti-PD-1 antibody, and the first doses of the two anti-tumor agents will be administered on the same day.
Outcomes
Primary Outcome Measures
Further evaluation of dose-limiting toxicity (DLT) and maximum-tolerated dose (MTD) of OH2 in patients with solid tumors
The dose-limiting toxicity (DLT) of OH2 injection and Keytruda in patients with solid tumors
The maximum-tolerated dose (MTD) of OH2 injection in combination with Keytruda in patients with solid tumors
Secondary Outcome Measures
The response rate of patients with solid tumors receiving OH2 injection monotherapy and OH2 injection in combination with Keytruda
The biodistribution of OH2 injection as determined by the concentration of OH2 in blood, urine and feces of participating patients
The immunogenicity of OH2 injection as determined by the detection of antibodies in response to OH2 and GM-CSF
Full Information
NCT ID
NCT04386967
First Posted
April 13, 2020
Last Updated
May 3, 2023
Sponsor
Binhui Biopharmaceutical Co., Ltd.
1. Study Identification
Unique Protocol Identification Number
NCT04386967
Brief Title
OH2 Injection in Solid Tumors
Official Title
Open and Incremental Phase I Clinical Trial of Recombinant Human GM-CSF Type II Herpes Simplex Virus (OH2) Injection (Vero Cells) in the Treatment of Advanced Solid Tumors
Study Type
Interventional
2. Study Status
Record Verification Date
May 2023
Overall Recruitment Status
Recruiting
Study Start Date
November 22, 2018 (Actual)
Primary Completion Date
March 13, 2024 (Anticipated)
Study Completion Date
December 13, 2024 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Binhui Biopharmaceutical Co., Ltd.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
This phase I study evaluates the safety and efficacy of OH2 as single agent or in combination with Keytruda, an anti-PD-1 antibody, in patients with malignant solid tumors (Melanoma).
OH2 is an oncolytic virus developed upon genetic modifications of the herpes simplex virus type 2 strain HG52, allowing the virus to selectively replicate in tumors. Meanwhile, the delivery of the gene encoding human granulocyte macrophage colony-stimulating factor (GM-CSF) may induce a more potent antitumor immune response.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Solid Tumor, Melanoma
Keywords
Oncolytic Virus
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
30 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Dose expansion
Arm Type
Experimental
Arm Description
Dose expansion trial comprises of 2 cohorts. In cohort 1, OH2 injection will be administered at 1x10e7CCID50/mL . In cohort 2, OH2 injection will be administered at 1x10e7CCID50/mL in combination with Keytruda injection, an anti-PD-1 antibody, and the first doses of the two anti-tumor agents will be administered on the same day.
Intervention Type
Biological
Intervention Name(s)
OH2 injection
Intervention Description
Oncolytic Type 2 Herpes Simplex Virus
Intervention Type
Drug
Intervention Name(s)
Keytruda
Other Intervention Name(s)
pembrolizumab
Intervention Description
Anti-PD-1 antibody
Primary Outcome Measure Information:
Title
Further evaluation of dose-limiting toxicity (DLT) and maximum-tolerated dose (MTD) of OH2 in patients with solid tumors
Time Frame
12 months
Title
The dose-limiting toxicity (DLT) of OH2 injection and Keytruda in patients with solid tumors
Time Frame
12 months
Title
The maximum-tolerated dose (MTD) of OH2 injection in combination with Keytruda in patients with solid tumors
Time Frame
12 months
Secondary Outcome Measure Information:
Title
The response rate of patients with solid tumors receiving OH2 injection monotherapy and OH2 injection in combination with Keytruda
Time Frame
12 months
Title
The biodistribution of OH2 injection as determined by the concentration of OH2 in blood, urine and feces of participating patients
Time Frame
12 months
Title
The immunogenicity of OH2 injection as determined by the detection of antibodies in response to OH2 and GM-CSF
Time Frame
12 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
The non-operative stage III or stage IV malignant tumor patients with clear diagnosis by pathology and/ or cytology; breast cancer, gastrointestinal adenocarcinoma, liver cancer, cervical cancer, malignant melanoma, head and neck tumors, Priority inclusion in soft tissue sarcomas (mainly for melanoma patients at the dose extension phase).
The absence of a conventional effective treatment or treatment failure or recurrence by a conventional method.
Male or female patients, aged 18 ≤ 75 years (including boundary value), general physical condition score ECOG 0 ≤ 1, expected survival time more than 3 months.
Prior anti-tumor treatment (including endocrine, chemical/ radiotherapy,targeted therapy) was over 4 weeks (more than 6 weeks of discontinuation using nitroso-and mitomycin-based chemotherapy) and was recovered to grade 1 from the side effects of prior treatment.
Those who have undergone major surgery will have to undergo surgery for four weeks.
There is at least one measurable lesion that is suitable for intratumoral injection. According to RECIST version 1.1, it is determined that at least once the CT or MRI examination shows the tumor lesion, it is possible to measure the tumor focus. The measured tumor focus is defined as the longest diameter ≥ 10 mm and the scanning thickness is not more than 5.0 mm. For lymph node lesions, the short diameter is ≥ 15 mm.
There is no serious dysfunction of the main organs.
(a) WBC≥3.0×109/L,ANC≥2.0×109/L ,PLT≥100×109/L,Hb≥90 g/L; (b) BUN and Scr. were in the upper limit of 1.5 times of the normal value; (c) TBIL≤ 1.5 times the upper limit of the normal value. (d) ALT and AST ≤ 2.5 times the upper limit of normal value; The value of patients with liver metastasis did not exceed 5 times the upper limit of normal value. (e) Coagulation function is normal (PT and APPT are within 1.5 times of the upper limit of normal value).
Female subjects and their spouses received effective contraceptives during and within 3 months of treatment.
Subjects with herpes in the reproductive organs needed three months after the end of herpes.
The informed consent was voluntarily signed and the expected compliance was good.
Exclusion Criteria:
Severe medical diseases, including severe heart disease, cerebrovascular disease, uncontrolled diabetes, uncontrolled hypertension, severe infection, active digestive tract ulcer, abnormal immune function (including, but not limited to, rheumatoid arthritis, lupus erythematosus, Sjogren's syndrome, etc.).
History of primary grape-film melanoma or other malignant tumors in the 3 years prior to treatment. (use of combination drugs only)
Past or present immunodeficiency diseases. (use of combination drugs only)
Treated with PD-1/PD-L1 or PD-L2 monoantigens or inhibitors that have been used or used in the past. (use of combination drugs only)
Autoimmune diseases requiring systemic treatment (e.g. steroids or immunosuppressants) during the first 2 years of treatment, such as autoimmune pneumonia, glomerular nephritis, vasculitis and other symptoms of autoimmune diseases; Except for wind or child asthma. (use of combination drugs only)
Have uncontrolled primary or brain metastatic tumors.
Suffering from uncontrolled mental illness, infectious diseases.
The lesions cannot meet the requirements of injection capacity in the tumor body.
Pregnant or lactating women.
Other experimental therapies or antiviral therapy are used or are being used within 4 weeks of treatment.
Other clinical studies have been taken in the past 4 weeks.
Allergy to herpes virus and drug ingredients.
The researchers believe that there is any reason why the patient is not suitable to participate in this trial.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jun Guo, PH.D
Phone
86-010-88140650
Email
guoj307@126.com
Facility Information:
Facility Name
Peking University Cancer Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100010
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jun Guo, P.HD
Phone
86-010-88140650
Email
guoj307@126.com
12. IPD Sharing Statement
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OH2 Injection in Solid Tumors
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