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A Study of Oncolytic Virus Injection (RT-01) in Patients With Extensive-Stage Small Cell Lung Cancer

Primary Purpose

Advanced Solid Tumor

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
Oncolytic Virus Injection(RT-01)
Sponsored by
First Affiliated Hospital Bengbu Medical College
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Solid Tumor focused on measuring RT-01, Oncolytic Virus, PD-L1 Inhibitor, immunotherapy, Intravenous Injection, Small-cell lung cancer

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male or female aged ≥ 18 years;
  • Subjects must have histologically or cytologically confirmed diagnosis of advanced solid tumor(s) who have failed in standard therapy (disease progression or intolerance) and no effective treatment, or have no standard therapy, or have failed to obtain standard treatment due to objective conditions ;
  • Subjects have At least one measurable lesion according to Response Evaluation Criteria in Solid Tumors (RECIST 1.1) (non-nodal lesions with longest diameter ≥ 10 mm, or nodal lesions with short diameter ≥ 15 mm);
  • ECOG score of 0 ~ 2;
  • Adequate bone marrow, hepatic and renal and coagulation function;
  • Women of childbearing age who have a negative pregnancy test within 7 days before treatment. Female patients of childbearing age, and male patients with partners of childbearing age must agree to use at least one medically recognized contraceptive method during study treatment and within at least 6 months after the last dose of investigational drug;
  • Voluntarily participated in this study, signed the informed

Exclusion Criteria:

  • Subjects who have received anti-tumor therapy such as chemotherapy, radiotherapy, biological therapy, endocrine therapy, targeted therapy, immunotherapy, etc within 2 weeks before RT-01 administration;
  • Subjects who have participate in another interventional study within 4 weeks before RT-01 administration;
  • Subjects who have had major surgery within 4 weeks before RT-01 administration.
  • Patients in any condition requiring systemic treatment with corticosteroids (prednisone > 10 mg/day or equivalent of the similar drug) or other immunosuppressive agents within 14 days before RT-01 administration, but currently or previously treated with any of the following steroid regimens, were included: Topical, ophthalmic, intra-articular, intranasal, or inhaled corticosteroids with minimal systemic absorption; Prophylactic short-term use of corticosteroids;
  • Subjects who have participate in another oncolytic virus study within 8 weeks before RT-01 administration;
  • Subjects received live vaccines within 7 days before RT-01 administration;
  • Subjects received Antiviral drugs within 2 weeks, long-acting interferon within 4 weeks before RT-01 administration;
  • Subjects with adverse reactions caused by previous anti-tumor treatment not recovered to (CTCAE 5.0) grade 1 (except alopecia);
  • Subjects who have uncontrolled active infection;
  • Subjects with known positive history of human immunodeficiency virus (HIV) test or known acquired immunodeficiency syndrome (AIDS);
  • Subjects who have active hepatitis;
  • Subjects who have serious cardiovascular system disorders history;
  • Subjects with active autoimmune diseases or history of autoimmune diseases that may relapse;
  • Subjects having any serious uncontrolled disease or in other conditions that would preclude them from receiving study treatment and are considered unsuitable for this study in the opinion of the investigator;
  • Subjects in other conditions that are considered unsuitable for this study by the investigator.

Sites / Locations

  • First Affiliated Hospital Bengbu Medical CollegeRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Oncolytic Virus Injection(RT-01)

Arm Description

RT-01 will be administered by intravenously;

Outcomes

Primary Outcome Measures

Incidence of adverse events
Graded according to the NCI CTCAE version 5.0.
To evaluate the antitumor activity
To assessed per RECIST and iRECIST
The changes of the immunoreactivity during treatment.
Peripheral blood T lymphocyte subtype
To evaluate the immunogenicity of RT-01
Antiviral antibody
To evaluate the viral shedding of RT-01
Viral RNA
The Cmax of Viral RNA
The maximum RNA peak concentration
The Tmax of Viral RNA
The time of maximum RNA peak concentration

Secondary Outcome Measures

Full Information

First Posted
January 19, 2022
Last Updated
August 3, 2022
Sponsor
First Affiliated Hospital Bengbu Medical College
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1. Study Identification

Unique Protocol Identification Number
NCT05205421
Brief Title
A Study of Oncolytic Virus Injection (RT-01) in Patients With Extensive-Stage Small Cell Lung Cancer
Official Title
A Single-Arm, Open-Label, Exploratory Study to Evaluate Safety and Efficacy of Oncolytic Virus Injection (RT-01) in Patients With Extensive-Stage Small Cell Lung Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Recruiting
Study Start Date
January 18, 2022 (Actual)
Primary Completion Date
January 2023 (Anticipated)
Study Completion Date
January 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
First Affiliated Hospital Bengbu Medical College

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a single-arm, open-label, clinical pharmacology study to evaluate safety and efficacy of oncolytic virus injection(RT-01) in Patients With Extensive-Stage Small Cell Lung Cancer. The purpose of this study is to evaluate the safety and tolerability, antitumor activity, The immunoreactivity, The immunogenicity, pharmacokinetics and virus shedding of RT-01.
Detailed Description
This is an investigator initiated , single-arm, open-label clinical pharmacology study of RT-01 as a single agent given via Intravenous injection in Patients With Extensive-Stage Small Cell Lung Cancer. RT-01 will be administered as a single dose on day 1 in patients with advanced solid tumors. Durvalumab will be administered intravenously every 3 weeks starting on day 5 after RT-1 on day 1 for 4 cycles,then followed by every 4 weeks. This study is planned to enroll 10-20 patients with Extensive-Stage Small Cell Lung Cancer. Considering the benefits of the subjects, the investigator deems that higher doses can be explored, then a higher-dose cohort will be carried out. The purpose of this study is to assess the safety and tolerability, antitumor activity, The immunoreactivity, The immunogenicity, pharmacokinetics and virus shedding of RT-01.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Solid Tumor
Keywords
RT-01, Oncolytic Virus, PD-L1 Inhibitor, immunotherapy, Intravenous Injection, Small-cell lung cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
20 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Oncolytic Virus Injection(RT-01)
Arm Type
Experimental
Arm Description
RT-01 will be administered by intravenously;
Intervention Type
Biological
Intervention Name(s)
Oncolytic Virus Injection(RT-01)
Intervention Description
Intravenous injection a single dose of RT-01
Primary Outcome Measure Information:
Title
Incidence of adverse events
Description
Graded according to the NCI CTCAE version 5.0.
Time Frame
Up to 6 months
Title
To evaluate the antitumor activity
Description
To assessed per RECIST and iRECIST
Time Frame
Up to 2 years
Title
The changes of the immunoreactivity during treatment.
Description
Peripheral blood T lymphocyte subtype
Time Frame
Up to 28 days
Title
To evaluate the immunogenicity of RT-01
Description
Antiviral antibody
Time Frame
Up to 28 days
Title
To evaluate the viral shedding of RT-01
Description
Viral RNA
Time Frame
Up to 24 Weeks
Title
The Cmax of Viral RNA
Description
The maximum RNA peak concentration
Time Frame
Up to 24 Weeks
Title
The Tmax of Viral RNA
Description
The time of maximum RNA peak concentration
Time Frame
Up to 24 Weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female aged ≥ 18 years; Subjects must have histologically or cytologically confirmed diagnosis of advanced solid tumor(s) who have failed in standard therapy (disease progression or intolerance) and no effective treatment, or have no standard therapy, or have failed to obtain standard treatment due to objective conditions ; Subjects have At least one measurable lesion according to Response Evaluation Criteria in Solid Tumors (RECIST 1.1) (non-nodal lesions with longest diameter ≥ 10 mm, or nodal lesions with short diameter ≥ 15 mm); ECOG score of 0 ~ 2; Adequate bone marrow, hepatic and renal and coagulation function; Women of childbearing age who have a negative pregnancy test within 7 days before treatment. Female patients of childbearing age, and male patients with partners of childbearing age must agree to use at least one medically recognized contraceptive method during study treatment and within at least 6 months after the last dose of investigational drug; Voluntarily participated in this study, signed the informed Exclusion Criteria: Subjects who have received anti-tumor therapy such as chemotherapy, radiotherapy, biological therapy, endocrine therapy, targeted therapy, immunotherapy, etc within 2 weeks before RT-01 administration; Subjects who have participate in another interventional study within 4 weeks before RT-01 administration; Subjects who have had major surgery within 4 weeks before RT-01 administration. Patients in any condition requiring systemic treatment with corticosteroids (prednisone > 10 mg/day or equivalent of the similar drug) or other immunosuppressive agents within 14 days before RT-01 administration, but currently or previously treated with any of the following steroid regimens, were included: Topical, ophthalmic, intra-articular, intranasal, or inhaled corticosteroids with minimal systemic absorption; Prophylactic short-term use of corticosteroids; Subjects who have participate in another oncolytic virus study within 8 weeks before RT-01 administration; Subjects received live vaccines within 7 days before RT-01 administration; Subjects received Antiviral drugs within 2 weeks, long-acting interferon within 4 weeks before RT-01 administration; Subjects with adverse reactions caused by previous anti-tumor treatment not recovered to (CTCAE 5.0) grade 1 (except alopecia); Subjects who have uncontrolled active infection; Subjects with known positive history of human immunodeficiency virus (HIV) test or known acquired immunodeficiency syndrome (AIDS); Subjects who have active hepatitis; Subjects who have serious cardiovascular system disorders history; Subjects with active autoimmune diseases or history of autoimmune diseases that may relapse; Subjects having any serious uncontrolled disease or in other conditions that would preclude them from receiving study treatment and are considered unsuitable for this study in the opinion of the investigator; Subjects in other conditions that are considered unsuitable for this study by the investigator.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
zhou huan, MD
Phone
13665527160
Email
zhouhuanbest@163.com
Facility Information:
Facility Name
First Affiliated Hospital Bengbu Medical College
City
Bengbu
State/Province
Anhui
ZIP/Postal Code
233030
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zhou huan, MD
Phone
13665527160
Email
zhouhuanbest@163.com

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study of Oncolytic Virus Injection (RT-01) in Patients With Extensive-Stage Small Cell Lung Cancer

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