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Intravenous Injection of Oncolytic Virus Injection (RT-01) in Patients With Relapsed or Refractory T-cell Lymphoma

Primary Purpose

T-cell Lymphoma, Virus, Intravenous Injection

Status
Not yet recruiting
Phase
Phase 1
Locations
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 T-cell Lymphoma

Eligibility Criteria

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

Inclusion Criteria:

  1. Male or female aged ≥ 18 years.
  2. The following of typesRelapsed T-cell lymphoma (TCL): peripheral T-cell lymphoma (PTCL) [peripheral T-cell lymphoma-not otherwise specified (PTCL-NOS), angioimmunoblastic T-cell lymphoma (AITL), anaplastic large cell (ALCL)], and cutaneous TCL (CTCL) of mycosis fungoides (MF).
  3. Patients have received at least 1-line systemic treatment in the past and who have relapsed or are refractory: failed to achieve complete remission (CR) or disease progression (PD) after CR, ineligible for autologous hematopoietic stem cell transplantation (ASCT) or PD after ASCT.
  4. There is at least one measurable lesion without previous local treatment, which the long axis of the intranodal lesion is >15 mm or extranodal lesion >10 mm According to Lugano 2014 criteria.
  5. Patients Eastern Cooperative Oncology Group (ECOG) physical status score must be 0 or 1.
  6. Life expectancy≥3 months et al.

Exclusion Criteria:

  1. Subjects with brain metastasis and/or clinically history tumor brain of metastasis;
  2. 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;
  3. Subjects who have participate in another interventional study within 4 weeks before RT-01 administration;
  4. Subjects who have had major surgery within 4 weeks before RT-01 administration.
  5. 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;
  6. Subjects who have participate in another oncolytic virus study within 8 weeks before RT-01 administration;
  7. Subjects received live vaccines within 7 days before RT-01 administration;
  8. Subjects received Antiviral drugs within 2 weeks, long-acting interferon within 4 weeks before RT-01 administration# 9.Subjects with adverse reactions caused by previous anti-tumor treatment not recovered to (CTCAE 5.0) grade 1 (except alopecia);

10.Subjects who have uncontrolled active infection; 11.Subjects with known positive history of human immunodeficiency virus (HIV) test or known acquired immunodeficiency syndrome (AIDS); 12.Subjects who have active hepatitis; 13.Subjects who have serious cardiovascular system disorders history; 14.Clinically uncontrollable third space effusion,are considered unsuitable for this study in the opinion of the investigator; 15.Subjects with active autoimmune diseases or history of autoimmune diseases that may relapse; et al.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Oncolytic Virus Injection(RT-01)

    Arm Description

    RT-01 will be administered intravenously

    Outcomes

    Primary Outcome Measures

    Incidence of adverse events
    Graded according to the NCI CTCAE version 5.0.
    To evaluate objective Response Rate (ORR) of the antitumor activity
    To assessed per Lugano and Lyric
    To evaluate the disease control rate (DCR) of the antitumor activity
    To assessed per Lugano and Lyric
    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
    May 7, 2022
    Last Updated
    May 18, 2022
    Sponsor
    First Affiliated Hospital Bengbu Medical College
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05387226
    Brief Title
    Intravenous Injection of Oncolytic Virus Injection (RT-01) in Patients With Relapsed or Refractory T-cell Lymphoma
    Official Title
    A Sing-Arm, Open Clinical Pharmacology Study of Intravenous Injection of Oncolytic Virus Injection (RT-01) in Patients With Relapsed or Refractory T-cell Lymphoma
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    May 2022 (Anticipated)
    Primary Completion Date
    December 2022 (Anticipated)
    Study Completion Date
    December 2023 (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 Relapsed or Refractory T-cell Lymphoma. 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 given via Intravenous injection in patients with advanced solid tumors. RT-01 will be administered on days 1 and 6, and every 8 weeks thereafter (up to 6 times). This study is planned to enroll 6 patients with Relapsed or Refractory T-cell Lymphoma. 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
    T-cell Lymphoma, Virus, Intravenous Injection

    7. Study Design

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

    8. Arms, Groups, and Interventions

    Arm Title
    Oncolytic Virus Injection(RT-01)
    Arm Type
    Experimental
    Arm Description
    RT-01 will be administered intravenously
    Intervention Type
    Biological
    Intervention Name(s)
    Oncolytic Virus Injection(RT-01)
    Intervention Description
    RT-01 will be administered intravenously on day 1 and 6, and every 8 weeks thereafter (up to 6 times)
    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 objective Response Rate (ORR) of the antitumor activity
    Description
    To assessed per Lugano and Lyric
    Time Frame
    Up to 2 years
    Title
    To evaluate the disease control rate (DCR) of the antitumor activity
    Description
    To assessed per Lugano and Lyric
    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
    8 weeks after last dose
    Title
    The Cmax of Viral RNA
    Description
    The maximum RNA peak concentration
    Time Frame
    8 weeks after last dose
    Title
    The Tmax of Viral RNA
    Description
    The time of maximum RNA peak concentration
    Time Frame
    8 weeks after last dose

    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. The following of typesRelapsed T-cell lymphoma (TCL): peripheral T-cell lymphoma (PTCL) [peripheral T-cell lymphoma-not otherwise specified (PTCL-NOS), angioimmunoblastic T-cell lymphoma (AITL), anaplastic large cell (ALCL)], and cutaneous TCL (CTCL) of mycosis fungoides (MF). Patients have received at least 1-line systemic treatment in the past and who have relapsed or are refractory: failed to achieve complete remission (CR) or disease progression (PD) after CR, ineligible for autologous hematopoietic stem cell transplantation (ASCT) or PD after ASCT. There is at least one measurable lesion without previous local treatment, which the long axis of the intranodal lesion is >15 mm or extranodal lesion >10 mm According to Lugano 2014 criteria. Patients Eastern Cooperative Oncology Group (ECOG) physical status score must be 0 or 1. Life expectancy≥3 months et al. Exclusion Criteria: Subjects with brain metastasis and/or clinically history tumor brain of metastasis; 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# 9.Subjects with adverse reactions caused by previous anti-tumor treatment not recovered to (CTCAE 5.0) grade 1 (except alopecia); 10.Subjects who have uncontrolled active infection; 11.Subjects with known positive history of human immunodeficiency virus (HIV) test or known acquired immunodeficiency syndrome (AIDS); 12.Subjects who have active hepatitis; 13.Subjects who have serious cardiovascular system disorders history; 14.Clinically uncontrollable third space effusion,are considered unsuitable for this study in the opinion of the investigator; 15.Subjects with active autoimmune diseases or history of autoimmune diseases that may relapse; et al.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    zhou huan, MD
    Phone
    13665527160
    Email
    zhouhuanbest@163.com

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    Intravenous Injection of Oncolytic Virus Injection (RT-01) in Patients With Relapsed or Refractory T-cell Lymphoma

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