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A Study of T3011 Administered Via Intravenously in Patients With Advanced Solid Tumors.

Primary Purpose

Advanced Solid Tumor, Lung Cancer, Liver Cancer

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
T3011
Sponsored by
ImmVira Pharma Co. Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Solid Tumor focused on measuring Herpes virus, Advanced solid tumor, Dose escalation, T3011, Oncolytic virus

Eligibility Criteria

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

Inclusion Criteria:

  • 1. Locally recurrent or metastatic solid tumors, There is currently no effective treatment (including treatment intolerance).

    2. Age 18 years or older. 3. At least one target lesion per RECIST version 1.1. 4. Eastern Cooperative Oncology Group (ECOG) performance status 0 - 1. 5. Life expectancy ≥ 12 weeks. 6. Women of childbearing potential must have a negative serum pregnancy test at Screening within 7 days of dosing with T3011.

    7. Understand and sign ICF voluntarily,capable of understanding and complying with protocol requirements.

Exclusion Criteria:

  • 1. Pregnant or lactating or plan to pregnant or give birth during the trial. 2. Splenectomy, previous allogenic organ transplant. 3. Prior treatment with another gene therapy(except T3011). 4. Requires continued concurrent systemic therapy with any drug active against HSV (acyclovir, valaciclovir, penciclovir, famciclovir, ganciclovir, foscarnet, cidofovir). Topical use of drugs against HSV are allowed.

    5. History of allergic reactions attributed to compounds of similar biological composition to HSV-1, IL-12, or anti-PD-1 monoclonal antibody or their excipients.

    6. Prior treatment with anti-PD-(L)1 monoclonal antibody in combination with IL-12.

Sites / Locations

  • The First Affiliated Hospital of Bengbu Medicial CollegeRecruiting
  • Zhujiang Hospital of Southern Medical UniversityRecruiting
  • the First Affiliated Hospital of Henan University of Science and TechnologyRecruiting
  • Henan Cancer HosptialRecruiting
  • West China Hospital of Sichuan UniversityRecruiting
  • Beijing Chest HospitalRecruiting
  • Shanghai Chest HosptialRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

T3011 Herpes Virus Injection

Arm Description

Outcomes

Primary Outcome Measures

Evaluate the safety and tolerability of escalating doses of IV T3011 in Patients with advanced malignant tumors
Incidence of AE(TEAE)
Assess DLTs and identify the RP2D of single agent IV T3011
Incidence of DLT
Assess safety and tolerability of T3011 intravenous administration at MTD or RP2D doses through dose extension study
Incidence of AE(TEAE)

Secondary Outcome Measures

Evaluate the biodistribution and viral shedding of IV T3011
Measurement of T3011 in subjects' blood, urine, and saliva for biodistribution and viral shedding
Evaluate the immunogenicity of IV T3011
Measurement of ADAs and Nabs of IL-12, anti-PD-1 antibody and HSV-1 (test Nabs when ADAs are positive).
Evaluate the preliminary clinical response of single agent IV T3011
ORR PFS and OS

Full Information

First Posted
October 18, 2022
Last Updated
October 24, 2022
Sponsor
ImmVira Pharma Co. Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT05598268
Brief Title
A Study of T3011 Administered Via Intravenously in Patients With Advanced Solid Tumors.
Official Title
A Phase I/IIa Study to Assess the Safety, Tolerability, Biodistribution and Pharmacodynamic of T3011 Herpes Virus Administered Via Intravenously in Patients With Advanced Solid Tumors.
Study Type
Interventional

2. Study Status

Record Verification Date
October 2022
Overall Recruitment Status
Recruiting
Study Start Date
March 1, 2022 (Actual)
Primary Completion Date
June 2024 (Anticipated)
Study Completion Date
December 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ImmVira Pharma Co. Ltd

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 multicenter, open-label study conducted in 3 phases: Dose escalation stage: The stage contain 4 cohorts, each cohort divided into 2 groups (group A, single dose and Group B, multiple dose).Dose escalation will use a 3+3 design to evaluate escalating doses of T3011.Cohorts of three subjects will be enrolled at each T3011 dose level with expansion to six subjects, if necessary, to assess toxicity. Total enrollment will depend on the toxicities observed, with approximately 4-24 evaluable subjects enrolled in dose escalation stage. Dose extension stage: The SMC will evaluate the available safety and preliminary efficacy data and initiate dose-expansion studies for the appropriate indications Phase IIa: To explore the safety of intravenous administration and expand the study in other indications. the stage will be carried out gradually based on the data obtained from the phase I study.
Detailed Description
This is a multicenter, open-label study conducted in 3 phases: Dose escalation stage: The stage contains 4 cohorts, divided into cohort 1 (1x106PFU/ dose), cohort 2 (1x107PFU/ dose), cohort 3 (1x108PFU/ dose) and cohort 4 (3x108PFU/ dose). Each cohort divided into 2 groups (group A, single dose and Group B, multiple dose).Dose escalation will use a 3+3 design to evaluate escalating doses of T3011. At any dose level, if no DLT occurs among the first 3 subjects, then escalation to the next dose level may proceed, with the approval of the SMC. If 1 DLT occurs in the first 1 to 3 subjects, the dose level will expand to a maximum of 6 subjects. If no DLT occurs among the additional subjects, then escalation to the next dose level may proceed, with the approval of the SMC. If 2 or more DLTs occur within a cohort, then that dose level will be above the maximum tolerated dose (MTD) (the highest dose where no more than 1 of 6 subjects has experienced a DLT), and new subjects will be enrolled at the previous lower (tolerated) dose level until that cohort has 6 subjects. This lower dose level will be considered the MTD if ≤ 1 in 6 subjects has a DLT. At the end of dose escalation, the SMC will recommend a dose (the recommended phase 2 dose [RP2D]) of T3011 to be used in phase 2a expansion study based upon MTD identification, cumulative safety, pharmacokinetic (PK), efficacy, and pharmacodynamic data. Total enrollment will depend on the toxicities observed, with approximately 4-24 evaluable subjects enrolled in dose escalation stage. In group A, participant will receive a single dose and the DLT evaluation period is 14 days. In group B, Participants will receive administration at D1/D4/D8 of every cycle. The DLT evaluation period will be the first 21-day Cycle in group B. Tumor evaluation was performed every two cycles. The maximum treatment period should not exceed 4 cycles. Group B of cohort X was enrolled only after the DLT assessed for group A of cohort X and SMC approval to proceed to the next cohort assessment. Dose extension stage: The SMC will evaluate the available safety and preliminary efficacy data and initiate dose-expansion studies for the appropriate indications Phase IIa: To explore the safety of intravenous administration and expand the study in other indications. the stage will be carried out gradually based on the data obtained from the phase I study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Solid Tumor, Lung Cancer, Liver Cancer, Lymphoma, Mesothelioma of Pleura
Keywords
Herpes virus, Advanced solid tumor, Dose escalation, T3011, Oncolytic virus

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Masking Description
Open Label
Allocation
N/A
Enrollment
74 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
T3011 Herpes Virus Injection
Arm Type
Experimental
Intervention Type
Biological
Intervention Name(s)
T3011
Intervention Description
T3011 will be administered through IV drip
Primary Outcome Measure Information:
Title
Evaluate the safety and tolerability of escalating doses of IV T3011 in Patients with advanced malignant tumors
Description
Incidence of AE(TEAE)
Time Frame
Up to 2 years from first dose of T3011
Title
Assess DLTs and identify the RP2D of single agent IV T3011
Description
Incidence of DLT
Time Frame
Up to 2 years from first dose of T3011
Title
Assess safety and tolerability of T3011 intravenous administration at MTD or RP2D doses through dose extension study
Description
Incidence of AE(TEAE)
Time Frame
Up to 2 years from first dose of T3011
Secondary Outcome Measure Information:
Title
Evaluate the biodistribution and viral shedding of IV T3011
Description
Measurement of T3011 in subjects' blood, urine, and saliva for biodistribution and viral shedding
Time Frame
Up to 2 years from first dose of T3011
Title
Evaluate the immunogenicity of IV T3011
Description
Measurement of ADAs and Nabs of IL-12, anti-PD-1 antibody and HSV-1 (test Nabs when ADAs are positive).
Time Frame
Up to 2 years from first dose of T3011
Title
Evaluate the preliminary clinical response of single agent IV T3011
Description
ORR PFS and OS
Time Frame
Up to 2 years from first dose of T3011
Other Pre-specified Outcome Measures:
Title
Exploring tumor immunomodulatory mechanism
Description
Lymphocyte typing
Time Frame
Up to 42 days from first dose of T3011
Title
Exploring histological changes after IT T3011
Description
Immunofluorescence detection
Time Frame
Up to 42 days from first dose of T3011
Title
Exploring the relationship between genetic changes and drug efficacy
Description
Tumor tissue sequencing
Time Frame
Up to 42 days from first dose of T3011

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 1. Locally recurrent or metastatic solid tumors, There is currently no effective treatment (including treatment intolerance). 2. Age 18 years or older. 3. At least one target lesion per RECIST version 1.1. 4. Eastern Cooperative Oncology Group (ECOG) performance status 0 - 1. 5. Life expectancy ≥ 12 weeks. 6. Women of childbearing potential must have a negative serum pregnancy test at Screening within 7 days of dosing with T3011. 7. Understand and sign ICF voluntarily,capable of understanding and complying with protocol requirements. Exclusion Criteria: 1. Pregnant or lactating or plan to pregnant or give birth during the trial. 2. Splenectomy, previous allogenic organ transplant. 3. Prior treatment with another gene therapy(except T3011). 4. Requires continued concurrent systemic therapy with any drug active against HSV (acyclovir, valaciclovir, penciclovir, famciclovir, ganciclovir, foscarnet, cidofovir). Topical use of drugs against HSV are allowed. 5. History of allergic reactions attributed to compounds of similar biological composition to HSV-1, IL-12, or anti-PD-1 monoclonal antibody or their excipients. 6. Prior treatment with anti-PD-(L)1 monoclonal antibody in combination with IL-12.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
ImmVira Pharma Co. LTD
Phone
781-718-5121
Email
clinicaltrials@immviragroup.com
Facility Information:
Facility Name
The First Affiliated Hospital of Bengbu Medicial College
City
Bengbu
State/Province
Anhui
ZIP/Postal Code
233099
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Wang Junbin, Professor
Phone
055-3086120
Email
clinicaltrials@immviragroup.com
Facility Name
Zhujiang Hospital of Southern Medical University
City
Guanzhou
State/Province
Guangdong
ZIP/Postal Code
510280
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zhang Jian, Professor
Phone
020-61643888
Email
clinicaltrials@immviragroup.com
Facility Name
the First Affiliated Hospital of Henan University of Science and Technology
City
Luoyang
State/Province
Henan
ZIP/Postal Code
450052
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zhang Zhiye, Professor
Phone
0379-69823015
Email
clinicaltrials@immviragroup.com
Facility Name
Henan Cancer Hosptial
City
Zhengzhou
State/Province
Henan
ZIP/Postal Code
450003
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Luo Suxia, M.D.
Phone
400-0371818
Email
clinicaltrials@immviragroup.com
Facility Name
West China Hospital of Sichuan University
City
Chengdu
State/Province
Sichuan
ZIP/Postal Code
610044
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zhang Shuang, professor
Phone
028-85422114
Email
clinicaltrials@immviragroup.com
Facility Name
Beijing Chest Hospital
City
Beijing
ZIP/Postal Code
101149
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Hu Ying, M.D.
Phone
010-89509000
Email
clinicaltrials@immviragroup.com
Facility Name
Shanghai Chest Hosptial
City
Shanghai
ZIP/Postal Code
200030
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Lu Shun, Professor
Phone
86-021-22200000
Ext
12345
Email
clinicaltrials@immviragroup.com

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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A Study of T3011 Administered Via Intravenously in Patients With Advanced Solid Tumors.

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