VG161 is a recombinant human-IL12/15/PDL1B oncolytic HSV-1 Injectable. This phase I study will be conducted in HSV-seropositive subjects with advanced primary liver cancer that are refractory to conventional therapies. This is an open label study and it's divided into two parts. Part 1: This part is ascending dose design to determine the safety and tolerability of VG161 and find recommended dose of VG161. Part 2: This part is extended dose design to determine the effectiveness of VG161.
Part 1: This part will be conducted in 5 dose ascending cohorts, including 2 accelerated titration design dose group and 3 dose escalation groups. Descriptive statistics will be used to summarize data. Part 2: This part will only include the part 1 recommended dose. Hypothesis test and descriptive statistics will be used to summarize data.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
44
Intratumoral injection only. The dosing date can be the Day 1 only or Days 1 through 5.
The First Affiliated Hospital, Zhejiang University School of Medicine
Hangzhou, Zhejiang, China
RECRUITINGPart1: MTD/Recommended dose
MTD (Maximum tolerable dose) /Recommended dose
Time frame: 7 month
Part1: Occurence of DLT
Occurence of DLT (Dose Limiting Toxicity)
Time frame: 1month
Part1: Numbers of DLT
Numbers of DLT (Dose Limiting Toxicity)
Time frame: 1 month
Part1: Occurence of AE and SAE(NCI CTCAE 5.0)
Occurence of Adverse Event (AE) and Serious Adverse Event (SAE) (NCI CTCAE 5.0)
Time frame: 7 months
Part1: Frequency of AE and SAE(NCI CTCAE 5.0)
Frequency of Adverse Event (AE) and Serious Adverse Event (SAE) (NCI CTCAE 5.0)
Time frame: 7 months
Part2:ORR
Evaluate Objective Response Rate by RECIST 1.1
Time frame: 7 months
Part1:Tmax(h)
Time to peak
Time frame: At the end of Cycle 1 (each cycle is 28 days)
Part1:Cmax(copies/ugDNA)
Maximum concentration
Time frame: At the end of Cycle 1 (each cycle is 28 days)
Part1:ORR
Evaluate Objective Response Rate by iRECIST
Time frame: 7 months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Part1:DOR
Evaluate Disease Control Rate by iRECIST
Time frame: 7 months
Part1:PFS
Evaluate medium Progression Free Survival by iRECIST
Time frame: 7 months
Part1:OS rate
Evaluate Overall Survival rate
Time frame: 17 months
Part 1:CD3+, CD4+, CD8+
Concentration of CD3+, CD4+, CD8+
Time frame: 7 months
Part 1:IL15
Concentration of IL15
Time frame: 7 months
Part 1:PD-L1, PD-1
Concentration of PD-L1, PD-1
Time frame: 7 months
Part 2:PFS
Evaluate medium Progression Free Survival by iRECIST
Time frame: 7 months
Part 2:OS rate
Evaluate Overall Survival rate
Time frame: 17 months
Part 2: OS
Overall Survival
Time frame: 17 months
Part 2:DOR
Evaluate Disease Control Rate by iRECIST
Time frame: 7 months
Part 2:Safety indicators:AEs
Incidence of adverse events (NCI CTCAE 5.0)
Time frame: 7 months
Part 2:Safety indicators:ECOG
Incidence of abnormal ECOG scores
Time frame: 7 months
Part 2:Safety indicators:12-lead electrocardiograms
Incidence of abnormal 12-lead electrocardiograms
Time frame: 7 months
Part 2:Safety indicators:laboratory tests results
Incidence of abnormal laboratory tests results
Time frame: 7 months
Part 2:CD3+, CD4+, CD8+
Concentration of CD3+, CD4+, CD8+
Time frame: 7 months
Part 2:IL15
Concentration of IL15
Time frame: 7 months
Part 2:PD-L1, PD-1
Concentration of PD-L1, PD-1
Time frame: 7 months