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.
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.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
74
T3011 will be administered through IV drip
The First Affiliated Hospital of Bengbu Medicial College
Bengbu, Anhui, China
RECRUITINGZhujiang Hospital of Southern Medical University
Guanzhou, Guangdong, China
RECRUITINGthe First Affiliated Hospital of Henan University of Science and Technology
Luoyang, Henan, China
RECRUITINGHenan Cancer Hosptial
Zhengzhou, Henan, China
RECRUITINGWest China Hospital of Sichuan University
Chengdu, Sichuan, China
RECRUITINGBeijing Chest Hospital
Beijing, China
RECRUITINGShanghai Chest Hosptial
Shanghai, China
RECRUITINGEvaluate the safety and tolerability of escalating doses of IV T3011 in Patients with advanced malignant tumors
Incidence of AE(TEAE)
Time frame: Up to 2 years from first dose of T3011
Assess DLTs and identify the RP2D of single agent IV T3011
Incidence of DLT
Time frame: Up to 2 years from first dose of T3011
Assess safety and tolerability of T3011 intravenous administration at MTD or RP2D doses through dose extension study
Incidence of AE(TEAE)
Time frame: Up to 2 years from first dose of T3011
Evaluate the biodistribution and viral shedding of IV T3011
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
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).
Time frame: Up to 2 years from first dose of T3011
Evaluate the preliminary clinical response of single agent IV T3011
ORR PFS and OS
Time frame: Up to 2 years from first dose of T3011
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