The purpose of this study is to to evaluate the safety, tolerability, immunogenicity, and efficacy of RG002 Injection in subjects with HPV16/18 associated Cervical Intraepithelial Neoplasia Grade 2 or 3(CIN2/3).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
39
In Part A, there are three dose cohorts that are 25µg,75µg and 150µg. In Part B, there will 1 or 2 dose levels according to the results of Part A. All subjects will receive a total of three RG002 Injections, administered intramuscularly at assigned dose level, with a dosing frequency of every 2 weeks (D1, D15, and D29).
Part A: Safety and Tolerability of RG002 Injection, measured by the incidence of adverse events
Safety and Tolerability of RG002 Injection will be measured by the incidence of adverse events per CTCAE v5.0
Time frame: Week 9
Part A: Maximum tolerated dose (MTD) and/or RP2D of RG002 Injection
Time frame: MTD:Week 9; RP2D: Week 36
Part B: Primary efficacy of RG002 Injection, measured by the proportion of subjects with histopathological regression
The proportion of subjects with histopathological regression to either CIN1 or normal at Week 36
Time frame: Week36
Part A: Preliminary efficacy of RG002 Injection,measured by proportion of subjects with histopathological regression
The proportion of subjects with histopathological regression to either CIN1 or normal at Week 36
Time frame: Week36
Part A: Preliminary efficacy of RG002 Injection,measured by proportion of subjects with clearance of HPV16/18
The clearance of HPV16 or HPV18 will be evaluated according to the results of HPV test at Week 21 and Week 36.
Time frame: Week36
Part A: Preliminary efficacy of RG002 Injection,measured by proportion of subjects with histopathological regression and clearance of HPV16/18
The proportion of subjects with histopathological regression to CIN1 or normal and clearance of HPV16 or HPV18, or both at Week36.
Time frame: Week36
Part A and B: Immunogenicity of RG002 Injection,measured by the level of cellular immune response
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The level of cellular immune response in Peripheral blood mononuclear cells (PBMCs) as measured by IFN-γ enzyme-linked immunosorbent spot-forming (ELISpot) assay
Time frame: Week36
Part A and B: Immunogenicity of RG002 Injection,measured by the proportion of T lymphocytes
The immuno-phenotyping including the proportion of CD3+CD4+CD137+ and CD3+CD8+CD137+ T lymphocytes in whole blood as measured by flow cytometry.
Time frame: Week36
Part A and B: Immunogenicity of RG002 Injection,measured by the expression of cytokines in serum
The expression of cytokines in serum, i.e., IL-1β, IL-1ra, IL-2, IL-6, IL-10, GM-CSF, TNF-α and IFN-γ measured by MSD® Assays.
Time frame: Week36
Part A and B: Immunogenicity of RG002 Injection,measured by the serum levels of anti-HPV16 and anti-HPV18 IgG antibodies.
Serum levels of anti-HPV16 and anti-HPV18 IgG antibodies as measured by Luminex.
Time frame: Week36
Part A and B: Exposure level of RG002 Injection, measured by mRNA
The plasma exposure level(AUC, Cmax, etc.) of mRNA will be measured Real Time Quantitative-Polymerase Chain Reaction (RT-qPCR)
Time frame: Week7
Part A and B: Exposure level of RG002 Injection, measured by cationic lipids
The plasma exposure level(AUC, Cmax, etc.) of cationic lipids will be measured by Liquid Chromatography Tandem Mass Spectrometry(LC-MS/MS).
Time frame: Week7
Part A and B: Anti-drug antibody (ADA) to polyethylene glycol (PEG) of RG002 injection, measured by the serum titer of anti-PEG IgG and anti-PEG IgM
The serum titer of anti-PEG IgG and anti-PEG IgM as measured by enzyme-linked immunosorbent assay (ELISA).
Time frame: Week6
Part B: Secondary efficacy, measured by proportion of subjects with histopathological regression
The proportion of subjects with histopathological regression to either CIN1 or normal at Week 36
Time frame: Week36
Part B: Secondary efficacy, measured by proportion of subjects with clearance of HPV16/18
The clearance of HPV16 or HPV18 will be evaluated according to the results of HPV test at Week 21 and Week 36.
Time frame: Week36
Part B: Secondary efficacy, measured by proportion of subjects with histopathological regression and clearance of HPV16/18
The proportion of subjects with histopathological regression to CIN1 or normal and clearance of HPV16 or HPV18, or both at Week36.
Time frame: Week36
Part B: Safety and tolerability of RG002 Injection, measured by the incidence of adverse events
Safety and Tolerability of RG002 Injection will be measured by the incidence of adverse events per CTCAE v5.0
Time frame: Week9
Part B: Optionally assess the biomarker of RG002 Injection, measured by the level of potential biomarkers and the level of infiltrating T cells and myeloid cells in the lesions.
The level of potential biomarkers of RG002 Injection, i.e., CD45, CD3, CD4, CD8, CD25, FOXP3, PD-1, and CD137, and the level of infiltrating T cells (CD3, CD8, FOXP3, TIM3, Tbet, PD-1, DAPI) and myeloid cells (CD14, CD33, CD68, CD163, CD11c, PD-L1, DAPI) in the lesions.
Time frame: Week36