This is Phase I, open label, multi-center clinical trial evaluating an investigational treatment, Adze1.C. Adze1.C is a type of oncolytic virus therapy for adults with advanced Melanoma that have not responded to standard treatments. Oncolytic viruses are designed to infect and destroy cancer cells and have the potential to stimulate the immune system to fight tumors. The purpose of this study is to assess preliminary efficacy, determine the safety of Adze1.C, how well it is tolerated, and to identify the highest dose that can be safely given.
This Phase 1, multicenter, open-label, dose-escalation study is designed to evaluate the safety, tolerability, pharmacodynamics, and preliminary efficacy of Adze1.C, a conditionally replicative oncolytic adenovirus encoding CD40L, in participants with metastatic melanoma. Up to 30 participants will be enrolled across three sequential dose cohorts. All participants will first receive a low initial (seroconversion) dose of Adze1.C injected directly into their tumour. Three weeks later, they will receive a higher dose based on their assigned cohort: cohort 1: Adze1.C 1 × 10E8 vp cohort 2: Adze1.C 1 × 10E9 vp cohort 3: Adze1.C 1 × 10E10 vp The study will use a stepwise dose-escalation approach (3+3 design) to evaluate safety. Participants will receive injections every 2 weeks and will be monitored closely for side effects throughout the study. Safety during the first 5 weeks after starting treatment will be used to help determine whether the dose can be increased for future participants. Participants who remain eligible may continue receiving treatment for up to 14 weeks.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
30
Conditionally replicative oncolytic adenovirus expressing CD40L, administered by intratumoural injection in dose escalation cohorts.
Tasman Oncology Research
Southport, Queensland, Australia
RECRUITINGThe Queen Elizabeth Hospital
Adelaide, South Australia, Australia
RECRUITINGMonash Health
Clayton, Victoria, Australia
RECRUITINGIncidence and severity of treatment-emergent adverse events (TEAEs)
Safety will be assessed based on the frequency, nature, and severity of TEAEs, graded per CTCAE v5.0.
Time frame: From Day 1 (first dose) through Week 16 (end of treatment visit)
Incidence of dose-limiting toxicities (DLTs)
Number of participants who experience DLTs during the 5-week period following the seroconversion and escalation doses, per predefined DLT criteria.
Time frame: Week 1 Day 1 to Week 6 Day 1 (5-week DLT evaluation period)
Recommended Phase 2 Dose (RP2D) determination
RP2D will be determined by the Safety Review Committee (SRC) based on cumulative safety, DLT, and tolerability data from all cohorts.
Time frame: Through Week 16
Detection of viral shedding in bodily fluids
Presence of Adze1.C viral particles will be assessed in serum, saliva, stool, and urine using PCR-based methods.
Time frame: From Day 1 through Week 16
Objective response rate (ORR)
Proportion of participants with complete or partial response, assessed per iRECIST.
Time frame: From first dose through disease progression (estimated up to 6 months)
Progression-Free Survival (PFS)
Time from first treatment to documented disease progression or death from any cause, per iRECIST.
Time frame: From first dose to disease progression or death (estimated up to 12 months)
Patient-reported quality of life using EORTC QLQ-C30
The EORTC QLQ-C30 is a widely used and validated 30-item questionnaire used to assess quality of life (QoL) in cancer patients. Scores are transformed to a 0-100 scale. For functional scales and global health status/QoL, higher scores indicate better functioning or quality of life. For symptom scales/items, higher scores reflect greater symptom burden (i.e., worse outcome).
Time frame: From baseline to Week 16
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