This study employs a single-arm, open-label, non-randomized, dose-escalation design to investigate the safety, tolerability, and efficacy of GO306 Recombinant Oncolytic Vaccinia Virus Injection. * Part 1: Utilizes the 3+3 design principle to evaluate the safety and tolerability of a single administration of GO306 at different dose levels. The primary goal is to determine the Maximum Tolerated Dose (MTD), providing the basis for selecting the Recommended Phase 2 Dose (RP2D). * Part 2: Evaluates the safety and tolerability of repeated intratumoral (IT) or intracavitary administrations of GO306 in patients with specific tumor types.
This study employs a single-arm, open-label, non-randomized, dose-escalation design to investigate the safety, tolerability, and efficacy of GO306 Recombinant Oncolytic Vaccinia Virus Injection. The study has two parts. * Part 1 is a single-dose escalation phase. * The Main Objectives of part 1 is to evaluate the safety and tolerability of single intratumoral injection/intracavitary administration of GO306 at different dose levels in patients with advanced solid tumors who failed to respond to standard treatment, and explore the maximum tolerated dose (MTD), so as to provide a basis for the recommended dose in the second stage. * The secondary objectives of Part 1 is 1) To evaluate the pharmacokinetics (PK) and viral shedding of GO306 after single intratumoral injection/intracavitary administration; 2) evaluate the preliminary efficacy of a single dose of GO306; 3) To monitor the changes of immunological parameters related to GO306 pharmacodynamics. * The exploratory objectives of Part 1 is to correlation between PD-L1 expression in tumor tissue, microsatellite instability (MSI), tumor mutation burden (TMB) and efficacy (if applicable); * Part 2 Multiple dose exploration phase. * The primary objective of Part 2 is to evaluate the safety and tolerability of multiple intratumoral injection/intracavitary administration of GO306 in patients with specific tumors and to determine the optimal dosing regimen. * The secondary objectives of Part 2 is 1) To evaluate the pharmacokinetics (PK) and viral shedding of GO306 after multiple intratumoral injections/intracavitary administration; 2) evaluate the preliminary efficacy of multiple doses of GO306; 3) evaluate the immunogenicity of GO306; 4) To monitor the changes of immunological indicators related to GO306 pharmacodynamics. * The exploratory objectives of Part 2 is to correlation between PD-L1 expression in tumor tissue, microsatellite instability (MSI), tumor mutation burden (TMB) and efficacy (if applicable).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
32
Part 1: A 3+3 single-dose escalation phase: Low-dose cohort: 3.0E+07 PFU; Intratumoral or intracavitary injection of GO306; Cohort Size: 3 subjects; Dosing Schedule: Single initial administration. Medium-dose cohort: 3.0E+08 PFU; Intratumoral or intracavitary injection of GO306; Cohort Size: 3 subjects; Dosing Schedule: Single initial administration. High-dose cohort: 1.0E+09 PFU; Intratumoral or intracavitary injection of GO306; Cohort Size: 3 subjects; Dosing Schedule: Single initial administration. Part 2: A multiple-dose expansion phase at the RP2D level to explore preliminary efficacy in specific tumor type: RP2D; Intratumoral or intracavitary injection of GO306; Cohort Size: 20 subjects in specific tumor type; Dosing Schedule: QW or Q2W administration.
The First Affiliated Hospital of Anhui Medical University
Hefei, Anhui, China
RECRUITINGFujian Cancer Hospital
Fuzhou, Fujian, China
RECRUITINGShenzhen Third People's Hospital
Shenzhen, Guangzhou, China
RECRUITINGThe First Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan, China
RECRUITINGHunan Cancer Hospital
Changsha, Hunan, China
RECRUITINGShanghai General Hospital
Shanghai, Shanghai Municipality, China
RECRUITINGAEs
Adverse events (AEs) will be graded according to the CTCAE Version 5.0 published by the U.S. National Cancer Institute.
Time frame: Within 6 Months After the Last Treatment
SAEs
Severe Adverse events (SAEs) will be graded according to the CTCAE Version 5.0 published by the U.S. National Cancer Institute.
Time frame: Within 6 months after the last treatment.
DLT
The Dose-Limiting Toxicities (DLTs) assessed using the NCI CTCAE v5.0.
Time frame: Up to 21 days from the first GO306 injection.
MTD
The maximum tolerated dose (MTD) of GO306 will be defined based on the DLT
Time frame: Up to 21 days from the first GO306 injection.
RP2D
The Recommended Phase II Dose (RP2D) will be determined based on the integrated analysis of Part 1 (3+3 dose-escalation phase) results.
Time frame: Through the Part 1 of this study, an average of 4 months
Pharmacodynamics/immunological indicators
Including but not limited to: peripheral blood T lymphocyte subsets (CD3+, CD4+, CD8+, CD4+/CD8+ ratio, CD19+, etc.), plasma cytokines (IL-1β, IL-2, IL-4, IL-5, IL-6, IL-8, IL-10, IL-12, IL-17, IFN-α, IFN-γ, TNF-α, etc.)
Time frame: In Part 1&2: Within 28 Days After the Last Dose
Pharmacokinetics/viral shedding indicators
GO306 concentration (viral genome copy number) in blood, throat swabs, urine, saliva, feces, and injection site samples at different time points after a single dose, and the concentration of GO306 expression products in serum
Time frame: Part 1&2: Within 28 Days After the Last Dose
Immunogenicity indicators
Anti-GO306 antibodies, and antibodies against GO306 expression products.
Time frame: Part 1&2: Within 6 Months After the Last Dose
OS
Overall Survival (OS)(Basd on the RECIST V1.1): Time interval from the date of first study drug administration to the date of death due to any cause.
Time frame: Up to 5 years after the last treatment.
PFS
Progression-Free Survival (PFS)(Basd on the RECIST V1.1): Time from first dose to the earlier occurrence of disease progression per RECIST 1.1 or death from any cause.
Time frame: Up to 5 years after the last treatment.
ORR
Objective Response Rate (ORR)(Basd on the RECIST V1.1): Proportion of subjects achieving a Best Overall Response (BOR) of Complete Response (CR) or Partial Response (PR) per RECIST 1.1, assessed from first dose until treatment discontinuation.
Time frame: Up to 5 years after the last treatment.
DOR
Duration of Response (DOR)(Basd on the RECIST V1.1): Time from the first documented CR or PR until PD or death from any cause, whichever occurs first, as assessed per RECIST 1.1 criteria.
Time frame: Up to 5 years after the last treatment.
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