Clinical Study of VG161 in Combination With Nivolumab in Subjects With Advanced Pancreatic Cancer

NCT05162118 | Unknown Phase 1

• 1 other identifier: VG161-IIS-201
• Study Type: interventional
• Target: 51
• Locations: 1 country
• Sites: 1

Brief Summary

VG161 is a recombinant human-IL12/15/PDL1B oncolytic HSV-1 Injectable. This is a multicenter, open, single-arm design clinical trial coducted in HSV-seropositive subjects with advanced pancreatic cancer to determine the safety, tolerability and preliminary efficacy of VG161 combined with PD-1 inhibitor (Nivolumab Injection).

Conditions

Advanced Pancreatic Cancer

Keywords

Solid Tumor

Outcome Measures

Primary Outcomes (5)

• MTD

  MTD (Maximum tolerable dose)

  1 month

• Occurrence and numbers of DLT (phase 1)

  Occurence of DLT (Dose Limiting Toxicity) and numbers of DLT

  1 month

• Occurence and frequence of AE and SAE (phase 1)

  Occurence and frequence of Adverse Event (AE) and Serious Adverse Event (SAE) (NCI CTCAE 5.0)

  24 month

• DCR (phase 2)

  Evaluate Disease Control Rate by RECIST 1.1

  24 month

• RP2D (phase 1)

  RP2D (Recommended dose for phase II)

  1 month

Secondary Outcomes (19)

• DCR (phase 1)

  24 month

• ORR

  24 month

• PFS

  24 month

• PD-1

  24 month

• Single cell sequencing

  24 month

Study Arms (1)

Single Arm

EXPERIMENTAL

1. Intratumoral injection of VG161 - 1.5\*10\^8 on D1 + Nivolumab on D8, D22 2. Intratumoral injection of VG161 - 1.0\*10\^8 on D1, D2 + Nivolumab on D8, D22 3. Intratumoral injection of VG161 - 1.0\*10\^8 on D1, D2, D3 + Nivolumab on D8, D22

Drug: Recombinant Human IL12/15-PDL1B Oncolytic HSV-1 Injection (Vero Cell)) in combination with Nivolumab

Interventions

Recombinant Human IL12/15-PDL1B Oncolytic HSV-1 Injection (Vero Cell)) in combination with Nivolumab DRUG

Intratumoral injection of VG161 on day 1 only or day 1 through 3, in combination of Nivolumab intravenous injection only, Once every 2 weeks, 3 mg/kg each time.

Also known as: VG161 + Nivolumab

Single Arm

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Subjects must give informed consent to this study before the trial and voluntarily sign a written informed consent form
• Age 18 to 75 years (inclusive), male or female
• According to the Guidelines for the Diagnosis and Treatment of Pancreatic Cancer, patients with histologically or cytologically confirmed advanced primary pancreatic ductal adenocarcinoma, acinar cell carcinoma or adenosquamous carcinoma, accompanied by metastasis (TxNxM1), who have failed standard treatment, or have no effective treatment at this stage
• The presence of at least one intratumoral injection lesion with the longest diameter (the longest diameter of lymph nodes) greater than or equal to 1.5 cm that is required by the dose volume of the acceptable current dose group, including superficial lesions or deep lesions that can be injected under B ultrasound/CT guidance (such as liver metastases, etc.)
• Herpes simplex virus type I (HSV-1) antibody test results (HSV-1IgG or HSV-1IgM) are positive
• ECOG performance score 0-1
• The expected survival time is more than 3 months
• Adequate organ function: 1) blood routine (No blood transfusion or colony-stimulating factor treatment Within 14 days): ANC ≥ 1.5 × 10\^9/L, PLT ≥ 75 × 10\^9/L, Hb ≥ 90 g/L, lymphocyte count ≥ 1.5 × 10\^9/L (for lymphocyte count 1.0 × 10\^9/L to 1.5 × 10\^9/L, the investigator judges whether it is necessary); 2) liver function: TBIL ≤ 1.5 × ULN, ALT ≤ 3 × ULN, AST ≤ 3 × ULN (patients with liver metastases can receive ALT ≤ 5 × ULN, AST ≤ 5 × ULN); 3) Child-Pugh score: A-B; 4) renal function: Cr ≤ 1.5 × ULN, and creatinine clearance ≥ 45ml/min (calculated according to CockftGault formula); 5) coagulation function: activated partial thromboplastin time (APTT) ≤ 1.5 × ULN, international normalized ratio (INR) ≤ 1.5 × ULN

You may not qualify if:

• Received chemotherapy, radiotherapy, biological therapy, endocrine therapy, targeted therapy, immunotherapy (including PD-1/PD-L1 inhibitors) and other anti-tumor drug therapy 4 weeks before the first use of the study drug, oral fluoropyrimidines and small molecule targeted drugs are 2 weeks before the first use of the study drug or within 5 half-lives of the drug (whichever is longer)
• Received other unmarketed clinical trial treatment 4 times before the first use of the study drug
• Major organ surgery (excluding needle biopsy) or significant trauma 4 times before the first use of study drugs; 4. Patients who have received systemic corticosteroids (prednisone \> 10 mg/day or equivalent doses of the same class of drugs) or other immunosuppressive agents within 14 days before the first use of study drugs; except for the following conditions: the use of topical, ocular, intra-articular, intranasal and inhaled corticosteroids; short-term use of corticosteroids for prophylaxis (such as prevention of contrast agent allergy)
• Have received vaccination 4 times before the first use of the study drug
• The adverse reactions of previous anti-tumor treatment have not recovered to CTCAE 5.0 grade evaluation ≤ 1 (except alopecia and other toxicities that are judged by the investigator to have no safety risk)
• Patients with central nervous system or spinal cord malignant tumors or metastases, which are not suitable for enrollment as judged by the investigator
• Accompanied by spinal cord compression, which is not suitable for the investigator's judgment
• In the period of herpes simplex virus recurrence and infection, and there are corresponding clinical manifestations, such as oral herpes labialis, herpetic keratitis, herpetic dermatitis, genital herpes and so on. 10.Other active uncontrolled infection
• History of immunodeficiency, including a positive HIV antibody test
• Patients with active hepatitis B or active hepatitis C. (Patients with hepatitis B virus carriers, stable hepatitis B after drug treatment \[HBV-DNA negative\] and cured hepatitis C \[HCV RNA test negative\]) were excluded. 13.History of severe cardiovascular disease: 1) arrhythmia requiring clinical intervention; 2) QTc interval \> 480 ms; 3) acute coronary syndrome, congestive heart failure, stroke or other grade III and above cardiovascular events within 6 months; 4) New York Heart Association (NYHA) functional classification ≥ II or LVEF \< 40%; 5) uncontrolled hypertension (judged by the investigator)
• Patients with active or previous autoimmune diseases that may relapse (such as interstitial pneumonia, colitis, hepatitis, hypophysitis, vasculitis, nephritis, hyperthyroidism, hypothyroidism, including but not limited to these diseases or syndromes); patients with clinically stable autoimmune thyroiditis, autoimmune-mediated hypothyroidism treated with stable doses of thyroid replacement hormone, type I diabetes mellitus treated with stable doses of insulin, vitiligo or recovered childhood asthma/allergy, who do not require any intervention in adulthood
• Had received immunotherapy and experienced an irAE grade ≥ 3
• Known alcohol or drug dependence
• Patients with mental disorders or poor compliance
• Women who are pregnant or breastfeeding

Sponsors & Collaborators

• Zhejiang University: lead

Study Sites (1)

the First Affiliated Hospital, School of Medicine, Zhejiang University

Hangzhou, Zhejiang, 310003, China

RECRUITING

MeSH Terms

Interventions

Nivolumab

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, Humanized; Antibodies, Monoclonal; Antibodies; Immunoglobulins; Immunoproteins; Blood Proteins; Proteins; Amino Acids, Peptides, and Proteins; Serum Globulins; Globulins

Study Officials

• Tingbo Liang, Doctor

  The First Affiliated Hospital Zhengjiang University School of Medicine

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Tingbo Liang, Doctor

CONTACT

13967159109; liangtingbo@zju.edu.cn

Yinan Shen, Doctor

CONTACT

13486180288; fysyn@163.com

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Chief of hepatobiliary and pancreatic surgical department

Study Record Dates

• First Submitted: November 23, 2021
• First Posted: December 17, 2021
• Study Start: March 8, 2022
• Primary Completion: March 22, 2025
• Study Completion: December 22, 2025
• Last Updated: March 9, 2022

Record last verified: 2022-03

Data Sharing

• IPD Sharing: Will not share

Locations

CN (1)