RecruitingEarly Phase 1NCT05830240

A Clinical Study on Oncolytic Virus Injection (R130 OV) for the Treatment of Relapsed/Refractory Head and Neck Cancer

A Clinical Safety and Efficacy Study on Oncolytic Virus Injection (R130) for the Treatment of Relapsed/Refractory Head and Neck Cancer


Sponsor

Shanghai Yunying Medical Technology

Enrollment

9 participants

Start Date

Mar 27, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

9 participants are expected to be enrolled for this open,single-armed clinical trial to evaluate the safety and efficacy of the recombinant herpes simplex virus Ⅰ, R130 in patients with relapsed/refractory head and neck cancer.


Eligibility

Min Age: 18 YearsMax Age: 75 Years

Inclusion Criteria16

  • Patients with head and neck cancer clearly diagnosed by histology and/or cytology, without systematic metastasis, and failure of standard treatment.
  • Age 18 to 75 years.
  • No absolute or relative centasis contraindiction,have at least one measurable lesion (according to RECIST 1.1 criteria) that is amenable to intratumoral drug delivery.
  • No severe functinonal falure of heart, brain, liver, kidney and lung.
  • Subjects with ECOG score of 0-2, and expected survival of 3 months or more.
  • No evidence of clinically significant immunosuppression.
  • Patients must have the following hematologic parameters, Coagulation functions and hepatic and renal function during the screening period:
  • White Blood Cell (WBC)≥3.0×10\^9/L;
  • Absolute Lymphocyte Count (ANC)≥1.5×10\^9/L;
  • Platelet≥100×10\^9/L;
  • Prothrombin time (PT) or activated Partial Thromboplastin Time(APTT)≤1.5×ULN;
  • Serum Creatinine (Scr)≤1.5×ULN
  • Alanine aminotransferase(AST/ALT) ≤3×ULN;
  • Total Bilirubin(TBIL)≤1.5×ULN.
  • Be able to understand and sign the informed consent document;
  • Be able to stick to follow-up visit plan and other requirements in the agreement.

Exclusion Criteria13

  • With a history of allergy to similar drugs.
  • With hematological diseases, malignant tumors of the central nervous system, or combined with other malignant tumors.
  • pregnancy, breast feeding.
  • Current active hepatitis B, active hepatitis C, immunodeficiency virus or other active infection of clinical significance.
  • Impaired function of important organs or a history of organ transplantation.
  • Receiving antiherpes simplex virus therapy such as acyclovir, ganciclovir, vancomycin, and acepromazine within 4 weeks.
  • Have had antitumor therapy, including endocrine, chemotherapy, radiotherapy, targeted therapy, immunotherapy and antitumor herbal therapy,4 weeks prior to the first dose.
  • Have had any serious adverse reactions associated with immunotherapy and have not recovered to CTCAE 5.0 grade rating 0 or 1 level of toxicity after previous antineoplastic therapy.
  • Subjects with any severe and/or uncontrolled disease, including: a) poorly controlled hypertension (systolic blood pressure ≥ 150 mmHg or diastolic blood pressure ≥ 100 mmHg); b) suffering from class I or higher myocardial ischemia or myocardial infarction, arrhythmia (QTc ≥ 470 ms and ≥ grade 2 congestive heart failure (New York Heart Association (NYHA) classification); c) active or uncontrolled severe infection (≥ CTCAE grade 2 infection); d) Patients with previous organ transplantation, bone marrow transplantation (hematopoietic stem cell transplantation) and severe immune deficiency; e) Urine routine suggesting urine protein ≥++ and confirmed 24-hour urine protein quantification \> 1.0 g.
  • Patients with past history of type I diabetes mellitus.
  • Severe abnormalities in thyroid and cortisol testing; active, known or suspected autoimmune disease requiring systemic therapy.
  • Patients with active bleeding or severe coagulation dysfunction.
  • Researchers considering the test subject as having a history of other severe systemic diseases, or other reasons inappropriate for the clinical study.

Interventions

DRUGRecombinant oncolytic herpes simplex virus type 1 (R130)

R130, a modified herpes simplex virus-Ⅰ (HSV-1) containing the gene coding for anti-CD3 scFv/CD86/PD1/HSV2-US11


Locations(1)

Eye & ENT Hospital of Fudan University

Shanghai, China

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NCT05830240


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