RecruitingEarly Phase 1NCT06718946

Study on the Safety and Efficacy of Intravenous Administration of IDOV-SAFETM in the Treatment of Advanced Solid Tumors

A Phase I Clinical Study on the Safety and Efficacy of Intravenous Administration of IDOV-SAFETM in the Treatment of Advanced Solid Tumors


Sponsor

Fudan University

Enrollment

38 participants

Start Date

Dec 10, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

This is an open-label, dose escalation, phase I study to evaluate safety tolerability, MTD, pharmacokinetic profile, immunogenicity, and pharmacodynamic profile of Intravenous Administration of IDOV-SAFETM in patients with advanced solid tumors.


Eligibility

Min Age: 18 YearsMax Age: 75 Years

Inclusion Criteria10

  • Age: from 18 to 75 years old.
  • At the time of screening, the patient had at least one measurable target lesion.
  • Patients with advanced solid tumors who have failed standard therapy during screening.
  • When screening, the ECOG score of physical strength score is 0 or 1.
  • Life expectancy assessed by the investigator at the time of screening was ≥3 months.
  • Subject has qualified organ function at baseline:
  • a) Bone marrow function (no growth factor support therapy or component transfusion within 14 days prior to screening) : i. Neutrophil absolute value (ANC) ≥1.5×10\^9/L; ii. Hemoglobin (HB) ≥90g/L; iii. Platelet count (PLT) ≥75×10\^9/L; b) Liver function: alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤2.5 times the upper limit of normal (ULN), total bilirubin (TBIL) ≤1.5 times ULN (ALT and AST≤5 times ULN, TBIL≤3 times ULN for liver metastasis or hepatocellular carcinoma); c) Renal function: serum creatinine ≤ULN or creatinine clearance ≥80mL/min;
  • Fertile female subjects must have negative blood beta-HCG test results within 7 days prior to enrollment.
  • Subjects must agree to use highly effective contraception for at least 90 days from the start of the ICF to the end of the study.
  • Be fully informed of this study and voluntarily sign ICF.

Exclusion Criteria10

  • Asymptomatic brain metastases such as untreated ones at the time of screening; Subjects with symptomatic central nervous system (CNS) metastatic or cancerous meningitis; Or there was other evidence of uncontrolled central nervous system or meningeal metastases in subjects who were judged by the investigator to be unsuitable for enrollment.
  • Prior to enrollment, there was severe chronic or active infection: active hepatitis B (HbsAg positive, HBV DNA test value greater than the upper limit of normal); Active hepatitis C (those with positive anti-HCV antibodies are further tested positive for HCV RNA); A known history of immunodeficiency virus (HIV) disease or a positive HIV antibody test; Other conditions requiring systemic anti-infective treatment in the 4 weeks prior to initial use of the investigational drug include, but are not limited to, hospitalization for infectious complications, bacteremia, severe pneumonia, or active tuberculosis.
  • At the time of screening, patients had a history of active autoimmune diseases such as systemic lupus erythematosus, rheumatoid arthritis, vasculitis, etc., or were receiving long-term systemic steroids (prednisone >10mg/ day or equivalent doses of the same drug) or any other form of immunosuppressant therapy within 4 weeks prior to the first use of the study drug.
  • Patients with received allogeneic tissue or solid organ transplantation.
  • There is evidence of clinically significant immunodeficiency, such as primary immunodeficiency status, such as severe combined immunodeficiency disease (SCID); Combined with opportunistic infections.
  • Anticoagulants or antiplatelet drugs should be used before injection and should not be interrupted, including: aspirin should not be stopped within 7 days before injection; Coumarin that cannot be stopped within 7 days prior to injection; Direct thrombin inhibitors (such as dabigatrun) or direct factor Xa inhibitors (such as rivaroxaban, apixaban, and neperoxaban) that cannot be discontinued within 4 days prior to injection; Low molecular weight heparin (LMWH) should not be stopped within 24 hours before injection, and ordinary heparin (UFH) should not be stopped more than 4 hours before injection.
  • Patients with a history of severe cardiovascular and cerebrovascular disease, including but not limited to: congestive heart failure ≥II heart function grade of the New York Heart Association (NYHA); Left ventricular ejection fraction (LVEF) <50%; QT interval (QTcF) >470ms as corrected by the Fridericia method or prolonged QT interval syndrome; Acute coronary syndrome, aortic dissection, severe arrhythmia, stroke, or other grade 3 or higher cardiovascular and cerebrovascular events occurred within 6 months before first administration; The presence of uncontrolled hypertension (systolic blood pressure >140mmHg or diastolic blood pressure >90mmHg). Subjects with a history of hypertension are admitted to the study if their blood pressure is controlled and maintained below this standard with antihypertensive therapy.
  • Patients with received treatment with other methods, including but not limited to chemotherapy, radiotherapy, biotherapy, endocrine therapy, immunotherapy, etc., within 4 weeks prior to the first use of the investigational drug.
  • Other diseases or abnormalities assessed by the investigator as unsuitable for participation in the study.
  • Vaccination against smallpox or monkeypox within 10 years.

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Interventions

BIOLOGICALIDOV-SAFE

Intravenous administration of oncolytic virus every 3 weeks until tumor progression


Locations(1)

Fudan University Shanghai Cancer Center

Shanghai, China

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NCT06718946


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