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临床试验/NCT04194034
NCT04194034终止1 期

A Dose-escalation and Phase IIa Study of TG6002 Plus Flucytosine in Patients With Unresectable Colorectal Cancer With Liver Metastases

Transgene3 个研究点 分布在 2 个国家目标入组 15 人开始时间: 2020年1月17日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
终止
发起方
Transgene
入组人数
15
试验地点
3
主要终点
Disease Control Rate (Phase II part)

研究概览

简要总结

This study will include two parts:

  • Phase I part is a dose-escalation study to assess the safety of increasing doses of TG6002 in combination with oral flucytosine (5-FC) in consecutive cohorts of 3 to 6 patients with colorectal cancer and unresectable liver metastases according to a 3+3 design
  • Phase IIa part is an extension of the phase I part at the recommended phase II dose to evaluate the efficacy of TG6002 in combination with oral flucytosine (5-FC) in patients with colorectal cancer and unresectable liver metastases.

In both parts, tumor response will be evaluated on local assessment using RECIST 1.1.

All patients will be followed until disease progression, death due to any cause or the date of data cut-off, whichever occurs first.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Unresectable metastatic CRC with at least one measurable liver metastasis
  • At least one liver metastasis amenable to biopsy
  • Patients previously exposed to fluoropyrimidine-based chemotherapy
  • (Phase I) Patients having failed, are intolerant to, or unsuitable for both oxaliplatin and irinotecan-based chemotherapy, or, in the UK only, patients on or entering a period of clinical observation without treatment
  • (Phase IIa) Patients having failed, are intolerant to, or unsuitable for both oxaliplatin and irinotecan-based chemotherapy.
  • Aged ≥18 years
  • Estimated life expectancy >3 months
  • ECOG performance status ≤1

排除标准

  • Predominant extrahepatic disease
  • Symptomatic brain metastases or meningeal tumors
  • Any contraindication to intrahepatic artery infusion procedure
  • Received other investigational therapy or had surgery within 4 weeks of treatment initiation which would interfere with study treatment
  • Received locoregional therapy for CRC within 4 weeks prior to treatment initiation
  • Severe uncontrolled coagulopathy OR anticoagulant medication
  • Antiviral therapy active on vaccinia virus, e.g., ribavirin, interferon/pegylated interferon
  • Immunosuppression due to immunosuppressive medication including steroids equivalent to prednisolone >10mg/day taken for more than 4 weeks within 3 months prior to TG6002 treatment initiation
  • Patients treated with 3 or more anti-hypertensive agents AND/OR patients with signs of advanced hypertensive disease, such as left ventricular hypertrophy, hypertensive encephalitis or history of hemorrhagic stroke.

研究组 & 干预措施

TG6002 and flucytosine (5-FC) combination

Experimental

干预措施: TG6002 (Biological)

TG6002 and flucytosine (5-FC) combination

Experimental

干预措施: Flucytosine (5-FC) (Drug)

结局指标

主要结局

Disease Control Rate (Phase II part)

时间窗: Week 10

Proportion of patients whose tumour assessment is either complete response (CR), partial response (PR), or stable disease (SD)

Dose-limiting toxicities (Phase I part)

时间窗: Day 28

Incidence of Adverse events using CTCAE v5.0

次要结局

未报告次要终点

研究者

发起方
Transgene
申办方类型
Industry
责任方
Sponsor

研究点 (3)

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