Phase Ib/II Clinical Study to Evaluate the Safety, Tolerability, Biodistribution Characteristics and Preliminary Efficacy of BioTTT001 in the Treatment of Patients With Recurrent/Progressive Non-small Cell Lung Cancer
概览
- 阶段
- 1 期
- 干预措施
- BioTTT001 injection
- 疾病 / 适应症
- 未指定
- 发起方
- Henan Cancer Hospital
- 入组人数
- 42
- 试验地点
- 1
- 主要终点
- DLT, MTD and/or RP2D
- 状态
- 招募中
- 最后更新
- 4个月前
概览
简要总结
Phase Ib/II clinical study on evaluating the safety, tolerance, biodistribution characteristics and preliminary efficacy of recombinant human nsIL12 oncolytic adenovirus injection (BioTT001) in the treatment of meningeal metastasis in recurrent/progressive non-small cell lung cancer
详细描述
This study is a single-arm, open-label, dose-escalation and dose-expansion phase Ib/II clinical trial aimed at evaluating the safety, tolerability, biological distribution characteristics, and preliminary efficacy of recombinant human nsIL12 oncolytic adenovirus injection (BioTTT001) in patients with recurrent/progressive non-small cell lung cancer with meningeal metastases. The study is divided into two phases: the phase Ib dose-escalation .The dose escalation phase establishes three dosage groups, namely 1.0×10\^9 VP, 5.0×10\^9 VP, and 1.0×10\^10 VP and the phase II dose-expansion.
研究者
入排标准
入选标准
- •Age between 18 and 70 years old (including boundary values);
- •Patients diagnosed with NSCLC through pathological histology, who have experienced recurrence or progression after standard treatment, and have tumor cells found in cerebrospinal fluid or MRI diagnosis of leptomeningeal metastasis;
- •Performance Status (PS) score ≤ 3 points;
- •Suitable for Ommaya reservoir placement as determined by the investigator, and meet the conditions for drug administration;
- •Expected survival ≥ 3 months;
- •Good organ function, defined as follows:
- •Blood routine (not having received blood transfusion or other treatments within 14 days): Absolute neutrophil count ≥ 1.5 × 10\^9/L, platelet count ≥ 100 × 10\^9/L, hemoglobin ≥ 90 g/L, white blood cell count ≥ 3.0 × 10\^9/L;
- •Coagulation function: Activated Partial Thromboplastin Time (APTT) ≤ 1.5 times the upper limit of normal (ULN), International Normalized Ratio (INR) ≤ 1.5 times ULN;
- •Liver function: Total bilirubin (TBIL) ≤ 1.5 times ULN, Gilbert's syndrome participants should be ≤ 3 times ULN, Aspartate Aminotransferase (AST) and Alanine Aminotransferase (ALT) ≤ 3 times ULN (if there is liver metastasis, ALT or AST ≤ 5 times ULN);
- •Renal function: Serum creatinine ≤ 1.5 times ULN, or creatinine clearance rate ≥ 50 mL/min (Cockcroft-Gault formula calculation see Appendix 3);
排除标准
- •Patients who have received systemic antitumor therapy within two weeks, including intravenous chemotherapy, intrathecal chemotherapy, or whole-brain radiotherapy (excluding immunotherapy);
- •immunotherapy administered within 6 weeks prior to the first dose;
- •traditional Chinese medicine with antitumor indications administered within 2 weeks prior to the first dose;
- •patients with uncontrolled epilepsy;
- •those who received any other investigational drug within 4 weeks prior to the first dose;
- •major organ surgeries (excluding biopsy) or significant trauma within 4 weeks prior to the first dose, or those requiring elective surgery during the study;
- •patients with prior history of cell therapy, gene therapy, or oncolytic virus therapy;
- •individuals with known or suspected allergies to active ingredients, excipients, or contrast agents in the study drug or imaging contrast agents;
- •patients with organ transplant history or planned organ transplant during the study;
- •active infections requiring systemic intravenous treatment or uncontrolled infections, or unexplained fever\>38.5℃ occurring during screening or before the first dose;
研究组 & 干预措施
Recombinant human nsIL12 oncolytic adenovirus injection( BioTTT001 injection)
BioTTT001 is administered as a Intrathecal injection using an Ommaya reservoir.The dosage administered to the subjects is determined based on the group they belong to. This study establishes three dosage groups: 1.0×10\^9 VP, 5.0×10\^9 VP, and 1.0×10\^10 VP.In the first week, the drug is administered 3 times, followed by 1 dose every 3 weeks thereafter. In the phase Ib dose escalation study, participants can receive up to 6 doses, while in the phase II dose expansion study, participants will be treated until disease progression (PD), intolerable toxicity, the start of new anti-tumor treatment, termination of treatment decided upon careful consideration by the participant or investigator, death, or loss to follow-up (whichever occurs first).
干预措施: BioTTT001 injection
结局指标
主要结局
DLT, MTD and/or RP2D
时间窗: Progress-free survival time
DLT, MTD and/or RP2D
Phase Ib dose-escalation study
时间窗: 28 days within BioTTT001 injection
DLT, MTD and/or RP2D;The incidence and severity of adverse events (AE) assessed based on the NCI CTCAE Version 5.0 standard.