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临床试验/NCT04097002
NCT04097002进行中(未招募)1 期

A Phase I/IIa Study Evaluating the Safety and Tolerability of Intratumoral Administration of ORCA-010 in Treatment-Naïve Patients With Localized Prostate Cancer.

Orca Therapeutics B.V.10 个研究点 分布在 1 个国家目标入组 24 人开始时间: 2019年11月12日最近更新:
适应症

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
24
试验地点
10
主要终点
Safety profile of ORCA-010

研究概览

简要总结

This open label, dose escalating study is a phase I/IIa first in man study designed to evaluate the safety and tolerability of intratumoral administration of a novel oncolytic adenovirus (ORCA-010) in treating diagnosed treatment naïve Patients with localized prostate cancer.

详细描述

The study is divided into two parts. In Part A of the study, cohorts of subjects will be administered escalating doses of ORCA-010, using the 3+3 design. When the Maximum Tolerated Dose has been determined in Part A, a group of 12 new subjects will be treated in Part B of the study at this dose, with two administrations separated by a 2-week interval.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Sequential
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
Male
接受健康志愿者

入选标准

  • Histologically confirmed adenocarcinoma of the prostate, which is localized to the prostate ( within 24 months of screening)
  • Absence of lymph node, bone or other metastases as determined by MRI and CT scan, Bone Scan or nano-MRI (≤3 months prior to first administration)
  • Men between 18 and 75 years inclusive
  • ECOG status 0 or 1
  • Ability to understand and willingness to sign informed consent
  • Adequate liver, renal and bone marrow function: AST & ALT < 2.5 x ULN, total bilirubin < 1.5 x ULN, Alkaline phosphatase < 3 x ULN, Serum creatinine < 1.5 x ULN, Haemoglobin > 9.0 g/dL (5.59 mmol/L), Platelet count > 100x10*9/L, Neutrophils > 1.5x10*9/L, INR < 1.5xULN
  • eGFR ≥ 30 mL/min, using the Cockcroft - Gault Equation: Creatinine Clearance = [{(140 - age in years) x (weight in kg)} x 1.23] /serum Creatinine in Mmol/L

排除标准

  • Tumor not accessible for injection
  • Prior treatment of prostate cancer with radiation therapy or brachytherapy
  • Prior use of chemotherapy/hormone therapy for treatment of cancer
  • Target tumor adherent to a major vascular structure
  • Participation in any investigational drug study within the last 12 months prior to first administration of ORCA-010
  • Clinically significant active infection (viral or bacterial)
  • Known immunosuppressive diseases (e.g. HIV, Hepatitis B and C)
  • History of any other oncological malignancy, excluding basal cell carcinoma of the skin, in the past 5 years
  • Not willing to refrain from sexual activities or use a double barrier contraceptive device (condom with foam or vaginal suppository, diaphragm with spermicide) after administration of ORCA-010 and until 42 days after the last ORCA-010 administration
  • Severe obesity defined as Body Mass Index (BMI) > 30 kg/m2
  • Positive for adenovirus in throat swap or serum as determined by PCR at screening
  • Recent (within 3 months prior to enrolment in the study) history of alcohol abuse or other substances such as barbiturates, cannabinoids and amphetamines or a positive urine screen for drugs of abuse
  • Use of medication known to have immunosuppressive effects, except topical/inhaled steroids under 10 mg/day prednisolone equivalent (See Appendix 7)
  • Use of systemic antiviral medication within 3 months prior to enrolment in the study
  • Use of any anti-coagulants/blood thinner except for ASA 81mg
  • Any condition that in the opinion of the Investigator could interfere with the conduct of the study
  • For Part B only: Subjects enrolled in Part A of the study

结局指标

主要结局

Safety profile of ORCA-010

时间窗: 365 days

To evaluate safety and tolerability of intratumoral administration of ORCA-010 according to CTCAE V5.0. The primary endpoint of this study is to assess Dose Limiting Toxicities (DLTs) and the Maximum Tolerated Dose (MTD) for ORCA-010 to determine the final safety dose of administration for Phase IIa/Part B.

次要结局

  • Biological activity of ORCA-010(365 days)
  • Shedding of ORCA-010(365 days)
  • Antitumor immune responses(365 days)

研究者

发起方
Orca Therapeutics B.V.
申办方类型
Industry
责任方
Sponsor

研究点 (10)

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