A Phase I, Open-label, Dose Finding, Safety, Tolerability and Exploratory Trial of THEO-260 Administered Via an Intraperitoneal Route in Patients With High Grade Serous or Endometrioid Ovarian Cancer
试验速览
- 阶段
- 1 期
- 状态
- 招募中
- 发起方
- 入组人数
- 18
- 试验地点
- 1
- 主要终点
- Safety and tolerability of THEO-260
研究概览
简要总结
A research study evaluating a new oncolytic virus, THEO-260, in patients with advanced ovarian cancer. The trial will investigate different doses of THEO-260 administered by the intraperitoneal route to identify a dose that is safe, well tolerated, and exhibits preliminary evidence of anti tumour activity.
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
- Female
- 接受健康志愿者
- 否
入选标准
- •Inclusion Criteria:
- •Confirmed histological diagnosis of advanced high grade serous or endometrioid cancer of the fallopian tube, primary peritoneum or ovary either on archival biopsy or fresh tumour biopsy.
- •Platinum-resistant or refractory disease: platinum-resistance is defined as radiological progression within 6 months of last cycle of platinum treatment; platinum refractory disease is defined as radiological progression during the 3 months following the first dose with platinum treatment.
- •Life expectancy of > 6 months.
- •ECOG performance status of 0 or
- •Measurable disease as per RECIST V1.
- •No clinical history of bowel obstruction in past 3 months or no clinical signs or symptoms of bowel obstruction.
排除标准
- •Prior anti-cancer treatment or Investigational Product within 28 days or 5 half-lives, prior to first dose of THEO-
- •Prior treatment with a group B adenovirus.
- •Radiation therapy within 4 weeks of first dose of THEO-260
- •Clinical evidence of cerebral metastases or Central Nervous System (CNS) involvement including leptomeningeal disease. Patients with previous cerebral metastases must have no evidence of progression or haemorrhage after treatment.
- •Uncontrolled pleural effusion or pericardial effusion requiring recurrent drainage procedures (as defined as once monthly or more frequently).
- •Prior pneumonitis or history of interstitial lung disease.
- •Confirmed QTcF ≥470 ms on screening 12-lead ECG or history of Torsades de Pointes or history of congenital long QT syndrome.
- •Concomitant medications that prolong the QTc interval and/or increase the risk for Torsades de Pointes.
- •Patients with active hepatitis infection or hepatitis C. Patients with past hepatitis B virus (HBV) infection or resolved HBV infection are eligible.
- •Active infection with tuberculosis.
- •Active infection with severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2).
- •Patients with active human immunodeficiency virus (HIV) infection or known history of HIV infection.
- •Active infection requiring IV antibiotics within 2 weeks prior to first dose of THEO-260, or long-term oral therapy for systemic infection.
- •Known contra-indications or hypersensitivity to the excipients of THEO-
- •Active autoimmune disease that has required systemic treatment in the past 2 years.
- •Known heart failure New York Heart Association (NYHA) Class 2-
- •Known contra-indications or hypersensitivity to acetominophen.
- •Known alcohol consumption in excess of 2 units per day.
- •Left ventricular ejection fraction (LVEF) <45%, unstable angina, serious uncontrolled cardiac arrhythmia, a myocardial infarction within 6 months prior to trial enrolment or a history of myocarditis.
- •Arterial oxygen saturation <92% on room air prior to first dose of THEO-
- •Received any licensed or investigational vaccines within 30 days prior to Day 1
研究组 & 干预措施
THEO-260
干预措施: THEO-260 (Biological)
结局指标
主要结局
Safety and tolerability of THEO-260
时间窗: Until Day 28 after first dose
Assessment of DLTs and AEs during treatment and follow-up using NCI CTCAE v5.0 or ASCO (for pneumonitis only) or ASTCT (for CRS only), plus Laboratory parameters and clinical safety assessments.
Establish recommended Phase 2 dose (RP2D) for THEO-260
时间窗: Estimated at 18 months after start of enrolment
Determination of RP2D will be based on the totality of safety, PK and preliminary efficacy data
Safety and tolerability of THEO-260
时间窗: Until end of trial for a participant, estimated at 1 year
Safety and tolerability will be assessed by: Evaluation of DLTs and AEs during treatment and follow-up using National Cancer Institute (NCI) Common Terminology Criteria for AEs (CTCAE) v5.0 or American Society of Clinical Oncology (ASCO; for pneumonitis only) or American Society for Transplantation and Cellular Therapy (ASTCT; for cytokine release syndrome \[CRS\] only).
Establish recommended Phase 2 dose (RP2D) for THEO-260
时间窗: Until end of trial, estimated at 16 months after start of enrolment
The totality of safety and efficacy data collected will be used to assess RP2D.
次要结局
- Pharmacokinetic (PK) profile of THEO-260(Estimated at 16 weeks)
- Shedding of THEO-260(Until Day 29 after first dose)
- Systemic CRS risk after THEO-260(Until Day 29 after first dose)
- Evaluate preliminary efficacy of THEO-260(Estimated at 16 weeks)
- Pharmacokinetic (PK) profile of THEO-260(Until Day 29 after first dose)
- Shedding of THEO-260 in saliva, urine, and faeces(Until Day 29 after first dose)
- Risk of systemic cytokine release syndrome (CRS) after THEO-260(Until Day 29 after first dose)
- Evaluate preliminary efficacy of THEO-260 - RECIST(Until end of trial, estimated at 15 months after start of enrolment)
- Evaluate preliminary efficacy of THEO-260 - CA125(Until end of trial, estimated at 16 months after start of enrolment)
