An Open-Label, Multiple-Center, Phase IIa/IIb Clinical Trial to Evaluate the Efficacy, Safety and Tolerability of VG161 as Monotherapy and in Combination With Nivolumab for Treatment of Patients With Hepatocellular Carcinoma or Intrahepatic Cholangiocarcinoma
Summary
Safety Run-in Cohort (cohort 1): 10 patients will be treated with IT injection of VG161 in the cohort 1 at dose level of 1.0x10E8 PFU x 3 days. Monotherapy Cohorts (Cohort 2 and 3) Cohort 2 (HCC) This part is a single-agent, single one-dose level and single-arm design. Approximately 39 subjects will be enrolled in the study to receive VG161. In the first stage, 21 subjects will be enrolled. If there is only 1 or fewer subjects has been observed with objective response and no more than 12 (\<13) subjects have PFS longer than 3 months, the trial will be stopped. Otherwise, this study will continue to enter the second stage, and 18 additional subjects will be added, and the total number of trial subjects will reach 39. Cohort 3 (ICC) This part is a single-agent, single one-dose level and single-arm design. The trial will be carried out in two periods. In the first period, a total of 20 subjects will be enrolled. If there is only 1 or fewer response case in the 20 subjects, the trial will be stopped to investigate the efficacy of the IP, otherwise, subjects will continue to enter the second period, and 13 additional subjects will be added, and the total number of trial cases will reach 33. Cohort 4 (ICC and HCC) Combination with Nivolumab Combination cohort and subjects will receive VG161 at the same schedule as the monotherapy cohorts and 240 mg of intravenous Nivolumab on days 8 and 15 of each treatment cycle. The Nivolumab dose can be changed to 480 mg every 4 weeks after cycle one based on investigator's discretion.
Arms & interventions
- DrugVG161
Name: VG161 (Recombinant Human IL12/15-PDL1B Oncolytic HSV-1 Injection (Vero Cell)) Concentration/Content: ≥1×107 PFU/mL; 1.0 mL/vial. Actual titer will be recorded on Certificate of Analysis. Composition: VG161,50 mM Tris-HCl, 150mM NaCl, \<5% glycerol Route of Administration: Intratumoral injection or image guided intratumoral injections.
- DrugNivolumab Injection [Opdivo]
immunotherapy treatment
Outcome measures
Primary
Safety in Cohort1
Occurrence and severity of AEs, SAEs (according to NCI CTCAE version 5.0) in Safety Run-in Cohort (cohort 1)
Time frame: 12 months
ORR
Objective response rate in HCC Cohort (Cohort 2) and ICC Cohort (Cohort 3)
Time frame: 12 months
PFS
Progression-free survival in HCC Cohort (Cohort 2)
Time frame: 3 months
Secondary
Blood concentration of VG161
Time frame: 12 months
PD-L1 blocking peptide and IL12, IL-15 concentrations
Time frame: 12 months
serum antibodies in cohort 1
Time frame: 12 months
Viral shedding
Time frame: 12 months
Immunogenicity endpoints
Time frame: 12 months
ORR in cohort 1
Time frame: 12 months
PFS
Time frame: 12 months
OS
Time frame: 12 months
DOR
Time frame: 12 months
Safety in Cohort2 and Cohort3
Time frame: 12 months
peripheral blood lymphocyte subsets
Time frame: 12 months
plasma cytokines
Time frame: 12 months
immune-related indicators
Time frame: 12 months
anti-HSV-1 antibody
Time frame: 12 months
Eligibility criteria
Study locations (3)
Mayo Clinic
Phoenix, Arizona, 85054
Mayo Clinic Florida
Jacksonville, Florida, 32224
Mayo Clinic
Rochester, Minnesota, 55905