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Trial Title: Oncolytic Virus Ad-TD-nsIL12 for Primary Pediatric Diffuse Intrinsic Pontine Glioma

NCT ID: NCT05717712

Condition: Oncolytic Virus
Diffuse Intrinsic Pontine Glioma
Adverse Drug Event

Conditions: Official terms:
Glioma
Diffuse Intrinsic Pontine Glioma
Drug-Related Side Effects and Adverse Reactions

Study type: Interventional

Study phase: Phase 1

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Biological
Intervention name: Ad-TD-nsIL12
Description: After stereotactic biopsy, the Ommaya reservoir will be inserted through the biopsy channel and two injections of Ad-TD-nsIL12 will be delivered after surgery by Ommaya reservoir (with an interval of 3 days). The interval between following injections in the subsequent treatment period will be 3 weeks ±4 days. The assigned dose for each patient will be 3x10^9vp, 1x10^10vp or 3x10^10 vp suspended in 1 ml NS according to cohort design.
Arm group label: Experimental Group

Summary: This is a drug safety assessment clinical trial with a 3+3 dose escalation design, to observe the safety, tolerability and toxicity of a novel oncolytic virus Ad-TD-nsIL12 intratumoral injection in primary DIPG patients (NCI-CTCAE V5.0).

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Informed consent of the parents or patient. 2. Patient must be, in the investigator opinion, able to comply with all the protocol procedures. 3. Age 1-18 years. 4. A negative pregnancy test in fertile women (women are considered of childbearing potential (WOCBP) after menarche, unless permanently infertile, including hysterectomy, bilateral salpingectomy, and bilateral oophorectomy). 5. Patient newly diagnosed of DIPG in MRI. 6. Pre-enrollment patients LPS (patients aged ≥1 and <16 years) and KPS (patients aged ≥16 years) ≥ 50. 7. Lesion considered by the investigator to be accessible for stereotactic biopsy. The location of the lesion allows injection without virus entering the ventricular system. 8. No previous treatment for DIPG. Exclusion Criteria: 1. Serious infections or intercurrent conditions, including but not limited to severe renal failure, liver failure, heart failure, or bone marrow failure, which are not permitted for inclusion according to the investigator's criteria. Patients must be afebrile at baseline (<38℃). 2. Other investigational medications within 30 days prior to viral treatment. 3. Participants with immunodeficiency, autoimmune disease, or active hepatitis. 4. Any medical or psychological condition that might interfere with the patient's ability to participate if older than 16 years or parents ability when younger than 16, or give informed consent or would compromise the patient's ability to tolerate therapy or any disease that will obscure toxicity or dangerously alter drug metabolism. 5. Tumor with multiple location. 6. Pregnant or breast-feeding females. 7. Severe bone marrow hypoplasia. 8. Transaminases (aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT)) or total bilirubin > 3 times the upper limit of normal. 9. Neutrophils < 1x10^9/L. 10. Platelets ≤ 100x10^9/L. 11. Hemoglobin < 9 g/dl. 12. Patients with Li-Fraumini syndrome or a known germline defect in the retinoblastoma gene or its associated pathways. 13. Administer any type of vaccine within 30 days prior to Ad-TD-nsIL12 administration. 14. Blood transfusions or drugs (such as G-CSF) within 28 days before baseline to treat pancytopenia or other blood disorders.

Gender: All

Minimum age: 1 Year

Maximum age: 18 Years

Healthy volunteers: No

Locations:

Facility:
Name: Sanbo Brain Hospital, Capital Medical University

Address:
City: Beijing
Zip: 100010
Country: China

Status: Recruiting

Contact:
Last name: Weihai Ning, Dr.

Phone: +86 15961868172
Email: sanboocean@163.com

Start date: January 4, 2023

Completion date: January 4, 2028

Lead sponsor:
Agency: Capital Medical University
Agency class: Other

Source: Capital Medical University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05717712

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