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Trial Title: A Clinical Study on Oncolytic Virus Injection (R130 OV) for the Treatment of Relapsed/Refractory Head and Neck Cancer

NCT ID: NCT05830240

Condition: Head and Neck Cancer
Esophageal Cancer
Otorhinolaryngologic Neoplasms
Ear Cancer
Nose Cancer
Laryngeal Cancer
Pharyngeal Cancer

Conditions: Official terms:
Head and Neck Neoplasms
Laryngeal Neoplasms
Pharyngeal Neoplasms
Otorhinolaryngologic Neoplasms

Conditions: Keywords:
Oncolytic virus
Herpes simplex virus type 1

Study type: Interventional

Study phase: Early 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: Drug
Intervention name: Recombinant oncolytic herpes simplex virus type 1 (R130)
Description: R130, a modified herpes simplex virus-Ⅰ (HSV-1) containing the gene coding for anti-CD3 scFv/CD86/PD1/HSV2-US11
Arm group label: R130 Treatment Group

Other name: Oncolytic virus

Summary: 9 participants are expected to be enrolled for this open,single-armed clinical trial to evaluate the safety and efficacy of the recombinant herpes simplex virus Ⅰ, R130 in patients with relapsed/refractory head and neck cancer.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Patients with head and neck cancer clearly diagnosed by histology and/or cytology, without systematic metastasis, and failure of standard treatment. 2. Age 18 to 75 years. 3. No absolute or relative centasis contraindiction,have at least one measurable lesion (according to RECIST 1.1 criteria) that is amenable to intratumoral drug delivery. 4. No severe functinonal falure of heart, brain, liver, kidney and lung. 5. Subjects with ECOG score of 0-2, and expected survival of 3 months or more. 6. No evidence of clinically significant immunosuppression. 7. Patients must have the following hematologic parameters, Coagulation functions and hepatic and renal function during the screening period: - White Blood Cell (WBC)≥3.0×10^9/L; - Absolute Lymphocyte Count (ANC)≥1.5×10^9/L; - Platelet≥100×10^9/L; - Prothrombin time (PT) or activated Partial Thromboplastin Time(APTT)≤1.5×ULN; - Serum Creatinine (Scr)≤1.5×ULN - Alanine aminotransferase(AST/ALT) ≤3×ULN; - Total Bilirubin(TBIL)≤1.5×ULN. 8. Be able to understand and sign the informed consent document; 9. Be able to stick to follow-up visit plan and other requirements in the agreement. Exclusion Criteria. 1. With a history of allergy to similar drugs. 2. With hematological diseases, malignant tumors of the central nervous system, or combined with other malignant tumors. 3. pregnancy, breast feeding. 4. Current active hepatitis B, active hepatitis C, immunodeficiency virus or other active infection of clinical significance. 5. Impaired function of important organs or a history of organ transplantation. 6. Receiving antiherpes simplex virus therapy such as acyclovir, ganciclovir, vancomycin, and acepromazine within 4 weeks. 7. Have had antitumor therapy, including endocrine, chemotherapy, radiotherapy, targeted therapy, immunotherapy and antitumor herbal therapy,4 weeks prior to the first dose. 8. Have had any serious adverse reactions associated with immunotherapy and have not recovered to CTCAE 5.0 grade rating 0 or 1 level of toxicity after previous antineoplastic therapy. 9. Subjects with any severe and/or uncontrolled disease, including: a) poorly controlled hypertension (systolic blood pressure ≥ 150 mmHg or diastolic blood pressure ≥ 100 mmHg); b) suffering from class I or higher myocardial ischemia or myocardial infarction, arrhythmia (QTc ≥ 470 ms and ≥ grade 2 congestive heart failure (New York Heart Association (NYHA) classification); c) active or uncontrolled severe infection (≥ CTCAE grade 2 infection); d) Patients with previous organ transplantation, bone marrow transplantation (hematopoietic stem cell transplantation) and severe immune deficiency; e) Urine routine suggesting urine protein ≥++ and confirmed 24-hour urine protein quantification > 1.0 g. 10. Patients with past history of type I diabetes mellitus. 11. Severe abnormalities in thyroid and cortisol testing; active, known or suspected autoimmune disease requiring systemic therapy. 12. Patients with active bleeding or severe coagulation dysfunction. 13. Researchers considering the test subject as having a history of other severe systemic diseases, or other reasons inappropriate for the clinical study.

Gender: All

Minimum age: 18 Years

Maximum age: 75 Years

Healthy volunteers: No

Locations:

Facility:
Name: Eye & ENT Hospital of Fudan University

Address:
City: Shanghai
Zip: 200000
Country: China

Status: Recruiting

Contact:
Last name: Haitao Wu, Ph.D

Phone: +86 18917785578
Email: eentwuhaitao@163.com

Contact backup:
Last name: Jian Chen

Phone: +86 18917785406
Email: chenjent@qq.com

Start date: March 27, 2023

Completion date: March 27, 2026

Lead sponsor:
Agency: Shanghai Yunying Medical Technology
Agency class: Industry

Collaborator:
Agency: Eye & ENT Hospital of Fudan University
Agency class: Other

Source: Shanghai Yunying Medical Technology

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05830240

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