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Trial Title: A Study to Evaluate the Safety, Tolerability and Efficacy of RZ-001 with Valganciclovir (VGCV) in Subjects with Glioblastoma

NCT ID: NCT06102525

Condition: Glioblastoma

Conditions: Official terms:
Glioblastoma
Valganciclovir

Study type: Interventional

Study phase: Phase 1/Phase 2

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Sequential Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: RZ-001
Description: Recombinant adenovirus harboring the modified ribozyme construct with HSV-tk as a therapeutic transgene
Arm group label: Part 1 Cohort 1
Arm group label: Part 1 Cohort 2
Arm group label: Part 1 Cohort 3
Arm group label: Part 1 Cohort 4
Arm group label: Part 1 Cohort 5
Arm group label: Part 2

Other name: Ad-ECRT-122T

Intervention type: Combination Product
Intervention name: VGCV
Description: VGCV, used in a subject after RZ-001 administration, is a nucleoside analog that is metabolized by HSV-tk and other cellular kinases to form the cytotoxic nucleotide analog ganciclovir triphosphate. An approved oral VGCV will be used in the proposed clinical study of RZ-001.
Arm group label: Part 1 Cohort 1
Arm group label: Part 1 Cohort 2
Arm group label: Part 1 Cohort 3
Arm group label: Part 1 Cohort 4
Arm group label: Part 1 Cohort 5
Arm group label: Part 2

Other name: Valganciclovir

Summary: This is a Phase 1/2a, open-label study to evaluate the safety, tolerability, immunogenicity, and preliminary clinical activity of RZ-001 administered in combination with VGCV in subjects with hTERT-positive GBM.

Detailed description: The study consists of 2 parts: a dose-escalation part (Part 1) and a dose-expansion part (Part 2). Part 1 consists of dose escalation exploring MTD/RP2D for intratumoral (IT) injection. Part 2 will consist of dose expansion exploring clinical activity for the optimal fixed dose based on the results of Part 1.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Adult males and females - Histologically-confirmed grade 4 astrocytoma, GBM, per The 2021 WHO Classification of CNS Tumors. - hTERT positive expression confirmed during the screening period - ECOG score of ≤ 2 - KPS ≥ 60 - Life expectancy ≥ 3 months Exclusion Criteria: - Diagnosis of other malignant tumors within 5 years prior to RZ-001 administration. - Have extracranial metastases of the tumor cells - Current or history of HIV positive - Not suitable for inclusion judged by the investigator

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Gachon University Gil Medical Center

Address:
City: Incheon
Zip: 21565
Country: Korea, Republic of

Status: Recruiting

Contact:
Last name: Gachon University Gil Medical Center

Facility:
Name: Seoul National University Bundang Hospital

Address:
City: Seongnam-si
Zip: 13620
Country: Korea, Republic of

Status: Recruiting

Contact:
Last name: Seoul National University Bundang Hospital

Facility:
Name: Asan Medical Center

Address:
City: Seoul
Zip: 05505
Country: Korea, Republic of

Status: Recruiting

Contact:
Last name: Asan Medical Center

Facility:
Name: Samsung Medical Center

Address:
City: Seoul
Zip: 06351
Country: Korea, Republic of

Status: Recruiting

Contact:
Last name: Samsung Medical Center

Start date: October 8, 2024

Completion date: May 2029

Lead sponsor:
Agency: Rznomics, Inc.
Agency class: Other

Source: Rznomics, Inc.

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06102525

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