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Safety Study of GL-ONC1, an Oncolytic Virus, in Patients With Advanced Solid Tumors
This study is currently recruiting participants.
Study NCT00794131   Information provided by Genelux Corporation
First Received: November 18, 2008   Last Updated: October 26, 2009   History of Changes

November 18, 2008
October 26, 2009
November 2008
March 2010   (final data collection date for primary outcome measure)
Determine the safety and tolerability of GL-ONC1, administered intravenously to patients with advanced solid tumors. [ Time Frame: Every 30 minutes for 2 hours after each administration of GL-ONC1, then daily until discharge and on day 8, then weekly up to day 21, then week 12 and week 24 ] [ Designated as safety issue: Yes ]
Same as current
Complete list of historical versions of study NCT00794131 on ClinicalTrials.gov Archive Site
  • Detection of virus delivery to primary and/or metastatic tumors by PCR and immunohistochemistry. [ Time Frame: To be performed where tumour is deemed safely accessible for biopsy (requires patient consent). Timing of post-treatment biopsy may vary to optimise data generated, however, within two weeks of administration is considered suitable. ] [ Designated as safety issue: No ]
  • Evaluation of anti-vaccinia virus immune response (antibody responses) [ Time Frame: To be done at baseline and weekly for the first 8 weeks for all cohorts. A final test will be performed on day 30 after the last virus application. ] [ Designated as safety issue: No ]
  • Evaluation of viral delivery by fluorescence imaging [ Time Frame: The timing and frequency of visualization will be dependent on the acquired data but may be pursued once weekly for the length of the observation period. ] [ Designated as safety issue: No ]
  • Determine recommended dose and schedule for future investigation. [ Time Frame: At the end of the study ] [ Designated as safety issue: Yes ]
  • Evaluation of anti-tumor activity [ Time Frame: Week 12 and week 24 after each cycle. Continuation after cycle 6 will be determined by the treating physician and the sponsor and decided by the DSMB. ] [ Designated as safety issue: No ]
Same as current
 
Safety Study of GL-ONC1, an Oncolytic Virus, in Patients With Advanced Solid Tumors
A Phase I Study of the Safety, Tolerability,and Tumour-Specific Replication of the Intravenous Administration of Green Fluorescent Protein Encoded Genetically Engineered Attenuated Vaccinia Virus, GL-ONC1, in Patients With Advanced Solid Organ Cancers.

The main purpose of this study is to determine whether, GL-ONC1, an Oncolytic Virus, can safely be administered intravenously in patients with advanced solid tumors.

In preclinical studies, GL-ONC1 an oncolytic vaccinia virus, has shown the ability to preferentially locate, colonize and destroy tumor cells. This study seeks to evaluate the safety profile of an attenuated vaccinia virus when administered intravenously to patients with advanced solid tumours. The study also seeks to detect virus delivery to primary and/or metastatic tumours, including evaluation of viral delivery by fluorescence imaging (GFP expression); whether anti-vaccinia virus immune response occurs; and will record evidence of any anti-tumor activity.

Phase I
Interventional
Treatment, Non-Randomized, Open Label, Single Group Assignment, Safety Study
Advanced Solid Organ Cancers
Biological: GL-ONC1
 
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Recruiting
60
March 2010
March 2010   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Diagnosis of histologically or cytologically documented, advanced stage, primary or metastatic solid tumours refractory to standard therapy or for which no curative standard therapy exists.
  • Evidence of measurable or evaluable disease.
  • Age must be ≥ 18 years.
  • All acute toxic effects of any prior radiotherapy, chemotherapy, or surgical procedures must have resolved to Common Terminology Criteria for Adverse Events (CTCAE, Version 3.0) Grade ≤ 1. Surgery must have occurred at least 28 days prior to study enrolment.
  • Chemotherapy or radiotherapy (other than small-field palliative radiotherapy), immunotherapy and/or hormonal therapy must have been received > 28 days prior to receiving study drug. Subjects may continue to receive LHRH analogue therapy for prostate cancer in face of rising PSA. Bisphosphonates and anticoagulants are permitted.
  • ECOG Performance Score ≤ 1.
  • Life expectancy of at least 3 months.
  • Required baseline laboratory data include:

    • Absolute neutrophil count (ANC) ≥ 1.5 x 10^9 [SI units 10^9/L]
    • Platelets ≥ 100 x 10^9 [SI units 10^9/L]
    • Haemoglobin ≥ 9.0 g/dL [SI units gm/L]
    • Serum creatinine ≤ 1.5 x upper limit of normal (ULN)
    • Bilirubin ≤ 1.5 x ULN
    • AST/ALT ≤ 2.5 x ULN or ≤ 5 x ULN in the presence of liver metastases
  • Ejection fraction of ≥50% by MUGA or ECHO.
  • Signed informed consent indicating that the subject is aware of the neoplastic nature of his or her disease and has been informed of the procedures to be followed, the experimental nature of the therapy, the alternatives and the potential benefits, side effects, risks, and discomforts.
  • Willing and able to comply with scheduled visits, treatment plan, and laboratory tests.
  • Female patients must have a negative pregnancy test within five days prior to treatment.
  • Female patients of childbearing potential who are not surgically sterile or postmenopausal and male patients who are not surgically sterile must agree to use highly effective contraception. Barrier methods for contraception must be applied during the treatment period and up to day 60 after the last virus application. The patient must agree to sign his or her consent on this particular inclusion criterion.

Exclusion Criteria:

  • Prior therapy with a cytolytic virus of any type.
  • Concurrent therapy with any other investigational anticancer agent.
  • Concurrent vaccines or immunotherapy during, and for 30 days before or after, study therapy.
  • Concurrent antiviral agent active against vaccinia virus (e.g. cidofovir, vaccinia immunoglobulin, imatinib, ST-246) during course of study.
  • Patients vaccinated with vaccinia virus within the past 10 years.
  • Patients with known brain metastases: due to poor prognosis and risk of developing progressive neurological dysfunction that would confound the evaluation of neurological or other adverse events.
  • Patients with known allergy to ovalbumin or other egg products.
  • Patients with immune system disorders or who are receiving immunosuppressive therapy or any steroids.
  • Patients with clinically significant dermatological disorders, e.g. eczema or psoriasis, or any unhealed skin wounds or ulcers, as assessed by the principal investigator during the screening and during the study.
  • Patients with fevers, or any systemic infections, including known HIV infection, hepatitis B or C.
  • Prior splenectomy.
  • Previous organ transplant.
  • Pregnant or breast-feeding women.
  • Clinically significant cardiac disease (New York Heart Association, Class III or IV) including pre-existing arrhythmia, uncontrolled angina pectoris or myocardial infarction within one year prior to study entry, or grade 2 or higher compromised left ventricular ejection fraction (as determined by MUGA).
  • Dementia or altered mental status that would prohibit informed consent.
  • Other severe, acute, or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or study drug administration or may interfere with the interpretation of study results and, in the judgment of the principal investigator, would make the subject inappropriate for this study.
Both
18 Years and older
No
Contact: Johann de Bono, MD FRCP PhD 44.20.8722.4029 johann.de-bono@icr.ac.uk
United Kingdom
 
NCT00794131
Dr. Kevin Murphy, MD; Dr. Caroline Staib, PhD, Genelux Corporation
Genelux - P01
Genelux Corporation
 
Principal Investigator: Johann de Bono, MD FRCP MSc PhD Royal Marsdon Hospital/Institute for Cancer Research
Principal Investigator: Kevin Harrington, MBBS MRCP FRCR Royal Marsden Hospital/Institute of Cancer Research
Genelux Corporation
October 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP