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注册号: Registration number: |
ChiCTR2400079374 |
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最近更新日期: Date of Last Refreshed on: |
2024-01-02 09:59:31 |
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注册时间: Date of Registration: |
2024-01-02 00:00:00 |
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注册号状态: |
预注册 |
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Registration Status: |
Prospective registration |
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注册题目: |
一项在晚期实体瘤患者中评估基因改造的减毒沙门氏菌SGN1的安全性、耐受性和初步疗效的I/IIa期、开放性研究 |
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Public title: |
Phase I/IIa, Open-label study to evaluate safety, tolerability and preliminary efficacy of modified Salmonella typhimurium SGN1 in Patients with Advanced Solid Tumor |
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注册题目简写: |
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English Acronym: |
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研究课题的正式科学名称: |
一项在晚期实体瘤患者中评估基因改造的减毒沙门氏菌SGN1的安全性、耐受性和初步疗效的I/IIa期、开放性研究 |
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Scientific title: |
Phase I/IIa, Open-label study to evaluate safety, tolerability and preliminary efficacy of modified Salmonella typhimurium SGN1 in Patients with Advanced Solid Tumor |
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研究课题代号(代码): Study subject ID: |
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在二级注册机构或其它机构的注册号: The registration number of the Partner Registry or other register: |
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申请注册联系人: |
郑莉 |
研究负责人: |
郑莉 |
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Applicant: |
Li Zheng |
Study leader: |
Li Zheng |
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申请注册联系人电话: Applicant telephone: |
+86 189 8060 1950 |
研究负责人电话:
Study leader's |
+86 189 8060 1950 |
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申请注册联系人传真 : Applicant Fax: |
研究负责人传真: Study leader's fax: |
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申请注册联系人电子邮件: Applicant E-mail: |
18980601950@163.com |
研究负责人电子邮件: Study leader's E-mail: |
18980601950@163.com |
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申请单位网址(自愿提供): Applicant website(voluntary supply): |
研究负责人网址(自愿提供): Study leader's website(voluntary supply): |
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申请注册联系人通讯地址: |
中国四川省成都市武侯区国学巷37号 |
研究负责人通讯地址: |
中国四川省成都市武侯区国学巷37号 |
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Applicant address: |
No. 37, Guoxue Alley, Wuhou District, Chengdu, Sichuan, China |
Study leader's address: |
No. 37, Guoxue Alley, Wuhou District, Chengdu, Sichuan, China |
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申请注册联系人邮政编码: Applicant postcode: |
610041 |
研究负责人邮政编码: Study leader's postcode: |
610041 |
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申请人所在单位: |
四川大学华西医院 |
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Applicant's institution: |
West China Hospital of Sichuan University |
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研究负责人所在单位: |
四川大学华西医院 |
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Affiliation of the Leader: |
West China Hospital of Sichuan University |
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是否获伦理委员会批准: |
是 |
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Approved by ethic committee: |
Yes |
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伦理委员会批件文号: Approved No. of ethic committee: |
2023年临床试验(西药)审(306)号 |
伦理委员会批件附件: Approved file of Ethical Committee: |
查看附件View |
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批准本研究的伦理委员会名称: |
四川大学华西医院临床试验伦理审查委员会 |
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Name of the ethic committee: |
Ethics Committee on Clinical Trial,West China Hospital of Sichuan University |
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伦理委员会批准日期: Date of approved by ethic committee: |
2023-10-25 00:00:00 | ||
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伦理委员会联系人: |
韩玉榕、董一君、侯敏 |
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Contact Name of the ethic committee: |
Yurong Han, Yijun Dong, Min Hou |
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伦理委员会联系地址: |
中国四川省成都市武侯区国学巷37号,邮编610041 |
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Contact Address of the ethic committee: |
No. 37, Guoxue Alley, Wuhou District, Chengdu, Sichuan, 610041, China |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 28 8542 3237 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
huaxilunli@wchscu.cn |
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研究实施负责(组长)单位: |
四川大学华西医院、哈尔滨医科大学附属肿瘤医院 |
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Primary sponsor: |
West China Hospital of Sichuan University; Harbin Medical University Cancer Hospital |
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研究实施负责(组长)单位地址: |
中国四川省成都市武侯区国学巷37号; 黑龙江省哈尔滨市南岗区哈平路150号 |
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Primary sponsor's address: |
No. 37, Guoxue Alley, Wuhou District, Chengdu, Sichuan, China No.150, Haping Road, Nangang District, Harbin, Heilongjiang, China |
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试验主办单位(项目批准或申办者): Secondary sponsor: |
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经费或物资来源: |
广州华津医药科技有限公司 |
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Source(s) of funding: |
Guangzhou Sinogen Pharmaceutical Co.,Ltd |
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研究疾病: |
晚期实体瘤 |
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Target disease: |
Solid Tumors |
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研究疾病代码: |
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Target disease code: |
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研究类型: |
干预性研究 |
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Study type: |
Interventional study |
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研究所处阶段: |
I期+II期 | ||||||||||||||||||||||
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Study phase: |
1-2 |
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研究设计: |
单臂 |
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Study design: |
Single arm |
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研究目的: |
第1部分和第2部分: 主要目的: 评估SGN1在晚期实体瘤患者中的安全性和耐受性。 次要目的: 初步确定最大耐受剂量(MTD)和最佳生物剂量(OBD)。 分析并描述SGN1的PK特征。 评估SGN1的细菌脱落。 评估SGN1的ADA。 评估SGN1在晚期实体瘤患者治疗中的抗肿瘤作用。 评估其他安全性指标。 探索性目的 根据Choi标准评估疗效。 第3部分: 主要目的: 评估SGN1在特定肿瘤亚型中的抗肿瘤作用。 次要目的: 评估SGN1在特定肿瘤亚型中的安全性。 分析并描述SGN1的PK特征。 评估SGN1的ADA。 评估其他安全性指标。 探索性目的 根据肿瘤类型探索相应的肿瘤生物标志物。 根据Choi标准评估疗效。 |
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Objectives of Study: |
Part 1&2: Primary Objectives: To evaluate the safety and tolerability of SGN1 in patients with advanced solid tumor. Secondary Objectives: To make a preliminary determination of the Maximum Tolerated Dose (MTD) and optimal biological dose (OBD). To analyze and describe the PK profile of SGN1. To evaluate bacterial shedding of SGN1. To evaluate ADA of SGN1. To evaluate the anti-tumor effect of SGN1 in the treatment of patients with advanced solid tumor. To evaluate additional safety measures. Exploratory Objectives Efficacy assessed by Choi criteria. Part 3: Primary Objectives: To evaluate the anti-tumor effect of SGN1 in specific tumor subtypes. Secondary Objectives: To evaluate the safety of SGN1 in specific tumor subtypes. To analyze and describe the PK profile of SGN1. To evaluate ADA of SGN1. To evaluate additional safety measures. Exploratory Objectives Tumor biomarkers upon cancer types. Efficacy assessed by Choi criteria. |
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药物成份或治疗方案详述: |
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Description for medicine or protocol of treatment in detail: |
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纳入标准: |
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Inclusion criteria |
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排除标准: |
如果患者符合下列任一标准,则将从研究参与中排除: 1.入组前14天内接受>10 mg/天的全身或可吸收类固醇激素(泼尼松或等效药物); a.泼尼松>10 mg/天 b.地塞米松>1.5 mg/天。 2.对沙门菌敏感抗生素过敏或不耐受,或合并感染性疾病目前正在使用抗生素; 3.空腔脏器(胃、食管、肠、尿道等)目前存在可评估肿瘤; 4.筛选时存在症状性中枢神经系统转移或脑脓肿; 5.筛选时存在憩室炎或可能促进非靶病灶中厌氧菌意外生长的疾病; 6.存在无法有效控制的心脏临床症状或疾病,如: a.NYHA 2级或以上心力衰竭; b.不稳定型心绞痛; c.1年内发生心肌梗死; d.需要治疗或干预的有临床意义的室上性或室性心律失常患者; e.药物治疗后(收缩压)≥160 mmHg且(舒张压)≥100 mmHg的未受控制的高血压; f.患有心脏瓣膜病或二尖瓣脱垂、主动脉瓣疾病或其他心脏血流紊乱的患者。 7.接受放疗、化疗、激素治疗、手术或分子靶向治疗,且在研究治疗首次给药前4周内结束前述治疗的患者(如果是亚硝基脲或丝裂霉素化疗,化疗结束与研究治疗首次给药之间的间隔不得少于6周); 8.在筛选期或研究药物首次给药之前存在活动性或未控制的感染或不明原因的发热(>38.5℃)的患者(根据研究人员的判断,可纳入肿瘤引起的发热); 9.人类免疫缺陷病毒-1(HIV-1)或人类免疫缺陷病毒-2(HIV-2)呈阳性(抗原/抗体和核酸检测呈阳性);或因HIV诊断接受标准治疗; 10.抗TP阳性患者; 11.参加其他临床研究或在入组前4周(或其他研究药物的5个半衰期)(以较长者为准)内参加其他临床研究并接受实验药物给药的患者; 12.在首次试验给药前28天内接种疫苗,灭活疫苗和RNA疫苗(例如灭活流感疫苗和COVID-19 RNA疫苗)除外; 13.在研究药物给药前4周内、治疗期间或末次给药后5个月内接种活疫苗或减毒疫苗; 14.根据研究者的判断,存在其他可能导致终止的因素,如经治疗后仍存在的肾上腺皮质功能不全、垂体功能不全和其他严重疾病(包括精神疾病)、实验室检查存在严重异常、家庭或社会因素,这些因素可能影响患者安全或检查数据和样本采集; 15.根据研究人员的判断,患者由于其他原因不适合参加研究; 16.前6个月内发生过沙门氏菌感染; 17.腹部立位平片或腹部CT提示筛选后6个月内患者有发生肠梗阻的可能性,或研究者认为患者有发生肠梗阻的风险; 18.植入起搏器、人工心脏瓣膜或金属骨科假体等植入物的患者(在第3部分中不排除有血管植入物的患者)。 |
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Exclusion criteria: |
Patients will be excluded from participation for any of the following criteria: 1.Received systemic or absorbable dosage of steroid hormone (prednisone or equivalent) of > 10 mg/day in the 14 days prior to enrollment; a.Prednisone > 10 mg/day b.Dexamethasone > 1.5 mg/day. 2.Allergic or intolerant to salmonella sensitive antibiotics, or combined with infectious diseases and currently using antibiotics. 3.Present assessable tumors in hollow organs (Stomach, esophagus, intestine, urinary tract etc.). 4.Present with symptomatic central nervous system metastasis or brain abscess at screening. 5.Present with diverticulitis or conditions at screening that might promote the unintentional growth of anaerobic bacteria in non target lesions. 6.Existing cardiac clinical symptoms or diseases that cannot be well controlled, such as: a.NYHA grade 2 or above heart failure; b.Unstable angina pectoris; c.Myocardial infarction occurred within 1 year; d.Patients with supraventricular or ventricular arrhythmias that have clinical significance and need treatment or intervention; e.Uncontrolled hypertension (systolic blood pressure) ≥160 mmHg and (diastolic blood pressure) ≥100 mmHg after drug treatment; f.Patients with valvular heart disease or mitral valve prolapse, aortic valve disease or other source of turbulent cardiac blood flow. 7.Those who had received radiotherapy, chemotherapy, hormone therapy, surgery or molecular targeted therapy that ended fewer than 4 weeks before the first dose of study treatment (if nitrosourea or mitomycin chemotherapy, the interval between end of chemotherapy and first dose of study treatment must be no less than 6 weeks). 8.Patients with active or uncontrolled infection or fever, > 38.5℃, of unknown cause during screening or before the first administration of the study drug (according to the judgment of the researcher, fever caused by tumor can be included). 9.Positive for the presence of human immunodeficiency virus-1 (HIV-1) or human immunodeficiency virus-2 (HIV-2) (positive antigen/antibody and nucleic acid tests); or follow standard of care for HIV diagnosis. 10.Patients with Anti-TP positive. 11.Patients participating in other clinical studies or participating in other clinical studies within 4 weeks (or 5 half-lives of other study drugs), whichever is longer, prior to enrollment and receiving experimental drug administration. 12.Vaccination within 28 days of the first trial treatment, except for administration of inactivated vaccines and RNA vaccines (e.g., inactivated influenza vaccines and COVID-19 RNA vaccines). 13.Received live or attenuated vaccines within 4 weeks of study drug administration, during treatment, or within 5 months of the last administration. 14.In the judgment of the investigator, there are other factors that may lead to termination: for example, adrenal cortex insufficiency, pituitary insufficiency after treatment, and other serious diseases (including mental diseases) need to be treated together, there are serious abnormalities in laboratory examination, family or social factors, which may affect the safety of the patients or test data and sample collection. 15.In the researcher's judgment, patients who are not suitable for other reasons. 16.Documented salmonella infections within 6 months. 17.Abdominal standing position plain film or abdominal CT indicates the possibility of bowel obstruction within 6 months from screening, or the Investigator believes there is a risk of bowel obstruction. 18.Patients with implants such as pacemakers, prosthetic cardiac valves, or metal orthopedic prostheses (not include vascular implants for Part 3). |
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研究实施时间: Study execute time: |
从 From 2024-01-08 00:00:00至 To 2028-01-08 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2024-01-08 00:00:00 至 To 2028-01-08 00:00:00 |
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干预措施: Interventions: |
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研究实施地点: Countries of recruitment and research settings: |
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测量指标: Outcomes: |
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采集人体标本:
Collecting sample(s)
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征募研究对象情况: Recruiting status: |
尚未开始 Not yet recruiting |
年龄范围: Participant age: |
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性别: |
男女均可 |
Gender: |
Both |
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随机方法(请说明由何人用什么方法产生随机序列): |
无 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
None |
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是否公开试验完成后的统计结果: Calculated Results after the Study Completed public access: |
公开/Public |
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盲法: |
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Blinding: |
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试验完成后的统计结果(上传文件): |
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Calculated Results after
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是否共享原始数据: IPD sharing |
否No |
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共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址): |
无 |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
None |
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数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC: |
EDC |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
EDC |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
有/Yes |