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Clinical Trial Details — Status: Not yet recruiting

Administrative data

NCT number NCT06283121
Other study ID # BJCT-CMU1H-01
Secondary ID
Status Not yet recruiting
Phase Phase 2
First received
Last updated
Start date April 2, 2024
Est. completion date November 30, 2027

Study information

Verified date February 2024
Source China Medical University, China
Contact Shuhui Song, bachelor
Phone 15004240769
Email 593900927@qq.com
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This is a phase I, single arm, open-label clinical study of BioTTT001 in combination with SOX and Toraplizumab in patients with peritoneal metastases from gastric cancer.


Description:

This study intends to enroll Her2-negative subjects with first-line treatment of peritoneal metastasis from gastric cancer. Subjects will be treated with BioTTT001 intraperitoneal perfusion combined with SOX and toripalimab after completing the screening period, and the subjects will first receive BioTTT001 monotherapy treatment with BioTTT001 1×10^10 viral particle (VP) intraperitoneal perfusion (P.I.), D1 and D3, and enter the combination therapy stage 7 days (±1d) after the first dose of BioTTT001.Subjects will be treated with the regimen as follows: BioTTT001 injection, 1×10^10 VP P.I., D1;toripalimab 160mg intravenous (i.v.), D1; Oxaliplatin 130mg/m^2 i.v. , D1 ; Tegafur 40~60mg Bis in die(b.i.d.) Peroral(p.o.)D1~D14; 3 weeks per cycle.


Recruitment information / eligibility

Status Not yet recruiting
Enrollment 30
Est. completion date November 30, 2027
Est. primary completion date November 30, 2027
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: 1. Male or female, age= 18 years; 2. Patients with a diagnosis of gastric cancer by histopathology or cytology, accompanied by peritoneal metastasis, without systemic therapy, or for patients who have received neoadjuvant/adjuvant chemotherapy before, the time from last treatment to disease recurrence > 6 months; 3. Tumor Her2 negative (IHC 0/1+ or IHC 2+ and FISH-). 4. At least one measurable lesion according to the Response Evaluation Criteria in Solid Tumors (RECIST) 1.1; 5. WBC=3.0×10^9 /L; ANC=1.5×10^9 /L; HB=90 g/L; PLT=75×10^9 /L; 6. ALT and AST=3×ULN (=5×ULN with liver metastasis); ALB=20g/L; Cr=1.5×ULN or CCr>50 mL/min; TBIL=1.5×ULN; APTT=1.5×ULN and INR or PT=1.5×ULN (without anticoagulation therapy) 7. LVEF=50%; male QTc=450 mms, female QTc=470 mms; 8. ECOG 0~1; 9. Expected survival = 3 months; 10. Consent to contraception; 11. Understand and voluntarily sign a written ICF and be willing to comply with all trial requirements. Exclusion Criteria: 1. History of other malignancies (except cured basal cell skin cancer, cervical carcinoma in situ etc.) within 5 years before study drug administration; 2. Patients with central nervous system metastases with clinical symptoms; 3. Patients who have been treated with high-dose systemic corticosteroids (prednisone > 10 mg/day or equivalent doses) or other immunosuppressants within 2 weeks before the first dose of BioTTT001; 4. Previous treatment with other adenovirus drugs within 28 days before the first dose of BioTTT001; 5. Patients who have undergone any major surgery (except needle biopsy, etc.) or severe trauma within 14 days before the first dose of BioTTT001; 6. Patients who have not recovered from the adverse reactions of previous treatments (the treatment-related toxicity = grade 2, except for alopecia ); 7. Patients with primary immunodeficiency; 8. Patients with active autoimmune diseases (such as systemic lupus erythematosus, rheumatoid arthritis, etc.), except type 1 diabetes, hypothyroidism that only needs hormone replacement therapy, and skin diseases that do not need systemic treatment (such as vitiligo, psoriasis or alopecia); 9. Patients with active infection requiring systemic anti-infective therapy; 10. HBsAg positive, and blood HBV DNA=100 IU/mL; anti-HCV positive; HIV positive; active syphilis; 11. Patients with active tuberculosis or drug-induced interstitial lung disease; 12. Patients with active inflammatory bowel disease ; 13. NYHA= grade 3; 14. Known allergy to the investigational drug or its components; 15. Patients with prior organ transplants; 16. Pregnant or lactating women; 17. Other reasons judged by the investigator.

Study Design


Related Conditions & MeSH terms


Intervention

Biological:
BioTTT001 intraperitoneal infusion
Monotherapy lead-in phase: BioTTT01 1×10^10 VP, i.p., D1 and D3; Combination therapy phase: BioTTT01 1×10^10 VP, i.p., D1 and D3, 3 weeks per cycle
Drug:
SOX regimen
Combination therapy phase: Oxaliplatin 130 mg,i.v., D1 and D3, 3 weeks per cycle; Tegafur 40~60mg b.i.d. p.o. D1~D14; 3 weeks per cycle
toripalimab
Combination therapy phase: toripalimab 160mg i.v. D1, 3 weeks per cycle.

Locations

Country Name City State
n/a

Sponsors (2)

Lead Sponsor Collaborator
China Medical University, China Beijing Bio-Targeting Therapeutics Technology Co., Ltd

Outcome

Type Measure Description Time frame Safety issue
Primary Objective response rate (ORR) Objective response rate (ORR) as assessed by the investigators Imaging was performed every 6 weeks during the combination therapy phase
Secondary Progression-free survival (PFS) The time from the start of treatment to progress disease or death for any cause Every 6 weeks until disease progression, consent withdraw, death or end of study during the combination therapy phase, up to 100 weeks.
Secondary Overall survival (OS) The time from the start of treatment to death for any cause Every 3 months until consent withdraw, death, withdrawal study, or loss of follow-up, up to 100 weeks
See also
  Status Clinical Trial Phase
Not yet recruiting NCT06427252 - The Efficacy and Safety of HIPEC Combined With PD-1 and SOX Chemotherapy for the Translational Treatment of GC or EGJC With PM Phase 2
Not yet recruiting NCT02976142 - The Efficacy of Surgical Treatment After Neoadjuvant Chemotherapy Plus Intraperitoneal Immunotherapy Versus Chemotherapy Alone for Patients With Positive Wash Cytology Gastric Cancer Phase 2