Status:

NOT_YET_RECRUITING

Study to Assess the Safety and Preliminary Efficacy of STI-1386 Oncolytic Virus in Relapsed or Refractory Solid Tumors

Lead Sponsor:

Sorrento Therapeutics, Inc.

Conditions:

Cancer

Cancer of Pancreas

Eligibility:

All Genders

18+ years

Phase:

PHASE1

Brief Summary

This is a Phase 1b study to assess the safety and tolerability of STI-1386, an oncolytic virus, in subjects with relapsed and refractory solid tumors (RRSTs).

Detailed Description

This is a Phase 1b, dose-ascending study to assess the safety, tolerability and recommended phase 2 dose (RP2D) of STI-1386 in subjects with relapsed and refractory solid tumors (RRSTs). STI-1386 is a...

Eligibility Criteria

Inclusion

  • Histologically confirmed extracranial solid tumors that are relapsing or refractory including locally advanced pancreatic cancer, unresectable soft tissue sarcomas, hepatic metastases due to colorectal cancer
  • At least one measurable disease per Response Evaluation Criteria in Solid Tumors v. 1.1 (RECIST 1.1) with a non-nodal lesion with longest diameter ≥ 10 mm or nodal lesions with short diameter ≥ 15 mm
  • Eastern Cooperative Oncology Group (ECOG) Performance Status ≤ 2
  • As assessed by the investigator, ≥ 3 month life expectancy
  • Adequate hematologic, liver and renal function at Screening as determined by lab criteria
  • Recovered \< Grade 2 from all acute toxicities from previous therapy
  • Has not had prior treatment with high dose corticosteroids within the 2 weeks of screening
  • Is willing and able to comply with the study schedule and other protocol requirements
  • Willing to follow contraception guidelines

Exclusion

  • Have a primary brain tumor
  • Use of an investigational drug or local therapy or agent within 2 weeks of first dose of study drug. Current systemic chemotherapy per investigator's discretion is allowed, but no immune checkpoint inhibitors or immune modulators
  • Use of anticoagulants or anti-platelet agents unless subject can safely start/stop to allow intratumoral injections
  • Use of bevacizumab (Avastin) within 28 days of the STI-1386 injection
  • Diagnosis of other malignancies that have required therapy in the last year or are not in complete remission. Exceptions include non-metastatic basal cell or squamous cell carcinomas of the skin, prostate cancer or cancer in situ that does not require treatment currently or is otherwise under control
  • Requiring chronic systemic immunosuppressants, including steroids \> 20 mg/day
  • Presence of bulky disease defined as any single mass \> 5 cm in greatest dimension will trigger a discussion to determine eligibility
  • New York Heart Association (NYHA) Class \>3 of left ventricular ejection fraction (LVEF) \< 50%
  • Prolonged corrected QT interval as determined by 12-lead electrocardiogram
  • Has spinal cord compression or clinically unstable brain metastases within 4 weeks of first dose of study drug
  • Evidence of active herpes infection and/or chronic herpes infection requiring prophylactic antiviral medication that may not be discontinued
  • Has an active or recent COVID-19 infection, must have a negative RT-PCR test and not have had symptoms within 4 weeks of day 1 of study drug administration
  • Any active infection requiring systemic therapy within 72 hours of injection of STI-1386, excluding anti-viral maintenance therapy for HIV
  • Moderate to severe chronic obstructive pulmonary disease or other moderate to severe chronic respiratory conditions unless under treatment and stable for the 3 months of screening
  • Have active human immunodeficiency virus (HIV) infection, human T-cell leukemia virus type 1 (HTLV1) infection, or hepatitis B virus (HBV) or hepatitis C virus (HCV) viremia
  • Pregnant or lactating or up to 3 months post last dose
  • Underlying medical conditions that, in the opinion of the investigator and/or medical monitor will prevent the subject from participating
  • Allergy to acyclovir and related anti-HSV antiviral agents

Key Trial Info

Start Date :

August 1 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

February 1 2027

Estimated Enrollment :

36 Patients enrolled

Trial Details

Trial ID

NCT05361954

Start Date

August 1 2023

End Date

February 1 2027

Last Update

April 12 2023

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