Actively Recruiting

Phase 1
Age: 19Years +
All Genders
NCT07190833

A Phase 1 Study of OTS-412 (Recombinant Oncolytic Vaccinia Virus) in Treatment-refractory Solid Tumor Patients (South Korea)

Led by Bionoxx Inc. · Updated on 2026-04-09

27

Participants Needed

2

Research Sites

246 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This clinical trial aims to determine whether the administration of the investigational drug OTS-412, OTS-412 in combination with hydroxyurea or hydroxyurea/atezolizumab is safe and effective for patients with various types of cancer.

CONDITIONS

Official Title

A Phase 1 Study of OTS-412 (Recombinant Oncolytic Vaccinia Virus) in Treatment-refractory Solid Tumor Patients (South Korea)

Who Can Participate

Age: 19Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • 19 years of age or older
  • Diagnosed with a malignant solid tumor via histology or cytology; radiological diagnosis allowed for hepatocellular carcinoma
  • Solid tumors resistant or with limited response to standard therapies, including immune checkpoint inhibitors alone or combined
  • Patients with tumors having actionable molecular alterations must have progressed on targeted therapy
  • Tumors suitable for direct or ultrasound-guided injection, not adjacent to vital structures that could be harmed by swelling or bleeding
  • At least one measurable and injectable tumor of at least 1 cm in longest diameter on CT or MRI
  • Total volume of injectable tumors of at least 2 cm3 for 1x10E8 pfu dosing or 6 cm3 for 3x10E8 pfu dosing
  • Life expectancy of at least 12 weeks
  • ECOG performance status of 0, 1, or 2
  • Adequate lung function with pulse oximetry of at least 92% on room air
  • Laboratory tests meeting specific blood counts, liver and kidney function, coagulation, and LDH limits
  • Provided voluntary written informed consent
Not Eligible

You will not qualify if you...

  • Prior treatment with talimogene laherparepvec or other oncolytic viruses
  • Received systemic or local anti-cancer therapy within 4 weeks before first study drug dose or unresolved side effects from such therapies except alopecia or grade 2 neuropathy
  • Untreated or unstable brain metastases or leptomeningeal disease
  • Tumors adjacent to vital neurovascular structures or airway at risk from swelling or bleeding, unless other injectable lesions are present
  • Other cancers diagnosed within past 5 years except certain skin and cervical cancers
  • History of organ transplant
  • Significant immunodeficiency or ongoing high-dose immunosuppressive therapy
  • History or active autoimmune disease
  • Severe inflammatory or eczema skin diseases requiring treatment
  • Use of anticoagulant or antiplatelet drugs that cannot be paused for required times before and after OTS-412 injection
  • Use of antiviral drugs that cannot be stopped at least 7 days before study drugs (except hepatitis B or C oral antivirals)
  • Severe medical conditions increasing risk during or after OTS-412 treatment
  • Significant cardiovascular disease unless cleared by cardiology
  • History of adverse effects from smallpox vaccination
  • Allergy or severe reaction to study drug components
  • Unable to receive contrast medium for scans due to allergy
  • Live vaccine within 4 weeks before first study drug dose
  • Participation in another investigational study within 4 weeks before first study drug dose
  • Pregnant or breastfeeding
  • Not agreeing to use contraception for required periods after treatment
  • Any other condition that may increase risk or interfere with study participation
  • Unable or unwilling to follow study protocol

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 2 locations

1

Dong-A University Hospital

Busan, South Korea, 49201

Actively Recruiting

2

Pusan National University Yangsan Hospital

Busan, South Korea, 50612

Actively Recruiting

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Research Team

Y

Younok Choi, Team Manager

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

7

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