About this trial
In the first phase, it mainly explores the safety, tolerability and preliminary effectiveness of two doses of OH2 injection in the treatment of patients with recurrent central nervous system tumors; to evaluate the biodistribution and virus shedding of OH2 injection administered in the tumor cavity; to evaluate the level of anti-HSV2 antibody in patients when OH2 injection is administered intracavitary to tumor; to determine the phase II recommended dose (RP2D) of OH2 injection in the treatment of recurrent glioblastoma.
Phase IIa, to evaluate the preliminary efficacy of OH2 injection in the treatment of patients with recurrent glioblastoma after surgery, and to further evaluate the safety of OH2 in the treatment of relapsed glioblastoma.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥ 18 years old, male or female;
Phase I trials select pathologically confirmed recurrent central nervous system tumors (including but not limited to anaplastic astrocytoma, anaplastic oligoastrocytoma, glioblastoma, gliosarcoma, anaplastic ependymoma, Medulloblastoma, malignant meningioma, melanoma, etc.) postoperative patients; Phase IIa trial selects postoperative patients with pathologically confirmed recurrent glioblastoma
KPS score ≥60;
Partial or complete tumor resection, Ommaya reservoir has been placed in the operation area, and drug administration conditions are available;
Disqualifiers
None
Trial design
Single group
Treatments tested in this trial
OH2 injection
Biological/VaccineOH2: Oncolytic Type 2 Herpes Simplex Virus
Treatment groups
Trial outcomes
Primary outcomes
MTD (Maximum Tolerance dose)
If ≥2/6 subjects developed DLT, the previous dose group was MTD
DLTs (Dose Limiting Toxicity)
Toxic reactions according to the NCI-CTCAE 5.0 grading standard that occur within 3 weeks from the first administration, are judged to be drug-related by the investigator, and meet the non-hematological toxicity and hematological toxicity conditions specified in the clinical protocol
Incidence of AE (Adverse Event) and SAE (Serious Adverse Event)
All events with a Grade 3 or above toxicity (defined by the CTCAE v5.0) will be tabulated by event and by relationship to OH2.
Secondary outcomes
OS (Overall Survival)
The overall survival for each patient receiving OH2 will be calculated.
PFS (Progression Free Survival)
Time after OH2 administration to clinical and radiographic disease progression will be evaluated.
Biodistribution and viral shedding
OH2 DNA copy
Immunogenicity
HSV-2 antibody
Sponsors and contacts
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