Non-muscle-invasive Bladder CancerPhase 1/2NCT05232136
OH2 Oncolytic Viral Therapy in Non-Muscle-Invasive Bladder Cancer
A Phase 1/2 study testing OH2 injection in people with Non-muscle-invasive Bladder Cancer, run by Binhui Biopharmaceutical Co., Ltd. at 1 site in China.
Trial summary
This phase Ⅰb/Ⅱ study evaluates the safety and efficacy of OH2 for adjuvant therapy in non-muscle-invasive bladder cancer after first-line prophylactic intravesical instillation therapy. Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Non-muscle-invasive Bladder Cancer
- What is being tested?
- OH2 injection
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 30 participants
- Where
- 1 siteChina
- Study dates
- 11 Jul 2022to Oct 2025
- Phase
- Phase 1/2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age 18 ~ 80 years old (including boundary value), male or female.
- Failed in first-line preventive bladder perfusion therapy, and retained the bladder (or other reasons are not suitable for radical total cystectomy).
- Ta, T1 or Tis with high grade (HG) of non-muscle-invasive bladder cancer.
- Negative histology and pathology of bladder mucosa biopsy and negative postoperative urine cytology during TURBT.
- No tumor was found in upper urinary tract examination; No systemic chemotherapy or radiation therapy for bladder cancer has been done at any time before.
- ECOG 0-1.
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- The estimated survival time is more than 1 year.
- Laboratory inspection:
- WBC≥3.5 × 10^9/L,ANC≥1.5 × 10^9/L,PLT≥80 × 10^9/L,Hb≥90g/L;
- Blood bun and serum creatinine were within 1.5 times of the upper limit of normal value;
- TBIL ≤ 1.5 times the upper limit of normal value;
- ALT and AST ≤ 2.5 times the upper limit of normal value;
- The coagulation function is normal (PT and APTT are within 1.5 times of the upper limit of normal value).
- Received effective contraception during and within 3 months after treatment.
- At least 3 months after the end of herpes infection.
- Voluntary signing of informed consent, expected patient compliance
Who cannot join
- muscle invasive bladder cancer or bladder cancer with clinical metastasis.
- Complications occurred after TURBT, or perfusion therapy could not be performed.
- Allergic to GM-CSF products or have a history of allergic reaction to the main and auxiliary materials of any dosage form in the study drug.
- Suffering from serious medical diseases, including severe heart disease, cerebrovascular disease, uncontrolled diabetes, uncontrolled hypertension, severe infection, active gastrointestinal ulcer.
- Chemotherapy or radiotherapy is expected to be used during the study.
- Active infection or fever of unknown cause > 38.5 ℃ during screening and before the first administration. Ongoing urinary system infection, especially bladder infection (if the infection can be controlled by antibiotics, except that it can return to normal after 7 days of antibiotic withdrawal).
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- Congenital or acquired immune deficiency (such as HIV infection) , Hepatitis B infection of HBV-DNA or more than 10 /mL, HCV antibody and HCV RNA positive in hepatitis C infection.
- Pregnant or lactating.
- Other experimental drugs or antiviral therapy were used or are being used within 4 weeks before treatment.
- Participated in immunosuppressive therapy in recent 3 months, including cyclosporine, antithymocyte globulin or tacrolimus.
- Participated in cancer vaccine treatment trials in recent 12 months (such as dendritic cell therapy and heat shock vaccine).
- History of psychotropic substance abuse, alcoholism or drug abuse.
- Other malignant tumors within 5 years before enrollment, except effectively resected cervical carcinoma in situ, low-risk gastrointestinal stromal tumor, skin basal cell carcinoma, skin squamous cell carcinoma, thyroid papillary carcinoma and breast ductal carcinoma in situ.
- Active autoimmune diseases or history of autoimmune diseases and may relapse, except:
- Type I diabetes mellitus;
- Hypothyroidism (if only controlled by hormone replacement therapy);
- Controlled celiac disease;
- Skin diseases that do not require systemic treatment (such as vitiligo, psoriasis, hair loss);
- Any other disease that will not recur without external triggers.
- Using corticosteroids within 14 days before the administration of the study drug due to treatment, or suffering from any disease requiring systemic treatment with other immunosuppressants, except:
- Local, ophthalmic, intra-articular, intranasal or inhaled corticosteroids with minimal systemic absorption;
- Prophylactic short-term use of corticosteroids (e.g., allergy to contrast agents) or for the treatment of non autoimmune diseases (e.g., delayed hypersensitivity caused by contact allergens).
- Not suitable to participate study judged by investigators for any reason.
Trial locations and contacts
1 site in 1 country.
China1 site, 1 recruiting
- Recruiting
National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College
Beijing, Beijing Municipality, 100021
JianZhong Shou, MD, 13601332989, shoujzh@126.com
About this study
Official title: Oncolytic Virus (OH2) Adjuvant Therapy After Transurethral Resection of Bladder Tumor in Non-Muscle-Invasive Bladder Cancer Who Have Failed First-line Prophylactic Intravesical Instillation Therapy: a Phase Ⅰb/Ⅱ Clinical Trial
This phase Ⅰb/Ⅱ study evaluates the safety and efficacy of OH2 for adjuvant therapy in non-muscle-invasive bladder cancer after first-line prophylactic intravesical instillation therapy.
OH2 is an oncolytic virus developed upon genetic modifications of the herpes simplex virus type 2 strain HG52, allowing the virus to selectively replicate in tumors. Meanwhile, the delivery of the gene encoding human granulocyte macrophage colony-stimulating factor (GM-CSF) may induce a more potent antitumor immune response.
Read the detailed description
This is a phase Ⅰb/Ⅱ study evaluating the safety and efficacy of OH2 in non-muscle-invasive bladder cancer.
BH-OH2-016 is a single-arm,multicenter clinical trial. After screening, The treatment period includes induction treatment period and maintenance treatment period. In the induction treatment period, OH2 will be delivered once two weeks. In the maintenance treatment period, OH2 will be delivered once a month. In this trial, two doses (1x10e6, 1x10e7 CCID50/mL) of OH2 will be delivered intravesical instillation,and the 1x10e6 CCID50/mL dose group should be delivered before the 1x10e7 CCID50/mL dose group.
Adverse events (AEs) are graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) (version 5.0).Urine cytology/Cystoscopy/ultrasonography of urinary system will be used for disease recurrence examination.
- Conditions
- Non-muscle-invasive Bladder Cancer
- Being tested
- OH2 injection
- Keywords
- Oncolytic Virus
- Medical subject headings
- Non-Muscle Invasive Bladder Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
OH2 injectionBiological
OH2: Oncolytic Type 2 Herpes Simplex Virus
| Study group | Role | What they receive |
|---|---|---|
| OH2 | Experimental | This arm include two doses (1x10e6, 1x10e7 CCID50/mL) of OH2 injection,the 1x10e6 CCID50/mL dose group should be delivered before the 1x10e7 CCID50/mL dose group. Receives: Biological: OH2 injection |
What is being measured
The primary outcome is the main question the study is designed to answer.
AEs
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.
Measured: 1 years
Relapse Free Survival Rate at 6 months
The assessment result is the number and proportion of subjects with relapse free survival at 6 months.
Measured: 6 months
Relapse Free Survival Rate at 12 months
The assessment result is the number and proportion of subjects with relapse free survival at 12 months.
Measured: 12 months
Rate of disease progression
Time after OH2 administration to clinical and radiographic disease progression will be evaluated.
Measured: 1 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Feb 2022
- Study start11 Jul 2022
- Primary completionJun 2025 (estimated)
- Study completionOct 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Non-muscle-invasive Bladder CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1/2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 30 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Binhui Biopharmaceutical Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05232136
- Sponsor's protocol ID
- BH-OH2-016
- Status last verified
- Aug 2024
- First submitted
- 27 Jan 2022
- Last updated
- 12 Aug 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 12 Aug 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Oncolytic Virus (OH2) Adjuvant Therapy After Transurethral Resection of Bladder Tumor in Non-Muscle-Invasive Bladder Cancer Who Have Failed First-line Prophylactic Intravesical Instillation Therapy: a Phase Ⅰb/Ⅱ Clinical Trial
- ClinicalTrials.gov ID
- NCT05232136
- Acronym / sponsor ID
- BH-OH2-016
- Conditions
- Non-muscle-invasive Bladder Cancer
- Keywords
- Oncolytic Virus
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 30 participants (estimated)
- Lead sponsor
- Binhui Biopharmaceutical Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 11 Jul 2022 (actual)
- Primary completion
- Jun 2025 (estimated)
- Study completion
- Oct 2025 (estimated)
- First posted
- 9 Feb 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This phase Ⅰb/Ⅱ study evaluates the safety and efficacy of OH2 for adjuvant therapy in non-muscle-invasive bladder cancer after first-line prophylactic intravesical instillation therapy.
OH2 is an oncolytic virus developed upon genetic modifications of the herpes simplex virus type 2 strain HG52, allowing the virus to selectively replicate in tumors. Meanwhile, the delivery of the gene encoding human granulocyte macrophage colony-stimulating factor (GM-CSF) may induce a more potent antitumor immune response.
Detailed description
This is a phase Ⅰb/Ⅱ study evaluating the safety and efficacy of OH2 in non-muscle-invasive bladder cancer.
BH-OH2-016 is a single-arm,multicenter clinical trial. After screening, The treatment period includes induction treatment period and maintenance treatment period. In the induction treatment period, OH2 will be delivered once two weeks. In the maintenance treatment period, OH2 will be delivered once a month. In this trial, two doses (1x10e6, 1x10e7 CCID50/mL) of OH2 will be delivered intravesical instillation,and the 1x10e6 CCID50/mL dose group should be delivered before the 1x10e7 CCID50/mL dose group.
Adverse events (AEs) are graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) (version 5.0).Urine cytology/Cystoscopy/ultrasonography of urinary system will be used for disease recurrence examination.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| OH2 | Experimental | Biological: OH2 injectionThis arm include two doses (1x10e6, 1x10e7 CCID50/mL) of OH2 injection,the 1x10e6 CCID50/mL dose group should be delivered before the 1x10e7 CCID50/mL dose group. |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (16 listed)
- Age 18 ~ 80 years old (including boundary value), male or female.
- Failed in first-line preventive bladder perfusion therapy, and retained the bladder (or other reasons are not suitable for radical total cystectomy).
- Ta, T1 or Tis with high grade (HG) of non-muscle-invasive bladder cancer.
- Negative histology and pathology of bladder mucosa biopsy and negative postoperative urine cytology during TURBT.
- No tumor was found in upper urinary tract examination; No systemic chemotherapy or radiation therapy for bladder cancer has been done at any time before.
Key exclusion criteria (23 listed)
- muscle invasive bladder cancer or bladder cancer with clinical metastasis.
- Complications occurred after TURBT, or perfusion therapy could not be performed.
- Allergic to GM-CSF products or have a history of allergic reaction to the main and auxiliary materials of any dosage form in the study drug.
- Suffering from serious medical diseases, including severe heart disease, cerebrovascular disease, uncontrolled diabetes, uncontrolled hypertension, severe infection, active gastrointestinal ulcer.
- Chemotherapy or radiotherapy is expected to be used during the study.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| OH2 injectionOH2: Oncolytic Type 2 Herpes Simplex Virus | Biological | OH2 |
Primary outcome
AEs
Time frame: 1 years
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.
Relapse Free Survival Rate at 6 months
Time frame: 6 months
The assessment result is the number and proportion of subjects with relapse free survival at 6 months.
Relapse Free Survival Rate at 12 months
Time frame: 12 months
The assessment result is the number and proportion of subjects with relapse free survival at 12 months.
Rate of disease progression
Time frame: 1 years
Time after OH2 administration to clinical and radiographic disease progression will be evaluated.
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Aug 2024.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing OH2 injection in people with Non-muscle-invasive Bladder Cancer, run by Binhui Biopharmaceutical Co., Ltd. at 1 site in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 16 inclusion and 23 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 12 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact JianZhong Shou, MD (13601332989, shoujzh@126.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
AEs (time frame: 1 years). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Aug 2024.