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OncoMatch/Clinical Trials/NCT06008925

Clinical Study of VG161 Combined With Nivolumab Injection in Patients With Advanced Metastatic Gastric Cancer

Is NCT06008925 recruiting? Yes, currently enrolling (May 2026). This Phase 1/2 trial studies multiple treatments including Recombinant Human IL12/15-PDL1B Oncolytic HSV-1 and Nivolumab for metastatic gastric cancer.

Phase 1/2RecruitingCNBG-Virogin Biotech (Shanghai) Ltd.NCT06008925Data as of May 2026

Treatment: Recombinant Human IL12/15-PDL1B Oncolytic HSV-1 · NivolumabVG161 is a recombinant human-IL12/15/PDL1B oncolytic HSV-1 injection. This study will be conducted in combination with nivolumab injection in HSV seropositive subjects with advanced metastatic gastric or gastroesophageal junction adenocarcinoma who have previously received two or more systemic treatment regimens (which must include anti-PD-1 monoclonal antibodies). This is an open-label study divided into two parts. Part 1: This part is an escalating dose trial to explore the safety of the combination and determine the recommended safe dose of the combination. Part 2: This part is an extension trial to investigate the preliminary efficacy of the combination at a safe dose.

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Extracted eligibility criteria

Cancer type

Gastric Cancer

Disease stage

Metastatic disease required

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Min 2 prior lines

Must have received: anti-PD-1 therapy

must have previously failed two or more systemic treatment regimens (which must include anti-PD-1 monoclonal antibodies), or patients who cannot continue treatment due to severe adverse reactions as judged by the investigator

Cannot have received: chemotherapy

Exception: within 4 weeks before the first use of the study drug

received chemotherapy, radiotherapy, biological therapy, endocrine therapy, targeted therapy, immunotherapy and other anti-tumor drugs within 4 weeks before the first use of the study drug

Cannot have received: oral fluorouracil

Exception: within 2 weeks before the first use of the study drug or within 5 half-lives of the drug (whichever was longer)

oral fluorouracil and small molecule targeted drugs were within 2 weeks before the first use of the study drug or within 5 half-lives of the drug (whichever was longer)

Cannot have received: small molecule targeted drugs

Exception: within 2 weeks before the first use of the study drug or within 5 half-lives of the drug (whichever was longer)

oral fluorouracil and small molecule targeted drugs were within 2 weeks before the first use of the study drug or within 5 half-lives of the drug (whichever was longer)

Cannot have received: other unmarketed clinical trial treatment

Exception: within 4 weeks before the first dose of study drug

received other unmarketed clinical trial treatment within 4 weeks before the first dose of study drug

Lab requirements

Blood counts

ANC ≥ 1.5 × 10^9/L, PLT ≥ 100 × 10^9/L, Hb ≥ 85 g/L, lymphocyte count ≥ 1.5 × 10^9/L (for lymphocyte count 0.8 × 10^9/L to 1.5 × 10^9/L, the investigator judged whether to enroll)

Kidney function

Cr ≤ 1.5 × ULN, and creatinine clearance ≥ 45ml/min (Cockcroft-Gault formula)

Liver function

TBIL ≤ 1.5 × ULN, ALT ≤ 3 × ULN, AST ≤ 3 × ULN

Cardiac function

QTc interval > 480 ms, NYHA functional classification ≥ II or LVEF < 40%, acute coronary syndrome, congestive heart failure, stroke or other Grade III or higher cardiovascular events within 6 months, uncontrolled hypertension after treatment

adequate organ function: 1) blood routine (no blood transfusion or colony-stimulating factor treatment within 14 days): ANC ≥ 1.5 × 10^9/L, PLT ≥ 100 × 10^9/L, Hb ≥ 85 g/L, lymphocyte count ≥ 1.5 × 10^9/L (for lymphocyte count 0.8 × 10^9/L to 1.5 × 10^9/L, the investigator judged whether to enroll); 2) liver function: TBIL ≤ 1.5 × ULN, ALT ≤ 3 × ULN, AST ≤ 3 × ULN; 3) renal function: Cr ≤ 1.5 × ULN, and creatinine clearance ≥ 45ml/min (calculated according to Cockcroft-Gault formula); 4) coagulation function: activated partial thromboplastin time (APTT) ≤ 1.5 × ULN, international normalized ratio (INR) ≤ 1.5 × ULN.

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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