A Phase 1 interventional study of Double Recombinant Vaccinia Virus VV-GMCSF-Lact in Oncolytic Virotherapy, sponsored by "Oncostar" LLC. Completed at 4 sites in Russia. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-21.
Sponsored by "Oncostar" LLC · Phase 1, Interventional, and Treatment
Purpose of the study is to evaluate the safety, tolerability and pharmacokinetic parameters of the drug based on double recombinant vaccinia virus VV-GMCSF-Lact, in patients with recurrent/refractory metastatic breast cancer in successive cohorts with dose escalation with single and multiple administration.
The study provides: determination of the maximum tolerated dose of the drug and the frequency, nature, intensity and duration of adverse events connected with the use of the study drug in escalating doses; detection of dose-limiting toxicity, its severity, duration and reversibility; determination of the profile of virus pharmacokinetics and antivirus antibodies; assessment of the objective response to the treatment.
Stage 1,: The virus drug is administered intratumorally once according to a "3+3" design in the dosage from 1*107 PFU to 10*107 PFU. The frequency of dose-limiting toxicity (DLT) will be evaluated (non-hematological toxicity III degree and above; development of febrile neutropenia and body temperature > 38.3°C more than two days after drug administration; thrombocytopenia III degree and above and/or hemorrhagic complications; repeated increase in ALT and/or AST activity is more than 4 times higher than the normal upper limit).
Escalation to the next level occurs if there is no DLT in the entire cohort under study. The study stops if the incidence of DLT in a cohort of 3 patients is 2 or 3. The maximum tolerated dose (MTD) will be considered the studied dose that is lower than the dose which DLT was determined. Stage 1 assumes randomization of no more than 36 patients.
Stage 2, multiple administration: According to Stage 1 the study will move to the second stage if there will be possibility to study at least one dosage regimen based on the previously studied dose. At Stage 2 two doses in ascending order below the MTD and MTD are planned to be used. Escalation to the next level occurs if no DLT is observed during dosing of the first three patients. If DLT develops and drug administration is discontinued, the patient is not excluded from the study, her drug administration visits are skipped, and she goes through all follow-up visits. The drug will be administered intratumorally 1 time per week for 4 weeks in 3 dosages: MTD and 2 lower dosages. Each cohort will include up to 6 patients in a "3+3" design. It is expected to include up to 24 patients, taking into account the possible inclusion of patients to replace those who left.
73 studies on the registry are indexed under Vaccinia; 6 are open to participants now.
This study's enrollment of 34 is below the median of 48 across 64 interventional studies indexed under Vaccinia.
Browse Vaccinia studies →This is the only study on the registry with "Oncostar" LLC as lead sponsor.
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Before inclusion of patients in the study, at least one of the following types of therapy was previously performed:
5.1 previous radiation therapy completed more than 4 weeks ago before the screening visit; 5.2 previous immunotherapy completed more than 4 weeks ago before the screening visit; 5.3 previous hormone therapy completed more than 4 weeks ago before the screening visit; 5.4 previous chemotherapy completed more than 4 months ago before the screening visit.
Exclusion Criteria:
Double Recombinant Vaccinia Virus VV-GMCSF-Lact
Biological: Double Recombinant Vaccinia Virus VV-GMCSF-Lact
Intratumoral injections: 1\*107 PFU (calculated at minimal ED on mice); 2\*107 PFU; 4\*107 PFU; 6\*107 PFU; 8\*107 PFU; 10\*107 PFU;
Safety Parameters
Number of participants with: AEs, SAEs, lethal outcomes, AEs of grade 3 and higher severity, AEs leading to withdrawal, AEs related to IP administration, and Dose Limiting Toxicity. The severity of adverse events was assessed according to CTCAE (Common Terminology Criteria for Adverse Events) Version 5.0. National Cancer Institute. 2017.
Time frame: 90 days from the data of the last treatment (for Stage 1 up to 107 days from participation in the study; for Stage 2 up to 129 days from participation in the study
Number of Participants With Dose-limiting Toxicity
Dose-limiting toxicity is defined as the occurrence of at least one of the following events following administration of the investigational drug: 1. Grade 3 non-hematologic toxicity according to the CTCAE (excluding alopecia); 2. development of febrile neutropenia (neutrophils \<1.0 × 10⁹/L with a single; 3. rise in body temperature \>38.3°C or a sustained body temperature \>=38°C for more than one hour), or development of a clinically significant systemic infection (a local infection at the site of drug administration or at the biopsy site will not be considered clinically significant); (3) Grade III thrombocytopenia or higher and/or hemorrhagic complications; (4) recurrent or persistent elevation of ALT and/or AST levels to more than 4 times the upper limit of normal.
Time frame: plus 3 days to the day of the last treatment for single dose, plus 14 days to the day of the last treatment for multiple doses
Determination of Virus Concentrations in Blood
Determination of maximum virus concentrations in blood.
Time frame: up to 216 hours since the last treatment
Determination of the Antivirus Antibodies Titer in the Blood
Determination of the antivirus antibodies titer in the blood 28 days after intratumoral administration.
Time frame: up to 28 days to the last treatment
Assessment of Objective Response
Objective response is defined as per Response Evaluation Criteria in Solid Tumors Criteria (RECIST v 1.1): Complete Response - The disappearance of all known disease and no new sites or disease related symptoms confirmed at least 4 weeks after initial documentation. All sites must be assessed, including non-measurable sites, such as effusions, or markers. Partial Response - At least a 30% decrease in the sum of the longest diameters of target lesions, or all measurable disease has completely disappeared, but a non-measurable component is still present but not progressing. Stable Disease - Neither sufficient shrinkage to qualify for partial response nor sufficient increase to qualify for progressive disease. Progressive Disease - At least a 20% increase in the sum of the longest diameters of target lesions, taking as reference the smallest sum of the longest diameters recorded since the treatment started; or new lesions. CT scans were used for visualization.
Time frame: up to 107 days from participation in the study for Stage 1; up to 129 days from participation in the study for Stage 2
| Milestone | Cohort 1: Single Dose 10^7 PFU | Cohort 2: Single Dose 2 x 10^7 PFU | Cohort 3: Single Dose 4 x 10^7 PFU | Cohort 4: Single Dose 6 x 10^7 PFU | Cohort 5: Single Dose 8 x 10^7 PFU | Cohort 6: Single Dose 10 x 10^7 PFU | Cohort 7: Multiple Doses 6 x 10^7 PFU | Cohort 8: Multiple Doses 8 x 10^7 PFU | Cohort 9: Multiple Doses 10 x 10^7 PFU |
|---|---|---|---|---|---|---|---|---|---|
| Started | 4 | 3 | 3 | 3 | 3 | 3 | 5 | 6 | 4 |
| Completed | 1 | 1 | 2 | 1 | 2 | 1 | 3 | 1 | 1 |
| Not completed | 3 | 2 | 1 | 2 | 1 | 2 | 2 | 5 | 3 |
| Withdrew: Disease progression | 1 | 0 | 0 | 1 | 1 | 1 | 1 | 2 | 0 |
| Withdrew: Death | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Withdrew: Withdrawal by subject | 1 | 1 | 0 | 0 | 0 | 1 | 1 | 2 | 2 |
| Withdrew: Protocol violation | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 |
| Withdrew: Adverse event | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 |
| Withdrew: Requirement of prohibited therapy | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 |
Number of participants with: AEs, SAEs, lethal outcomes, AEs of grade 3 and higher severity, AEs leading to withdrawal, AEs related to IP administration, and Dose Limiting Toxicity. The severity of adverse events was assessed according to CTCAE (Common Terminology Criteria for Adverse Events) Version 5.0. National Cancer Institute. 2017.
| Participants | Cohort 1: Single Dose 10^7 PFU | Cohort 2: Single Dose 2 x 10^7 PFU | Cohort 3: Single Dose 4 x 10^7 PFU | Cohort 4: Single Dose 6 x 10^7 PFU | Cohort 5: Single Dose 8 x 10^7 PFU | Cohort 6: Single Dose 10 x 10^7 PFU | Cohort 7: Multiple Doses 6 x 10^7 PFU | Cohort 8: Multiple Doses 8 x 10^7 PFU | Cohort 9: Multiple Doses 10 x 10^7 PFU |
|---|---|---|---|---|---|---|---|---|---|
| Subjects with AEs | 4 | 3 | 3 | 3 | 3 | 3 | 5 | 6 | 4 |
| Subjects with SAEs | 1 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 |
| Subjects with lethal outcome | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Subjects with AEs of grade 3 and higher severity | 1 | 0 | 2 | 3 | 2 | 1 | 2 | 0 | 0 |
| Subjects with AEs leading to withdrawal | 2 | 0 | 0 | 1 | 1 | 1 | 1 | 0 | 0 |
| Subjects with AEs related to IP administration | 2 | 1 | 2 | 2 | 1 | 1 | 5 | 4 | 2 |
| Subjects with Dose Limiting Toxicity | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Dose-limiting toxicity is defined as the occurrence of at least one of the following events following administration of the investigational drug: 1. Grade 3 non-hematologic toxicity according to the CTCAE (excluding alopecia); 2. development of febrile neutropenia (neutrophils \<1.0 × 10⁹/L with a single; 3. rise in body temperature \>38.3°C or a sustained body temperature \>=38°C for more than one hour), or development of a clinically significant systemic infection (a local infection at the site of drug administration or at the biopsy site will not be considered clinically significant); (3) Grade III thrombocytopenia or higher and/or hemorrhagic complications; (4) recurrent or persistent elevation of ALT and/or AST levels to more than 4 times the upper limit of normal.
| Participants | Cohort 1: Single Dose 10^7 PFU | Cohort 2: Single Dose 2 x 10^7 PFU | Cohort 3: Single Dose 4 x 10^7 PFU | Cohort 4: Single Dose 6 x 10^7 PFU | Cohort 5: Single Dose 8 x 10^7 PFU | Cohort 6: Single Dose 10 x 10^7 PFU | Cohort 7: Multiple Doses 6 x 10^7 PFU | Cohort 8: Multiple Doses 8 x 10^7 PFU | Cohort 9: Multiple Doses 10 x 10^7 PFU |
|---|---|---|---|---|---|---|---|---|---|
| Number of Participants With Dose-limiting Toxicity | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Determination of maximum virus concentrations in blood.
| copies / mL | Cohort 1: Single Dose 10^7 PFU | Cohort 2: Single Dose 2 x 10^7 PFU | Cohort 3: Single Dose 4 x 10^7 PFU | Cohort 4: Single Dose 6 x 10^7 PFU | Cohort 5: Single Dose 8 x 10^7 PFU | Cohort 6: Single Dose 10 x 10^7 PFU | Cohort 7: Multiple Doses 6 x 10^7 PFU | Cohort 8: Multiple Doses 8 x 10^7 PFU | Cohort 9: Multiple Doses 10 x 10^7 PFU |
|---|---|---|---|---|---|---|---|---|---|
| Determination of Virus Concentrations in Blood | 0 (0 to 2840) | 0 (0 to 533) | 564 (0 to 3800) | 4110 (0 to 5130) | 5950 (5950 to 5950) | 2385 (0 to 4770) | 11461 (0 to 15690) | 3345.5 (880 to 13140) | 17060 (17060 to 17060) |
Determination of the antivirus antibodies titer in the blood 28 days after intratumoral administration.
| Geometric Mean titer | Cohort 1: Single Dose 10^7 PFU | Cohort 2: Single Dose 2 x 10^7 PFU | Cohort 3: Single Dose 4 x 10^7 PFU | Cohort 4: Single Dose 6 x 10^7 PFU | Cohort 5: Single Dose 8 x 10^7 PFU | Cohort 6: Single Dose 10 x 10^7 PFU | Cohort 7: Multiple Doses 6 x 10^7 PFU | Cohort 8: Multiple Doses 8 x 10^7 PFU | Cohort 9: Multiple Doses 10 x 10^7 PFU |
|---|---|---|---|---|---|---|---|---|---|
| Determination of the Antivirus Antibodies Titer in the Blood | 800 ± 4.2 | 819200 ± NA | 20318.7 ± 119494.2 | 18101.9 ± 1.3 | 4525.5 ± 4205470703337.0 | 409600.0 ± NA | 81274.9 ± 3.1 | 36203.9 ± 8.7 | 204800.0 ± NA |
Objective response is defined as per Response Evaluation Criteria in Solid Tumors Criteria (RECIST v 1.1): Complete Response - The disappearance of all known disease and no new sites or disease related symptoms confirmed at least 4 weeks after initial documentation. All sites must be assessed, including non-measurable sites, such as effusions, or markers. Partial Response - At least a 30% decrease in the sum of the longest diameters of target lesions, or all measurable disease has completely disappeared, but a non-measurable component is still present but not progressing. Stable Disease - Neither sufficient shrinkage to qualify for partial response nor sufficient increase to qualify for progressive disease. Progressive Disease - At least a 20% increase in the sum of the longest diameters of target lesions, taking as reference the smallest sum of the longest diameters recorded since the treatment started; or new lesions. CT scans were used for visualization.
| Participants | Cohort 1: Single Dose 10^7 PFU | Cohort 2: Single Dose 2 x 10^7 PFU | Cohort 3: Single Dose 4 x 10^7 PFU | Cohort 4: Single Dose 6 x 10^7 PFU | Cohort 5: Single Dose 8 x 10^7 PFU | Cohort 6: Single Dose 10 x 10^7 PFU | Cohort 7: Multiple Doses 6 x 10^7 PFU | Cohort 8: Multiple Doses 8 x 10^7 PFU | Cohort 9: Multiple Doses 10 x 10^7 PFU |
|---|---|---|---|---|---|---|---|---|---|
| Complete Response | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Partial Response | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Stable Disease | 1 | 0 | 0 | 1 | 0 | 1 | 1 | 0 | 0 |
| Progressive Disease | 0 | 1 | 1 | 0 | 2 | 0 | 2 | 1 | 1 |
Collected over Whole study: up to day 93 in the Single Dose Period and up to day 115 in the Multiple Doses Period. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Cohort 1: Single Dose 10^7 PFU | 1/4 (25%) | 1/4 (25%) | 4/4 (100%) |
| Cohort 2: Single Dose 2 x 10^7 PFU | 0/3 (0%) | 0/3 (0%) | 3/3 (100%) |
| Cohort 3: Single Dose 4 x 10^7 PFU | 0/3 (0%) | 1/3 (33.3%) | 3/3 (100%) |
| Cohort 4: Single Dose 6 x 10^7 PFU | 0/3 (0%) | 0/3 (0%) | 3/3 (100%) |
| Cohort 5: Single Dose 8 x 10^7 PFU | 0/3 (0%) | 0/3 (0%) | 3/3 (100%) |
| Cohort 6: Single Dose 10 x 10^7 PFU | 0/3 (0%) | 0/3 (0%) | 3/3 (100%) |
| Cohort 7: Multiple Doses 6 x 10^7 PFU | 0/5 (0%) | 1/5 (20%) | 5/5 (100%) |
| Cohort 8: Multiple Doses 8 x 10^7 PFU | 0/6 (0%) | 0/6 (0%) | 6/6 (100%) |
| Cohort 9: Multiple Doses 10 x 10^7 PFU | 0/4 (0%) | 0/4 (0%) | 4/4 (100%) |
| Event | Cohort 1: Single Dose 10^7 PFU | Cohort 2: Single Dose 2 x 10^7 PFU | Cohort 3: Single Dose 4 x 10^7 PFU | Cohort 4: Single Dose 6 x 10^7 PFU | Cohort 5: Single Dose 8 x 10^7 PFU | Cohort 6: Single Dose 10 x 10^7 PFU | Cohort 7: Multiple Doses 6 x 10^7 PFU | Cohort 8: Multiple Doses 8 x 10^7 PFU | Cohort 9: Multiple Doses 10 x 10^7 PFU |
|---|---|---|---|---|---|---|---|---|---|
| Uterine polypReproductive system and breast disorders | 0/4 | 0/3 | 1/3 | 0/3 | 0/3 | 0/3 | 0/5 | 0/6 | 0/4 |
| Cancer complicationNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 1/4 | 0/3 | 0/3 | 0/3 | 0/3 | 0/3 | 0/5 | 0/6 | 0/4 |
| Ileus paralyticGastrointestinal disorders | 0/4 | 0/3 | 0/3 | 0/3 | 0/3 | 0/3 | 1/5 | 0/6 | 0/4 |
| Event | Cohort 1: Single Dose 10^7 PFU | Cohort 2: Single Dose 2 x 10^7 PFU | Cohort 3: Single Dose 4 x 10^7 PFU | Cohort 4: Single Dose 6 x 10^7 PFU | Cohort 5: Single Dose 8 x 10^7 PFU | Cohort 6: Single Dose 10 x 10^7 PFU | Cohort 7: Multiple Doses 6 x 10^7 PFU | Cohort 8: Multiple Doses 8 x 10^7 PFU | Cohort 9: Multiple Doses 10 x 10^7 PFU |
|---|---|---|---|---|---|---|---|---|---|
| PyrexiaGeneral disorders | 0/4 | 0/3 | 1/3 | 2/3 | 1/3 | 3/3 | 5/5 | 4/6 | 2/4 |
| AnaemiaBlood and lymphatic system disorders | 0/4 | 1/3 | 0/3 | 1/3 | 1/3 | 2/3 | 0/5 | 0/6 | 0/4 |
| NauseaGastrointestinal disorders | 0/4 | 0/3 | 2/3 | 0/3 | 0/3 | 0/3 | 0/5 | 1/6 | 0/4 |
| HypertensionVascular disorders | 0/4 | 0/3 | 0/3 | 1/3 | 2/3 | 0/3 | 0/5 | 0/6 | 0/4 |
| VomitingGastrointestinal disorders | 0/4 | 0/3 | 2/3 | 0/3 | 0/3 | 0/3 | 0/5 | 0/6 | 0/4 |
| NeutropeniaBlood and lymphatic system disorders | 0/4 | 0/3 | 0/3 | 0/3 | 0/3 | 0/3 | 3/5 | 0/6 | 0/4 |
| AstheniaGeneral disorders | 1/4 | 1/3 | 1/3 | 0/3 | 0/3 | 1/3 | 1/5 | 3/6 | 0/4 |
| Body temperature increasedGeneral disorders | 2/4 | 1/3 | 0/3 | 0/3 | 0/3 | 1/3 | 0/5 | 0/6 | 0/4 |
| HypotensionVascular disorders | 0/4 | 0/3 | 0/3 | 1/3 | 0/3 | 0/3 | 2/5 | 1/6 | 0/4 |
| PainGeneral disorders | 1/4 | 0/3 | 1/3 | 1/3 | 0/3 | 1/3 | 0/5 | 0/6 | 0/4 |
| Age, Continuous(Year) | Cohort 1: Single Dose 10^7 PFU | Cohort 2: Single Dose 2 x 10^7 PFU | Cohort 3: Single Dose 4 x 10^7 PFU | Cohort 4: Single Dose 6 x 10^7 PFU | Cohort 5: Single Dose 8 x 10^7 PFU | Cohort 6: Single Dose 10 x 10^7 PFU | Cohort 7: Multiple Doses 6 x 10^7 PFU | Cohort 8: Multiple Doses 8 x 10^7 PFU | Cohort 9: Multiple Doses 10 x 10^7 PFU | Total |
|---|---|---|---|---|---|---|---|---|---|---|
| Mean | 47.25 ± 5.32 | 52.33 ± 3.21 | 49.33 ± 12.58 | 63.67 ± 17.21 | 59.67 ± 9.71 | 55.67 ± 12.86 | 48.6 ± 10.6 | 54.8 ± 17.8 | 50.2 ± 5.9 | 53.50 ± 5.17 |
| Sex: Female, Male(Participants) | Cohort 1: Single Dose 10^7 PFU | Cohort 2: Single Dose 2 x 10^7 PFU | Cohort 3: Single Dose 4 x 10^7 PFU | Cohort 4: Single Dose 6 x 10^7 PFU | Cohort 5: Single Dose 8 x 10^7 PFU | Cohort 6: Single Dose 10 x 10^7 PFU | Cohort 7: Multiple Doses 6 x 10^7 PFU | Cohort 8: Multiple Doses 8 x 10^7 PFU | Cohort 9: Multiple Doses 10 x 10^7 PFU | Total |
|---|---|---|---|---|---|---|---|---|---|---|
| Female | 4 | 3 | 3 | 3 | 3 | 3 | 5 | 6 | 4 | 34 |
| Male | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Cohort 1: Single Dose 10^7 PFU | Cohort 2: Single Dose 2 x 10^7 PFU | Cohort 3: Single Dose 4 x 10^7 PFU | Cohort 4: Single Dose 6 x 10^7 PFU | Cohort 5: Single Dose 8 x 10^7 PFU | Cohort 6: Single Dose 10 x 10^7 PFU | Cohort 7: Multiple Doses 6 x 10^7 PFU | Cohort 8: Multiple Doses 8 x 10^7 PFU | Cohort 9: Multiple Doses 10 x 10^7 PFU | Total |
|---|---|---|---|---|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Asian | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| White | 4 | 3 | 3 | 3 | 3 | 3 | 5 | 6 | 4 | 34 |
| More than one race | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| ECOG(Participants) | Cohort 1: Single Dose 10^7 PFU | Cohort 2: Single Dose 2 x 10^7 PFU | Cohort 3: Single Dose 4 x 10^7 PFU | Cohort 4: Single Dose 6 x 10^7 PFU | Cohort 5: Single Dose 8 x 10^7 PFU | Cohort 6: Single Dose 10 x 10^7 PFU | Cohort 7: Multiple Doses 6 x 10^7 PFU | Cohort 8: Multiple Doses 8 x 10^7 PFU | Cohort 9: Multiple Doses 10 x 10^7 PFU | Total |
|---|---|---|---|---|---|---|---|---|---|---|
| ECOG = 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 |
| ECOG = 1 | 3 | 3 | 2 | 1 | 1 | 1 | 5 | 6 | 4 | 26 |
| ECOG = 2 | 1 | 0 | 1 | 2 | 1 | 2 | 0 | 0 | 0 | 7 |
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