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Status unknownNCT03941626Updated Feb 4, 2021

Autologous CAR-T/TCR-T Cell Immunotherapy for Solid Malignancies

A Phase 1/2 interventional study of CAR-T/TCR-T cells immunotherapy in Esophagus Cancer, Hepatoma and Glioma, sponsored by Shenzhen BinDeBio Ltd.. Status unknown at 1 site in China. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2021-02-04.

Sponsored by Shenzhen BinDeBio Ltd. · Phase 1/2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Feb 2021), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 1/2
Study type
Interventional
Enrollment
50
Allocation
Not applicable
Ages
18 Years to 70 Years
Sex
All
01

Study summary

This is a single arm, open-label, uni-center, phase I-II study to evaluate the safety and effectiveness of CAR-T/TCR-T cell immunotherapy in treating with different malignancies patients.

Read the detailed description

The study is a multi-target gene-modified immunotherapy. CAR-T/TCR-T cells include four different tumor-specific antibody.They are as following:anti-NY-ESO-1 antibody foresophagus cancer;anti-DR5 antibody for hepatoma;;anti-EGFR vIII antibody for hepatoma and glioma;anti-Mesothelin antibody for gastric cancer.

02

Conditions studied

  • Esophagus Cancer
  • Hepatoma
  • Glioma
  • Gastric Cancer
03

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Patients must be willing to sign an informed consent.
  2. Male or female patients aged 18 to 70 years .
  3. Estimated survival of ≥ 12 weeks.
  4. Pathological sections with positive expression of NY-ESO-1, Mesothelin, EGFRvIII and DR5 was confirmed by biopsy IHC test within 12 months.If NY-ESO-1 is positive expression ,positive HLAA*0201 is required at the same time.
  5. Solid tumor must have at least one measureable disease according to RECIST 1.1.
  6. Routine blood test#hemoglobin>=90 g/L; platelet>=50×10\^9/L.
  7. Liver function:ALT and AST≤2.5 times upper limits of normal (If the tumor infiltration is the main cause of abnormal liver function ,ALT and AST≤5 times upper limits of normal); bilirubin\<2.0 mg/dL.
  8. Renal function:BUN: 9-20mg / dl; serum creatinine≤ 1.5 times upper limits of normal; endogenous creatinine clearance rate≥50 ml/min .
  9. Negative serum antibody for EBV, CMV, HIV , syphilis, HBVa nd HCV.
  10. Cardiac function: stable hemodynamic and left ventricular ejection fraction (LVEF)>=55%.
  11. ECOG score:0-1.
  12. Adequate venous access for apheresis, and no other contraindications for leukapheresis .
  13. Women of child-bearing age must have evidence of negative pregnancy test. Subjects of reproductive potential must agree to use acceptable birth control methods within 1 year after treatment, as described in protocol.
  14. Subjects with hypertension/diabetes must be stable blood pressure/blood glucose or ≤CTCAE 1 level 2 weeks before the screening.

In addition to the above criteria for inclusion, the following criteria shall be met according to the indications:

Patients with glioblastoma:

  1. First disease progression or disease recurrence (≥ 1 cm and ≤ 5 cm) of a supratentorial WHO grade IV malignant glioma (GBM or gliosarcoma) based on imaging studies with measurable disease.
  2. EGFRvIII, the target antigen, must be identified on tumor tissue by IHC or PCR, i.e. EGFRvIII positive via pathology report.
  3. Insensitivity to chemoradiotherapy or chemoradiotherapy failure after operation molecular pathology.
  4. Refused to receive radiotherapy or chemotherapy treatment.

Patients with liver cancer

  1. DR5 or EGFRvIII positive via pathology report.
  2. Untreatable by surgery ; Or postoperative recurrence ;Or no effective treatment.
  3. Liver function:child-pugh A grade or child-pugh B grade.

Patients with gastric cancer

  1. Mesothelin positive via pathology report.
  2. The pathological stage:IIIA~IV.
  3. chemoradiotherapy failure
  4. Refused or unable to get surgery.

Patients with esophageal cancer

  1. NY-ESO-1 positive via pathology report and HLA-A*0201 positive in blood.
  2. Refuse or unable to get surgery.
  3. Postoperative recurrence or chemoradiotherapy failure.

Exclusion criteria

Exclusion Criteria:

  1. ECOG≥2.
  2. malignant tumor cells with T cell origin via pathology test.
  3. Organ failure: stage III or IV congestive heart failure; Renal failure and uremia; respiratory failure; disturbance of consciousness.
  4. Acute or chronic GVHD after allogeneic hematopoiesis; Or being treated for GVHD; Or hormone or immunosuppressant used within 30 days
  5. steroid hormoneswere used before and after blood collection and infusion
  6. Patients with HIV infection or active hepatitis
  7. Uncontrolled active infection.
  8. Enrolled to other clinical study in the last 4 weeks.
  9. Patients with systemic auto-immune disease or immunodeficiency.
  10. Patients with neuropathy or psychosis, including dementia or epilepsy, or history of psychotropic substance abuse, or other substantial lesions that may increase central neurotoxicity.
  11. Concomitant with the second tumor or other malignant tumors.
  12. Patients with bone metastases are at risk of a pathological fracture resulting in paraplegia or life threatening.
  13. Live attenuated vaccine was administered within 4 weeks prior to blood collection.
  14. Blood oxygen saturation is maintained by oxygen inhalation.
  15. Received major surgery within 2 weeks prior to screening ;Or Plan to receive surgery during study or within 2 weeks after injection.
  16. Other patients that researchers considered unsuitable for inclusion.
04

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
50 participants (estimated)

Study arms

  • Experimental
    CAR-T/TCR-T cells immunotherapy

    Enrolled patients will receive CAR-T cell immunotherapy with several different specific Chimeric antigen receptors aiming at different antigens respectively by infusion.

    Biological: CAR-T/TCR-T cells immunotherapy

Interventions

  • BiologicalCAR-T/TCR-T cells immunotherapy

    According to tumor burden and other conditions, patients will be treated with cyclophosphamide or fludarabine,then,CAR-T cells will be infused 48-72 hours later.

05

What researchers measure

Primary outcomes

  1. Number of Participants With Adverse Events evaluated with NCI CTC AE, version 4.0

    Safety evaluation

    Time frame: 48 months

Secondary outcomes

  1. Clinical response

    Clinical response to T-cell infusion, especially change of tumor volume will be evaluated by comparing disease identified by computed tomography, magnetic resonance imaging.

    Time frame: 48 months

06

Study locations

1 of 1 sites recruiting
  • Henan Provincial People's Hospital
    Zhengzhou, Henan 450052, China
    • Shuangyin Han · Contact · hansyzzu@163.com · +8613203710057
    • Chun-Xiao Ma · Contact · chxma@126.com · +8615038287266
    • Shuangyin Han · Principal investigator
    • Chun-Xiao Ma · Principal investigator
    Recruiting
07

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT03941626
Lead sponsor
Shenzhen BinDeBio Ltd.
Collaborators
Henan Provincial People's Hospital
Responsible party
Sponsor
First posted
May 8, 2019
Start date
Sep 1, 2019
Primary completion
May 1, 2021 (estimated)
Completion
Dec 1, 2021 (estimated)
Last update
Feb 4, 2021

Study contacts

ZHONG HUA YANG
Contact
zh.yang@bindebio.com
+8618938688105 ext. +8618938688105

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is status unknown, as verified in Feb 2021. You cannot join it, but the record below documents what was studied.

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