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RecruitingNCT05410717Updated Jun 25, 2024

CLDN6/GPC3/Mesothelin/AXL-CAR-NK Cell Therapy for Advanced Solid Tumors

A Phase 1 interventional study of Claudin6, GPC3, Mesothelin, or AXL targeting CAR-NK cells in Stage IV Ovarian Cancer, Testis Cancer, Refractory and Endometrial Cancer Recurrent, sponsored by Second Affiliated Hospital of Guangzhou Medical University. Recruiting at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2024-06-25.

Sponsored by Second Affiliated Hospital of Guangzhou Medical University · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Jun 2022; still recruiting 4 years 4 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
200
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This study is an open, exploratory clinical study to evaluate the safety and preliminary efficacy of Claudin6, GPC3, Mesothelin, or AXL targeting CAR-NK cells in patients with Claudin6, GPC3, Mesothelin, or AXL-positive advanced solid tumors (ovarian cancer and others)

Read the detailed description
  1. Choose appropriate advanced cancer patients with Claudin6, GPC3, Mesothelin, or AXL expression, with written consent for the study;
  2. Perform PBMCs apheresis from the patient and isolate NK cells, transfect the NK cells with Claudin6, GPC3, Mesothelin, or AXL targeting CAR, amplify the number of transfected NK cells as needed, test the quality and killing activity of the Claudin6, GPC3, Mesothelin, or AXL-CAR-NK cells and then transplant back the patients via systemic or local infusions (via artery or intra-tumor), and follow up closely to collect related results as needed;
  3. To enhance the killing capability, some CAR-NK cells are genetically engineered to express and secret IL7/CCL19 and/or SCFVs against PD1/CTLA4/Lag3; some CAR-NK cells are combined with Cannabidiol(CBD) or Nicotinamide adenine dinucleotide (NAD);
  4. Evaluate the clinical results as needed.
  5. Will also perform the similar clinical trial on different cancer types with Claudin6, GPC3, Mesothelin, or AXL expression.
02

Conditions studied

  • Stage IV Ovarian Cancer
  • Testis Cancer, Refractory
  • Endometrial Cancer Recurrent
  • CAR NK

Keywords

  • Solid tumor
  • Claudin6
  • CAR NK
  • GPC3
  • Mesothelin
  • AXL
  • Cannabidiol
  • Nicotinamide adenine dinucleotide
  • IL7
  • CCL19
  • PD1 antibody
  • PDL1 antibody
  • CTLA1 antibody
03

In context

Endometrial Neoplasms

1,325 studies on the registry are indexed under Endometrial Neoplasms; 447 are open to participants now.

This study's planned enrollment of 200 is above the median of 70 across 941 interventional studies indexed under Endometrial Neoplasms.

Browse Endometrial Neoplasms studies →

Lead sponsor

Second Affiliated Hospital of Guangzhou Medical University is the lead sponsor of 69 studies on the registry; 49 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. patients with advanced ovarian cancer or other cancers with expression of claudin6.
  2. Life expectancy >12 weeks
  3. Adequate heart,lung,liver,kidney function
  4. Available autologous transduced NK cells with greater than or equal to 20% expression of Claudin6, GPC3, Mesothelin, or AXL-CAR determined by flow-cytometry and killing of claudin6-positive targets greater than or equal to 20% in cytotoxicity assay
  5. Informed consent explained to, understood by and signed by patient/guardian. Patient/guardian given copy of informed consent. -

Exclusion criteria

Exclusion Criteria:

  1. Had accepted gene therapy before;
  2. Tumor size more than 25cm;
  3. Severe virus infection such as HBV,HCV,HIV,et al
  4. Known HIV positivity
  5. History of liver/renal transplantation
  6. Active infectious disease related to bacteria, virus,fungi,et al
  7. Other severe diseases that the investigators consider not appropriate;
  8. Pregnant or lactating women
  9. Systemic steroid treatment (greater than or equal to 0.5 mg prednisone equivalent/kg/day)
  10. Other conditions that the investigators consider not appropriate. -
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
200 participants (estimated)

Study arms

  • Experimental
    CAR-NK cell therapy group

    Appropriate patients who could benefit from the Claudin6, GPC3, Mesothelin, or AXL targeting CAR-NK cell therapy against solid cancers are chosen to be the CAR-NK cell therapy group.

    Biological: Claudin6, GPC3, Mesothelin, or AXL targeting CAR-NK cells

  • Experimental
    IL7/CCL19 secreting CAR-NK cell therapy group

    Appropriate patients who could benefit from the Claudin6, GPC3, Mesothelin, or AXL targeting CAR-NK cell therapy against solid cancers are chosen to be the IL7/CCL19 secreting CAR-NK cell therapy group.

    Biological: Claudin6, GPC3, Mesothelin, or AXL targeting CAR-NK cells

  • Experimental
    PD1/PDL1/CTLA4-scfv secreting CAR-NK cell therapy group

    Appropriate patients who could benefit from the Claudin6, GPC3, Mesothelin, or AXL targeting CAR-NK cell therapy against solid cancers are chosen to be the PD1/PDL1/CTLA4-scfv secreting CAR-NK cell therapy group.

    Biological: Claudin6, GPC3, Mesothelin, or AXL targeting CAR-NK cells

  • Experimental
    CAR-NK cell plus CBD therapy group

    Appropriate patients who could benefit from the Claudin6, GPC3, Mesothelin, or AXL targeting CAR-NK cell therapy against solid cancers are chosen to be the CAR-NK cell plus CBD therapy group.

    Biological: Claudin6, GPC3, Mesothelin, or AXL targeting CAR-NK cells

  • Experimental
    CAR-NK cell plus NAD therapy group

    Appropriate patients who could benefit from the Claudin6, GPC3, Mesothelin, or AXL targeting CAR-NK cell therapy against solid cancers are chosen to be the CAR-NK cell plus NAD therapy group.

    Biological: Claudin6, GPC3, Mesothelin, or AXL targeting CAR-NK cells

Interventions

  • BiologicalClaudin6, GPC3, Mesothelin, or AXL targeting CAR-NK cells

    Engineering Claudin6, GPC3, Mesothelin, or AXL targeting CAR combined with/or without IL7/CCL19 and/or scfv against PD1/CTLA4/Lag3 secreting vector into NK cells, which are isolated from patients with advanced ovarian cancer or other cancers with expression of Claudin6, GPC3, Mesothelin, or AXL, and then transfusing them back the patients. In some cases, the CAR-NK cells will be combined with CBD or NAD to enhance the therapeutic efficacy.

06

What researchers measure

Primary outcomes

  1. Safety by Common Terminology Criteria for Adverse Events (CTCAE) V5.0

    The type, frequency, severity, and duration of adverse events as a result of Claudin6, GPC3, Mesothelin, or AXL- CAR-NK cells infusion will be summarized.

    Time frame: After CAR-NK cells infusion, up to 52 weeks.

Secondary outcomes

  1. Objective Response Rate (ORR)

    Per Response Evaluation Criteria in Solid Tumours (RECIST 1.1) assessed by MRI or CT. ORR defined as the proportion of patients in whom a complete response (CR) or partial response (PR) is observed as best overall response, prior to progression or further anti-cancer therapy.

    Time frame: After CAR-NK cells infusion, up to 52 weeks.

  2. Disease control rate (DCR)

    Disease control rate (DCR) defined as the proportion of patients in whom a CR or PR or stable disease (SD) (per RECIST 1.1, SD assessed at least 6 weeks after the first dose) is observed as best overall response.

    Time frame: up to 52 weeks.

  3. Duration of response (DOR)

    Duration of response (DOR) defined as the time from first objective response (CR or PR per RECIST 1.1) to first occurrence of objective tumor progression (Progressive disease (PD) per RECIST 1.1/recurrence) or death from any cause, whichever occurs first.

    Time frame: up to 36 months

07

Study locations

1 of 1 sites recruiting
  • The Second Affiliated Hospital of Guangzhou Medical University
    Guangzhou, Guangdong, China
    • Zhenfeng Zhang, MD, PHD · Contact
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 25, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05410717
Lead sponsor
Second Affiliated Hospital of Guangzhou Medical University
Responsible party
Sponsor
First posted
Jun 8, 2022
Start date
Jun 1, 2022
Primary completion
Jun 1, 2030 (estimated)
Completion
May 31, 2036 (estimated)
Last update
Jun 25, 2024

Study contacts

Zhenfeng Zhang, MD, PHD
Contact
zhangzhf@gzhmu.edu.cn
+862039195966
Bingjia He, MD
Contact
464677938@qq.com
+862039195965
Zhenfeng Zhang, MD, PHD
principal investigator · Second Affiliated Hospital of Guangzhou Medical University

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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