An Early Phase 1 interventional study of BGT007 Cell Injection and Fludarabine in Nasopharyngeal Carcinoma, sponsored by The Affiliated Hospital of Xuzhou Medical University. Recruiting at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2022-12-15.
Sponsored by The Affiliated Hospital of Xuzhou Medical University · Early Phase 1, Interventional, and Treatment
This is an exploratory study to evaluate the safety and preliminary effectiveness of BGT007 cells in the treatment of recurrent/metastatic nasopharyngeal carcinoma
The researchers designed a single arm, open, exploratory study to improve the "3+3" dose escalation. The maximum dose or the best effective dose shall be determined according to the subject and dose increasing test to verify the safe and effective number of cells per unit weight. The improved "3+3" dose increasing design was adopted, and BGT007 cells were set with 5 dose groups that were gradually increased for treatment evaluation. The dose groups were 5.0 × 10\^5cells/kg,1.0 × 10\^6cells/kg,3.0 × 10\^6cells/kg,6.0 × 10\^6cells/kg,1.0 × 10\^7cells/kg。 Cell reinfusion will be carried out on day 0 (d0), and each subject will be observed for at least 4 weeks after receiving cell reinfusion (DLT observation period)
6,741 studies on the registry are indexed under Carcinoma; 1,161 are open to participants now.
This study's planned enrollment of 23 is below the median of 45 across 5,170 interventional studies indexed under Carcinoma.
Browse Carcinoma studies →The Affiliated Hospital of Xuzhou Medical University is the lead sponsor of 66 studies on the registry; 31 are open to participants now.
Counted across the registry records on this site, refreshed daily.
routine blood test
Neutrophil count (NEUT #) ≥ 1.0 × 10\^9/L
Platelet count (PLT) ≥ 80 × 10\^9/L
Hemoglobin concentration ≥ 90g/L
Liver function: subjects without liver metastasis
Aspartate aminotransferase (AST) ≤ 2.5 × Upper limit of normal value (ULN)
Alanine aminotransferase (ALT) ≤ 2.5 × Upper limit of normal value (ULN)
Total bilirubin (TBIL) ≤ 1.5 × ULN
Liver function: subjects with liver metastasis
Aspartate aminotransferase (AST) ≤ 5 × Upper limit of normal value (ULN)
Alanine aminotransferase (ALT) ≤ 5 × Upper limit of normal value (ULN)
Liver function: subjects with liver metastasis or Gilbert syndrome
Total bilirubin (TBIL) ≤ 2 × ULN
renal function
Creatinine clearance rate (CCR) ≥ 50mL/min
Coagulation function
International normalized ratio (INR) ≤ 1.5 × ULN
Activated partial thromboplastin event (APTT) ≤ 1.5 × ULN
Exclusion Criteria:
Unstable angina pectoris;
Cerebrovascular ischemia or cerebrovascular accident (within 6 months before screening);
Myocardial infarction (within 6 months before screening);
Congestive heart failure (New York Heart Association [HYHA] classification ≥ Ⅲ);
Serious arrhythmia requiring drug treatment;
Heart disease needs treatment or hypertension is out of control after treatment (blood pressure>160mmHg/100mmHg);
In this study, 23 patients diagnosed with recurrent/metastatic nasopharyngeal carcinoma will receive a single intravenous infusion of BGT007 cells after enrollment, with a dose of 5.0 × 10\^5cells/kg,1.0 × 10\^6cells/kg,3.0 × 10\^6cells/kg,6.0 × 10\^6cells/kg,1.0 × 10\^7cells/kg。 One subject was enrolled in each of the first two dose groups, and the other three dose groups were enrolled in accordance with the conventional "3+3" dose increase.
Biological: BGT007 Cell Injection · Drug: Fludarabine · Drug: cyclophosphamide
BGT007 cells (d0) were infused intravenously once, and the dose group was 5.0 × 10\^5cells/kg,1.0 × 10\^6cells/kg,3.0 × 10\^6cells/kg,6.0 × 10\^6cells/kg,1.0 × 10\^7cells/kg。
Fludarabine 25\~30mg/m2/d was infused intravenously for 3 consecutive days. (- 5 days to - 3 days)
Also known as: FLUDARA
250\~350mg/m2/d cyclophosphamide was infused intravenously for 3 consecutive days. (- 5 days to - 3 days)
Also known as: Cytoxan
Dose-limiting toxicity(DLT)
Adverse events related to cell therapy were observed on 28 days after BGT007 cell injection , as specified in the protocol
Time frame: From day 0 to day 28
Cmax
The amplification of BGT007 cells in peripheral blood peaked after administration
Time frame: 12 months
Tmax
Number of days of peak BGT007 cell expansion after administration
Time frame: 12 months
AUC(Day 0 to Day 28)
The area under the curve of BGT007 cells from day 0 to day 28 after administration was plotted by the visit time of BGT007 cells in peripheral blood
Time frame: From day 0 to day 28
ORR
Proportion of patients who achieved pre-defined tumor volume reduction and maintained the minimum time limit.Imaging examination was performed after administration, and RECIST1.1 evaluation criteria was used for evaluation
Time frame: 12 months
PFS
The time from the onset of leukocyte apheresis to the appearance of tumor progression or death.
Time frame: 12 months
OS
The time between leukocyte apheresis and death from any cause.
Time frame: 12 months
Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.
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The Affiliated Hospital of Xuzhou Medical University