huCART-meso + VCN-01 in Pancreatic and Ovarian Cancer
Phase 1 Trial of Human Chimeric Antigen Receptor Modified T Cells (huCART-meso) Administered in Combination With VCN-01 in Patients With Pancreatic and Serous Epithelial Ovarian Cancer
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
This is a Phase I study evaluating the safety and feasibility of lentiviral transduced huCARTmeso cells when given in combination with VCN-01.
Dose Finding Phase:
This study was initiated using a 3+3 dose (de)escalation design in order to explore the initial safety of these drugs when given in combination, as well as to establish the recommended expansion dose of VCN-01 in this setting.
Expansion Phase:
The trial was expanded to include two parallel treatment arms further exploring the dosing sequence and schedule of these two investigational products when given in combination.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Abramson Cancer Center Clinical Trials Services
- Phone Number: 855-216-0098
- Email: PennCancerTrials@careboxhealth.com
Study Locations
-
-
Pennsylvania
-
Philadelphia, Pennsylvania, United States, 19104
- University of Pennsylvania
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Patients with one of the following diagnoses:
- Histologically confirmed unresectable or metastatic pancreatic adenocarcinoma; OR
- Persistent or recurrent serous epithelial ovarian cancer
- Progression or intolerance to at least one prior standard of care chemotherapy for advanced stage disease.
- Subjects must have measurable disease as defined by RECIST 1.1 criteria.
- Patients ≥ 18 years of age.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
Adequate organ and bone marrow function defined as:
- Hemoglobin ≥ 9 g/dL
- Platelets ≥ 75,000/µl
- PT/INR and PTT ≤ 1.5 x ULN
- Bilirubin ≤ 2.0 x ULN
- Creatinine ≤ 1.5 x ULN
- ALT/AST ≤ 5 x ULN (subjects with liver metastases) or ALT/AST ≤ 2.5 x ULN (subjects without liver metastases)
- Must have a minimum level of pulmonary reserve defined as ≤ Grade 1 dyspnea and pulse oxygen > 92% on room air
- Left Ventricle Ejection Fraction (LVEF) ≥ 40% confirmed by ECHO/MUGA
- Provides written informed consent.
- Subjects of reproductive potential must agree to use acceptable birth control methods, as described in the protocol
Exclusion Criteria:
- Patients with known CNS metastases
- Active invasive cancer other than the one of the two cancers targeted by this study. Patients with active non-invasive cancers (such as non-melanoma skin cancer, superficial cervical and bladder and prostate cancer with PSA level < 1.0) are not excluded.
- Active hepatitis B or hepatitis C infection.
- Chronic hepatitis C with a FibroScan score equivalent to fibrosis stage 2 (F2) or greater.
- Patients with known cirrhosis.
- Patients with ongoing or active infection.
- Patients with a known history of Li Fraumeni syndrome or retinoblastoma protein pathway germinal deficiency.
- Active autoimmune disease requiring systemic immunosuppressive treatment equivalent to ≥ 10 mg of prednisone. Patients with autoimmune neurologic diseases (such as MS) will be excluded.
- Planned concurrent treatment with systemic high dose corticosteroids. Patients may be on a stable low dose of steroids (≤ 10mg equivalent of prednisone). Use of inhaled steroids is allowable.
- Patients requiring supplemental oxygen therapy.
- History of allergy or hypersensitivity to study product excipients (human serum albumin, DMSO, and Dextran 40).
- Any clinically significant pericardial effusion, Class II-IV cardiovascular disability according to the New York Heart Association Classification or other cardiovascular condition that would preclude assessment of mesothelin induced pericarditis or that may worsen as a result of toxicities expected for this study. This determination will be made by a cardiologist if cardiac issues are suspected.
- Pregnant or breastfeeding women.
- RETIRED WITH PROTOCOL VERSION 5.
Patients with significant lung disease as follows:
- Patients with radiographic evidence of greater than lobar lymphangitic pulmonary involvement, greater than lobar bronchial wall thickening suggestive of peribronchial lymphatic disease extension, and/or evidence of extensive bilateral parenchymal metastatic burden.
- Patients with radiographic and/or clinical evidence of active radiation pneumonitis.
- Patients with radiographic evidence of underlying interstitial lung disease, including evidence of unresolved drug toxicity from any agent (e.g. chemotherapy, targeted agents, amiodarone, nitrofurantoin, etc.)
- Patients with prior/ongoing treatment that will not accommodate washout requirements for immune checkpoint inhibitors
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Cohort 1
Single dose of 3.3x10(12) vp of VCN-01 on Day 0, followed by a single dose of 5x10(7) of huCART-meso cells on Day 14.
|
Intravenous administration of VCN-01
Intravenous administration of huCART-meso cells
|
|
Experimental: Cohort 2
Single dose of 1x10(13) vp of VCN-01 on Day 0, followed by a single dose of 5x10(7) of huCART-meso cells on Day 14.
|
Intravenous administration of VCN-01
Intravenous administration of huCART-meso cells
|
|
Experimental: Cohort -1
In the event that 2 DLTs occur in Cohort 1, then enrollment in Cohort 1 will be stopped and Cohort -1 will be opened for evaluation.
Enrolled subjects will receive a single dose of huCART-meso cells on Day 0 followed by a single dose of 3.3x10(12) vp of VCN-01 on Day 14.
|
Intravenous administration of VCN-01
Intravenous administration of huCART-meso cells
|
|
Experimental: Expansion Arm A
Recommended expansion dose of VCN-01 as a single IV infusion on Day 0, followed by a single dose of 5x10^7 huCART-meso cells on Day 7 (+3d) via IV infusion.
|
Intravenous administration of VCN-01
Intravenous administration of huCART-meso cells
|
|
Experimental: Expansion Arm B
Single dose of 5x10^7 huCART-meso cells on Day 0 via IV infusion followed by the recommended expansion dose of VCN-01 as a single IV infusion on Day 7 (+3d).
|
Intravenous administration of VCN-01
Intravenous administration of huCART-meso cells
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Type, frequency, severity, and attribution of AEs/SAEs as assessed by CTCAE v 5.0
Time Frame: 2 years
|
2 years
|
|
|
Occurrence of dose-limiting toxicities.
Time Frame: 2 years
|
2 years
|
|
|
Recommended expansion dose of VCN-01 administered in combination with huCART-meso cells
Time Frame: 42 days after Infusion #1 (huCART-meso cells or VCN-01 dependent on cohort assignment)
|
highest VCN-01 dose at which 0 or 1 DLT occurs in 6 DLT-evaluable subjects
|
42 days after Infusion #1 (huCART-meso cells or VCN-01 dependent on cohort assignment)
|
|
Occurrence of treatment-limiting toxicities (TLTs)
Time Frame: 28 days after Infusion #1 (huCART-meso cells or VCN-01 dependent on arm assignment)
|
Number of subjects who either a) receive huCARTmeso cells and VCN-01 as per their arm assignment, or b) have a TLT qualifying event after receipt of either VCN-01 or huCART-meso cells.
|
28 days after Infusion #1 (huCART-meso cells or VCN-01 dependent on arm assignment)
|
|
Comparison of the safety profiles of the two treatment arms via descriptive analysis
Time Frame: Up to 15 years post infusion
|
Up to 15 years post infusion
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Overall Survival (OS)
Time Frame: 15 years
|
15 years
|
|
|
Overall Response Rate (ORR)
Time Frame: 15 years
|
15 years
|
|
|
Best Overall Response (BOR)
Time Frame: 15 years
|
15 years
|
|
|
Duration of Response (DOR)
Time Frame: 15 years
|
15 years
|
|
|
Progression Free Survival (PFS)
Time Frame: 15 years
|
15 years
|
|
|
Proportion of subjects enrolled who receive one or both of the intended study infusions
Time Frame: 2 years
|
In the Expansion Phase, the proportion of subjects in each treatment arm will be compared via descriptive analysis.
|
2 years
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Janos L. Tanyi, MD, PhD, University of Pennsylvania
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- UPCC# 03821, IND #27590
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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