IL1RAP-targeting Chimeric Antigen Receptor T Cells in the Treatment of Relapsed/Refractory Hepatocellular Carcinoma
A Phase 1 Study of IL1RAP-targeting Chimeric Antigen Receptor T Cells in the Treatment of Relapsed/Refractory Hepatocellular Carcinoma
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
- Biological: Gene modified anti-IL1RAP Chimeric Antigen Receptor T Cells :1.0×10^8(First dose group)
- Biological: Gene modified anti-IL1RAP Chimeric Antigen Receptor T Cells :2.5×10^8(Second dose group)
- Biological: Gene modified anti-IL1RAP Chimeric Antigen Receptor T Cells :5.0×10^8(Third dose group)
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Jia Fan
- Phone Number: 021-64041990
- Email: fan.jia@zs-hospital.sh.cn
Study Locations
-
-
Shanghai Municipality
-
Shanghai, Shanghai Municipality, China, 200000
- Zhongshan Hospital Affiliated to Fudan University
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age 18-70 years old, male or female;
- Patients with advanced hepatocellular carcinoma who are confirmed by histopathology and/or cytology to be ineligible for surgery and local radical therapy and who have developed tumor progression or toxicity intolerance following at least one standardized systemic therapy (including molecularly targeted agents and immune checkpoint inhibitors) or interventional therapy
- Liver cancer subjects with stage II or III of China Liver Cancer Staging (CNLC) as defined by Barcelona Clinic Liver Cancer (BCLC) B/C level or the Code of Practice for Primary Liver Cancer Diagnosis and Treatment (2022 edition);
- Expected survival ≥3 months
- Before the start of the research related procedures, after explaining the research content, voluntarily participate and be able to sign the informed consent; Agree to and have the ability to follow study visits, imaging tests, laboratory tests, and other research procedures in the study plan;
- Good compliance, willing and able to follow all research procedures, and cooperate with observation and follow-up.
Exclusion Criteria:
- Have had other uncured malignancies within the past 5 years or at the same time, except for in situ cancers considered clinically curable, such as cervical carcinoma in situ and basal cell carcinoma of the skin
- Central nervous system metastases and clinically significant central nervous system diseases
- Pregnant or lactating women;
- The investigator believes that the subjects have any circumstances that make them unfit to participate in this clinical study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Gene modified anti-IL1RAP Chimeric Antigen Receptor T Cells
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Different dose groups
Biological: Gene modified anti-IL1RAP Chimeric Antigen Receptor T Cells :2.5×10^8(Second dose group)
Different dose groups
Different dose groups
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Number of participants with Dose Limited Toxicity
Time Frame: Within 28 days after the cell infusion
|
Within 28 days after the cell infusion
|
|
Number of participants with treatment associated adverse events (AE) and serious adverse events (SAE) according to CTCAE v5.0
Time Frame: From the start of PBMC collection until subject withdrawal or 12 months after cell infusion, participants who withdraw without cell infusion will be only collected for AEs within 28 days after the study-related procedure or other treatment begins
|
From the start of PBMC collection until subject withdrawal or 12 months after cell infusion, participants who withdraw without cell infusion will be only collected for AEs within 28 days after the study-related procedure or other treatment begins
|
|
Number of participants with cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS)
Time Frame: From the start of PBMC collection until subject withdrawal or 12 months after cell infusion, participants who withdraw without cell infusion will be only collected for AEs within 28 days after the study-related procedure or other treatment begins
|
From the start of PBMC collection until subject withdrawal or 12 months after cell infusion, participants who withdraw without cell infusion will be only collected for AEs within 28 days after the study-related procedure or other treatment begins
|
|
Number of participants with treatment associated changes in clinically significant laboratory safety test values
Time Frame: From the start of PBMC collection until subject withdrawal or 12 months after cell infusion, participants who withdraw without cell infusion will be only collected for AEs within 28 days after the study-related procedure or other treatment begins
|
From the start of PBMC collection until subject withdrawal or 12 months after cell infusion, participants who withdraw without cell infusion will be only collected for AEs within 28 days after the study-related procedure or other treatment begins
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Curative effect evaluation
Time Frame: 3 months after cell infusion
|
3-month objective response rate (ORR); 、
|
3 months after cell infusion
|
|
Disease control rate (DCR)
Time Frame: 3 months, 6 months, 1 year, 2years after cell infusion
|
3 months, 6 months, 1 year, 2years after cell infusion
|
|
|
Changes of serum IL1RAP level
Time Frame: 3 months, 6 months, 1 year, 2years after cell infusion
|
3 months, 6 months, 1 year, 2years after cell infusion
|
|
|
Changes of copy number and absolute value of CAR-T cells targeting IL1RAP in peripheral blood
Time Frame: 3 months, 6 months, 1 year, 2years after cell infusion
|
3 months, 6 months, 1 year, 2years after cell infusion
|
|
|
Progression-free survival (PFS)
Time Frame: 3 months, 6 months, 1 year, 2years after cell infusion
|
3 months, 6 months, 1 year, 2years after cell infusion
|
|
|
Median PFS
Time Frame: 3 months, 6 months, 1 year, 2years after cell infusion
|
3 months, 6 months, 1 year, 2years after cell infusion
|
|
|
Time to remission (TTR)
Time Frame: 3 months, 6 months, 1 year, 2years after cell infusion
|
3 months, 6 months, 1 year, 2years after cell infusion
|
|
|
Duration of response after administration (DOR)
Time Frame: 3 months, 6 months, 1 year, 2years after cell infusion
|
3 months, 6 months, 1 year, 2years after cell infusion
|
|
|
Survival time: Median overall survival (mOS)
Time Frame: 6 months, 1 year, 2years after cell infusion
|
6 months, 1 year, 2years after cell infusion
|
|
|
OS rate
Time Frame: 6 months, 1 year, 2years after cell infusion
|
6 months, 1 year, 2years after cell infusion
|
|
|
PFS rate
Time Frame: 3 months, 6 months, 1 year, 2years after cell infusion
|
3 months, 6 months, 1 year, 2years after cell infusion
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
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
- B2024-272(2)
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
product manufactured in and exported from the U.S.
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