Clinical Study on the Efficacy and Safety of CAR-DC in the Treatment of Advanced Solid Tumors
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Early Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Chen Junhui, professor
- Phone Number: +86 138 2316 1919
- Email: chenjhpush@126.com
Study Locations
-
-
Guangdong
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Shenzhen, Guangdong, China, 518036
- Peking University Shenzhen Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Aged 18-70, regardless of gender;
- Diagnosed as EphA2or Claudin18.2, TROP2, HER2, GCC, GPC-3, CEA positive advanced solid tumors, such as lung cancer, liver cancer, colorectal cancer, gastric cancer, etc; Note: Advanced solid tumors refer to locally advanced (stage III patients) and metastatic advanced (stage IV patients) TNM staging by the American Cancer Society (AJCC).
- Immunohistochemical analysis of pathological tissue approves positive expression for one of the following antigens, including EphA2, Claudin18.2, TROP2, HER2, GCC, GPC-3 and CEA, with expression intensity ≥ 2+;
- Failed response to standard treatment or unwilling/intolerant to all standard treatment regimens;
- Imaging indicates measurable tumor lesions;
- ECOG PS score: 0-2;
- Expected survival time is greater than 3 months;
Maintaining good organ function and bone marrow reserve capacity:
- Bone marrow: Absolute neutrophil count (ANC) ≥ 1.0 × 10^9/L, platelet count ≥ 50 × 10^9/L, hemoglobin ≥ 80 g/L, and no blood transfusion or biological regulator treatments (such as granulocyte colony-stimulating factor, red blood cell growth factor, etc.) within 14 days prior to screening;
- Kidney: creatinine (Cr) ≤ 1.5 × ULN, or creatinine clearance rate (Ccr) ≥ 50 mL/min (according to the Cockcroft-Gault formula); Urine output>10 mL/h within 16-24 hours;
- Coagulation: International Normalized Ratio (INR) ≤ 1.5 × ULN, and Activated Partial Thromboplastin Time (APTT) ≤ 1.5 × ULN (excluding those receiving therapeutic anticoagulants);
- Other: Blood oxygen saturation ≥ 90%, negative fecal occult blood test, etc.
- The patient is willing to enroll and signs a written informed consent form, and is able to undergo diagnosis, treatment, and visits according to the protocol.
Exclusion Criteria:
- Pregnant and lactating women; (The pregnancy test results are included in the CRF)
- The patient can not guarantee effective contraceptive measures (such as condoms or birth control pills) within one year after enrollment;
- Patients with brain metastases exhibiting significant psychiatric and neurological symptoms;
- Serious heart diseases such as arrhythmia;
- Autoimmune diseases;
- Active bacterial, fungal, and other infections;
- Infectious diseases: such as HIV, syphilis, tuberculosis, viral hepatitis and other diseases;
- Patients are receiving medications such as glucocorticoids, thrombolytic drugs, and antipsychotic drugs;
- Patients are believed not suitable for this clinical trial for other reasons by investigators.
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: treatment
The patients will be treated with CAR-DC infusion.
|
The patients will receive intravenous injection (iv) of 30 million CAR-DC for two rounds at an interval of 14 days.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
To evaluate the objective response rate (ORR) of CAR-DC therapy
Time Frame: 2 years
|
The ORR is evaluated according to Response Evaluation Criteria in Solid Tumours 1.1 (RECIST1.1) .
|
2 years
|
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To evaluate the disease control rate (DCR) of CAR-DC therapy
Time Frame: 2 years
|
The DCR is evaluated according to RECIST1.1 criteria.
|
2 years
|
|
The quality of life assessment of CAR-DC therapy
Time Frame: 2 years
|
The quality of life is evaluated according to the Eastern Cooperative Oncology Group (ECOG).
|
2 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
To evaluate the cytokine release syndrome (CRS) of CAR-DC therapy
Time Frame: 2 years
|
The CRS is evaluated according to National Cancer Institute - the Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0 (NCI CTCAE5.0).
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2 years
|
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To evaluate the neurotoxicity of CAR-DC therapy
Time Frame: 2 years
|
Neurotoxicity is evaluated according to NCI CTCAE5.0
|
2 years
|
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To evaluate the survival time of CAR-DC in patient peripheral blood
Time Frame: 2 years
|
The survival time of CAR-DC in patient peripheral blood is analysed by flow cytometry of patient blood samples.
|
2 years
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Estimated)
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
Keywords
Other Study ID Numbers
Other Study ID Numbers
- 2024-164 (Research) -02
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- CSR
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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