- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03431311
T Cell Receptor Based Therapy of Metastatic Colorectal Cancer (TCR-CRC-001)
Protocol for Treatment Under Hospital Exemption: T Cell Receptor Based Therapy of Metastatic Colorectal Cancer With mRNA-engineered T Cells Targeting Transforming Growth Factor Beta Receptor Type II (TGFβII)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Patients with advanced metastatic colorectal cancer who have no other effective treatment options will be offered the treatment. These patients have a poor prognosis, and there is a strong need for improved therapy.
The patients will be given adoptive cell therapy (ACT) with Radium-1 TCR+ T cells transiently redirected against the TGFβRII frameshift antigen which is expressed in MSI+ colon cancer. The first report on TCR therapy in colon cancer was targeting carcinoembryonic antigen (CEA) where some evidence of clinical response was seen, but the T-cell function may have been inhibited due to the necessity to resolve the severe colitis which occurred due to the presence of CEA in normal cells in the colon. This demonstrates the feasibility of T-cell therapy in metastatic colon cancer, but also the limitations of targeting CEA as an antigen.
Study Type
Enrollment (Actual)
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Locations
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Oslo, Norway, 0379
- Oslo University Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients with metastatic colon cancer which is MSI+ with the presence of the -1A deletion in TGFβRII gene, and positive for HLA-A02 genotype
- Measurable disease
- Female or male patients. Fertile females must have a negative pregnancy test before inclusion in the trial. Both fertile men and women must be ready and able to use highly effective methods of contraception, defined as use of oral, implanted, injectable, and mechanical or barrier products for the prevention of pregnancy during participation of the trial
- Eastern Cooperative Oncology Group (ECOG) performance score of 0 to 1
- Age 18 years and older
- Life expectancy of at least 3 months
- Signed informed consent (by the subject or subject's legal representative) obtained before any trial-related procedures.
- Adequate organ function, measured by pre-defined laboratory values
Exclusion criteria
- Other metastatic malignancies
- Any other anti-tumour treatment within 4 weeks prior to first administration of cells.
- Steroid treatment, except substitution dose
- Significant cardiac or other medical illness that would limit activity or survival, such as severe congestive heart failure, unstable angina or serious cardiac arrhythmia
- Active infection requiring antibiotic therapy
- Pregnancy or lactation
- Known hypersensitivity to any of the components of the investigational product
- Patients who test positive for hepatitis B, C, HIV or syphilis
- Any reason why, in the opinion of the investigator, the patient should not participate
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Adoptive Cell Therapy (ACT)
The ACT will be administered as two intravenous (i.v.) injections of GMP TCR T cells per week for 6 weeks. Escalating dose per week, from 1 x108 cells (week 1) to 2x109 cells (week 4 onwards) using a central venous catheter. The doses listed indicate the maximum number of T cells per injection at any given time point. |
T cell receptor based therapy of metastatic colorectal cancer with mRNA-engineered T cells targeting mutant transforming growth factor beta receptor type II (TGFβII)
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incidence, nature, and severity of adverse events graded according to NCI CTCAE v4.0
Time Frame: 2 years
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Incidence, nature, and severity of adverse events graded according to NCI CTCAE v4.0
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2 years
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Progression free survival (PFS)
Time Frame: 2 years
|
PFS defined as time from treatment to objective progression (as assessed by RECIST v1.1)
|
2 years
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Radiological response rate (ORR)
Time Frame: 2 years
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ORR defined as the proportion of patients with an objective tumor response
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2 years
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Overall survival (OS)
Time Frame: 2 years
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OS defined as time from treatment to date of death from any cause
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2 years
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Svein Dueland, MD PhD, Oslo University Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- TCR-CRC-001
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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