- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT04981119
CAR T-세포 제조를 위한 HLA 이형접합 손실(LOH) 및 백혈구 성분채집술에 대한 고형 종양 분석 (BASECAMP-1)
CAR T-세포 치료 제조를 위한 1차 수술 절제술 및 백혈구 성분채집술을 받은 피험자로부터 고형 종양 조직을 얻는 관찰 연구
Objective:
To collect information on how often a solid tumor cancer might lose the Human Leukocyte Antigen (HLA) by next generation sequencing and perform apheresis to collect and store an eligible participant's own T cells for future use to make CAR T-Cell therapy for their disease treatment.
Design:
This is a non-interventional, observational study to evaluate participants with solid tumors with a high risk of relapse for incurable disease. No interventional therapy will be administered on this study. Some of the information regarding the participant's tumor analysis may be beneficial to management of their disease. Participants that meet all criteria may be enrolled and leukapheresed (blood cells collected). The participant's cells will be processed and stored for potential manufacture of CAR T-cell therapy upon relapse of their cancer.
연구 개요
상태
정황
상세 설명
Background:
Human Leukocyte Antigen (HLA) is a protein on the outside of cells that allows the immune system to recognize it's own cells as normal and leave them alone or respond if infected with a virus or bacteria, or a tumor cell. HLA might not be expressed normally on cancer cells. This may be why cancer can grow undetected by the immune system and is referred to as a tumor escape mechanism. Tumor escape can occur for many reasons, but one reason is Loss of Heterozygosity (LOH). LOH is the loss of one of the genes that encodes HLA protein. A2 Biotherapeutics, Inc. (A2 Bio) is developing therapies to recognize, target, and kill cancer cells that do not express HLA normally, and minimize any damage to normal cells that express normal HLA.
Once participants are identified as having LOH on their tumors, apheresis, a procedure to separate and collect white blood cells will be performed. It is the first required step in manufacturing CAR T-cell therapy. The collected T cells will be stored for patients that are likely to benefit from CAR T-cell therapy during their disease care.
Study Design:
Approximately 3000 participants will be screened for part 1 of the study, including HLA typing, approximately 1500 participants will have NGS testing on their tumor samples and be followed for up to 2 years on the study, and up to 500 participants will be screened for part 2 of the study and enrolled if eligible and apheresed and be followed for up to 2 years on the study.
Participants will be screened (Part 1) for HLA type, and based on results, participants will have archived tumor tissue tested by next generation sequencing (NGS) and be followed for up to 2 years. Based on the tumor NGS results, participants may be apheresed (Part 2) for Peripheral Blood Mononuclear Cell (PBMC) collection to store their T cells for a future interventional study upon relapse.
Each participant will proceed through the following study periods:
- Screening (Part 1 and 2)
- Enrollment (Apheresis)
- Post Apheresis safety follow-up (Day 7)
- Two-year long term follow-up
연구 유형
등록 (추정된)
연락처 및 위치
연구 연락처
- 이름: Clinical Trials
- 전화번호: (310)431-9180
- 이메일: ClinicalTrials@a2bio.com
연구 장소
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Arizona
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Gilbert, Arizona, 미국, 85234
- 모병
- Banner Health
-
수석 연구원:
- Matthew Ulrickson, MD
-
연락하다:
- Jace Luzania
- 전화번호: 480-256-5483
- 이메일: Jace.Luzania@bannerhealth.com
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Phoenix, Arizona, 미국, 85054
- 모병
- Mayo Clinic Hospital
-
연락하다:
- Clinical Trials Referral Office
- 전화번호: 855-776-0015
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수석 연구원:
- Antonious Hazim, MD
-
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California
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Duarte, California, 미국, 90101
- 완전한
- City of Hope
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La Jolla, California, 미국, 92093
- 모병
- University of California San Diego
-
수석 연구원:
- Sandip Patel, MD
-
연락하다:
- Anthony Oshmago
- 이메일: aoshmago@health.ucsd.edu
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Palo Alto, California, 미국, 94304
- 모병
- Stanford University
-
연락하다:
- Vivian Leung
- 이메일: vivian0@stanford.edu
-
수석 연구원:
- Wen-Kai Weng, MD
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Santa Monica, California, 미국, 90404
- 모병
- UCLA Medical Center
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수석 연구원:
- J. Randolph Hecht, MD
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부수사관:
- Edward Garon, MD
-
연락하다:
- Karla Largaespada
- 이메일: KLargaespada@mednet.ucla.edu
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Florida
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Jacksonville, Florida, 미국, 32224
- 모병
- Mayo Clinic Jacksonville
-
연락하다:
- Rhoda Romain
- 이메일: Romain.Rhoda@mayo.edu
-
수석 연구원:
- Yanyan Lou, MD, PhD
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Tampa, Florida, 미국, 33136
- 모병
- Moffitt Cancer Center
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부수사관:
- Frederick Locke, MD
-
수석 연구원:
- Kedar Kirtane, MD
-
연락하다:
- Katie Ehm
- 이메일: Katie.Ehm@moffitt.org
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Massachusetts
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Boston, Massachusetts, 미국, 02114
- 완전한
- Massachusetts General Hospital/Dana Farber Cancer Institute
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Minnesota
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Rochester, Minnesota, 미국, 55905
- 모병
- Mayo Clinic Rochester
-
수석 연구원:
- Julian Molina, MD, PhD
-
부수사관:
- Yi Lin, MD, PhD
-
연락하다:
- Ethan Sundsvold
- 이메일: Sundsvold.Ethan@mayo.edu
-
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Missouri
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St Louis, Missouri, 미국, 63110
- 모병
- Washington University
-
수석 연구원:
- Patrick Grierson, MD, PhD
-
연락하다:
- Hussain Hassan
- 이메일: hahassan@wustl.edu
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New York
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New York, New York, 미국, 10016
- 모병
- NYU Langone Medical Center
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수석 연구원:
- Kristen Spencer, DO
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연락하다:
- Phase 1 Screening
- 이메일: DL_NTPH1@nyulangone.org
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Ohio
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Columbus, Ohio, 미국, 43210
- 모병
- The Ohio State University Comprehensive Cancer Center
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연락하다:
- Dudbeth Brown
- 전화번호: 614-685-7034
- 이메일: Dudbeth.Brown@osumc.edu
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수석 연구원:
- Jinesh Gheeya, MD, PhD
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Tennessee
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Nashville, Tennessee, 미국, 37232
- 모병
- Vanderbilt University Medical Center
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연락하다:
- Vanderbilt-Ingram Cancer Center Clinical Trials Office (CTO)
- 전화번호: 1-800-811-8480
- 이메일: CTIP@VUMC.ORG
-
수석 연구원:
- Cathy Eng, M.D., FACP, FASCO
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Texas
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Houston, Texas, 미국, 77030
- 완전한
- MD Anderson Cancer Center
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Washington
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Seattle, Washington, 미국, 98109
- 모병
- Fred Hutchinson Cancer Center
-
수석 연구원:
- Jennifer Specht, MD
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연락하다:
- Shelby Colden
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연락하다:
-
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
샘플링 방법
연구 인구
Participants with Colorectal Cancer (CRC), Non-Small Cell Lung Cancer (NSCLC), Pancreatic Cancer (PANC), mesothelioma, or Ovarian Cancer (OVAC) that is metastatic, unresectable locally advanced, or in the Investigator's opinion the subject is high risk for incurable relapse within two years, germline HLA-A*02 heterozygous, and have confirmed somatic LOH.
설명
Key Eligibility Criteria (additional criteria may apply) Part 1 Key Inclusion Criteria
1. Pathologically confirmed solid tumors, e.g., Colorectal Cancer (CRC), Non-Small Cell Lung Cancer (NSCLC), or Pancreatic Cancer (PANC), that is metastatic, unresectable locally advanced, or in the Investigator's opinion the subject is high risk for incurable relapse within two years.
Part 1: Key Exclusion Criteria
- History of any of other malignancy in the past 5 years other than non-melanoma skin carcinoma, low grade localized prostate cancer, superficial bladder cancer, ductal carcinoma in situ (CIS) of the breast, CIS of the Cervix, or Stage I uterine cancer.
- Prior allogeneic stem cell transplant.
- Prior solid organ transplant.
Part 2 : Key Inclusion Criteria
- Pathologically confirmed solid tumors, e.g., Colorectal Cancer (CRC), Non-Small Cell Lung Cancer (NSCLC), Pancreatic Cancer (PANC), Mesothelioma, or Ovarian Cancer (OVAC) that is metastatic, unresectable locally advanced, or in the Investigator's opinion the subject is high risk for incurable relapse within two years.
- Participants are germline HLA-A*02 heterozygous confirmed by HLA typing.
- Primary tumor tissue showing LOH of HLA-A*02 by NGS testing.
- Eastern Cooperative Oncology Group (ECOG) 0 or 1 performance status.
Part 2: Key Exclusion Criteria
- History of any of other malignancy in the past 5 years other than non-melanoma skin carcinoma, low grade localized prostate cancer, superficial bladder cancer, ductal carcinoma in situ (CIS) of the breast, CIS of the Cervix, or Stage I uterine cancer.
- Prior allogeneic stem cell transplant.
- Prior solid organ transplant.
- Participants who have received any cancer therapy on any investigational therapy for any indication, including but not limited to chemotherapy, small molecules, monoclonal antibodies, or radiotherapy (with bone marrow impact) within 2 weeks of planned apheresis or 3 half-lives, whichever is shorter.
- Known active bacterial, viral, fungal, mycobacterial, parasitic, or other infection (excluding fungal infections of nail beds) at study enrollment necessitating specific treatment, or any major episode of infection requiring treatment with Intravenous (IV) antimicrobials (e.g., IV antibiotics) or hospitalization (relating to completion of antibiotic course).
- Has known active central nervous system metastases. Subjects with previously treated brain metastases may participate upon medical monitor agreement.
- In the Investigator's judgement, any other condition or reason the subject would not complete the required study visits and procedures, and follow up visits, or comply with the study requirements for participation.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 관찰 모델: COHORT
- 시간 관점: PROSPECTIVE
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Percentage of participants who can enroll in an A2 Biotherapeutics, Inc. CAR T-cell therapy study after undergoing apheresis
기간: up to 2 years
|
Participants will be followed for their status of enrollment on an A2 Biotherapeutics, Inc. interventional study |
up to 2 years
|
|
Percentage of screened participants experiencing loss of heterozygosity (LOH) of HLA-A*02 identified by next generation sequencing
기간: Screening
|
Percentage of participants experiencing LOH will be calculated based on NGS results |
Screening
|
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Percentage of enrolled participants who experience an adverse event (AE) related to apheresis
기간: 7 days
|
Adverse events will be collected and monitored for relatedness to apheresis during the course of the study |
7 days
|
공동 작업자 및 조사자
간행물 및 유용한 링크
일반 간행물
- McGranahan N, Rosenthal R, Hiley CT, Rowan AJ, Watkins TBK, Wilson GA, Birkbak NJ, Veeriah S, Van Loo P, Herrero J, Swanton C; TRACERx Consortium. Allele-Specific HLA Loss and Immune Escape in Lung Cancer Evolution. Cell. 2017 Nov 30;171(6):1259-1271.e11. doi: 10.1016/j.cell.2017.10.001. Epub 2017 Oct 26.
- Hamburger AE, DiAndreth B, Cui J, Daris ME, Munguia ML, Deshmukh K, Mock JY, Asuelime GE, Lim ED, Kreke MR, Tokatlian T, Kamb A. Engineered T cells directed at tumors with defined allelic loss. Mol Immunol. 2020 Dec;128:298-310. doi: 10.1016/j.molimm.2020.09.012. Epub 2020 Oct 1.
- Hwang MS, Mog BJ, Douglass J, Pearlman AH, Hsiue EH, Paul S, DiNapoli SR, Konig MF, Pardoll DM, Gabelli SB, Bettegowda C, Papadopoulos N, Vogelstein B, Zhou S, Kinzler KW. Targeting loss of heterozygosity for cancer-specific immunotherapy. Proc Natl Acad Sci U S A. 2021 Mar 23;118(12):e2022410118. doi: 10.1073/pnas.2022410118.
- Perera J, Mapes B, Lau D, et al. Detection of human leukocyte antigen class I loss of heterozygosity in solid tumor types by next-generation DNA sequencing. J Immunother Cancer. 2019, 7(Suppl 1):P103
- Beroukhim R, Mermel CH, Porter D, Wei G, Raychaudhuri S, Donovan J, Barretina J, Boehm JS, Dobson J, Urashima M, Mc Henry KT, Pinchback RM, Ligon AH, Cho YJ, Haery L, Greulich H, Reich M, Winckler W, Lawrence MS, Weir BA, Tanaka KE, Chiang DY, Bass AJ, Loo A, Hoffman C, Prensner J, Liefeld T, Gao Q, Yecies D, Signoretti S, Maher E, Kaye FJ, Sasaki H, Tepper JE, Fletcher JA, Tabernero J, Baselga J, Tsao MS, Demichelis F, Rubin MA, Janne PA, Daly MJ, Nucera C, Levine RL, Ebert BL, Gabriel S, Rustgi AK, Antonescu CR, Ladanyi M, Letai A, Garraway LA, Loda M, Beer DG, True LD, Okamoto A, Pomeroy SL, Singer S, Golub TR, Lander ES, Getz G, Sellers WR, Meyerson M. The landscape of somatic copy-number alteration across human cancers. Nature. 2010 Feb 18;463(7283):899-905. doi: 10.1038/nature08822.
- Priestley P, Baber J, Lolkema MP, Steeghs N, de Bruijn E, Shale C, Duyvesteyn K, Haidari S, van Hoeck A, Onstenk W, Roepman P, Voda M, Bloemendal HJ, Tjan-Heijnen VCG, van Herpen CML, Labots M, Witteveen PO, Smit EF, Sleijfer S, Voest EE, Cuppen E. Pan-cancer whole-genome analyses of metastatic solid tumours. Nature. 2019 Nov;575(7781):210-216. doi: 10.1038/s41586-019-1689-y. Epub 2019 Oct 23.
- Viale PH. The American Cancer Society's Facts & Figures: 2020 Edition. J Adv Pract Oncol. 2020 Mar;11(2):135-136. doi: 10.6004/jadpro.2020.11.2.1. Epub 2020 Mar 1. No abstract available.
- Hecht JR, Molina JR, Liechty K, Welling TH, Grierson PM, Patel SP, Kirtane K, Morelli MP, Locke FL, Maloney DG, Punekar SR, Nikiforow S, Lin Y, Ulrickson M, Specht JM, Lozac'hmeur A, Osterman CK, Garde RJ, Rangel GA, Ng EW, Welch JS, Tebbets JC, Go WY, Simeone DM. BASECAMP-1 screening study: a model for efficient enrolment in precision oncology clinical trials. BMJ Oncol. 2026 Mar 27;5(1):e001033. doi: 10.1136/bmjonc-2025-001033. eCollection 2026.
유용한 링크
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
기본 완료 (추정된)
연구 완료 (추정된)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
- 비뇨생식기 질환
- 생식기 질환
- 내분비계 질환
- 비뇨생식기 신생물
- 부위별 신생물
- 남성 비뇨 생식기 질환
- 신장 질환
- 비뇨기과 질환
- 여성 비뇨 생식기 질환
- 여성 비뇨 생식기 질환 및 임신 합병증
- 장 질환
- 호흡기 질환
- 조직학적 유형에 따른 신생물
- 위장관 신생물
- 소화계 신생물
- 소화기계 질환
- 위장병
- 장 신생물
- 직장 질환
- 생식기 질환, 여성
- 폐 질환
- 내분비샘 신생물
- 췌장 질환
- 신생물, 선상 및 상피
- 선암종
- 호흡기 신생물
- 흉부 신생물
- 결장 질환
- 폐 신생물
- 난소 질환
- 부속기 질환
- 생식기 신생물, 여성
- 생식선 장애
- 선종
- 신생물, 중피
- 흉막 신 생물
- 피부병
- 유방 질환
- 비뇨기과 신생물
- 암종
- 기관지 암종
- 기관지 신생물
- 유방 신생물
- 피부 및 결합 조직 질환
- 중피종, 악성
- 신생물
- 대장 신생물
- 난소 신생물
- 중피종
- 췌장 신생물
- 암종, 신장 세포
- 암종, 비소세포폐
- 삼중 음성 유방 신생물
- 신장 신생물
- 치료학
- 혈액 성분 제거
기타 연구 ID 번호
- A2B101-101
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .