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A Clinical Trial of Adoptive Transfer With Autologous NKT Cells in Metastatic Melanoma Patients

2. desember 2015 oppdatert av: Jun Guo, Peking University Cancer Hospital & Institute

An Open Label, Dose Escalation, Phase I Clinical Trial of Adoptive Transfer With Autologous NKT Cells in Metastatic Melanoma Patients

Considerable progress in the treatment of metastatic melanoma has been made in the past 5years, with the approval of immune checkpoint-blocking antibodies and agents targeting BRAF mutation. Investigators conducted a open label, dose escalation, phase I clinical trial of to explore the maximum tolerated dose (MTD) and dose limiting toxicity (DLT) of intravenous administration of autologous NKT Cells in metastatic melanoma patients.

Studieoversikt

Status

Ukjent

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

Considerable progress in the immunotherapy of metastatic melanoma has been made in the past 5 years, with the approval of immune checkpoint-blocking antibodies. NKT cells are a potent immunoregulatory cell population heavily implicated in promoting immunity to infection and cancer. And now with new generation of amplification method, more than 1,000 folds amplification of NKT cells can be obtained, so NKT cell based adoptive cell transfer is now available and might show its efficacy in melanoma. Investigators conducted this open label, dose escalation, phase I clinical trial of to explore the maximum tolerated dose (MTD) and dose limiting toxicity (DLT) of intravenous administration of autologous NKT Cells in metastatic melanoma patients.

Studietype

Intervensjonell

Registrering (Forventet)

20

Fase

  • Fase 1

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

    • Beijing
      • Beijing, Beijing, Kina, 100142
        • Rekruttering
        • Beijing Cancer Hospital
        • Ta kontakt med:
          • Chuanliang Cui, MD
          • Telefonnummer: 0086-10-88196951
          • E-post: 1008ccl@163.com
        • Ta kontakt med:
        • Hovedetterforsker:
          • Jun Guo, MD,PHD

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år til 70 år (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

Inclusion Criteria:

  • Patients must have pathological or cytologically confirmed malignant melanoma with unresectable Stage III or Stage IV (including skin and distant lymph node metastasis M1a, lung metastasis M1b).
  • Patients who are resistant /refractory to approved therapies, or for whom no curative therapies are available.
  • Male or female, aged ≥18 and ≤70 years; ECOG performance status score of 0-2; Life expectancy of at least six months.
  • For women of childbearing potential, a negative pregnancy test within 7 days prior to the first treatment.
  • At least four weeks since prior other anti-tumor therapy, including endocrine, chemotherapy/radiotherapy and targeted therapy, at least six weeks since prior nitrosourea and mitomycin dosing, and have recovered from the adverse reactions due to prior therapy.
  • At least 4 weeks before prior surgery.
  • Must have one measurable or evaluable lesion according to RECIST 1.1
  • With enough tumor tissues and diagnosed by the designated laboratory.
  • Body weight >50kg.
  • Without functional disorder of major organs ( laboratory examination): Neutrophils≥1.5×10^9/L, lymphocyte≥1.0×10^9/L, PLT≥100×10^9/L, Hb≥110g/L; BUN and Cr within normal range; TBIL≤1.5 times upper limit; ALT/AST≤2.5 times upper limit; PT/APTT within normal range.
  • Without obvious hereditary disease.
  • Must sign a written informed consent form prior to entering the study, with good compliance.

Exclusion Criteria:

  • With extrapulmonary metastatic of melanoma, for instance, distant metastasis of liver, brain, bone, adrenal gland.
  • With serious internal disease, including serious heart disease, cerebral vascular disease, uncontrolled diabetes, uncontrolled hypertension, serious infections, active peptic ulcer, renal failure and respiratory failure.
  • Uncontrolled infectious diseases or other serious diseases, for example, HIV, Hepatitis B and Hepatitis C.
  • Uncontrolled brain metastases.
  • Lymphoma or leukemia patients.
  • Patients who have received bone marrow, stem cells or organ transplantation.
  • With immunodeficiency or autoimmune disease, leucoderma excluded.
  • Allergic constitution.
  • Chronic diseases needed immunosuppressive therapy or hormone therapy.
  • Patients treated with steroid hormone.
  • Unable to evaluate the immune status, or patients cannot comply with follow-up clinical evaluation.
  • Patients diagnosed with MDS (myelodysplastic syndromes).
  • Patients who are pregnant or breast-feeding.
  • Women (or patients' wife) of child-bearing without effective contraceptive measures.
  • Patients receiving any investigational drug or investigational treatment within 4 weeks prior to first dosing.
  • With uncontrolled mental disorders.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Ikke-randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: Arm 1(NKT cells single low dose)
Patients will receive intravenous administration of autologous NKT cells, the dose level is 1×10^9 on d1, 2×10^9 on d3, 4×10^9 on d29, 8×10^9 on d31.
autologous natural killer T cell
Eksperimentell: Arm 2(NKT cells single high dose)
Patients will receive intravenous administration of autologous NKT cells, the dose level is 5×10^9 on d1, 5×10^9 on d3, 5×10^9 on d29, 5×10^9 on d31.
autologous natural killer T cell
Eksperimentell: Arm 3(NKT cells multiple dose)
Patients will receive intravenous administration of autologous NKT cells, the dose level is 5×10^9 on d1, 5×10^9 on d3 of each 28 days-cycle, the dosing will be ended after 8 cycles.
autologous natural killer T cell

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Number of subjects experiencing at least one dose limiting toxicity (DLT) of intravenous administration of autologous NKT Cells in metastatic melanoma patients.
Tidsramme: 252 days
DLT is defined as any of the following toxicities assessed as at least possibly related to NKT cells by the investigator up to 28 days each cycle(up to 8 cycles,with 28 days' safety and efficacy follow-up after the end of the last cycle) after the end of adoptive transfer: any Grade greater than or equal to (>=) 3 non-hematological toxicity, but excluding the conditions mentioned in the protocol; any Grade 4 neutropenia of greater than (>)5 days duration or Grade >=3 febrile neutropenia; any Grade 4 thrombocytopenia or Grade 3 thrombocytopenia with bleeding; any Grade 4 anemia.
252 days

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Etterforskere

  • Hovedetterforsker: Jun Guo, MD,PHD, Peking University Cancer Hospital & Institute

Publikasjoner og nyttige lenker

Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart

1. oktober 2015

Primær fullføring (Forventet)

1. oktober 2016

Studiet fullført (Forventet)

1. oktober 2017

Datoer for studieregistrering

Først innsendt

19. november 2015

Først innsendt som oppfylte QC-kriteriene

30. november 2015

Først lagt ut (Anslag)

2. desember 2015

Oppdateringer av studieposter

Sist oppdatering lagt ut (Anslag)

4. desember 2015

Siste oppdatering sendt inn som oppfylte QC-kriteriene

2. desember 2015

Sist bekreftet

1. desember 2015

Mer informasjon

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

Kliniske studier på Melanom

Kliniske studier på NKT cells

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