A Study of Chimeric Antigen Receptor T Cells Combined With Interventional Therapy in Advanced Liver Malignancy
A Single-arm Pilot Clinical Study of Chimeric Antigen Receptor T Cells Combined With Interventional Therapy in Advanced Liver Malignancy
1 other identifier
interventional
20
1 country
1
Brief Summary
The purpose of this study is to collect the date on the safety and potential effectiveness of CART cells combined with interventional therapy in patients with advanced liver malignancy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_1
Started Jul 2016
Typical duration for phase_1
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2016
CompletedFirst Submitted
Initial submission to the registry
November 6, 2016
CompletedFirst Posted
Study publicly available on registry
November 8, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2018
CompletedNovember 8, 2016
November 1, 2016
1.5 years
November 6, 2016
November 7, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
Number of patients with adverse event
adverse event is evaluated with CTCAE, version 4.0
6 weeks
Secondary Outcomes (2)
Number of patients with tumor response
8 weeks
Detection of transferred T cells in the circulation using quantitative -PCR
8 weeks
Study Arms (1)
CAR-T for liver cancer
EXPERIMENTALA single dose of CART cells will be administered by vascular interventional therapy or by intra-tumor injection with a dose of (1.25\~4)×107 CAR positive T cells/cm3 tumor bulk. The volume of cell products and the time of cell perfusion process lasted would depend on the ways of cell perfused. And an interventional radiologist would operate the cell infusion.
Interventions
CAR-T cells are generated by T cells from the patients or a suitable donor transfected by CAR-lentivirus vectors. There are three options for CAR-targets: GPC3 for hepatocellular carcinoma;mesothelin for pancreatic cancer metastatic; CEA for colorectal cancer metastatic.
Eligibility Criteria
You may qualify if:
- tumor histological examination confirmed as GPC3/ mesothelin/CEA positive expression;
- persistent cancer after at least one prior standard of care chemotherapy, has no willing for surgery or cannot be suitable for surgery patients
- life expectancy greater than 6 months
- satisfactory organ and bone marrow function as defined by the following: (1) creatinine \<1.5mg/dl; (2) cardiac ejection fraction of \>55%; (3) hemoglobin\>9g/dl, bilirubin 2.0×the institution normal upper limit
- without bleeding disorder or coagulation disorders
- Don't allergy to Radiocontrast agent
- birth control
- Adequate venous access for apheresis, and no other contraindications for leukapheresis
- Voluntary informed consent is given
You may not qualify if:
- Pregnant or lactating women
- patients in the situation of: (1) 30 days before apheresis is still in the period of other antitumor drug observation; (2) patient dont recuperate from earlier acute adverse influence brought by any treatments accepted before
- Four weeks before recruit accepted radiation therapy
- Previously treatment with any gene therapy products
- Feasibility assessment during screening demonstrates\<30% transduction of target lymphocytes, or insufficient expansion (\<5-fold) in response to CD3/CD28 costimulation
- Any serious, uncontrolled diseases (including, but not limit to, unstable angina pectoris, congestive heart failure, grade III or IV cardiac disease, serious arrhythmia, liver and kidney disorders or metabolic diseases, CNS diseases)
- Patient with severe acute hypersensitive reaction
- Taking part in other clinical trials
- Study leader considers not suitable for this tiral
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Shanghai GeneChem Co., Ltd.lead
- Shanghai Cancer Hospital, Chinacollaborator
Study Sites (1)
Shanghai Tumor Hospital
Shanghai, Shanghai Municipality, 201206, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Wentao Li, doctor
Fudan University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 6, 2016
First Posted
November 8, 2016
Study Start
July 1, 2016
Primary Completion
January 1, 2018
Study Completion
July 1, 2018
Last Updated
November 8, 2016
Record last verified: 2016-11