A Study of GPC3-targeted T Cells by Intratumor Injection for Advanced HCC (GPC3-CART)
An Open-label, Uncontrolled, Single-arm Pilot Study to Evaluate Intratumor Injection Mediated GPC3-targeted Chimeric Antigen Receptor T Cells in Advanced Hepatocellular Carcinoma
1 other identifier
interventional
10
1 country
1
Brief Summary
In this study, CART cells are targeted to GPC3 by intratumor injected that we hope by this means could improve the local CAR-T cell numbers, meanwhile reduce the potential side effects.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_1
Started Apr 2017
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
April 1, 2017
CompletedFirst Submitted
Initial submission to the registry
April 22, 2017
CompletedFirst Posted
Study publicly available on registry
April 26, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 31, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
March 31, 2018
CompletedApril 26, 2017
April 1, 2017
12 months
April 22, 2017
April 22, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Safety of CAR-T cell infusion mediated by intratumoral injection as measured by number of participants with adverse Events
To determine the safety and regimen limiting toxicity (RLT) of anti-GPC3 CAR-T intratumoral injection for GPC3-expressing HCC.
6 weeks
Secondary Outcomes (2)
Number of participants with tumor response as measured by RECIST
8 weeks]
Serum cytokine levels
8 weeks
Study Arms (1)
GPC3-CART cells
EXPERIMENTALInterventions
Intratumol injection as a local drug delivery pathway, so that more T cells gathered at the tumor site, less T cells to migrated to the normal tissue, thereby enhancing the efficacy of anti-tumor, reducing the potential of side effects. And GPC3-CART is a 2nd CAR, with GPC3 as the target protein, 4-1BB as a co- stimulator
Eligibility Criteria
You may qualify if:
- Advanced HCC patients with age between 18 and 69 years old;
- Persistent cancer after at least one prior standard of chemotherapy or surgery, and without high level evidence of second-line treatment;
- The intended intratumoral injection sites of tumor can be showed clear by CT or ultrasound scan, and safe access to without important neuromuscular pass;
- The ECOG score less than 1 points, and the expected survival more than 4 months;
- Recovery from previous treatment: all side effects (except hair loss) were reduced to level 1 or below, according to NCI-CTC AE version 4;
- Pregnancy test (urine beta -HCG) negative (for women of childbearing age);
- Meet one of the following conditions:
- GPC3 was expressed in more than 15% of tumor cells (immunohistochemical method)
- GPC3 expression in more than 30% of tumor cells (flow cytometry);
- Satisfactory organ and bone marrow function as defined by the following: (1) creatinine \<1.5mg/dl; (2) albumin \>2; (3) cardiac ejection fraction of \>55%; (4) hemoglobin\>9g/dl, bilirubin 2.0×the institution normal upper limit;
- Adequate venous access for apheresis;
- Voluntary informed consent.
You may not qualify if:
- Pregnant or lactating women, urine pregnancy test was positive before transplantation of CAR-T cells 48 hours;
- 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;
- Forced position, can not be adjusted according to requirements;
- Severe heart, lung, liver, kidney function, blood coagulation dysfunction;
- 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
- Beijing 302 Hospitalcollaborator
Study Sites (1)
302 Military Hospital
Beijing, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Lu Yinying, Doctor
Beijing 302 Hospital
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
April 22, 2017
First Posted
April 26, 2017
Study Start
April 1, 2017
Primary Completion
March 31, 2018
Study Completion
March 31, 2018
Last Updated
April 26, 2017
Record last verified: 2017-04