huCART-meso + VCN-01 in Pancreatic and Ovarian Cancer
Phase 1 Trial of Human Chimeric Antigen Receptor Modified T Cells (huCART-meso) Administered in Combination With VCN-01 in Patients With Pancreatic and Serous Epithelial Ovarian Cancer
1 other identifier
interventional
13
1 country
1
Brief Summary
This is a Phase I study evaluating the safety and feasibility of lentiviral transduced huCART-meso cells when given in combination with VCN-01 in a 3+3 dose (de)escalation design.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_1 pancreatic-cancer
Started Mar 2022
Longer than P75 for phase_1 pancreatic-cancer
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
First Submitted
Initial submission to the registry
September 15, 2021
CompletedFirst Posted
Study publicly available on registry
September 27, 2021
CompletedStudy Start
First participant enrolled
March 2, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2038
ExpectedStudy Completion
Last participant's last visit for all outcomes
September 1, 2038
June 25, 2025
June 1, 2025
16.5 years
September 15, 2021
June 24, 2025
Conditions
Outcome Measures
Primary Outcomes (2)
Type, frequency, severity, and attribution of AEs/SAEs as assessed by CTCAE v 5.0
2 years
Occurrence of dose-limiting toxicities.
2 years
Secondary Outcomes (6)
Proportion of subjects enrolled who receive one or both of the intended study infusions
2 years
Overall Response Rate (ORR)
15 years
Best Overall Response (BOR)
15 years
Duration of Response (DOR)
15 years
Progression Free Survival (PFS)
15 years
- +1 more secondary outcomes
Study Arms (3)
Cohort 1
ACTIVE COMPARATORSingle dose of 3.3x10(12) vp of VCN-01 on Day 0, followed by a single dose of 5x10(7) of huCART-meso cells on Day 14.
Cohort 2
ACTIVE COMPARATORSingle dose of 1x10(13) vp of VCN-01 on Day 0, followed by a single dose of 5x10(7) of huCART-meso cells on Day 14.
Cohort -1
ACTIVE COMPARATORIn the event that 2 DLTs occur in Cohort 1, then enrollment in Cohort 1 will be stopped and Cohort -1 will be opened for evaluation. Enrolled subjects will receive a single dose of huCART-meso cells on Day 0 followed by a single dose of 3.3x10(12) vp of VCN-01 on Day 14.
Interventions
Eligibility Criteria
You may qualify if:
- Patients with one of the following diagnoses:
- Histologically confirmed unresectable or metastatic pancreatic adenocarcinoma; OR
- Persistent or recurrent serous epithelial ovarian cancer
- Progression or intolerance to at least one prior standard of care chemotherapy for advanced stage disease.
- Subjects must have measurable disease as defined by RECIST 1.1 criteria.
- Patients ≥ 18 years of age.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- Adequate organ and bone marrow function defined as:
- Hemoglobin ≥ 9 g/dL
- Platelets ≥ 75,000/µl
- PT/INR and PTT ≤ 1.5 x ULN
- Bilirubin ≤ 2.0 x ULN
- Creatinine ≤ 1.5 x ULN
- ALT/AST ≤ 5 x ULN (subjects with liver metastases) or ALT/AST ≤ 2.5 x ULN (subjects without liver metastases)
- Must have a minimum level of pulmonary reserve defined as ≤ Grade 1 dyspnea and pulse oxygen \> 92% on room air
- +3 more criteria
You may not qualify if:
- Patients with known CNS metastases
- Active invasive cancer other than the one of the two cancers targeted by this study. Patients with active non-invasive cancers (such as non-melanoma skin cancer, superficial cervical and bladder and prostate cancer with PSA level \< 1.0) are not excluded.
- Active hepatitis B or hepatitis C infection.
- Chronic hepatitis C with a FibroScan score equivalent to fibrosis stage 2 (F2) or greater.
- Patients with known cirrhosis.
- Patients with ongoing or active infection.
- Patients with a known history of Li Fraumeni syndrome or retinoblastoma protein pathway germinal deficiency.
- Active autoimmune disease requiring systemic immunosuppressive treatment equivalent to ≥ 10 mg of prednisone. Patients with autoimmune neurologic diseases (such as MS) will be excluded.
- Planned concurrent treatment with systemic high dose corticosteroids. Patients may be on a stable low dose of steroids (≤ 10mg equivalent of prednisone). Use of inhaled steroids is allowable.
- Patients requiring supplemental oxygen therapy.
- History of allergy or hypersensitivity to study product excipients (human serum albumin, DMSO, and Dextran 40).
- Any clinically significant pericardial effusion, Class II-IV cardiovascular disability according to the New York Heart Association Classification (see Appendix 4) or other cardiovascular condition that would preclude assessment of mesothelin induced pericarditis or that may worsen as a result of toxicities expected for this study. This determination will be made by a cardiologist if cardiac issues are suspected.
- Pregnant or breastfeeding women.
- Treatment with a PD-1 or PD-L1 inhibitor, including but not limited to nivolumab, pembrolizumab, atezolizumab, and/or durvalumab, within 2 months prior to eligibility confirmation by a physician-investigator.
- Patients with significant lung disease as follows:
- +3 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Pennsylvanialead
- Theriva Biologicscollaborator
Study Sites (1)
University of Pennsylvania
Philadelphia, Pennsylvania, 19104, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Janos L. Tanyi, MD, PhD
University of Pennsylvania
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 15, 2021
First Posted
September 27, 2021
Study Start
March 2, 2022
Primary Completion (Estimated)
September 1, 2038
Study Completion (Estimated)
September 1, 2038
Last Updated
June 25, 2025
Record last verified: 2025-06