An Open-Label, Phase I Clinical Trial of Super CAR-T With GPC3-Positive Advanced Hepatocellular Carcinoma
1 other identifier
interventional
15
1 country
1
Brief Summary
This study was a phase I safety and tolerability clinical trial conducted in a single-center, open-label, 3+3 design with dose escalation.
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 Mar 2026
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
First Submitted
Initial submission to the registry
March 19, 2026
CompletedFirst Posted
Study publicly available on registry
March 25, 2026
CompletedStudy Start
First participant enrolled
March 27, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 30, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
July 30, 2028
May 14, 2026
March 1, 2026
2.1 years
March 19, 2026
May 12, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Dose Limiting Toxicity (DLT)
Determining the DLT of Super CAR-T adoptive Immunotherapy.
28 days after cell infusion
Maximum Tolerated Dose (MTD)
Determining the MTD of Super CAR-T adoptive Immunotherapy.
28 days after cell infusion
Secondary Outcomes (3)
Objective Response Rate(ORR)
Research period
Progression Free Survival(PFS)
One year after cell infusion
Overall Survival (OS)
One year after cell infusion
Study Arms (1)
Dose escalation was performed in a 3+3 design
EXPERIMENTALThe Super CAR-T dose toxicity test was escalated according to the following dose (positive cells) escalation schedule: Level 1 Level 2 Level 3
Interventions
All participators received lymphoid-depleted preconditioning before Super CAR-T cells infusion. Super CAR-T cells were infused 3 days later.
Eligibility Criteria
You may qualify if:
- Understand and voluntarily sign the informed consent form prior to participating in any trial-related activities;
- Be between 18 and 75 years of age; gender is not restricted;
- Diagnosed with hepatocellular carcinoma (HCC) based on histopathological or cytological examination: Patients classified as inoperable Stage IIa, IIb, IIIa, or IIIb according to the Chinese National Liver Cancer (CNLC) staging system, or Stage C according to the Barcelona Clinic Liver Cancer (BCLC) staging system, or Stage B patients who are inoperable or unsuitable for local treatment; Child-Pugh liver function score ≤ 7;
- Previous failure of or intolerance to at least two lines of standard systemic therapy;
- The subject must provide a tumor sample or biopsy specimen collected within the past 2 years that meets the requirements and tests positive for GPC3 expression via immunohistochemistry;
- At least one measurable lesion according to RECIST 1.1 criteria;
- ECOG performance status of 0-1;
- Expected survival of more than 3 months;
- Echocardiography showing a left ventricular ejection fraction (LVEF) ≥50%;
- Laboratory test results must meet at least the following criteria:
- ANC ≥1.0×10⁹/L; PLT ≥75×10⁹/L; Hb ≥ 75 g/L; Creatinine clearance ≥ 60 mL/min; AST ≤ 5×ULN; ALT≤ 5×ULN; TBIL ≤ 3×ULN;
- If HBsAg-positive or HBcAb-positive, HBV-DNA must be ≤ 2000 IU/mL;
- Women of childbearing potential must have a negative pregnancy test prior to receiving study treatment; they must agree to use effective contraception during treatment.
You may not qualify if:
- The subject has undergone major surgery within 2 weeks prior to apheresis, or is expected to undergo major surgery during the trial;
- The subject is allergic to any component of the drugs to be used in this study, including but not limited to cyclophosphamide, fludarabine, CAR-T products, or their excipients;
- Has not recovered from adverse reactions related to prior surgery or treatment to Grade ≤ 2; exceptions include alopecia, hyperpigmentation, and other conditions deemed by the investigator not to affect the subject's tolerability;
- Has a clinically significant central nervous system (CNS) disorder (e.g., epilepsy, severe cerebrovascular stenosis) or other diseases presenting with significant neurological symptoms (including psychiatric disorders);
- Received radiotherapy, systemic chemotherapy, or immune checkpoint inhibitors for the study disease within 2 weeks prior to apheresis; or received small-molecule targeted therapies such as sorafenib, regorafenib, or lenvatinib within 1 week prior to apheresis;
- Received systemic glucocorticoid therapy within 7 days prior to single-plasma donation; patients currently using or who have recently used inhaled or topical glucocorticoids, as well as those on physiological-dose replacement therapy, are eligible for enrollment;
- Any uncontrolled active infection, including but not limited to active tuberculosis or infectious diseases requiring systemic treatment;
- Known active autoimmune diseases, including but not limited to rheumatoid arthritis, systemic lupus erythematosus, autoimmune hepatitis, multiple sclerosis, and glomerulonephritis (patients with vitiligo are not excluded);
- History of organ transplantation, autologous/allogeneic stem cell transplantation, or renal replacement therapy;
- HCV antibody-positive with HCV RNA levels above the lower limit of detection; HIV antibody-positive; syphilis antibody-positive;
- Currently pregnant or breastfeeding, or planning to become pregnant during the study;
- Participants deemed by the investigator to be unable or unwilling to comply with the requirements of the study protocol.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Sun Yat-sen University Cancer Center
Guangzhou, Gaungdong, 510700, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
BINKUI LI, Professor
Sun Yat-Sen University Cancer Center
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
March 19, 2026
First Posted
March 25, 2026
Study Start
March 27, 2026
Primary Completion (Estimated)
April 30, 2028
Study Completion (Estimated)
July 30, 2028
Last Updated
May 14, 2026
Record last verified: 2026-03
Data Sharing
- IPD Sharing
- Will not share
The data is subject to the company's confidentiality requirements and therefore cannot be disclosed.