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

NCT ID: NCT02619058

Last Updated: 2015-12-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE1

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-10-31

Study Completion Date

2017-10-31

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Melanoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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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.

Group Type EXPERIMENTAL

NKT cells

Intervention Type BIOLOGICAL

autologous natural killer T cell

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.

Group Type EXPERIMENTAL

NKT cells

Intervention Type BIOLOGICAL

autologous natural killer T cell

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.

Group Type EXPERIMENTAL

NKT cells

Intervention Type BIOLOGICAL

autologous natural killer T cell

Interventions

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NKT cells

autologous natural killer T cell

Intervention Type BIOLOGICAL

Eligibility Criteria

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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.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Peking University Cancer Hospital & Institute

OTHER

Sponsor Role lead

Responsible Party

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Jun Guo

Director of department of renal cancer and melanoma

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jun Guo, MD,PHD

Role: PRINCIPAL_INVESTIGATOR

Peking University Cancer Hospital & Institute

Locations

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Beijing Cancer Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Chuanliang Cui, MD

Role: CONTACT

861088196951

Jun Guo, MD,PHD

Role: CONTACT

861088196317

Facility Contacts

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Chuanliang Cui, MD

Role: primary

0086-10-88196951

Jun Guo, MD,PHD

Role: backup

0086-10-88196317

References

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Eisenhauer EA, Therasse P, Bogaerts J, Schwartz LH, Sargent D, Ford R, Dancey J, Arbuck S, Gwyther S, Mooney M, Rubinstein L, Shankar L, Dodd L, Kaplan R, Lacombe D, Verweij J. New response evaluation criteria in solid tumours: revised RECIST guideline (version 1.1). Eur J Cancer. 2009 Jan;45(2):228-47. doi: 10.1016/j.ejca.2008.10.026.

Reference Type BACKGROUND
PMID: 19097774 (View on PubMed)

Hoos A, Parmiani G, Hege K, Sznol M, Loibner H, Eggermont A, Urba W, Blumenstein B, Sacks N, Keilholz U, Nichol G; Cancer Vaccine Clinical Trial Working Group. A clinical development paradigm for cancer vaccines and related biologics. J Immunother. 2007 Jan;30(1):1-15. doi: 10.1097/01.cji.0000211341.88835.ae.

Reference Type BACKGROUND
PMID: 17198079 (View on PubMed)

Wolchok JD, Hoos A, O'Day S, Weber JS, Hamid O, Lebbe C, Maio M, Binder M, Bohnsack O, Nichol G, Humphrey R, Hodi FS. Guidelines for the evaluation of immune therapy activity in solid tumors: immune-related response criteria. Clin Cancer Res. 2009 Dec 1;15(23):7412-20. doi: 10.1158/1078-0432.CCR-09-1624. Epub 2009 Nov 24.

Reference Type BACKGROUND
PMID: 19934295 (View on PubMed)

Other Identifiers

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BCH-MM-150620

Identifier Type: -

Identifier Source: org_study_id