CAR-T Cell Immunotherapy for HCC Targeting GPC3

NCT ID: NCT02723942

Last Updated: 2020-07-16

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

WITHDRAWN

Clinical Phase

PHASE1/PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

2015-06-30

Study Completion Date

2016-08-15

Brief Summary

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The purpose of this study is to preliminarily evaluate the safety and efficacy of CAR-T cell immunotherapy for GPC3 positive hepatocellular carcinoma.

Detailed Description

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Chimeric antigen receptor (CAR) is a recombinant receptor with both antigen-binding and T cell activating functions. Chimeric antigen receptor T cell Immunotherapy has more advantages compared with conventional immunotherapy, especially in dealing with patients of hematologic malignancies and solid malignant tumors.This study design a novel specific Chimeric antigen receptor targeting glypican-3(GPC3) antigen.After CAR-T cell infusion,At periodic intervals, the investigators will evaluate clinical symptoms Improved conditions of this disease.Through this study,the investigators will evaluate the safety and efficacy of CAR-T cell immunotherapy in treating with GPC3 positive malignant glioma patients.

Conditions

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GPC3 Positive Hepatocellular Carcinoma CAR-T Cell Immunotherapy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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CAR-T cell immunotherapy

Enrolled patients will receive CAR-T cell immunotherapy with a novel specific Chimeric antigen receptor aiming at GPC3 antigen by infusion.

Group Type EXPERIMENTAL

CAR-T cell immunotherapy

Intervention Type BIOLOGICAL

This CAR-T cell immunotherapy with a novel specific Chimeric antigen receptor aiming at GPC3 antigen.

no intervention

no intervention

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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CAR-T cell immunotherapy

This CAR-T cell immunotherapy with a novel specific Chimeric antigen receptor aiming at GPC3 antigen.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

1. Age:18-70 years.
2. Gender:both.
3. GPC3 high expression hepatocellular carcinoma patients.
4. Non diffuse hepatocellular carcinoma,no extrahepatic metastasis or portal vein vascular invasion.
5. Degree of liver cirrhosis:class A or class B 7 according to Child-puge grading standard.
6. Routine blood test:white blood cell count(WBC)\>=3×10\^9/L, Lymphocyte percentage\>=15%, hemoglobinHbo(Hb)\>=90g/L, prothrombin time(PT) prolongation\<=50% normal value, Cluster of differentiation 3(CD3) positive T cell count\>=0.8×10\^9/L.
7. Liver and Pancreatic function:Alanine aminotransferase/Aspartate transaminase(ALT/AST)\<=5 times of the normal value, total bilirubin(TBiL)\<=3.0mg/dL, albumin(ALB)\>=35g/L, prothrombin time(PT):International Normalized Ratio(INR)\<=1.7 or prothrombin time(PT) prolongation\<=4s, Serum lipase\<=1.5 times of the normal value, Serum amylase\<=1.5 times of the normal value.
8. Renal function:Serum creatinine(SCr)\<=221μmol/L(2.5mg/L).
9. Karnofsky Performance Status(KPS)\>=60;Expected survival time\>=12 weeks.
10. Peripheral venous access ;no contraindication of lymphocyte separation.
11. No other serious complications.
12. Voluntarily signed informed consent.

Exclusion Criteria

1. Pregnant and lactating women.
2. Lymphocyte separation or peripheral venous access cannot be performed in patients .
3. Patients in the active stage of infection or with coagulation disorders.
4. Patients with a previous history of hepatic coma.
5. Patients with severe gastrointestinal ulcers or gastrointestinal bleeding.
6. Patients with organ transplantation or waiting for organ transplantation.
7. Patients with anticoagulant therapy.
8. Patients with antiplatelet therapy.
9. Serum sodium(Na)\<125 mmol/L.
10. Serum potassium(K)\<3.5 mmol/L(except patients up to the standards after the use of supplements).
11. Patients with organ failure:

1. cardiac function:level three or above according to New York Heart Association (NYHA) criteria.
2. liver function:class C or above according to Child-puge grading standard.
3. renal function:Chronic kidney disease(CKD) phase 4 or more; renal insufficiency phase Ⅲ or more.
4. pulmonary function:severe respiratory failure symptoms, involving other organs.
5. Brain function:central nervous system abnormalities or disturbance of consciousness.
12. Patients with non controlled infectious diseases,for example,HIV positive, syphilis, hepatitis A, hepatitis B, hepatitis C, hepatitis E virus (HEV) positive etc.
13. Patients used corticosteroids or other immunosuppressive agents in the past 4 weeks.
14. Patients with autoimmune disease.
15. Patients with previous history of gene therapy.
16. The actual transfection rate of T cells was lower than 30% or the proliferation was less than 5 times after costimulation.
17. Patients participated in other drug trials in the past 4 weeks.
18. Patients received radiation treatment in the past 4 weeks.
19. Patients do not meet the criteria above.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fuda Cancer Hospital, Guangzhou

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lizhi Niu, PhD

Role: STUDY_CHAIR

Fuda Cancer Hospital

Locations

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Central laboratory in Fuda cancer hospital

Guangzhou, Guangdong, China

Site Status

Countries

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China

Other Identifiers

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CAR-T for GPC3+ HCC

Identifier Type: -

Identifier Source: org_study_id

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