A Study of Chimeric Antigen Receptor T Cells Combined With Interventional Therapy in Advanced Liver Malignancy

NCT ID: NCT02959151

Last Updated: 2016-11-08

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/PHASE2

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-07-31

Study Completion Date

2018-07-31

Brief Summary

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The purpose of this study is to collect the date on the safety and potential effectiveness of CART cells combined with interventional therapy in patients with advanced liver malignancy.

Detailed Description

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Designer T cells are prepared by PBMC which from patients or suitable donator by leukapheresis, and then activated and re-engineered to express chimeric antigen receptors (CARs). There are three options for CAR-targets: GPC3 for hepatocellular carcinoma; mesothelin for pancreatic cancer metastatic; CEA for colorectal cancer metastatic. Cells are expanded in culture and returned to the participant by vascular interventional therapy or by intra-tumor injection at the dose of (1.25\~4)×107 CAR positive T cells/cm3 tumor bulk. The volume of cell products and the time of cell perfusion process lasted would depend on the ways of cell perfused.

Conditions

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Carcinoma, Hepatocellular Pancreatic Cancer Metastatic Colorectal Cancer Metastatic

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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CAR-T for liver cancer

A single dose of CART cells will be administered by vascular interventional therapy or by intra-tumor injection with a dose of (1.25\~4)×107 CAR positive T cells/cm3 tumor bulk. The volume of cell products and the time of cell perfusion process lasted would depend on the ways of cell perfused. And an interventional radiologist would operate the cell infusion.

Group Type EXPERIMENTAL

CAR-T cell

Intervention Type DRUG

CAR-T cells are generated by T cells from the patients or a suitable donor transfected by CAR-lentivirus vectors. There are three options for CAR-targets: GPC3 for hepatocellular carcinoma;mesothelin for pancreatic cancer metastatic; CEA for colorectal cancer metastatic.

Interventions

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CAR-T cell

CAR-T cells are generated by T cells from the patients or a suitable donor transfected by CAR-lentivirus vectors. There are three options for CAR-targets: GPC3 for hepatocellular carcinoma;mesothelin for pancreatic cancer metastatic; CEA for colorectal cancer metastatic.

Intervention Type DRUG

Other Intervention Names

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chimeric antigen receptor T cells

Eligibility Criteria

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Inclusion Criteria

* tumor histological examination confirmed as GPC3/ mesothelin/CEA positive expression;
* persistent cancer after at least one prior standard of care chemotherapy, has no willing for surgery or cannot be suitable for surgery patients
* life expectancy greater than 6 months
* satisfactory organ and bone marrow function as defined by the following: (1) creatinine \<1.5mg/dl; (2) cardiac ejection fraction of \>55%; (3) hemoglobin\>9g/dl, bilirubin 2.0×the institution normal upper limit
* without bleeding disorder or coagulation disorders
* Don't allergy to Radiocontrast agent
* birth control
* Adequate venous access for apheresis, and no other contraindications for leukapheresis
* Voluntary informed consent is given

Exclusion Criteria

* Pregnant or lactating women
* Concurrent use of systemic steroids. Recent or current use of inhaled steroids is not exclusionary
* 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
* Taking part in other clinical trials
* Study leader considers not suitable for this tiral
Minimum Eligible Age

18 Years

Maximum Eligible Age

69 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Cancer Hospital, China

OTHER

Sponsor Role collaborator

Shanghai GeneChem Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Wentao Li, doctor

Role: PRINCIPAL_INVESTIGATOR

Fudan University

Locations

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Shanghai Tumor Hospital

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Wentao Li, doctor

Role: CONTACT

Phone: +86 18017312650

Email: [email protected]

Xuejun Yu, master

Role: CONTACT

Phone: +86 18616108610

Email: [email protected]

Facility Contacts

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Wentao Li, doctor

Role: primary

Xuejun Yu, master

Role: backup

Other Identifiers

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CAR-T for liver cancer

Identifier Type: -

Identifier Source: org_study_id