Immunotherapy of Advanced Cancer Using a Combination Nimotuzumab and NK Cells

NCT ID: NCT03554889

Last Updated: 2018-06-13

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

21 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-08-01

Study Completion Date

2019-11-27

Brief Summary

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NK cells can persist and expand in vivo following adoptive transfer and may have a role in the treatment of late stage malignancies. NK also express an activating Fc receptor that mediates antibody-dependent cellular cytotoxicity (ADCC) and production of immune modulatory cytokines in response to antibody-coated targets. Nimotuzumab, an monoclonal antibody against EGFR (epidermal growth factor receptor), may enhance the ADCC effect of NK cell. This study will evaluate the safety of combination of nimotuzumab and NK Cell in treating advanced cancer patients. Blood samples will also be collected for research purposes.

Detailed Description

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This is a phase I clinical study of expanded NK cells from autologous origin. The NK cell will be selected and expanded ex vivo and infused back into patients. Nimotuzumab will be used 24 hours before infusion. 21 advanced cancer patients are planned to receive two cycles of NK cells and Nimotuzumab treatment. Biomarkers and immunological markers are collected and analyzed as well.

Conditions

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Advanced Cancer ADCC NK Cell Mediated Immunity Nimotuzumab Adaptive Transfer

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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Experimental Group

Peripheral blood lymphocytes will be collected. The NK cell will be selected and expanded ex vivo, then adaptive transfer back into patients. A total of 5.0 x 10\^8/L NK cells will be infused in one cycle.To avoid allergic reactions, 50 mg hydrocortisone was intramuscularly injected into patient 30 min before cells infusion every time. Best supportive care was also provided for patients. Nimotuzumab will be used 24 hours before infusion. Patients continued receiving treatment unless they had unacceptable adverse effects, or progressive disease confirmed by CT and PET-CT or they withdrew consent.

Group Type EXPERIMENTAL

NK Cell adaptive transfer

Intervention Type BIOLOGICAL

Nimotuzumab will enhance the ADCC effect of NK Cell adaptive transfer

Nimotuzumab

Intervention Type DRUG

Nimotuzumab will enhance the ADCC effect of NK Cell adaptive transfer

Interventions

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NK Cell adaptive transfer

Nimotuzumab will enhance the ADCC effect of NK Cell adaptive transfer

Intervention Type BIOLOGICAL

Nimotuzumab

Nimotuzumab will enhance the ADCC effect of NK Cell adaptive transfer

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Histologically confirmed recurrent or metastatic cancer
2. Measurable disease
3. Progressed after all standard treatment
4. ECOG performance status of 0 to 2
5. Expected life span ≥ 3 months
6. Toxicities from prior treatment has resolved. Washout period is 4 weeks for chemotherapy, and 2 weeks for targeted therapy
7. Major organs function normally
8. Women at pregnant ages should be under contraception
9. Willing and able to provide informed consent

Exclusion Criteria

1. Other malignancy within 5 years prior to entry into the study, expect for treated non melanoma skin cancer and cervical carcinoma in situ
2. Poor vasculature
3. Disease to the central nervous system
4. Blood-borne infectious disease, eg. hepatitis B
5. History of mandatory custody because of psychosis or other psychological disease inappropriate for treatment deemed by treating physician
6. With other immune diseases, or chronic use of immunosuppressants or steroids
7. Pregnancy (women of childbearing potential: Refusal or inability to use effective means of contraception)
8. Breastfeeding
9. Decision of unsuitableness by principal investigator or physician-in-charge
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai bokang bioengineering co., LTD

UNKNOWN

Sponsor Role collaborator

Hangzhou Cancer Hospital

OTHER

Sponsor Role lead

Responsible Party

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Shixiu Wu

President of Hangzhou Cancer Hospital

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Shixiu Wu, Doctor

Role: PRINCIPAL_INVESTIGATOR

Hangzhou Cancer Hospital

Locations

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Hangzhou Cancer Hospital

Hangzhou, Zhejiang, China

Site Status

Countries

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China

Central Contacts

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Shixiu Wu, Doctor

Role: CONTACT

+8657186826086

Other Identifiers

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HangzhouCH11

Identifier Type: -

Identifier Source: org_study_id

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