Trial Outcomes & Findings for Study of Adoptive Transfer of iNKT Cells Combined With TAE/TACE to Treat Unresectable HCC (NCT NCT04011033)

NCT ID: NCT04011033

Last Updated: 2024-10-08

Results Overview

PFS is the duration from the date of enrolled into clinical trial to the date of first documentation of tumor progression. Progression is defined using Modified RECIST (mRECIST),as an increase of at least 20% in the sum of the diameters of viable (enhancing) target lesions, taking as reference the smallest sum of the diameters of viable (enhancing) target lesions recorded since treatment started.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

60 participants

Primary outcome timeframe

From date of enrollment to disease progression according to mRECIST, or death from any cause, whichever occurred first,approximately 2 years.

Results posted on

2024-10-08

Participant Flow

Participant milestones

Participant milestones
Measure
TAE/TACE+iNKT for Unresectable HCC
TAE/TACE combined with autologous iNKT cells infusion will be applied for patients in experimental group. TAE/TACE will be performed at 0th and 4th week. 5×10\^8-10\^9/m2 iNKT cells will be infused to patients at 1st, 3rd, 5th, 7th, 9th, 11th week after first TAE/TACE therapy. iNKT cells: 5×10\^8-10\^9/m2 iNKT cells will be infused to patients at1st, 3rd, 5th, 7th, 9th, 11th week after first TAE/TACE therapy. Human recombinated Interleukin-2: IL-2 will be given at a dose of 25,000 IU/kg/day for 5-14 days after iNKT cells infusion. TAE/TACE: TAE/TACE will be conducted to all patients at 0th week and 4th week.
TAE/TACE for Unresectable HCC
TAE/TACE will be conducted at 0th week and 4th week. TAE/TACE: TAE/TACE will be conducted to all patients at 0th week and 4th week.
Overall Study
STARTED
30
30
Overall Study
COMPLETED
27
27
Overall Study
NOT COMPLETED
3
3

Reasons for withdrawal

Reasons for withdrawal
Measure
TAE/TACE+iNKT for Unresectable HCC
TAE/TACE combined with autologous iNKT cells infusion will be applied for patients in experimental group. TAE/TACE will be performed at 0th and 4th week. 5×10\^8-10\^9/m2 iNKT cells will be infused to patients at 1st, 3rd, 5th, 7th, 9th, 11th week after first TAE/TACE therapy. iNKT cells: 5×10\^8-10\^9/m2 iNKT cells will be infused to patients at1st, 3rd, 5th, 7th, 9th, 11th week after first TAE/TACE therapy. Human recombinated Interleukin-2: IL-2 will be given at a dose of 25,000 IU/kg/day for 5-14 days after iNKT cells infusion. TAE/TACE: TAE/TACE will be conducted to all patients at 0th week and 4th week.
TAE/TACE for Unresectable HCC
TAE/TACE will be conducted at 0th week and 4th week. TAE/TACE: TAE/TACE will be conducted to all patients at 0th week and 4th week.
Overall Study
Physician Decision
2
3
Overall Study
Withdrawal by Subject
1
0

Baseline Characteristics

Study of Adoptive Transfer of iNKT Cells Combined With TAE/TACE to Treat Unresectable HCC

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
TAE/TACE+iNKT for Unresectable HCC
n=27 Participants
TAE/TACE combined with autologous iNKT cells infusion will be applied for patients in experimental group. TAE/TACE will be performed at 0th and 4th week. 5×10\^8-10\^9/m2 iNKT cells will be infused to patients 1st, 3rd, 5th, 7th, 9th, 11th week after first TAE/TACE therapy. iNKT cells: 5×10\^8-10\^9/m2 iNKT cells will be infused to patients at 1st, 3rd, 5th, 7th, 9th, 11th week after first TAE/TACE therapy. Human recombinated Interleukin-2: IL-2 will be given at a dose of 25,000 IU/kg/day for 5-14 days after iNKT cells infusion. TAE/TACE: TAE/TACE will be conducted to all patients at 0th week and 4th week.
TAE/TACE for Unresectable HCC
n=27 Participants
TAE/TACE will be conducted at 0th week and 4th week. TAE/TACE: TAE/TACE will be conducted to all patients at 0th week and 4th week.
Total
n=54 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
19 Participants
n=5 Participants
21 Participants
n=7 Participants
40 Participants
n=5 Participants
Age, Categorical
>=65 years
8 Participants
n=5 Participants
6 Participants
n=7 Participants
14 Participants
n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
3 Participants
n=7 Participants
7 Participants
n=5 Participants
Sex: Female, Male
Male
23 Participants
n=5 Participants
24 Participants
n=7 Participants
47 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
27 Participants
n=5 Participants
27 Participants
n=7 Participants
54 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
27 Participants
n=5 Participants
27 Participants
n=7 Participants
54 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
China
27 participants
n=5 Participants
27 participants
n=7 Participants
54 participants
n=5 Participants

PRIMARY outcome

Timeframe: From date of enrollment to disease progression according to mRECIST, or death from any cause, whichever occurred first,approximately 2 years.

PFS is the duration from the date of enrolled into clinical trial to the date of first documentation of tumor progression. Progression is defined using Modified RECIST (mRECIST),as an increase of at least 20% in the sum of the diameters of viable (enhancing) target lesions, taking as reference the smallest sum of the diameters of viable (enhancing) target lesions recorded since treatment started.

Outcome measures

Outcome measures
Measure
TAE/TACE+iNKT for Unresectable HCC
n=27 Participants
TAE/TACE combined with autologous iNKT cells infusion will be applied for patients in experimental group. TAE/TACE will be performed at 0th and 4th week. 5×10\^8-10\^9/m2 iNKT cells will be infused to patients at 1st, 3rd, 5th, 7th, 9th, 11th week after first TAE/TACE therapy. iNKT cells: 5×10\^8-10\^9/m2 iNKT cells will be infused to patients at 1st, 3rd, 5th, 7th, 9th, 11th week after first TAE/TACE therapy. therapy. Human recombinated Interleukin-2: IL-2 will be given at a dose of 25,000 IU/kg/day for 5-14 days after iNKT cells infusion. TAE/TACE: TAE/TACE will be conducted to all patients at 0th week and 4th week.
TAE/TACE for Unresectable HCC
n=27 Participants
TAE/TACE will be conducted at 0th week and 4th week. TAE/TACE: TAE/TACE will be conducted to all patients at 0th week and 4th week.
Progression-Free Survival(PFS)
5.7 months
Interval 4.3 to 7.0
2.7 months
Interval 2.3 to 3.2

SECONDARY outcome

Timeframe: From date of randomization until the date of death from any cause, whichever came first, assessed up to 60 months.

OS is the duration from the date of enrollment to the date of death due to any causes.

Outcome measures

Outcome measures
Measure
TAE/TACE+iNKT for Unresectable HCC
n=27 Participants
TAE/TACE combined with autologous iNKT cells infusion will be applied for patients in experimental group. TAE/TACE will be performed at 0th and 4th week. 5×10\^8-10\^9/m2 iNKT cells will be infused to patients at 1st, 3rd, 5th, 7th, 9th, 11th week after first TAE/TACE therapy. iNKT cells: 5×10\^8-10\^9/m2 iNKT cells will be infused to patients at 1st, 3rd, 5th, 7th, 9th, 11th week after first TAE/TACE therapy. therapy. Human recombinated Interleukin-2: IL-2 will be given at a dose of 25,000 IU/kg/day for 5-14 days after iNKT cells infusion. TAE/TACE: TAE/TACE will be conducted to all patients at 0th week and 4th week.
TAE/TACE for Unresectable HCC
n=27 Participants
TAE/TACE will be conducted at 0th week and 4th week. TAE/TACE: TAE/TACE will be conducted to all patients at 0th week and 4th week.
Overall Survival(OS)
25.9 months
Interval 12.4 to 44.4
17.3 months
Interval 7.5 to 27.6

SECONDARY outcome

Timeframe: Evaluation was performed at the 12th week after the start of the treatment.

ORR is the proportion of patients who had a response rate including complete remission (CR) and partial remission (PR) evaluated by imaging according to mRECIST for target lesions and assessed by MRI/CT: Complete Response (CR), Disappearance of any intratumoral arterial enhancement in all target lesions;Partial Response (PR), At least a 30% decrease in the sum of diameters of viable (enhancement in the arterial phase) target lesions, taking as reference the baseline sum of the diameters of target lesions; Overall Response (OR) = CR + PR.

Outcome measures

Outcome measures
Measure
TAE/TACE+iNKT for Unresectable HCC
n=27 Participants
TAE/TACE combined with autologous iNKT cells infusion will be applied for patients in experimental group. TAE/TACE will be performed at 0th and 4th week. 5×10\^8-10\^9/m2 iNKT cells will be infused to patients at 1st, 3rd, 5th, 7th, 9th, 11th week after first TAE/TACE therapy. iNKT cells: 5×10\^8-10\^9/m2 iNKT cells will be infused to patients at 1st, 3rd, 5th, 7th, 9th, 11th week after first TAE/TACE therapy. therapy. Human recombinated Interleukin-2: IL-2 will be given at a dose of 25,000 IU/kg/day for 5-14 days after iNKT cells infusion. TAE/TACE: TAE/TACE will be conducted to all patients at 0th week and 4th week.
TAE/TACE for Unresectable HCC
n=27 Participants
TAE/TACE will be conducted at 0th week and 4th week. TAE/TACE: TAE/TACE will be conducted to all patients at 0th week and 4th week.
Objective Response Rate(ORR)
14 Participants
3 Participants

SECONDARY outcome

Timeframe: Evaluation was performed at the 12th week after the start of the treatment.

DCR is the proportion of patients who had a response rate including complete remission (CR), partial remission (PR) and disease stabilization (SD) evaluated by imaging according to mRECIST for target lesions and assessed by MRI/CT: Complete Response (CR), Disappearance of any intratumoral arterial enhancement in all target lesions;Partial Response (PR), At least a 30% decrease in the sum of diameters of viable (enhancement in the arterial phase) target lesions, taking as reference the baseline sum of the diameters of target lesions;Stable disease(SD), Any cases that do not qualify for either partial response or progressive disease. Disease Control Rate (DCR) = CR + PR + SD.

Outcome measures

Outcome measures
Measure
TAE/TACE+iNKT for Unresectable HCC
n=27 Participants
TAE/TACE combined with autologous iNKT cells infusion will be applied for patients in experimental group. TAE/TACE will be performed at 0th and 4th week. 5×10\^8-10\^9/m2 iNKT cells will be infused to patients at 1st, 3rd, 5th, 7th, 9th, 11th week after first TAE/TACE therapy. iNKT cells: 5×10\^8-10\^9/m2 iNKT cells will be infused to patients at 1st, 3rd, 5th, 7th, 9th, 11th week after first TAE/TACE therapy. therapy. Human recombinated Interleukin-2: IL-2 will be given at a dose of 25,000 IU/kg/day for 5-14 days after iNKT cells infusion. TAE/TACE: TAE/TACE will be conducted to all patients at 0th week and 4th week.
TAE/TACE for Unresectable HCC
n=27 Participants
TAE/TACE will be conducted at 0th week and 4th week. TAE/TACE: TAE/TACE will be conducted to all patients at 0th week and 4th week.
Disease Control Rate (DCR)
23 Participants
9 Participants

SECONDARY outcome

Timeframe: The occurrence of AEs was observed for an average of 24 weeks after the completion of treatment (between 0-11 weeks of treatment) for up to a 60 week period in total.

The severities of AEs will be divided into 5 levels according to the National Cancer Institute (NCI) Common Terminology Standard for Adverse Events (CTCAE) version 4.03.

Outcome measures

Outcome measures
Measure
TAE/TACE+iNKT for Unresectable HCC
n=27 Participants
TAE/TACE combined with autologous iNKT cells infusion will be applied for patients in experimental group. TAE/TACE will be performed at 0th and 4th week. 5×10\^8-10\^9/m2 iNKT cells will be infused to patients at 1st, 3rd, 5th, 7th, 9th, 11th week after first TAE/TACE therapy. iNKT cells: 5×10\^8-10\^9/m2 iNKT cells will be infused to patients at 1st, 3rd, 5th, 7th, 9th, 11th week after first TAE/TACE therapy. therapy. Human recombinated Interleukin-2: IL-2 will be given at a dose of 25,000 IU/kg/day for 5-14 days after iNKT cells infusion. TAE/TACE: TAE/TACE will be conducted to all patients at 0th week and 4th week.
TAE/TACE for Unresectable HCC
n=27 Participants
TAE/TACE will be conducted at 0th week and 4th week. TAE/TACE: TAE/TACE will be conducted to all patients at 0th week and 4th week.
Adverse Events(AEs)
Cholesterol high(Any Grade)
1 Participants
1 Participants
Adverse Events(AEs)
Chill (Any Grade)
0 Participants
0 Participants
Adverse Events(AEs)
Chill (≧ Grade 3)
0 Participants
0 Participants
Adverse Events(AEs)
Fatigue(Any Grade)
3 Participants
5 Participants
Adverse Events(AEs)
Fatigue(≧ Grade 3)
0 Participants
0 Participants
Adverse Events(AEs)
Fever (Any Grade)
3 Participants
5 Participants
Adverse Events(AEs)
Fever (≧ Grade 3)
0 Participants
0 Participants
Adverse Events(AEs)
Injection site reaction(Any Grade)
0 Participants
0 Participants
Adverse Events(AEs)
Injection site reaction (≧ Grade 3)
0 Participants
0 Participants
Adverse Events(AEs)
Callosity(Any Grade)
4 Participants
0 Participants
Adverse Events(AEs)
Callosity(≧ Grade 3)
0 Participants
0 Participants
Adverse Events(AEs)
Activation time of partial prothrombin (Any Grade)
0 Participants
0 Participants
Adverse Events(AEs)
Activation time of partial prothrombin (≧ Grade 3)
0 Participants
0 Participants
Adverse Events(AEs)
Alanine aminotransferase increased (Any Grade)
1 Participants
8 Participants
Adverse Events(AEs)
Alanine aminotransferase increased (≧ Grade 3)
0 Participants
2 Participants
Adverse Events(AEs)
Aspartate aminotransferase increased (Any Grade)
4 Participants
5 Participants
Adverse Events(AEs)
Aspartate aminotransferase increased (≧ Grade 3)
0 Participants
0 Participants
Adverse Events(AEs)
Blood bilirubin increased (Any Grade)
3 Participants
6 Participants
Adverse Events(AEs)
Blood bilirubin increased (≧ Grade 3)
0 Participants
2 Participants
Adverse Events(AEs)
Alkaline phosphatase increased (Any Grade)
1 Participants
2 Participants
Adverse Events(AEs)
Alkaline phosphatase increased (≧ Grade 3)
0 Participants
0 Participants
Adverse Events(AEs)
Glutamyl transpeptidase increased (Any Grade)
6 Participants
6 Participants
Adverse Events(AEs)
Glutamyl transpeptidase increased (≧ Grade 3)
1 Participants
1 Participants
Adverse Events(AEs)
Cholesterol high(≧ Grade 3)
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Data will be collected at baseline and every 4 weeks until disease progression, then every 8 weeks for up to 60 weeks.

EORTC QLQ-C30: European Organization for Research on Treatment of Cancer Quality of Life Questionnare-Core 30. The totally 30 items spread out over five functional scales (15 items), three symptom scales (7 items), a global health status/QoL scale (2 items), and six single items. 1-28 item ranges 1: not at all, 2: a little, 3: quite a lit, 4: very much; 29-30 item ranges 1-7 from very poor to excellent. Raw score (RS) is an average of all items in each area. Standardized score is in the range of 0-100 by formula SS=\[1-(RS-1)/n\] x100 (function) or SS=\[(RS-1)/n\]x100 (symptom or overall health) respectively. A high scale score represents a higher/healthy response level. Time to deterioration was defined as a decrease from baseline of 10 points or more on the EORTC QLQ-C30 maintained for two consecutive assessments.

Outcome measures

Outcome measures
Measure
TAE/TACE+iNKT for Unresectable HCC
n=27 Participants
TAE/TACE combined with autologous iNKT cells infusion will be applied for patients in experimental group. TAE/TACE will be performed at 0th and 4th week. 5×10\^8-10\^9/m2 iNKT cells will be infused to patients at 1st, 3rd, 5th, 7th, 9th, 11th week after first TAE/TACE therapy. iNKT cells: 5×10\^8-10\^9/m2 iNKT cells will be infused to patients at 1st, 3rd, 5th, 7th, 9th, 11th week after first TAE/TACE therapy. therapy. Human recombinated Interleukin-2: IL-2 will be given at a dose of 25,000 IU/kg/day for 5-14 days after iNKT cells infusion. TAE/TACE: TAE/TACE will be conducted to all patients at 0th week and 4th week.
TAE/TACE for Unresectable HCC
n=27 Participants
TAE/TACE will be conducted at 0th week and 4th week. TAE/TACE: TAE/TACE will be conducted to all patients at 0th week and 4th week.
Time to Quality of Life (QoL) Deterioration
9.2 months
Interval 6.0 to 13.3
3.0 months
Interval 2.9 to 3.0

Adverse Events

TAE/TACE+iNKT for Unresectable HCC

Serious events: 0 serious events
Other events: 14 other events
Deaths: 5 deaths

TAE/TACE for Unresectable HCC

Serious events: 0 serious events
Other events: 15 other events
Deaths: 4 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
TAE/TACE+iNKT for Unresectable HCC
n=27 participants at risk
TAE/TACE combined with autologous iNKT cells infusion will be applied for patients in experimental group. TAE/TACE will be performed at 0th and 4th week. 5×10\^8-10\^9/m2 iNKT cells will be infused to patients at 1st, 3rd, 5th, 7th, 9th, 11th week after first TAE/TACE therapy. iNKT cells: 5×10\^8-10\^9/m2 iNKT cells will be infused to patients at 1st, 3rd, 5th, 7th, 9th, 11th week after first TAE/TACE therapy. Human recombinated Interleukin-2: IL-2 will be given at a dose of 25,000 IU/kg/day for 5-14 days after iNKT cells infusion. TAE/TACE: TAE/TACE will be conducted to all patients at 0th week and 4th week.
TAE/TACE for Unresectable HCC
n=27 participants at risk
TAE/TACE will be conducted at 0th week and 4th week. TAE/TACE: TAE/TACE will be conducted to all patients at 0th week and 4th week.
General disorders
Fatigue
11.1%
3/27 • Number of events 3 • The occurrence of AEs was observed for an average of 24 weeks after the completion of treatment (between 0-11 weeks of treatment) for up to a 60 week period in total.
18.5%
5/27 • Number of events 5 • The occurrence of AEs was observed for an average of 24 weeks after the completion of treatment (between 0-11 weeks of treatment) for up to a 60 week period in total.
General disorders
Fever
11.1%
3/27 • Number of events 3 • The occurrence of AEs was observed for an average of 24 weeks after the completion of treatment (between 0-11 weeks of treatment) for up to a 60 week period in total.
18.5%
5/27 • Number of events 5 • The occurrence of AEs was observed for an average of 24 weeks after the completion of treatment (between 0-11 weeks of treatment) for up to a 60 week period in total.
General disorders
Callosity
14.8%
4/27 • Number of events 4 • The occurrence of AEs was observed for an average of 24 weeks after the completion of treatment (between 0-11 weeks of treatment) for up to a 60 week period in total.
0.00%
0/27 • The occurrence of AEs was observed for an average of 24 weeks after the completion of treatment (between 0-11 weeks of treatment) for up to a 60 week period in total.
Investigations
Alanine aminotransferase increased
3.7%
1/27 • Number of events 1 • The occurrence of AEs was observed for an average of 24 weeks after the completion of treatment (between 0-11 weeks of treatment) for up to a 60 week period in total.
29.6%
8/27 • Number of events 8 • The occurrence of AEs was observed for an average of 24 weeks after the completion of treatment (between 0-11 weeks of treatment) for up to a 60 week period in total.
Investigations
Aspartate aminotransferase increased
14.8%
4/27 • Number of events 4 • The occurrence of AEs was observed for an average of 24 weeks after the completion of treatment (between 0-11 weeks of treatment) for up to a 60 week period in total.
18.5%
5/27 • Number of events 5 • The occurrence of AEs was observed for an average of 24 weeks after the completion of treatment (between 0-11 weeks of treatment) for up to a 60 week period in total.
Investigations
Blood bilirubin increased
11.1%
3/27 • Number of events 3 • The occurrence of AEs was observed for an average of 24 weeks after the completion of treatment (between 0-11 weeks of treatment) for up to a 60 week period in total.
22.2%
6/27 • Number of events 6 • The occurrence of AEs was observed for an average of 24 weeks after the completion of treatment (between 0-11 weeks of treatment) for up to a 60 week period in total.
Investigations
Alkaline phosphatase increased
3.7%
1/27 • Number of events 1 • The occurrence of AEs was observed for an average of 24 weeks after the completion of treatment (between 0-11 weeks of treatment) for up to a 60 week period in total.
7.4%
2/27 • Number of events 2 • The occurrence of AEs was observed for an average of 24 weeks after the completion of treatment (between 0-11 weeks of treatment) for up to a 60 week period in total.
Investigations
Glutamyl transpeptidase increased
22.2%
6/27 • Number of events 6 • The occurrence of AEs was observed for an average of 24 weeks after the completion of treatment (between 0-11 weeks of treatment) for up to a 60 week period in total.
22.2%
6/27 • Number of events 6 • The occurrence of AEs was observed for an average of 24 weeks after the completion of treatment (between 0-11 weeks of treatment) for up to a 60 week period in total.
Investigations
Cholesterol high
3.7%
1/27 • Number of events 1 • The occurrence of AEs was observed for an average of 24 weeks after the completion of treatment (between 0-11 weeks of treatment) for up to a 60 week period in total.
3.7%
1/27 • Number of events 1 • The occurrence of AEs was observed for an average of 24 weeks after the completion of treatment (between 0-11 weeks of treatment) for up to a 60 week period in total.

Additional Information

Lu Jun

BeijingYouan Hospital

Phone: +86-010-83997153

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place