Autologous Natural Killer Cell Therapy for Hepatocellular Carcinoma

NCT ID: NCT06044506

Last Updated: 2023-09-26

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

RECRUITING

Clinical Phase

PHASE1

Total Enrollment

3 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-08-29

Study Completion Date

2026-12-31

Brief Summary

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This study represents a phase I clinical trial that utilizes natural killer (NK) cell therapy for patients diagnosed with liver cancer, specifically those classified as Child-Pugh A and falling within the Barcelona Clinic Liver Cancer (BCLC) stages B or C. The expected results include determining the suitable treatment dosage, identifying any resulting side effects, and calculating the average duration of progression-free survival. The target group for the study consists of all individuals diagnosed with liver cancer. At the same time, the practical sample consists of those who received medical care for liver cancer at Cipto Mangunkusumo Hospital (RSCM) between May and December 2022. The chosen research sample comprises liver cancer patients who fulfill the predetermined participation criteria. The necessary sample size for discerning appropriate treatment dosages and the occurrence rate of potential side effects shall consist of 2-3 liver cancer patients who are administered autologous NK cells. The process for isolating these NK cells adheres to the guidelines established by Miltenyi Biotec.

Detailed Description

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Conditions

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Hepatocellular Carcinoma

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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Autologous Natural Killer Cell

Dosage Form: Autologous Natural Killer (NK) Cells. These cells will be harvested from the patient's body and infused back into the patient.

Dosage: The specific dose quantity will be determined based on the patient's medical condition and response to the treatment. Customized dosages will be calculated for each individual.

Frequency: The treatment will be given through an intravenous method.

Duration: The length of the treatment will vary depending on how the patient responds and their medical assessment. It may take several weeks to evaluate its effectiveness and potential impacts thoroughly.

Group Type EXPERIMENTAL

Autologous Natural Killer Cell Therapy

Intervention Type DRUG

The therapy will be administered intravenously

Clinimacs Plus

Intervention Type DEVICE

The CliniMACS Plus device is an automated cell separation tool that uses MACS Technology. It incorporates a flexible system designed for isolating clinically labeled cells using MicroBeads.

Interventions

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Autologous Natural Killer Cell Therapy

The therapy will be administered intravenously

Intervention Type DRUG

Clinimacs Plus

The CliniMACS Plus device is an automated cell separation tool that uses MACS Technology. It incorporates a flexible system designed for isolating clinically labeled cells using MicroBeads.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patients aged 20-60 years old
* Patients with Hepatocellular Carcinoma (HCC) staged as BCLC B and C
* Karnofsky Performance Status (KPS) score ≥ 70
* Expected patient survival of more than three months
* The following parameters are within the normal range:

Platelet count ≥ 80,000/µL White blood cell count ≥ 3000/µL Neutrophil count ≥ 2000 Hemoglobin ≥ 9 mg/dL International Normalized Ratio (INR) 0.8-1.5 Adequate liver function (bilirubin \< 2, SGOT and SGPT \< 60 U/L) Adequate kidney function (serum creatinine \< 1.3, serum urea \< 10)

Exclusion Criteria

* Refusing to participate in the study
* Afflicted by other malignancies, whether non-HCC liver or other malignancies
* Patients are affected by other conditions such as hypertension, severe coronary disease, myelosuppression, respiratory disorders, and acute or chronic infections
* Patients who have previously undergone transplantation and received other stem cell therapies
Minimum Eligible Age

20 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Dr Cipto Mangunkusumo General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Cosphiadi Irawan

Head of Hematology-Medical Oncology Division, Dr Cipto Mangunkusumo General Hospital

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Cosphiadi Irawan, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Cipto Mangunkusumo Hospital/Faculty of Medicine, Universitas Indonesia

Locations

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Cipto Mangunkusumo General Hospital

Jakarta Pusat, Jakarta Special Capital Region, Indonesia

Site Status RECRUITING

Countries

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Indonesia

Central Contacts

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Ardhi Rahman Ahani, MD

Role: CONTACT

+62 87870171876

Firshan Makbul, MD

Role: CONTACT

+62 81242625535

Facility Contacts

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Ardhi Rahman Ahani, MD

Role: primary

+62 87870171876

Cosphiadi Irawan, MD, PhD

Role: backup

Other Identifiers

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22080996

Identifier Type: -

Identifier Source: org_study_id

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