Clinical Study on the Safety and Preliminary Efficacy of CDH17/GUCY2C CAR-T in the Treatment of Patients With Advanced Colorectal Cancer

NCT ID: NCT07152210

Last Updated: 2025-09-03

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

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-09-01

Study Completion Date

2028-12-31

Brief Summary

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This study is a single-arm, single-center investigator-initiated trial (IIT) designed to evaluate the safety and preliminary efficacy of CDH17/GUCY2C CAR-T cell therapy in patients with advanced colorectal cancer, as well as to assess its pharmacodynamic (PD) and pharmacokinetic (PK) profiles.

Detailed Description

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Conditions

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Colorectal Cancer (CRC)

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

The dosage range of 1.0 × 10\^6/kg (± 20%) to 5.0 × 10\^6/kg (± 20%) of CAR-T cells, administered either intravenously or intratumorally.

Group Type EXPERIMENTAL

CAR-T

Intervention Type BIOLOGICAL

Eligible subjects who successfully passed screening will receive CAR-T cell infusion on Day 0 after lymphodepleting preconditioning chemotherapy.

Interventions

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CAR-T

Eligible subjects who successfully passed screening will receive CAR-T cell infusion on Day 0 after lymphodepleting preconditioning chemotherapy.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

1. Voluntarily participate in this trial, sign the informed consent form.
2. Advanced colorectal cancer patients who have either failed standard treatment, experienced intolerable toxicity, or are unsuitable or unwilling to undergo standard treatment, and voluntarily agree to receive the current treatment.
3. Be able to provide immunohistochemical (IHC) test results from the past 2 years, indicating positive expression of CDH17/GUCY2C targets in tumor tissues.
4. Have at least one extracranial, measurable/assessable lesion according to RECIST 1.1 criteria.
5. Have an ECOG (Eastern Cooperative Oncology Group) performance status score of 0-1 and an expected survival duration of at least 3 months.
6. Have recovered from the toxicity associated with previous treatments, with a CTCAE toxicity grade of less than 2.
7. Have no significant hematopoietic dysfunction and possess adequate organ function.
8. Be able to meet the research center's requirements for apheresis/peripheral blood collection upon successful screening, or have acceptable stored blood cell separation products available.

Exclusion Criteria

1. Patients who have had or currently have other malignant tumors within the past five years.
2. Presence of brain metastasis.
3. History of clinically significant central nervous system disorders, either in the past or at screening.
4. Imaging indicating tumor invasion of major blood vessels or indistinct borders with blood vessels.
5. Individuals who have received cytotoxic drugs or other interventions, assessed by the investigator as potentially impacting lymphocyte expansion, within 14 days or at least five half-lives (whichever is shorter) prior to blood collection for CAR-T preparation.
6. Presence of other viremias.
7. History of severe allergies.
8. Patients with severe cardiac disease.
9. Patients with severe hepatic and renal dysfunction or disorders of consciousness.
10. Patients with active autoimmune or inflammatory diseases.
11. Patients with objective evidence of past or current pulmonary fibrosis, interstitial pneumonia, pneumoconiosis, radiation pneumonitis, drug-induced pneumonia, severe lung function impairment, etc.
12. Patients who have undergone or are awaiting organ transplantation.
13. Infections requiring intravenous antibiotic therapy for control or are uncontrollable.
14. Individuals who have received live (attenuated) virus vaccines within four weeks prior to screening.
15. Alcoholics or individuals with a history of substance abuse.
16. Pregnant or lactating women.
17. Individuals who have participated in other clinical trials involving drugs within the past 30 days.
18. Patients who, based on the investigator's judgment and/or clinical standards, have contraindications to any study procedures or present other medical conditions that may pose unacceptable risks.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Guangzhou Bio-gene Technology Co., Ltd

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Dongguan Taixin Hospital

Dongguan, Guangdong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Xiaohu Hao, Ph.D. degree

Role: CONTACT

0762-33335678

Chunfu Li, Ph.D. degree

Role: CONTACT

+86 18617895379 ext. 0762-33335678

Facility Contacts

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Xiaohu Hao, Ph.D. degree

Role: primary

0762-33335678

Chunfu Li, Ph.D. degree

Role: backup

18617895379

Other Identifiers

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CF-24-008

Identifier Type: -

Identifier Source: org_study_id

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