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临床试验/NCT02930993
NCT02930993Unknown1 期

A Safety and Efficacy Study of Autologous T Cells Engineered to Express Chimeric Antigen Receptor Targeting Mesothelin in Patients With Recurred or Metastatic Malignant Tumors

China Meitan General Hospital2 个研究点 分布在 1 个国家目标入组 20 人开始时间: 2016年8月1日最近更新:
适应症

试验速览

阶段
1 期
发起方
入组人数
20
试验地点
2
主要终点
safety of infusion of autologous anti-mesothelin CAR T cells as assessed by the incidents of treatment related adverse events per NCI CTCAE V4.0

研究概览

简要总结

This is a single-arm, open-label, one center, dose escalation clinical study, to determine the safety and efficacy of infusion of autologous T cells engineered to express chimeric antigen receptor targeting mesothelin in adult patients with mesothelin positive, recurrent or metastatic malignant tumors.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 70 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • patients with mesothelin positive, recurrent or metastatic malignant tumors , including but not limited to pancreatic adenocarcinoma, ovarian cancer, or pleural mesothelioma.
  • relapsed or metastatic after standard treatment
  • measurable tumors by RECIST1.1 standard
  • patients are 18 to 70 years old.
  • life expectancy > 3months.
  • satisfactory major organ functions: adequate heart function with LVEF≥50%; no obvious abnormities in ECG; pulse oximetry ≥ 90%; cockcroft-gault creatinine clearance≥40 ml/min; alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤3ULN; Bilirubin ≤2.0 mg/dl .
  • Blood: Hgb ≥ 80 g/L, ANC ≥ 1×10^9/L, PLT ≥ 50×10^9/L.
  • women of reproductive potential must have a negative pregnancy test. Male and female of reproductive potential must agree to use birth control during the study and one year post study.

排除标准

  • patients with a prior history of autoimmune disease or other diseases who need long-term use of systemic hormone drug or immunosuppressive therapy
  • active infection.
  • HIV positive.
  • active hepatitis B virus infection or hepatitis C virus infection.
  • currently enrolled in other study.
  • patients, in the opinion of investigators, may not be eligible or are not able to comply with the study.
  • patients who have allergic disease, or are allergic to T cell products or other biological agents used in the study.
  • patients whose tumors have metastasized to bone marrow, or have clinical signs of bone metastasis, such as bone and joint pain .
  • patients who have brain metastasis or signs of brain metastasis, such as loss of self-consciousness.

结局指标

主要结局

safety of infusion of autologous anti-mesothelin CAR T cells as assessed by the incidents of treatment related adverse events per NCI CTCAE V4.0

时间窗: 2 years

incidents of treatment related adverse events per NCI CTCAE V4.0

次要结局

  • activation of anti-mesothelin CAR T cells in patients(6 months)
  • persistence of anti-mesothelin CAR T cells in patients(1 year)
  • treatment response rate of anti-mesothelin CAR T cells(4 weeks)
  • overall survival(2 years)
  • proliferation of anti-mesothelin CAR T cells in patients(6 months)
  • progression free survival(6 months)

研究者

发起方
China Meitan General Hospital
申办方类型
Other
责任方
Principal Investigator
主要研究者

Jinwen Sun

director of Department of General Surgery and Surgical Oncology

China Meitan General Hospital

研究点 (2)

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