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临床试验/NCT05845502
NCT05845502终止不适用

Single-arm, Open-label Clinical Study of SZ003 in the Treatment of Advanced Hepatocellular Carcinoma

Shantou University Medical College1 个研究点 分布在 1 个国家目标入组 8 人开始时间: 2021年7月26日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
终止
发起方
入组人数
8
试验地点
1
主要终点
The incidence rates and severity of AEs

研究概览

简要总结

This study was a single-center, open-label, investigator-initiated clinical trial (IIT) to observe and investigate the clinical safety and efficacy of SZ003 in the treatment of advanced hepatocellular carcinoma.

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 80 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • With advanced hepatocellular carcinoma (HCC) confirmed by histopathology;
  • With stage C according to the Barcelona liver cancer grading criteria (BCLC) or with stage B who are ineligible for locoregional/locoregional therapy progression;
  • Unsuitable for surgery or local therapy (including ablation, interventional and radiotherapy) and who have experienced progression or intolerance after previous standard therapy;
  • Through immune tissues chemistry, confirmation of tumor cells positive expression of relevant molecular targets (GPC3) ;
  • With at least one stable evaluable target lesion according to RECIST 1.1 criteria, which was defined as: non-nodal lesion longest diameter ≥10 mm, or nodal lesion short diameter ≥15 mm;
  • Age 18-80, male or female;
  • Karnofsky Performance Status (KPS)≥80;
  • Stable vital signs and expected survival at least 12 weeks.
  • If HBsAg or HBcAb is positive, HBV-DNA < 200 IU/ml and to receive anti-HBV therapy ((Entecavir or tenofovirdisoproxil) for at least 14 days prior to the start of study treatment;
  • Blood Routine: WBC≥2.5×109/L, PLT≥60×109/L, Hb≥9.0g/dL, LY≥0.4×109/L;
  • Blood biochemistry: Alb≥30g/L, Lipase and Amylase ≤1.5 ULN, Serum creatinine ≤1.5 ULN, creatinine clearance ≥40mL/min, ALT≤5 ULN, AST≤5 ULN, Total Serum bilirubin ≤2.5 ULN, prothrombin time ≤6s;
  • Be able to understand and sign an informed consent form

排除标准

  • With uncontrolled active infections;
  • No other prior malignancy except nonmelanoma skin cancer or carcinoma in situ of the cervix within 5 years before study treatment initiation.
  • With previous history of encephalopathy.
  • With active acute or chronic virus, germ infection;
  • Diagnosed with HIV infection or active hepatitis, HBV, HCV infection or other serious infectious diseases;
  • Other serious medical conditions that may limit participation in the trial (such as poorly controlled diabetes (treated Glycated hemoglobin HbA1c > 7%) , severe heart failure (left ventricular ejection fraction (LVEF) < 45%) , myocardial infarction or unstable arrhythmia or unstable angina in the last 6 months, pulmonary embolism, chronic obstructive pulmonary disease, Interstitial lung disease, pulmonary function test FEV1 < 60% predicted, gastric ulcer, history of gastrointestinal bleeding, or definite gastrointestinal bleeding tendency) ;
  • Ascites more than 5cm;
  • The proportion of liver replaced by tumor≥70%, or with tumor infiltration in the portal vein, hepatic veins or inferior vena cava that completely blocks circulation in liver;
  • Prior solid organ transplantation or waiting for organ transplantation (including liver transplantation);
  • Prior anti-tumor therapies within 14 days before study treatment initiation, such as surgery, interventional therapy, radiotherapy, chemotherapy, immunotherapy.
  • Long-term systemic steroid therapy or patients with autoimmune diseases;
  • With a history of allergic reactions attributed to compounds of similar chemical or biological composition used in the study;
  • Have participation in clinical trials of any other investigational agents within 3 months before study treatment initiation.
  • Had received cell therapy previously but ineffective,after physical examination not allowed to received CAR-NK therapy by investigator's judgement;
  • Pregnant or lactating women;
  • Inappropriate to participate in this clinical trial by investigator's judgement.

研究组 & 干预措施

SZ003 CAR-NK

Experimental

干预措施: SZ003 CAR-NK (Biological)

结局指标

主要结局

The incidence rates and severity of AEs

时间窗: through study completion, an average of 1 year

To evaluate the safety of SZ003 CAR-NK Cells

次要结局

  • overall survival (OS)(up to 2 years)
  • disease control rate (DCR) and objective response rate (ORR)(up to 2 years)
  • progression-free survival (PFS)(up to 2 years)
  • duration of response (DOR)(up to 2 years)

研究者

发起方
Shantou University Medical College
申办方类型
Other
责任方
Principal Investigator
主要研究者

Yao KaiTao

Deputy Director

Shantou University Medical College

研究点 (1)

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