Clinical Study on the Safety and Initial Efficacy of BGT007H Cell Therapy in Patients With Recurrent/Metastatic Refractory Digestive Tract Tumors

The Affiliated Hospital of Xuzhou Medical University1 site in 1 country14 target enrollmentOctober 22, 2023

ConditionsDigestive Tract Cancer

Overview

Phase: Early Phase 1
Intervention: Not specified
Conditions: Digestive Tract Cancer
Sponsor: The Affiliated Hospital of Xuzhou Medical University
Enrollment: 14
Locations: 1
Primary Endpoint: Dose-limiting toxicity（DLT）
Status: Recruiting
Last Updated: 2 years ago

Overview Investigators Eligibility Criteria Outcomes Sites Similar Trials

Overview

Brief Summary

This is an exploratory clinical study evaluating the safety and initial efficacy of BGT007H injection in the treatment of recurrent/metastatic/refractory digestive system tumors.

Detailed Description

The researchers designed a single arm, open, exploratory study to improve the "3+3" dose escalation. The maximum dose or the best effective dose shall be determined according to the subject and dose increasing test to verify the safe and effective number of cells per unit weight. The improved "3+3" dose increasing design was adopted, and BGT007H cells were set with 5 dose groups that were gradually increased for treatment evaluation. The dose groups were 2.0 × 10\^8cells，5.0 × 10\^8cells，1.0 × 10\^9cells，3.0 × 10\^9cells，6.0 × 10\^9cells。 Cell reinfusion will be carried out on day 0 (d0), and each subject will be observed for at least 4 weeks after receiving cell reinfusion (DLT observation period).

Registry

clinicaltrials.gov

Start Date

October 22, 2023

End Date

October 20, 2027

Last Updated

2 years ago

Study Type

Interventional

Study Design

Single Group

Sex

All

Investigators

Sponsor

The Affiliated Hospital of Xuzhou Medical University

Responsible Party

Sponsor

Eligibility Criteria

Inclusion Criteria

•Voluntarily sign a written informed consent;
•Age ≥18 years old, ≤70 years old, male and female;
•Expected survival ≥ 3 months;
•The Eastern Cancer Collaboration (ECOG) physical fitness score was 0-1;
•Biopsy specimen or pathological wax section test (within 3 years before the signing of informed consent) : Target protein test is positive;
•At least one measurable lesion according to RECIST v1.1 solid tumor evaluation criteria;
•Patients with recurrent/metastatic refractory digestive tract tumors (esophageal, gastric, pancreatic, or colorectal cancer) who have previously received second-line or above standard treatment failure or intolerance;
•It is possible to establish a vein access for simple or intravenous blood collection, and there are no other contraindications for blood cell separation;
•having adequate organ and bone marrow function, as defined below: Blood routine examination Neutrophil count (NEU #) ≥1.0×10\^9/L Platelet count (PLT) ≥80×10\^9/L Hemoglobin concentration ≥90g/L Liver function: subjects without liver metastases Aspartate aminotransferase (AST) ≤2.5× Upper Limit of Normal (ULN) Alanine aminotransferase (ALT) ≤2.5× Upper Limit of Normal (ULN) Total bilirubin (TBIL) ≤1.5×ULN Liver function: Subjects with liver metastases Aspartate aminotransferase (AST) ≤5× Upper limit of normal (ULN) Alanine aminotransferase (ALT) ≤5× Upper limit of normal (ULN) Liver function: Subjects with liver metastases or Gilbert syndrome Total bilirubin (TBIL) ≤2×ULN renal function Creatinine clearance (CCR) ≥50 mL/min Coagulation function International Standardized ratio (INR) ≤1.5×ULN Activated partial thromboplastin time (APTT) ≤1.5×ULN
•Toxic side effects left over from previous anti-tumor therapy (radiotherapy, chemotherapy, targeted therapy, etc.) ≤ grade 1 (CTCAE 5.0);

Exclusion Criteria

•Active central nervous system metastases (except those stable after treatment);
•HIV positive, HBsAg positive, HBV DNA copy number positive (quantitative detection ≥1000cps/ml), HCV antibody positive and HCV RNA positive;
•Patients with mental or mental illness who cannot cooperate with treatment and efficacy evaluation;
•Subjects with severe autoimmune diseases and long-term use of immunosuppressants;
•Active or uncontrolled infections requiring systemic treatment during the 14 days prior to enrollment;
•Any unstable systemic disease (including but not limited to) :
•Active infections (except local infections); unstable angina pectoris; cerebral ischemia or cerebrovascular accident (within 6 months prior to screening); myocardial infarction (within 6 months before screening); Congestive heart failure (New York Heart Association \[NYHA\] classification ≥III); Severe arrhythmias requiring medical treatment; have a heart condition that requires treatment or uncontrolled hypertension after treatment (blood pressure \> 160mmHg/100 mmHg);
•dysfunction of important organs such as lung, brain and kidney;
•The subject has undergone major surgery or severe trauma within 4 weeks prior to receiving cell therapy, or is expected to undergo major surgery during the study period;
•Received any systemic chemotherapy, immunotherapy, or small molecule targeted therapy within 1-2 weeks prior to anapheresis or within 5 half-lives, whichever is shorter;