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Clinical Trials/NCT05911217
NCT05911217
Recruiting
Phase 1

An Open-label, Single-arm, Multicenter, Phase Ib Clinical Trial to Evaluate the Efficacy and Safety of CT041 Autologous CAR T Cell Injection After Adjuvant Chemotherapy in Subjects With Pancreatic Cancer

CARsgen Therapeutics Co., Ltd.8 sites in 1 country20 target enrollmentJuly 11, 2023

Overview

Phase
Phase 1
Intervention
CT041 autologous CAR T-cell injection
Conditions
Pancreatic Cancer
Sponsor
CARsgen Therapeutics Co., Ltd.
Enrollment
20
Locations
8
Primary Endpoint
Disease free survival (DFS)
Status
Recruiting
Last Updated
last year

Overview

Brief Summary

An open-label, single-arm, multicenter, Phase Ib clinical trial to evaluate the efficacy and safety of CT041 Autologous CAR T Cell Injection after adjuvant chemotherapy in subjects with pancreatic cancer.

Detailed Description

This study is an open, multicenter, Phase Ib clinical trial evaluating chimeric antigen receptor-modified autologous T cells targeting Claudin18.2 (CLDN18.2) (CT041 autologous CAR T) in subjects with CLDN18.2 expression-positive pancreatic cancer who has undergone adjuvant chemotherapy. The aim of this study is to evaluate the efficacy, safety of CT041 treatment.

Registry
clinicaltrials.gov
Start Date
July 11, 2023
End Date
December 31, 2026
Last Updated
last year
Study Type
Interventional
Study Design
Single Group
Sex
All

Investigators

Sponsor
CARsgen Therapeutics Co., Ltd.
Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Voluntary participation in the clinical trial; fully understand, be informed about this study and have signed the ICF; willing to follow and able to complete all study procedures;
  • Aged 18 to 79 years;
  • Histologically confirmed pancreatic ductal adenocarcinoma;
  • Macroscopic complete tumor removal (R0 or R1 resection);
  • Postoperative pathological stage (pTNM): T1-3, N0-2, M0;
  • Immunohistochemistry (IHC) staining of subject's tumor tissue sample is CLDN18.2-positive;
  • Subjects had recovered from surgery and had received 3 months of standard adjuvant therapy;
  • Abnormal CA19-9 level;
  • With sufficient venous access for leukapheresis collection;
  • ECOG performance status score 0-1;

Exclusion Criteria

  • Prior neoadjuvant therapy for pancreatic cancer;
  • Subjects with borderline resectable pancreatic cancer;
  • Present or past history of metastatic or locally recurrent pancreatic cancer;
  • Evidence of malignant ascites;
  • Subjects had diseases that may interfere with CA19-9 level, including but not limited to cholangitis, pancreatitis, obstructive jaundice, etc.
  • Toxicities caused by previous treatment have not recovered to CTCAE ≤ grade 2, except alopecia and other tolerable events as judged by the investigator or laboratory abnormalities allowed in this study;
  • Pregnant or lactating women;
  • Positive serology for HIV, Treponema pallidum or HCV;
  • Any active infections, including but not limited to active tuberculosis, HBV, EBV, CMV, COVID-19 infections;
  • Clinically significant thyroid dysfunction;

Arms & Interventions

anti-claudin18.2 chimeric antigen receptor T-cell therapy

Experimental: anti-claudin18.2 chimeric antigen receptor T-cell therapy Phase 1b: Evaluate the efficacy and safety of CT041

Intervention: CT041 autologous CAR T-cell injection

Outcomes

Primary Outcomes

Disease free survival (DFS)

Time Frame: Up to 18 months

The time from the first infusion to the occurrence of local recurrence/distant metastasis or death from any cause, whichever occurred first.

Secondary Outcomes

  • Incidence of Treatment Related adverse events (AEs), treatment related AEs, AEs of special interest (AESI).(Up to 18 months)
  • 1 year DFS rate(Up to 18 months)
  • Overall Survival (OS)(Up to 18 months)
  • The phamacokinetics in subjects receiving CT041 infusion in this study(Up to 18 months)
  • Metastasis free Survival (MFS)(Up to 18 months)
  • The immunogenicity in subjects receiving CT041 infusion in this study(Up to 18 months)

Study Sites (8)

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Related News

CARsgen's Satri-cel Shows Promising Results in World's First CAR T-Cell Adjuvant Therapy Trial for Pancreatic Cancer- CARsgen presented preliminary results from the world's first proof-of-concept study exploring CAR T-cell therapy for adjuvant treatment of solid tumors at ESMO Congress 2025. - The Phase Ib trial of satri-cel in high-risk pancreatic cancer patients achieved an 83.3% nine-month disease-free survival rate with significant CA19-9 biomarker reductions. - Only one of six patients experienced disease recurrence during a median follow-up of 6.05 months, with manageable safety profile including Grade 1-2 cytokine release syndrome. - The study enrolled patients with Claudin18.2-positive pancreatic ductal adenocarcinoma who had undergone curative resection but showed abnormal CA19-9 levels after standard chemotherapy.CARsgen's Satri-cel Shows Promise in Phase II Trial for Advanced Gastric and GEJ Cancers- CARsgen Therapeutics' satri-cel significantly improved progression-free survival in patients with advanced gastric/gastroesophageal junction cancers. - The Phase II trial (CT041-ST-01) evaluated satri-cel in patients with Claudin18.2-positive tumors who had failed at least two prior lines of therapy. - CARsgen plans to submit a New Drug Application to China's NMPA in the first half of 2025, potentially marking the first CAR-T therapy for solid tumors. - Satri-cel has received Breakthrough Therapy Designation from China's NMPA and RMAT designation from the U.S. FDA, expediting its development and review.