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
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.
Investigators
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)