A Clinical Study of CAR-NK Cells (CL-NK-003) in Patients With Advanced Pancreatic Cancer
试验速览
- 阶段
- 1 期
- 状态
- 招募中
- 入组人数
- 9
- 试验地点
- 1
- 主要终点
- Number of participants with abnormal clinical laboratory parameters reported as TEAE
研究概览
简要总结
This is a single-center, open-label, first-in-human, fixed-dose study in patients with pancreatic cancer.
详细描述
A fixed-dose study will evaluate the safety, tolerability and efficacy of CAR-NK cells (CL-NK-003) in patients with locally advanced, metastatic, or recurrent pancreatic cancer.
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 75 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •1. Aged 18-75 years;
- •Locally advanced, metastatic, or recurrent pancreatic cancer, with immunohistochemical detection of eGR1 (membrane positive tumor cell rate >40% and expression intensity ≥2+), who have failed, been intolerant to or reject standard treatment;
- •At least 1 measurable lesion according to RECIST 1.1;
- •Have not received anti-tumor treatment for at least 4 weeks;
- •ECOG performance status of 0-2;
- •Estimated life expectancy more than 12 weeks;
- •Hematology: neutrophils ≥ 1.5×10^9/L, lymphocytes ≥ 0.8×10^9/L, hemoglobin ≥ 100 g/L, and platelets ≥ 75 × 10^9/L;
- •Blood biochemistry: total bilirubin ≤ 2×ULN, alanine aminotransferase ≤ 3×ULN, aspartate aminotransferase ≤ 3×ULN, and creatinine clearance ≥ LLN (Cockcroft-Gault formula);
- •Volunteer to participate in this clinical study and willing to sign written informed consent.
排除标准
- •1. Evidence of central nervous system involvement;
- •Have received adoptive cell therapy;
- •Patients with any uncontrolled active infection, including but not limited to: HBV, HCV, HIV, or treponema pallidum serology positive;
- •Vaccinated with a live attenuated vaccine within 3 months;
- •History of immunodeficiency;
- •Active autoimmune disease;
- •Regular use of systemic corticosteroids within 2 weeks prior to screening at a dose exceeding prednisone 10 mg/day (or equivalent) on any day;
- •Have severe conditions, including but not limited to: (1) severe respiratory diseases; (2) severe cardiovascular diseases (previous history of CABG/PCI; myocardial infarction/unstable angina pectoris, congestive heart failure of NYHA III-IV, left ventricular ejection fraction < 50%, or poorly controlled hypertension within 6 months; QTc interval > 480ms, long or short QT syndrome; previous history of ventrical arrhythmia, or ventrical arrhythmia under anti-arrhythmic drugs/ICD); (3) poorly controlled diabetes and other metabolic diseases; (4) severe gastrointestinal diseases (severe gastrointestinal bleeding, severe diarrhea of CTCAE ≥ 2, or severe gastrointestinal obstruction needing intervention);
- •Possible severe adverse events, allergy or other contraindications to drugs or its component under study;
- •Pregnant or lactating women;
- •History of neurological or psychological disorders;
- •Not suitable to participate this clinical study judged by the investigator.
研究组 & 干预措施
CL-NK-003
Fixed-dose for at least 6 patients
干预措施: CL-NK-003 (Biological)
结局指标
主要结局
Number of participants with abnormal clinical laboratory parameters reported as TEAE
时间窗: 42 days of first infusion
Safety
Number of participants with abnormal vital signs reported as TEAE
时间窗: 42 days of first infusion
Safety
Number of participants with change from baseline in QT/QTc interval in electrocardiogram
时间窗: 42 days of first infusion
Safety
Treatment-emergent adverse event (TEAE) and treatment-emergent serious adverse event (TESAE)
时间窗: 42 days of first infusion
Safety
Dose-limiting toxicity (DLT)
时间窗: 42 days of first infusion
Safety
次要结局
- Objective response rate (ORR)(42 days of first infusion)
- Disease control rate (DCR)(42 days of first infusion)
- Progression-free survival (PFS)(6 months)
- Overall survival (OS)(6 months)
- Patient-reported quality of life (QoL)(42 days of first infusion)
- Patient-generated subjective global assessment (PG-SGA)(42 days of first infusion)
