Clinical Trials /

Treatment of Relapsed and/or Chemotherapy Refractory Advanced Malignancies by CART133

NCT02541370

Description:

RATIONALE: Placing a tumor antigen chimeric receptor that has been created in the laboratory into patient autologous or donor-derived T cells may make the body build immune response to kill cancer cells. PURPOSE: This clinical trial is studying genetically engineered lymphocyte therapy in treating patients with Relapsed and/or Chemotherapy Refractory Advanced Malignancies.

Related Conditions:
  • Acute Leukemia
  • Breast Carcinoma
  • Colorectal Carcinoma
  • Hepatocellular Carcinoma
  • Malignant Brain Neoplasm
  • Ovarian Carcinoma
  • Pancreatic Carcinoma
Recruiting Status:

Completed

Phase:

Phase 1/Phase 2

Trial Eligibility

Document

Title

  • Brief Title: Treatment of Relapsed and/or Chemotherapy Refractory Advanced Malignancies by CART133
  • Official Title: Clinical Study of Chimeric CD(Cluster of Differentiation)133 Antigen Receptor-modified T Cells in Relapsed and/or Chemotherapy Refractory Malignancies

Clinical Trial IDs

  • ORG STUDY ID: s2015-080-03
  • NCT ID: NCT02541370

Conditions

  • Liver Cancer
  • Pancreatic Cancer
  • Brain Tumor
  • Breast Cancer
  • Ovarian Tumor
  • Colorectal Cancer
  • Acute Myeloid and Lymphoid Leukemias

Interventions

DrugSynonymsArms
anti-CD133-CAR vector-transduced T cellsgenetically engineered lymphocyte therapyanti-CD133 CAR T cells

Purpose

RATIONALE: Placing a tumor antigen chimeric receptor that has been created in the laboratory into patient autologous or donor-derived T cells may make the body build immune response to kill cancer cells. PURPOSE: This clinical trial is studying genetically engineered lymphocyte therapy in treating patients with Relapsed and/or Chemotherapy Refractory Advanced Malignancies.

Detailed Description

      I. Determine the safety and feasibility of the chimeric antigen receptor T cells transduced
      with the anti-CD133 (cluster of differentiation antigen 133 ) vector (referred to as CART-133
      cells).

      II. Determine duration of in vivo survival of CART-133 cells. RT-PCR (reverse transcription
      polymerase chain reaction) analysis of whole blood will be used to detect and quantify
      survival of CART-133 TCR (T-cell receptor) zeta:CD137 and TCR zeta cells over time.

      SECONDARY OBJECTIVES:

      I. For patients with detectable disease, measure anti-tumor response due to CART-133 cell
      infusions.

      II. To determine if the CD137 transgene is superior to the TCR zeta only transgene as
      measured by the relative engraftment levels of CART-133 TCR zeta:CD137 and TCR zeta cells
      over time.

      III. Estimate relative trafficking of CART-133 cells to tumor in bone marrow and lymph nodes.

      IV. For patients with stored or accessible tumor cells determine tumor cell killing by
      CART-133 cells in vitro.

      V. Determine if cellular or humoral host immunity develops against the murine anti-CD133, and
      assess correlation with loss of detectable CART-133 (loss of engraftment).

      VI. Determine the relative subsets of CART-133 T cells (Tcm, Tem, and Treg).
    

Trial Arms

NameTypeDescriptionInterventions
anti-CD133 CAR T cellsExperimentalDose escalation will occur using a standard 3+3 dose escalation approach, beginning in dose level I with dose cohorts and rules for escalation and de-escalation. Patients receive anti-CD133-CAR retroviral vector-transduced autologous-derived T cells on days 0, 1, 2 in the absence of disease progression or unacceptable toxicity.
  • anti-CD133-CAR vector-transduced T cells

Eligibility Criteria

        Inclusion Criteria:

          1. Chemotherapy refractory or relapsed CD133-positive liver cancer, pancreatic cancer,
             brain tumor ,breast cancer, ovarian tumors, colorectal cancer and acute leukemia.

          2. Patients must be 18 years of age or older.

          3. Patients must have an ECOG (Eastern Cooperative Oncology Group )performance status of
             0-2.

          4. Patients must have evidence of adequate bone marrow reserve, hepatic and renal
             function as evidenced by the following laboratory parameters:

             Absolute neutrophil count greater than 1500/mm3. Platelet count greater than
             100,000/mm3. Hemoglobin greater than 10g/dl (patients may receive transfusions to meet
             this parameter).

             Total bilirubin < 1.5 times upper limits of normal. Serum creatinine less than or
             equal to 1.6 mg/ml or the creatinine clearance must be greater than 70 ml/min/1.73m.

          5. Seronegative for HIV antibody.

          6. Seronegative for active hepatitis B, and seronegative for hepatitis C antibody.

          7. Patients must be willing to practice birth control during and for four months
             following treatment. NOTE: women of child-bearing age must have evidence of negative
             pregnancy test.

          8. Patients must be willing to sign an informed consent.

        Exclusion Criteria:

          -  1. Patients with life expectancy less than 12 months will be excluded. 2. Patients
             with uncontrolled hypertension (> 160/95), unstable coronary disease evidenced by
             uncontrolled arrhythmias, unstable angina, decompensated congestive heart failure (>
             New York Heart Association Class II), or myocardial infarction within 6 months of
             study will be excluded.

             3. Patients with any of the following pulmonary function abnormalities will be
             excluded: FEV(forced expiratory volume), < 30% predicted; DLCO (diffusing capacity of
             lung for carbon monoxide) < 30% predicted (post-bronchodilator); Oxygen Saturation
             less than 90% on room air.

             4. Patients with severe liver and kidney dysfunction or consciousness disorders will
             be excluded.

             5. Pregnant and/or lactating women will be excluded. 6. Patients with active
             infections, including HIV, will be excluded, due to unknown effects of the vaccine on
             lymphoid precursors.

             7. Patients with any type of primary immunodeficiencies will be excluded from the
             study.

             8. Patients requiring corticosteroids (other than inhaled) will be excluded. 9.
             Patients with history of T cell tumors will be excluded. 10. Patients who are
             participating or participated any other clinical trials in latest 30 days will be
             excluded.

             11. Patients with relapsed acute leukemia after allogeneic stem cell transplantation
      
Maximum Eligible Age:70 Years
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Occurrence of study related adverse events
Time Frame:Until week 24
Safety Issue:
Description:defined as >= Grade 3 signs/symptoms, laboratory toxicities, and clinical

Secondary Outcome Measures

Measure:Anti-tumor responses to CART-133 cell infusions
Time Frame:up to 24 weeks
Safety Issue:
Description:

Details

Phase:Phase 1/Phase 2
Primary Purpose:Interventional
Overall Status:Completed
Lead Sponsor:Chinese PLA General Hospital

Last Updated

December 17, 2019