Description: 
            
            
              
                
      The goal of this clinical trial is to evaluate the safety and efficacy of anti-ALPP chimeric
      antigen receptor (CAR)-modified T (CAR-T) cells in treating patients with ALPP-positive
      metastatic ovarian and endometrial cancer.
    
              
             
           
        
      
        
          
      
        
          
Title
- Brief Title: Anti-ALPP CAR-T Cells Immunotherapy for Ovarian and Endometrial Cancer
 - Official Title: A Single-Arm, Single-Center, Open-Label Pilot Study of Anti-ALPP CART-cells in Patient With Alkaline Phosphatase, Placental (ALPP)-Positive Metastatic Ovarian and Endometrial Cancer.
 
Clinical Trial IDs
- ORG STUDY ID:
                TCRCureALPPCART
 - NCT ID:
                NCT04627740
 
Conditions
- Ovarian Cancer
 - Endometrial Cancer
 
Interventions
| Drug | Synonyms | Arms | 
|---|
| Retroviral vector-transduced autologous T cells to express anti-ALPP CARs |  | CART treatment | 
Purpose
      The goal of this clinical trial is to evaluate the safety and efficacy of anti-ALPP chimeric
      antigen receptor (CAR)-modified T (CAR-T) cells in treating patients with ALPP-positive
      metastatic ovarian and endometrial cancer.
    
Detailed Description
      Primary Objectives:
      To evaluate the number of ALPP-positive participants with treatment-related adverse events as
      assessed by CTCAE v4.0 after infusion with anti-ALPP CAR-T cells.
      Secondary Objectives:
      The number of patients experience objective response from anti-ALPP CAR-T cells treatment
      To evaluate the progression-free survival (PFS) of anti-ALPP CAR-T cells in patients with
      ALPP-positive patients.
      The number and percent of ALPP-CART cells in peripheral blood from ALPP-positive patients at
      6 months after infusion
    Trial Arms
| Name | Type | Description | Interventions | 
|---|
| CART treatment | Experimental | Cyclophosphamide will be administered at dose of 20mg/kg for 1 day and then fludarabine will be given for the next 3 days with 35mg/m2 and then the CAR-T cells will be administered | - Retroviral vector-transduced autologous T cells to express anti-ALPP CARs
 
  | 
Eligibility Criteria
        Inclusion Criteria:
          -  Expected to survive more than 3 months
          -  PS 0-2
          -  Immunohistochemistry was confirmed to be mesothelin positive ALPP (higher than 50%)
          -  Patients with no curative regimen to receive
          -  WBC>3.5×1e+9/L,Hb>90g/L,PLT>75×1e+9/L
          -  HBV DNA copy number less than 100/ml
          -  ALT≤5ULN, AST≤5ULN, TB≤1.5ULN, ALB≥35g/L
          -  Understand this test and have signed informed consent
        Exclusion Criteria:
          -  Autoimmune diseases, or any uncontrolled active disease that hinders participation in
             the trial
          -  Decompensated liver cirrhosis, liver function Child-pugh C grade
          -  Portal vein tumor thrombus, arterial portal fistula, hepatic arteriovenous
          -  Long-term use of immunosuppressive agents after organ transplantation
          -  Screening indicated that the target cell transfection rate was less than 30%
          -  Invasive pulmonary embolism, deep venous thrombosis, or other major arterial / venous
             thromboembolic events occurred 30 days or 30 days prior to randomization
          -  Subjects had an active or uncontrollable infection requiring systemic therapy 14 days
             or 14 days prior to randomization
          -  Pregnant or lactating subjects
          -  In the opinion of the investigator, the presence of a medical history or a history of
             mental state may increase the number of subjects associated with the risk factors
             associated with the study or study drug administration
          -  Subjects who have signed a written consent or who are in compliance with the study
             procedure; or who are unwilling or unable to comply with the study
      | Maximum Eligible Age: | 70 Years | 
| Minimum Eligible Age: | 18 Years | 
| Eligible Gender: | Female | 
| Healthy Volunteers: | No | 
Primary Outcome Measures
| Measure: | Number of patients suffering treatment-related AE | 
| Time Frame: | 1 year | 
| Safety Issue: |  | 
| Description: | To evaluate the number of ALPP-positive participants with treatment-related adverse events as assessed by CTCAE v4.0 after infusion with anti-ALPP CAR-T cells. | 
Secondary Outcome Measures
| Measure: | Objective response rate to ALPP-CART infusion | 
| Time Frame: | Eight weeks | 
| Safety Issue: |  | 
| Description: | The number of patients experience objective response from anti-ALPP CAR-T cells treatment | 
| Measure: | Progression-free survival to ALPP-CART infusion | 
| Time Frame: | 6 months | 
| Safety Issue: |  | 
| Description: | To evaluate the progression-free survival (PFS) of anti-ALPP CAR-T cells in patients with mesothelin-positive advanced ovarian carcinoma. | 
| Measure: | Number of peripheral CAR-T after infusion | 
| Time Frame: | 6 months | 
| Safety Issue: |  | 
| Description: | The number of ALPP-CART cells in peripheral blood from ALPP-positive patients at 6 months after infusion | 
Details
| Phase: | Phase 1/Phase 2 | 
| Primary Purpose: | Interventional | 
| Overall Status: | Not yet recruiting | 
| Lead Sponsor: | Xinqiao Hospital of Chongqing | 
Last Updated
November 13, 2020