The primary purpose of the study is to determine the safety and efficacy of autologous DC vaccine in patients with later stage of gastric cancer. The DC vaccine is gene modified with gastric cancer specific antigen MG-7.
All eligible patients will receive two cycles of treatment, every 21 days is a treatment cycle. The follow-up time will start from the next day after the end of the second cycle of treatment, and last for 48 ±1 weeks (the follow-up time is 4 weeks, 12 weeks, 24 weeks, 36 weeks, 48 weeks). During the treatment and follow-up period, if disease progression or intolerable side effects develop, the patient can voluntarily request to be withdrawn from the study, or the investigators can determine that the patient be removed from the study. DC and CTL are immune cells. PD-1 monoclonal antibody is an immune checkpoint inhibitor. According to the relevant experience of similar cells or drugs, some patients may have delayed or early pseudo-tumor progression after receiving immunotherapy, which needs to be judged by investigators. In this study, the screening period is no more than 14 days. After the screening examination and evaluation, the eligible patients will enter the treatment period. The treatment and follow-up are carried out according to the procedure. The follow-up period: tumor imaging evaluation and related clinical indicator evaluation are carried out at the 4th week (± 1 week), the 12th week (± 1 week), the 24th week (± 1 week), the 36th week (± 1 week) and the 48th week (± 1 week) after the treatment. The patients should also complete the corresponding safety inspection and evaluation before leaving the group. During the follow-up period, the patients who do not have disease progression but do leave the group should continue to be evaluated according to the original frequency until the end of the follow-up period or the start of other anti-tumor treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
45
Blood samples will be collected twice, 60-120ml/ time. The 1st collection will occur 5 days before the 1st DC vaccine injection, the 2nd collection will occur 15 days after the 1st injection. Six subcutaneous(ih) injections of DC vaccine will be given at days 1, 8, 15, 21, 28, 35; 1-3×106 cells/time. Injection site: inguinal lymph nodes.
Four intravenous (iv) drip injections of CTL will be given at days 7, 9, 27, 29; 1-2×109 cells/time.
The Sintilimab Injection (3mg/kg) will be administered by intravenous (iv) drip injection at days 0, 20。
The 2nd Hospital of Shandong University
Jinan, Shandong, China
RECRUITINGObjective Response Rate (ORR) (PR+CR)
The proportion of patients with complete response(CR) or partial response(PR) as measured by RECIST 1.1 criteria.
Time frame: 6 months
Disease Control Rate (DCR) (PR+CR+SD)
The proportion of patients with complete response (CR), partial response (PR), or stable disease (SD).
Time frame: 6 months
Progression-free Survival (PFS)
The length of time during and after the treatment, that a patient lives with the disease but it does not get worse.
Time frame: 6 months
Health-related quality of life (QoL): 36-Item Short Form (SF-36)
Medical Outcomes Study 36-Item Short Form (SF-36)
Time frame: 6 months
Objective Response Rate (ORR) (PR+CR)
The proportion of patients with complete response(CR) or partial response(PR) as measured by RECIST 1.1 criteria.
Time frame: 12 months
Disease Control Rate (DCR) (PR+CR+SD)
The proportion of patients with complete response (CR), partial response (PR), or stable disease (SD).
Time frame: 12 months
Progression-free Survival (PFS)
The length of time during and after the treatment, that a patient lives with the disease but it does not get worse.
Time frame: 12 months
Health-related quality of life (QoL): 36-Item Short Form (SF-36)
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Medical Outcomes Study 36-Item Short Form (SF-36)
Time frame: 12 months