A Phase I Clinical Trial for Evaluating the Safety, Tolerance and Efficacy of GPC3-targeting CART Cell in Treatment of Advanced Hepatocellular Carcinoma
This is an open-label, dose escalation/expansion study to assess the safety, tolerability, and efficacy of CART cell in patients ≥ 18 years of age with relapsed or refractory advanced hepatocellular carcinoma. Patients who meet the eligibility criteria will receive cell infusion. The study will include the following sequential phases: screening, pre-treatment (cell product preparation; lymphodepleting chemotherapy), treatment and follow up
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
10
before treatment with GPC3 Targeting CART cells, subjects will receive a conditioning regimen
Beijing Gobroad Boren Hospital
Beijing, Beijing Municipality, China
Chinese PLA General Hospital
Beijing, Beijing Municipality, China
Incidence, severity, and type of treatment-emergent adverse events (TEAEs)
An adverse event refers to any untoward medical occurrence in a clinical investigation subject administered a pharmaceutical product (investigational or non-investigational), which does not necessarily have a causal relationship with the treatment
Time frame: Minimum 2 years after CART infusion (Day 1)
Dose-limiting toxicity (DLT) rate
Dose-limiting toxicity (DLT) refers to a drug-related toxicity during treatment with the drug, the severity of which is clinically unacceptable, limiting the further escalation of drug dose.
Time frame: Minimum 2 years after CART infusion (Day 1)
Recommended Phase 2 dose (RP2D) finding
RP2D established through ATD+BOIN design
Time frame: 30 days after CART infusion (Day 1)
CAR positive T cells
CAR positive T cells after CART infusion
Time frame: Minimum 2 years after CART infusion (Day 1)
CAR transgene levels in peripheral blood
CAR transgene levels in peripheral blood after CART infusion
Time frame: Minimum 2 years after CART infusion (Day 1)
Overall response rate (ORR)
Objective Response Rate (ORR) is defined as the proportion of subjects who achieve CR or PR after treatment via CART cell infusion, and the objective tumor response rate will be calculated for patients with measurable disease per RECIST 1.1 only
Time frame: Minimum 2 years after CART infusion (Day 1)
Disease control rate (DCR)
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Disease Control Rate (DCR) is defined as the proportion of patients with complete response, partial responses and stable disease
Time frame: Minimum 2 years after CART infusion (Day 1)
Duration of Response(DoR)
Duration of Remission (DoR) is defined as the time from the first documentation of remission (PR or better) to the first documented disease progression evidence (according to RECIST 1.1) of the responders (who achieve PR or better response)
Time frame: Minimum 2 years after CART infusion (Day 1)
Time to Response (TTR)
Time to Response (TTR) is defined as the time from the date of first infusion of CART to the date of the first response evaluation of the subject who has met all criteria for PR or better
Time frame: Minimum 2 years after CART infusion (Day 1)
Progress Free Survival (PFS)
Progression Free Survival (PFS) is defined as the time from the date of first infusion of the CART to the first documented disease progression (according to RECIST 1.1) or death (due to any cause), whichever occurs first
Time frame: 2 years after CART infusion (Day 1)
Overall Survival (OS)
Overall Survival (OS) is defined as the time from the date of first infusion of CART to death of the subject
Time frame: Minimum 2 years after CART infusion (Day 1)
Incidence of anti-CART antibody
Venous blood samples will be collected to measure CART positive cell concentrations and the transgenic level of CART, at the time points when anti-CART antibody serum samples are evaluated
Time frame: Minimum 2 years after CART infusion (Day 1)