This is a first in human (FIH), open-label, dose escalation and expansion study to evaluate the safety, tolerability, pharmacokinetics, and antitumor activity of B4T2-001 Autologous CAR T cells in subjects with advanced solid tumors including but not limited to advanced gastric or gastroesophageal junction (GEJ) adenocarcinoma, advanced pancreatic cancer, advanced non-small cell lung cancer (NSCLC), colorectal cancers (CRC) and metastatic breast cancer that tests positive for BT-001 target antigen according to Immunohistochemistry (IHC).
This is an open-label dose escalation and dose expansion study to evaluate the safety, tolerability, pharmacokinetics, and antitumor activity of B4T2-001 Autologous CAR T cells in subjects with BT-001 expressing advanced solid tumors. Patients who meet the eligibility criteria will receive B4T2-001 CAR T infusion after lymphodepletion. The lymphodepleting chemotherapy is administered on days -5, -4, and -3 before CAR T infusion using cyclophosphamide 300mg/m2 once daily and fludarabine 30mg/m2 once daily for 3 consecutive days. Doses may be adjusted for renal and/or hepatic insufficiency, or other comorbidities. The study is designed to include the following sequential steps: patient screening, pre-treatment, treatment and follow up for up to 2 years.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
36
Each subject will receive infusion with B4T2-001 autologous CAR T Cells
Shanghai East Hospital
Shanghai, China/Shanghai, China
Shanghai Artemed Hospital
Shanghai, China/Shanghai, China
Incidence of serious adverse events (SAEs), incidence and severity of adverse events (AEs)
Safety and tolerability of B4T2-001 CAR T cells
Time frame: Minimum 2 years after B4T2-001 CAR T infusion
To determine the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D) of B4T2-001 CAR T cells
The MTD will be determined based on the occurrence of the Dose-Limiting Toxicities (DLTs) according to the accelerated titration design and 3+3 dose escalation design. RP2D will be defined based on MTD, safety, PK, and preliminary efficacy data.
Time frame: 2 years after B4T2-001 CAR T infusion
Pharmacokinetics (PK): Area Under Curve (AUC)
Pharmacokinetics (PK): Area Under Curve (AUC) with immunoanalytical method
Time frame: Blood sampling for PK will be performed at planned time points till the end of the study
Pharmacokinetics (PK): maximum concentration (Cmax)
Pharmacokinetics (PK): maximum concentration (Cmax) with immunoanalytical method
Time frame: Blood sampling for PK will be performed at planned time points till the end of the study
Pharmacokinetics (PK): Time to Cmax (Tmax)
Pharmacokinetics (PK): Time to Cmax (Tmax) with immunoanalytical method
Time frame: Blood sampling for PK will be performed at planned time points till the end of the study
Overall response rate (ORR) after administration
ORR is defined as the proportion of subjects who achieve complete response (CR) or partial response (PR) after treatment via B4T2-001 CAR T cell infusion, and the objective tumor response rate will be calculated for patients with measurable disease per RECIST 1.1 only
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Time frame: Minimum 2 years after B4T2-001 CAR T infusion
Duration of Response (DOR) after administration
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 B4T2-001 CAR T infusion
Progress Free Survival (PFS) after administration
PFS is defined as the time from the date of first infusion of the B4T2-001 to the first documented disease progression (according to RECIST 1.1) or death (due to any cause), whichever occurs first
Time frame: Minimum 2 years after B4T2-001 CAR T infusion
Overall Survival (OS) after administration
OS is defined as the time from the date of first infusion of B4T2-001 CAR T to death of the subject
Time frame: Minimum 2 years after B4T2-001 CAR T infusion