Claudin18.2(CLDN18.2) is a kind of integrin membrane protein in the tight junction between epithelium and endothelium, which is highly expressed in many solid tumors, especially in gastric cancer and pancreatic cancer. The CLDN18.2/PD-L1 dual-targeting CAR-T will be investigated in patients with CLDN18.2-positive advance solid tumors.
In this study, the CLDN18.2/PD-L1 dual-targeting CAR-T cells will be injected intravenously to patients with CLDN18.2-positive advanced solid tumors, such as gastric adenocarcinoma or gastroesophageal junction adenocarcinoma and pancreatic adenocarcinoma, who had nearly no response to standard treatment. The safety and effectiveness will be evaluated. The safety evaluation standard refers to the standard of CTCAE 5.0. The evaluation standard of effectiveness refers to the evaluation standard of solid tumor curative effect RECIST 1.1 to evaluate the curative effect. There are two phases of this study. The first is dose escalation phase, and 9 patients with CLDN18.2-positive advanced solid tumors are planned to be enrolled. The second is dose expansion phase. The curative effect has been observed in the first phase, and after the DLT observation period of the related dose group finished, the PI will decide whether to conduct the dose expansion research finally. It is planned to enroll 20 patients in dose expansion phase.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
29
The trial consists of a traditional '3 + 3' pattern dose-escalation phase and a dose-expansion phase.
West China Hospital, Sichuan University
Chengdu, Sichuan, China
RECRUITINGAdverse Events (AEs)
Safety evaluation. AEs will be recorded and evaluated by CTCAE 5.0.
Time frame: 28 days
Dose-limiting toxicity (DLT)
Tolerability evaluation. DLT will be assessed by CTCAE 5.0.
Time frame: 28 days
Recommended phase II dose (RP2D)
Efficacy dose.
Time frame: Approximately 18 months
Objective Remission Rate (ORR)
Include CR (complete response) and PR (partial response).
Time frame: 3 months
Progression-Free Survival (PFS)
The time from CAR-T administration to disease progression or death.
Time frame: Approximately 18 months
Duration of Control Rate (DCR)
The number of cases in which response (PR + CR) and stable disease (SD) are achieved from the start of cell infusion/the total number of evaluable cases (%).
Time frame: Approximately 18 months
Duration of Response (DOR)
It refers to the time from the first evaluation of CR or PR to the first evaluation of PD (Progressive Disease) or death from any reason.
Time frame: Approximately 18 months
Overall-Survival (OS)
It defined as the time from randomization to death from any cause, is a direct measure of clinical benefit to a patient. Patients alive or lost to follow-up are censored.
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Time frame: Approximately 18 months
CAR-T cell numbers
Monitoring CAR-T cell numbers in blood to determine the persistence of CAR-T.
Time frame: 12 months
Anti-CAR antibody production
Immunogenicity
Time frame: 12 months
CAR-T cell phenotype
Immunophenotyping
Time frame: 12 months