This is an investigator initiated trial to assess the efficacy and safety of a GPC3-targeting CAR-T therapy (REVO-UWD-03) in the HCC and Lung Cancer. It also aims to explore the feasibility of using a novel universal CAR-T cell platform.
The study will use T cells from healthy donors, modified using a novel universal CAR-T technology, to treat HCC and Lung Cancer patients. The antigen-binding site of the CAR molecule recognizes GPC3 as the target. The main questions it aims to answer are: • What is the maximum tolerated dose (MTD) of GPC3-CAR-T therapy in universal CAR-T cell treatments? • What are the dose-limiting toxicities (DLT) and treatment-emergent adverse events (TEAE)? • What is the treatment efficacy, as measured by objective response rate (ORR) and progression-free survival (PFS)? Researchers will assess whether the universal CAR-T cells have good safety and efficacy in treating HCC or Lung cancer, while improving accessibility and lowering treatment costs. Participants will: • Receive universal GPC3-CAR-T cells through a 3+3 dose escalation scheme. • Undergo chemotherapy conditioning before CAR-T infusion. • Be monitored for adverse events, immune response, and disease progression. The study will collect data on both short-term outcomes (within the first few months post-treatment) and long-term safety and efficacy.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
60
Eligible participants will undergo FC lymphodepleting chemotherapy preconditioning after signing an informed consent form, followed by a one-time injection of one dose of universal REVO-UWD-03 CAR-T cells
One day after the completion of fludarabine preconditioning (D-2), initiate oral mycophenolate sodium at a dose of 1440 mg twice daily (BID) for 15 consecutive days, or extend the duration appropriately based on CAR-T cell expansion status (discontinuation may occur at the end of CAR-T cell expansion or on the day of patient discharge). The maximum duration of administration must not exceed 30 days.
First Affiliated Hospital of Xi'an Jiaotong University
Xi'an, Shaanxi, China
RECRUITINGJiangsu Cancer Hospital
Nanjing, China
RECRUITINGMaximum Tolerated Dose (MTD)
The highest dose of universal GPC3-CAR-T cells that can be administered without causing unacceptable side effects, measured during the dose escalation phase.
Time frame: Within the first month post-infusion
Dose-Limiting Toxicities (DLT)
The incidence of treatment-related toxicities that prevent further dose escalation.
Time frame: Within the first month post-infusion.
Treatment-Emergent Adverse Events (TEAE)
The frequency and severity of adverse events that arise following the administration of universal GPC3-CAR-T cells.
Time frame: From the administration of UWD-03 CAR-T cells through six months post-infusion
Objective Response Rate (ORR)
The proportion of patients with a measurable reduction in tumor size (complete or partial response) following universal GPC3-CAR-T therapy.
Time frame: Measured at 3 and 6 months after treatment.
Progression-Free Survival (PFS)
The length of time during and after treatment that the patient lives without disease progression.
Time frame: From the start of treatment up to 5 years.
Overall Survival (OS)
The duration from the start of treatment to the time of death from any cause.
Time frame: From the start of treatment up to 5 years.
Duration of Response (DOR)
The time from initial tumor response (CR or PR) to disease progression or relapse.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: From the administration of UWD-03 CAR-T cells to a maximum follow-up period of five years.