This is a open-Label, dose-escalation study to evaluate the safety, tolerability and antitumor activity of DIT309 in subjects with advanced bone and soft tissue sarcomas.The study also plan to explore the Maximum Tolerated Dose (MTD) and determine the Recommended Phase II Dose (RP2D) of the CAR-T cell therapy.
Subjects will be enrolled to receive DIT309 via intravenous infusion. Patients will be administered DIT309 on Day 1 of each 28-day treatment cycle, followed by a 28-day observation period. The study will include three escalating dose levels, utilizing a traditional 3+3 dose escalation design. Each dose level will enroll 3 to 6 patients. Dose-limiting toxicities (DLTs) will be assessed during the first treatment cycle to evaluate the safety and tolerability of DIT309.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
15
Patients receive CAR+ T cells via intravenous infusion on a single day, with pre-specified dose levels determined by the 3+3 dose escalation design detailed in the study protocol.
Shanghai General Hospital
Shanghai, Shanghai Municipality, China
RECRUITINGSafety:Incidence of Dose Limiting Toxicity (DLT)
Type, incidence, and severity of dose limiting toxicities (DLTs) within 28 days after the first DIT309 infusion.
Time frame: 28 days after the first DIT309 infusion.
Safety:Incidence and severity of adverse events (AEs)
To evaluate the possible adverse events after DIT309 infusion, including the incidence, and severity of AEs.
Time frame: 1year post CAR-T cells infusion.
The maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) of DIT309.
The maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) of DIT309.
Time frame: From first dose of DIT309 until the end of Dose Limiting Toxicity (DLT) observation period (typically 28 days post-infusion for each dose cohort).
Progression Free Survival (PFS)
To evaluate the time from the start of DIT309 therapy to disease progression (according to RICIST1.1 criteria) or death from any cause, whichever occurs first. The proportion of progression-free subjects from the beginning of DIT309 therapy to a fixed time point (6 months) after treatment (6-Mon PFS) will also be evaluated.
Time frame: 1 year post CAR-T cells infusion.
Disease Control Rate (DCR)
To evaluate the proportion of subjects who achieved CR/PR/SD in the best overall response according to RICIST1.1 criteria.
Time frame: 1 year post CAR-T cells infusion.
Duration of disease control (DDC)
To evaluate the time from the first evaluation of tumor as CR, PR or SD to the first evaluation of PD or death from any cause.
Time frame: 1 year post CAR-T cells infusion.
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Objective response rate (ORR)
To evaluate the proportion of subjects who achieved CR/PR in the best response condition according to RICIST1.1 criteria.
Time frame: 1 year post CAR-T cells infusion.
Time to Remission (TTR)
To evaluate the time from the start of treatment to the first remission (CR/PR).
Time frame: 1 year post CAR-T cells infusion.
Duration of Response (DOR)
DOR after DIT309 infusion, defined as the time from the first evaluation of the tumor as CR or PR to the first evaluation of PD or death from any cause.
Time frame: 1 year post CAR-T cells infusion.