A single-center, single-arm, dose-escalation exploratory clinical trial on the safety, efficacy, and pharmacokinetics of R-Star001 cell injection in patients with Nectin-4-positive advanced solid tumors.
This study is a prospective, single-center, single-arm, open-label, single-dose administration dose-finding study, which aims to evaluate the safety, tolerability, pharmacokinetics, and anti-tumor efficacy characteristics of the R-Star001 cell injection in subjects with Nectin-4 positive advanced solid tumors. The study will enroll subjects with pathologically confirmed advanced solid tumors (including, but not limited to breast cancer, urothelial carcinoma, colorectal cancer, head and neck squamous cell carcinoma, ovarian cancer, esophageal cancer, lung cancer) who have failed standard therapy; AND immunohistochemical analysis of histological or cytological tumor specimens demonstrates moderate to high Nectin-4 expression. This prospective, single-center, single-arm, open-label study employs a single-dose administration design across two sequential stages. Stage 1 (Dose Escalation) utilizes an accelerated titration approach with standard '3+3' dose escalation to evaluate the safety, tolerability, pharmacokinetics, and antitumor activity of R-Star001 Cell Injection in subjects with Nectin-4 positive advanced solid tumors, thereby determining expansion dose levels based on integrated cohort data. Stage 2 (Dose Expansion) will enroll up to 9 subjects per cohort (including escalation-phase subjects) at 1-2 selected dose levels to further characterize safety and efficacy. The Recommended Phase II Dose (RP2D) will be determined post-infusion through comprehensive analysis of Stage 1 safety/efficacy outcomes, pharmacokinetic profiles, and prior preclinical/clinical evidence. Main purpose: the safety and tolerability of R-Star001 cell injection in patients with Nectin-4 positive advanced solid tumors, and determine the Recommended Phase II Dose (RP2D). Secondary Purpose: The pharmacokinetic and pharmacodynamic characteristics of R-Star001 cell injection in patients with Nectin-4 positive advanced solid tumors; To preliminarily evaluate the efficacy of R-Star001 cell injection in patients with Nectin-4 positive advanced solid tumors. Evaluate the immunogenicity of R-Star001 cell injection.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
25
Drug: Nectin-4-targeted CAR T-cell injection with inducing IL-18 secretion (R-Star001). The trial consists of a traditional '3 + 3' pattern dose-escalation phase and a dose-expansion phase.
Cancer Hospital Chinese Academy Of Medical Sciences,Shenzhen Center
Shenzhen, Guangdong, China
Dose limiting toxicity (DLT)
Dose limiting toxicity (DLT) in the dose escalation phase
Time frame: 28 days of single infusion
Adverse events (AEs)
The incidence rate of treatment-emergent adverse events (TEAEs), the incidence rate of treatment-related adverse events, and the incidence rate of adverse events of special interest (AESIs)
Time frame: 1 year
Maximum tolerated dose (MTD)
Maximum tolerated dose (MTD) in the dose escalation phase
Time frame: 28 days of single infusion
Objective response rate (ORR)
After treatment with R-Star001 cell infusion, the proportion of subjects whose tumors achieved complete response (CR) or partial response (PR). The objective response rate of tumors is only calculated for patients with measurable diseases according to the RECIST 1.1 criteria.
Time frame: 1 year
Disease Control Rate (DCR)
After treatment with R-Star001 cell infusion, the proportion of subjects who achieved complete response, partial response, and stable disease.
Time frame: 1 year
Progression - free survival (PFS)
The time from the date of starting the treatment with R-Star001 cell infusion to the date of the first radiological confirmation of disease progression (PD) or the date of death (due to any cause), whichever occurs first.
Time frame: 1 year
Overall survival (OS)
The time from the date of starting the treatment with R-Star001 cell infusion to the date of death (caused by any reason).
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Time frame: 1 year
Immunogenicity
The incidence of antibodies against the R-Star001 cell injection and the titer of positive samples.
Time frame: 1 year
Cellular pharmacokinetics (Cmax)
The peak concentration (Cmax)of CAR copy number in peripheral blood for R-Star001 cell injection.
Time frame: 1 year
Cellular pharmacokinetics (Tmax)
Time to peak concentration (Tmax) of CAR copy number in peripheral blood for R-Star001 cell injection.
Time frame: 1 year
Cellular pharmacokinetics (AUC)
Area under the plasma concentration-time curve (AUC) of R-Star001 cell injection in peripheral blood over 28/90 days.
Time frame: 1 year