A Phase I Clinical Study for Evaluating the Safety of MASCT-I in Advanced Soild Tumor
Primary Purpose
Advanced Gastric Cancer
Status
Unknown status
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
MASCT-I
PD1 antibody
Sponsored by
About this trial
This is an interventional treatment trial for Advanced Gastric Cancer focused on measuring MASCT-I
Eligibility Criteria
Inclusion Criteria:
- The age is 18-70 years old.
- The written informed consent of the patient / legal representative is obtained before any program related implementation.
- Metastatic or non resectable, locally advanced gastric or gastroesophageal adenocarcinoma, confirmed by histology or cytology.
- The development of objective imaging after first-line chemotherapy (RECIST1.1);
- There were measurable lesions (according to RECIST1.1);
- Can provide tumor tissue specimens;
- PDL1 positive (only for the second, third stage) or MSI test positive;
- Time interval to last chemotherapy is at least 1 month.
- 0-1 ECOG score
- The expected survival time is more than 4 months
- Peripheral blood cell culture showes the proliferation of lymphocytes
Exclusion Criteria:
- Participate in the plan or implementation of the research (including staff of HRYZ and the staff of the research center);
- Participate into other clinical studies at the same time, unless it is an observational (non - intervention) clinical study;
- Subjects may receive other systemic antitumor treatment during the study.
- Squamous or undifferentiated gastric cancer
- There were active bleeding, ulcers, gastrointestinal perforation, fistula, or arterial embolism in the gastrointestinal tract within 6 months.
- There were clinically significant gastrointestinal bleeding or venous thrombosis in three months before enrollment.
- End-stage cachexia patients;
- Patients with severe coagulation dysfunction;
- Patients with extensive abdominal adhesions;
- Patients with intestinal obstruction;
- Pregnancy or planned pregnancy;
- Refusing to provide blood specimens;
- Hypersensitivity to sodium citrate;
- Subjects have received allogeneic transplantation
- Subjects had clinical symptoms of central nervous system metastasis (such as brain edema, requiring hormone intervention, or progression of brain metastases)
- Subjects are using immunosuppressive agents, or whole body or absorbable local hormone therapy to achieve the aim of immunosuppression (dose >10mg/ days prednisone or other therapeutic hormones) and continue to use in the first 2 weeks before enrollment.
- Systemic or long-term application of immunomodulators, such as interferon, thymosin, and immunosuppressive drugs, in half a year.
- Subjects had been treated with MASCT or other cellular immunotherapy within a year.
- Subjects had any active autoimmune disease or a history of autoimmune disease.
- Active tuberculosis
- There is a big operation in 30 days before the first study treatment.
- Patients with active hepatitis B virus (HBV) infection (chronic or acute)
- The infection of active hepatitis C virus (HCV)
- Suffering from human immunodeficiency virus (HIV) or syphilis
- A history of peripheral nervous system disorder or a history of obvious mental disorders and central nervous system disorders
- Subjects had active infection or >38.5 degree of unexplained fever in the screening period and before the first administration.
- Chronic systemic diseases, such as liver disease (such as cirrhosis, etc.), kidney disease, respiratory disease, or non controlled diabetes, hypertension, etc.
- There were other malignant tumors in 5 years, except for non melanin skin cancer and cervical carcinoma in situ
- There are heart symptoms or diseases that have not been well controlled.
- Subjects were known to have a history of psychotropic drug abuse, alcoholism, or drug abuse.
- According to the researchers, there are other factors that may lead to a halt.
Sites / Locations
- Beijing Cancer HospitalRecruiting
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
MASCT-I or MASCT-I +PD1 antibody
Arm Description
This study is divided into three stages: The first, second stage is the stage of the dose climbing, and the third stage is the dose expansion stage. The first stage is MASCT-I, using 3+3 design. The second stage is divided into two groups: MASCT-I+PD1 antibody in low dose group and MASCT-I+PD1 antibody in high dose group, using 3+3 design. The third stage is the dose expansion stage , 10 patients in the low or high dose group were treated with the corresponding dose group.
Outcomes
Primary Outcome Measures
Incidence of Treatment-Emergent Adverse Events(Safety)
All the local reactions, systemic reactions, adverse events and serious adverse events of all the patients obtained in 14 days after the first treatment cycle of the first course of treatment in this study
Secondary Outcome Measures
Full Information
NCT ID
NCT03393416
First Posted
December 27, 2017
Last Updated
August 27, 2019
Sponsor
HRYZ Biotech Co.
Collaborators
Peking University Cancer Hospital & Institute
1. Study Identification
Unique Protocol Identification Number
NCT03393416
Brief Title
A Phase I Clinical Study for Evaluating the Safety of MASCT-I in Advanced Soild Tumor
Official Title
A Single Center, Phase I Clinical Study to Evaluate the Safety of MASCT-I Combined With PD1 Antibody in Vivo for the Advanced Soild Tumor Including Gastric Cancer,Triple-negative Breast Cancer and Ovarian Cancer
Study Type
Interventional
2. Study Status
Record Verification Date
August 2019
Overall Recruitment Status
Unknown status
Study Start Date
April 19, 2018 (Actual)
Primary Completion Date
July 2020 (Anticipated)
Study Completion Date
July 2020 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
HRYZ Biotech Co.
Collaborators
Peking University Cancer Hospital & Institute
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
5. Study Description
Brief Summary
This study evaluate the safety and tolerance of MASCT-I(multiple-antigen specific cell therapy) combined with PD1 antibody in patients with advanced gastric cancer who failed in first-line chemotherapy. The study is divided into three stages: the first, second stage is the stage of the dose climbing, and the third stage is the dose expansion stage. The patients would be treated with MASCT-I single drug therapy, MASCT-I+ low dose PD1 antibody therapy, and MASCT-I+ high dose PD1 antibody therapy.
Detailed Description
The multiple-antigen specific cell therapy which was developed by Hengrui Yuanzheng is optimized continuously and has been upgraded from the first-generation MASCT technology to MASCT-I. MASCT-I is to add PD1 antibody in vitro cell culture process of MASCT technology to block PD1 receptor on immunocytes, relieving the brake at immunocytes' reinfusion and interaction with tumor cells for enhancing the effectiveness of immunocytes killing tumor cells.
This is a phase I study to evaluate the safety and tolerance of MASCT-I combined with PD1 antibody in patients with advanced gastric cancer who failed in first-line chemotherapy.
About 19-28 cases patients with advanced gastric cancer are to be recruited.
This study is divided into three stages:
The first, second stage is the stage of the dose climbing, and the third stage is the dose expansion stage. The first stage is MASCT-I, using 3+3 design, if the DLT≥33.3% from the mononuclear cell collection to 14 days after the first MASCT-I infusion of T cells,the experiment will be end. If the DLT<33.3%, enter the second stage. The second stage is divided into two groups: MASCT-I+PD1 antibody in low dose group and MASCT-I+PD1 antibody in high dose group, using 3+3 design, if all patients in low dose group, the DLT≥33.3% from the mononuclear cell collection to 14 days after the first MASCT-I infusion of T cells, the experiment will be end. If DLT<33.3% began high dose group. If all the patients in the high dose group, DLT ≥33.3%, the corresponding high dose group treatment will be terminated, entered the third stage, the dose of expansion, only by low dose treatment group of 10 patients of reentry. If all the patients in the high dose group, DLT<33.3%, entered the third stage. Only 10 patients in the high dose group were treated with the corresponding high-dose group.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Gastric Cancer
Keywords
MASCT-I
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
28 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
MASCT-I or MASCT-I +PD1 antibody
Arm Type
Experimental
Arm Description
This study is divided into three stages:
The first, second stage is the stage of the dose climbing, and the third stage is the dose expansion stage. The first stage is MASCT-I, using 3+3 design. The second stage is divided into two groups: MASCT-I+PD1 antibody in low dose group and MASCT-I+PD1 antibody in high dose group, using 3+3 design. The third stage is the dose expansion stage , 10 patients in the low or high dose group were treated with the corresponding dose group.
Intervention Type
Biological
Intervention Name(s)
MASCT-I
Intervention Description
The final products of MASCT-I(Multiple-antigen specific cell therapy) technology are dendritic cells (DC) and effector T cells.Treatment with MASCT-I alone, conducted until disease progression, intolerance or end of study.
Intervention Type
Drug
Intervention Name(s)
PD1 antibody
Other Intervention Name(s)
SHR-1210
Intervention Description
Drug: PD1 antibody
1mg/kg or 3mg/kg. Administration is conducted in Day1 and Day15. Conducted until disease progression, intolerance or end of study.
Primary Outcome Measure Information:
Title
Incidence of Treatment-Emergent Adverse Events(Safety)
Description
All the local reactions, systemic reactions, adverse events and serious adverse events of all the patients obtained in 14 days after the first treatment cycle of the first course of treatment in this study
Time Frame
The first 7 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
The age is 18-70 years old.
The written informed consent of the patient / legal representative is obtained before any program related implementation.
Metastatic or non resectable, locally advanced gastric or gastroesophageal adenocarcinoma, confirmed by histology or cytology.
The development of objective imaging after first-line chemotherapy (RECIST1.1);
There were measurable lesions (according to RECIST1.1);
Can provide tumor tissue specimens;
PDL1 positive (only for the second, third stage) or MSI test positive;
Time interval to last chemotherapy is at least 1 month.
0-1 ECOG score
The expected survival time is more than 4 months
Peripheral blood cell culture showes the proliferation of lymphocytes
Exclusion Criteria:
Participate in the plan or implementation of the research (including staff of HRYZ and the staff of the research center);
Participate into other clinical studies at the same time, unless it is an observational (non - intervention) clinical study;
Subjects may receive other systemic antitumor treatment during the study.
Squamous or undifferentiated gastric cancer
There were active bleeding, ulcers, gastrointestinal perforation, fistula, or arterial embolism in the gastrointestinal tract within 6 months.
There were clinically significant gastrointestinal bleeding or venous thrombosis in three months before enrollment.
End-stage cachexia patients;
Patients with severe coagulation dysfunction;
Patients with extensive abdominal adhesions;
Patients with intestinal obstruction;
Pregnancy or planned pregnancy;
Refusing to provide blood specimens;
Hypersensitivity to sodium citrate;
Subjects have received allogeneic transplantation
Subjects had clinical symptoms of central nervous system metastasis (such as brain edema, requiring hormone intervention, or progression of brain metastases)
Subjects are using immunosuppressive agents, or whole body or absorbable local hormone therapy to achieve the aim of immunosuppression (dose >10mg/ days prednisone or other therapeutic hormones) and continue to use in the first 2 weeks before enrollment.
Systemic or long-term application of immunomodulators, such as interferon, thymosin, and immunosuppressive drugs, in half a year.
Subjects had been treated with MASCT or other cellular immunotherapy within a year.
Subjects had any active autoimmune disease or a history of autoimmune disease.
Active tuberculosis
There is a big operation in 30 days before the first study treatment.
Patients with active hepatitis B virus (HBV) infection (chronic or acute)
The infection of active hepatitis C virus (HCV)
Suffering from human immunodeficiency virus (HIV) or syphilis
A history of peripheral nervous system disorder or a history of obvious mental disorders and central nervous system disorders
Subjects had active infection or >38.5 degree of unexplained fever in the screening period and before the first administration.
Chronic systemic diseases, such as liver disease (such as cirrhosis, etc.), kidney disease, respiratory disease, or non controlled diabetes, hypertension, etc.
There were other malignant tumors in 5 years, except for non melanin skin cancer and cervical carcinoma in situ
There are heart symptoms or diseases that have not been well controlled.
Subjects were known to have a history of psychotropic drug abuse, alcoholism, or drug abuse.
According to the researchers, there are other factors that may lead to a halt.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Brent XU, Bachelor
Phone
+86 13922171358
Email
xuyizhou@shhryz.com
First Name & Middle Initial & Last Name or Official Title & Degree
Aimin ZHU, Bachelor
Phone
+86 13901216489
Email
zhuaiming@shhryz.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jiafu JI, Doctor
Organizational Affiliation
Cancer Hospital Affiliated to Peking University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Beijing Cancer Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100142
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
aimin Zhu, Master
Phone
13901216489
Email
zhuaimin@shhryz.com
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
A Phase I Clinical Study for Evaluating the Safety of MASCT-I in Advanced Soild Tumor
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