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To Evaluate the Safety, Tolerability and Preliminary Efficacy of EU307

Primary Purpose

Advanced Hepatocellular Carcinoma

Status
Not yet recruiting
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
EU307 CAR-T Cell
Sponsored by
Eutilex
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Hepatocellular Carcinoma focused on measuring GPC3, HCC, Hepatocellular Carcinoma, CAR-T

Eligibility Criteria

19 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: To be eligible, subjects must meet all of the following criteria: Male or female adults ≥19 years old at the time of written informed consent Patients with histologically or cytologically diagnosed unresectable HCC refractory to first- or second-line standard therapy* with no other standard therapy available * Including, but not limited to atezolizumab plus bevacizumab combination therapy and tyrosine kinase inhibitors (e.g., sorafenib, lenvatinib). Confirmed GPC3 positivity by IHC based on a liver tissue sample At least 1 measurable lesion based on mRECIST v1.1 Child-Pugh score Class A or Class B(7) Life expectancy ≥3 months based on the judgment of the investigator ECOG PS 0 or 1 Patients who have adequate bone marrow, liver, and kidney functions at the time of screening: WBC ≥ 2,000 /μL ANC ≥ 1,000 /μL Platelet ≥ 80,000 /μL Hemoglobin ≥ 9.0 g/dL Albumin ≥ 2.8 g/dL AST and/or ALT ≤ 5ⅹULN Total bilirubin ≤ 2 x ULN Serum creatinine ≤1.5 x ULN, Creatinine clearance (CrCl) ≥ 30 mL/min PT(INR) ≤1.5 x ULN Negative serum pregnancy test in women of childbearing potential Women of childbearing potential or men who do not plan a pregnancy during the study period and who agree to use clinically adequate methods of contraception as follows: * Hormone contraceptives (subcutaneous implants, injections, oral contraceptives, etc.), intrauterine device (IUD) (or intra uterine system [IUS]), subject's or partner's surgical sterilization (vasectomy, tubal ligation, etc.), double barrier methods (combined use of barrier methods such as combined use of cervical cap or diaphragm plus male condom) Written informed consent to voluntary study participation Exclusion Criteria: Subjects who meet any of the following criteria cannot participate in the study: Current disease and medical history History or current evidence of hepatic encephalopathy Histologically confirmed HCC in ≥50% of the liver Severe ascites requiring treatment such as paracentesis History or current evidence of the following infections: Human immunodeficiency virus (HIV) infection or acquired immunodeficiency syndrome (AIDS) Active hepatitis B (Subjects with negative HBV titer within 14 days prior to screening based on the site-specific criteria who have been treated with antivirals for ≥14 days prior to screening and are willing to maintain the antiviral therapy throughout the study will be allowed to be enrolled.) Active hepatitis C (Patients who have completed antiviral therapy with negative HCV virial load based on the site-specific criteria will be allowed to be enrolled.) Uncontrolled severe chronic infection or active infection Prior or planned organ transplantation during the study period Diagnosis of any malignant tumor other than the study indication within 5 years prior to screening (Patients who were treated and assessed as complete response [CR] without recurrence within 3 years or patients diagnosed with nonmelanoma skin cancer, in-situ disease, thyroid cancer, or borderline tumor will be allowed to be enrolled.) Clinically significant, severe cardiac disease based on the judgment of the investigator (e.g., uncontrolled hypertension, congestive heart failure [NYHA Grade ≥2], ventricular arrhythmia, active ischemic heart disease, history of myocardial infarction within 1 year prior to screening), renal impairment, or respiratory disease

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    EU307 CAR-T Cell

    Arm Description

    Outcomes

    Primary Outcome Measures

    AEs (including DLT)
    In this study, DLT is defined as an AE related to the IP (EU307),and severity will be assessed according to NCI-CTCAE v5.0
    Production of replication competent lentiviruses (RCL)
    Development of anti-drug antibodies (ADA)

    Secondary Outcome Measures

    ORR
    Proportion of subjects with confirmed CR or partial response (PR) as best overall response (BOR)
    DoR
    Time from confirmed tumor response (CR or PR) to confirmed progressive disease (PD)
    DCR
    Proportion of subjects with confirmed CR, PR, or stable disease (SD) (≥ 6 weeks) as BOR
    TTR
    Time from IP dosing to confirmed objective response (CR or PR)
    TTP
    Time from IP dosing to PD
    PFS
    Time from IP dosing to PD or all-cause death, whichever is earlier
    OS
    Time from IP dosing to all-cause death

    Full Information

    First Posted
    February 27, 2023
    Last Updated
    April 3, 2023
    Sponsor
    Eutilex
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05783570
    Brief Title
    To Evaluate the Safety, Tolerability and Preliminary Efficacy of EU307
    Official Title
    A Dose-escalation, Single-arm, Open-Label, Phase 1 Study to Evaluate the Safety, Tolerability and Preliminary Efficacy of EU307, Autologous Glypican 3 Targeted Chimeric Antigen Receptor T Cell Therapy in Patients With GPC3 Positive Advanced Hepatocellular Carcinoma Who Have Failed Standard Therapy
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    April 2023 (Anticipated)
    Primary Completion Date
    May 2024 (Anticipated)
    Study Completion Date
    November 2024 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Eutilex

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    To Evaluate the Safety, Tolerability and Preliminary Efficacy of EU307, Autologous Glypican 3 (GPC3) Targeted Chimeric Antigen Receptor T cell therapy in Patients with GPC3 Positive Advanced Hepatocellular Carcinoma who Have Failed Standard Therapy
    Detailed Description
    A Dose-escalation, Single-arm, Open-Label, Phase 1 Study

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Advanced Hepatocellular Carcinoma
    Keywords
    GPC3, HCC, Hepatocellular Carcinoma, CAR-T

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    12 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    EU307 CAR-T Cell
    Arm Type
    Experimental
    Intervention Type
    Biological
    Intervention Name(s)
    EU307 CAR-T Cell
    Intervention Description
    Dose to be administered: a single dose IV administration Dosing rate: To be administrated at a rate of approximately 2 mL/min
    Primary Outcome Measure Information:
    Title
    AEs (including DLT)
    Description
    In this study, DLT is defined as an AE related to the IP (EU307),and severity will be assessed according to NCI-CTCAE v5.0
    Time Frame
    up to 6 month from LPI
    Title
    Production of replication competent lentiviruses (RCL)
    Time Frame
    up to 6 month from LPI
    Title
    Development of anti-drug antibodies (ADA)
    Time Frame
    up to 6 month from LPI
    Secondary Outcome Measure Information:
    Title
    ORR
    Description
    Proportion of subjects with confirmed CR or partial response (PR) as best overall response (BOR)
    Time Frame
    up to 6 month
    Title
    DoR
    Description
    Time from confirmed tumor response (CR or PR) to confirmed progressive disease (PD)
    Time Frame
    up to 6 month
    Title
    DCR
    Description
    Proportion of subjects with confirmed CR, PR, or stable disease (SD) (≥ 6 weeks) as BOR
    Time Frame
    up to 6 month
    Title
    TTR
    Description
    Time from IP dosing to confirmed objective response (CR or PR)
    Time Frame
    up to 6 month
    Title
    TTP
    Description
    Time from IP dosing to PD
    Time Frame
    up to 6 month
    Title
    PFS
    Description
    Time from IP dosing to PD or all-cause death, whichever is earlier
    Time Frame
    up to 6 month
    Title
    OS
    Description
    Time from IP dosing to all-cause death
    Time Frame
    up to 6 month
    Other Pre-specified Outcome Measures:
    Title
    Quantitative CAR-T DNA assay
    Time Frame
    up to 6 month
    Title
    Immunological assessment
    Description
    -To explore relationship to tumor response, parameters to be analyzed include, but are not limited to: IFN-g, TNF-a, IL-2, IL-6, IL-18, IL-10, RANTES, MCP-1, TGF--Analysis of T cells and immune cells
    Time Frame
    up to 6 month

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    19 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: To be eligible, subjects must meet all of the following criteria: Male or female adults ≥19 years old at the time of written informed consent Patients with histologically or cytologically diagnosed unresectable HCC refractory to first- or second-line standard therapy* with no other standard therapy available * Including, but not limited to atezolizumab plus bevacizumab combination therapy and tyrosine kinase inhibitors (e.g., sorafenib, lenvatinib). Confirmed GPC3 positivity by IHC based on a liver tissue sample At least 1 measurable lesion based on mRECIST v1.1 Child-Pugh score Class A or Class B(7) Life expectancy ≥3 months based on the judgment of the investigator ECOG PS 0 or 1 Patients who have adequate bone marrow, liver, and kidney functions at the time of screening: WBC ≥ 2,000 /μL ANC ≥ 1,000 /μL Platelet ≥ 80,000 /μL Hemoglobin ≥ 9.0 g/dL Albumin ≥ 2.8 g/dL AST and/or ALT ≤ 5ⅹULN Total bilirubin ≤ 2 x ULN Serum creatinine ≤1.5 x ULN, Creatinine clearance (CrCl) ≥ 30 mL/min PT(INR) ≤1.5 x ULN Negative serum pregnancy test in women of childbearing potential Women of childbearing potential or men who do not plan a pregnancy during the study period and who agree to use clinically adequate methods of contraception as follows: * Hormone contraceptives (subcutaneous implants, injections, oral contraceptives, etc.), intrauterine device (IUD) (or intra uterine system [IUS]), subject's or partner's surgical sterilization (vasectomy, tubal ligation, etc.), double barrier methods (combined use of barrier methods such as combined use of cervical cap or diaphragm plus male condom) Written informed consent to voluntary study participation Exclusion Criteria: Subjects who meet any of the following criteria cannot participate in the study: Current disease and medical history History or current evidence of hepatic encephalopathy Histologically confirmed HCC in ≥50% of the liver Severe ascites requiring treatment such as paracentesis History or current evidence of the following infections: Human immunodeficiency virus (HIV) infection or acquired immunodeficiency syndrome (AIDS) Active hepatitis B (Subjects with negative HBV titer within 14 days prior to screening based on the site-specific criteria who have been treated with antivirals for ≥14 days prior to screening and are willing to maintain the antiviral therapy throughout the study will be allowed to be enrolled.) Active hepatitis C (Patients who have completed antiviral therapy with negative HCV virial load based on the site-specific criteria will be allowed to be enrolled.) Uncontrolled severe chronic infection or active infection Prior or planned organ transplantation during the study period Diagnosis of any malignant tumor other than the study indication within 5 years prior to screening (Patients who were treated and assessed as complete response [CR] without recurrence within 3 years or patients diagnosed with nonmelanoma skin cancer, in-situ disease, thyroid cancer, or borderline tumor will be allowed to be enrolled.) Clinically significant, severe cardiac disease based on the judgment of the investigator (e.g., uncontrolled hypertension, congestive heart failure [NYHA Grade ≥2], ventricular arrhythmia, active ischemic heart disease, history of myocardial infarction within 1 year prior to screening), renal impairment, or respiratory disease
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Sehee Hwang
    Phone
    +82-2-2071-3310
    Email
    hsh0820@eutilex.com

    12. IPD Sharing Statement

    Plan to Share IPD
    No

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