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Single-arm, Open-label Clinical Study of SZ003 in the Treatment of Advanced Hepatocellular Carcinoma

Primary Purpose

Advanced Hepatocellular Carcinoma

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
SZ003 CAR-NK
Sponsored by
Shantou University Medical College
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Hepatocellular Carcinoma

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: With advanced hepatocellular carcinoma (HCC) confirmed by histopathology; With stage C according to the Barcelona liver cancer grading criteria (BCLC) or with stage B who are ineligible for locoregional/locoregional therapy progression; Unsuitable for surgery or local therapy (including ablation, interventional and radiotherapy) and who have experienced progression or intolerance after previous standard therapy; Through immune tissues chemistry, confirmation of tumor cells positive expression of relevant molecular targets (GPC3) ; With at least one stable evaluable target lesion according to RECIST 1.1 criteria, which was defined as: non-nodal lesion longest diameter ≥10 mm, or nodal lesion short diameter ≥15 mm; Age 18-80, male or female; Karnofsky Performance Status (KPS)≥80; Stable vital signs and expected survival at least 12 weeks. If HBsAg or HBcAb is positive, HBV-DNA < 200 IU/ml and to receive anti-HBV therapy ((Entecavir or tenofovirdisoproxil) for at least 14 days prior to the start of study treatment; Blood Routine: WBC≥2.5×109/L, PLT≥60×109/L, Hb≥9.0g/dL, LY≥0.4×109/L; Blood biochemistry: Alb≥30g/L, Lipase and Amylase ≤1.5 ULN, Serum creatinine ≤1.5 ULN, creatinine clearance ≥40mL/min, ALT≤5 ULN, AST≤5 ULN, Total Serum bilirubin ≤2.5 ULN, prothrombin time ≤6s; Be able to understand and sign an informed consent form Exclusion Criteria: With uncontrolled active infections; No other prior malignancy except nonmelanoma skin cancer or carcinoma in situ of the cervix within 5 years before study treatment initiation. With previous history of encephalopathy. With active acute or chronic virus, germ infection; Diagnosed with HIV infection or active hepatitis, HBV, HCV infection or other serious infectious diseases; Other serious medical conditions that may limit participation in the trial (such as poorly controlled diabetes (treated Glycated hemoglobin HbA1c > 7%) , severe heart failure (left ventricular ejection fraction (LVEF) < 45%) , myocardial infarction or unstable arrhythmia or unstable angina in the last 6 months, pulmonary embolism, chronic obstructive pulmonary disease, Interstitial lung disease, pulmonary function test FEV1 < 60% predicted, gastric ulcer, history of gastrointestinal bleeding, or definite gastrointestinal bleeding tendency) ; Ascites more than 5cm; The proportion of liver replaced by tumor≥70%, or with tumor infiltration in the portal vein, hepatic veins or inferior vena cava that completely blocks circulation in liver; Prior solid organ transplantation or waiting for organ transplantation (including liver transplantation); Prior anti-tumor therapies within 14 days before study treatment initiation, such as surgery, interventional therapy, radiotherapy, chemotherapy, immunotherapy. Long-term systemic steroid therapy or patients with autoimmune diseases; With a history of allergic reactions attributed to compounds of similar chemical or biological composition used in the study; Have participation in clinical trials of any other investigational agents within 3 months before study treatment initiation. Had received cell therapy previously but ineffective,after physical examination not allowed to received CAR-NK therapy by investigator's judgement; Pregnant or lactating women; Inappropriate to participate in this clinical trial by investigator's judgement.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    SZ003 CAR-NK

    Arm Description

    Outcomes

    Primary Outcome Measures

    Number of Adverse Events (AEs)
    To evaluate the safety of SZ003 CAR-NK Cells
    Objective response rate (ORR)
    To evaluate the ORR of SZ003 CAR-NK Cells
    Overall survival (OS)
    To determine the anti-tumor effectivity of SZ003 CAR-NK Cells

    Secondary Outcome Measures

    Full Information

    First Posted
    April 25, 2023
    Last Updated
    April 25, 2023
    Sponsor
    Shantou University Medical College
    Collaborators
    Guangdong ProCapZoom Biosciences Co., Ltd.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05845502
    Brief Title
    Single-arm, Open-label Clinical Study of SZ003 in the Treatment of Advanced Hepatocellular Carcinoma
    Official Title
    Single-arm, Open-label Clinical Study of SZ003 in the Treatment of Advanced Hepatocellular Carcinoma
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    May 4, 2023 (Anticipated)
    Primary Completion Date
    May 4, 2025 (Anticipated)
    Study Completion Date
    May 4, 2025 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Shantou University Medical College
    Collaborators
    Guangdong ProCapZoom Biosciences Co., Ltd.

    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
    This study was a single-center, open-label, investigator-initiated clinical trial (IIT) to observe and investigate the clinical safety and efficacy of SZ003 in the treatment of advanced hepatocellular carcinoma.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Advanced Hepatocellular Carcinoma

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    12 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    SZ003 CAR-NK
    Arm Type
    Experimental
    Intervention Type
    Biological
    Intervention Name(s)
    SZ003 CAR-NK
    Intervention Description
    Drug: SZ003 CAR-NK In the escalation study, the minimum initial dose was 5.0×10^6 cells, then increased to 1.0×10^8 ,2.0×10^8 and5.0×10^8 cells. The infusion is given every 2 weeks.
    Primary Outcome Measure Information:
    Title
    Number of Adverse Events (AEs)
    Description
    To evaluate the safety of SZ003 CAR-NK Cells
    Time Frame
    Up to 6 months after infusion
    Title
    Objective response rate (ORR)
    Description
    To evaluate the ORR of SZ003 CAR-NK Cells
    Time Frame
    Up to 6 months after infusion
    Title
    Overall survival (OS)
    Description
    To determine the anti-tumor effectivity of SZ003 CAR-NK Cells
    Time Frame
    Up to 6 months after infusion

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    80 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: With advanced hepatocellular carcinoma (HCC) confirmed by histopathology; With stage C according to the Barcelona liver cancer grading criteria (BCLC) or with stage B who are ineligible for locoregional/locoregional therapy progression; Unsuitable for surgery or local therapy (including ablation, interventional and radiotherapy) and who have experienced progression or intolerance after previous standard therapy; Through immune tissues chemistry, confirmation of tumor cells positive expression of relevant molecular targets (GPC3) ; With at least one stable evaluable target lesion according to RECIST 1.1 criteria, which was defined as: non-nodal lesion longest diameter ≥10 mm, or nodal lesion short diameter ≥15 mm; Age 18-80, male or female; Karnofsky Performance Status (KPS)≥80; Stable vital signs and expected survival at least 12 weeks. If HBsAg or HBcAb is positive, HBV-DNA < 200 IU/ml and to receive anti-HBV therapy ((Entecavir or tenofovirdisoproxil) for at least 14 days prior to the start of study treatment; Blood Routine: WBC≥2.5×109/L, PLT≥60×109/L, Hb≥9.0g/dL, LY≥0.4×109/L; Blood biochemistry: Alb≥30g/L, Lipase and Amylase ≤1.5 ULN, Serum creatinine ≤1.5 ULN, creatinine clearance ≥40mL/min, ALT≤5 ULN, AST≤5 ULN, Total Serum bilirubin ≤2.5 ULN, prothrombin time ≤6s; Be able to understand and sign an informed consent form Exclusion Criteria: With uncontrolled active infections; No other prior malignancy except nonmelanoma skin cancer or carcinoma in situ of the cervix within 5 years before study treatment initiation. With previous history of encephalopathy. With active acute or chronic virus, germ infection; Diagnosed with HIV infection or active hepatitis, HBV, HCV infection or other serious infectious diseases; Other serious medical conditions that may limit participation in the trial (such as poorly controlled diabetes (treated Glycated hemoglobin HbA1c > 7%) , severe heart failure (left ventricular ejection fraction (LVEF) < 45%) , myocardial infarction or unstable arrhythmia or unstable angina in the last 6 months, pulmonary embolism, chronic obstructive pulmonary disease, Interstitial lung disease, pulmonary function test FEV1 < 60% predicted, gastric ulcer, history of gastrointestinal bleeding, or definite gastrointestinal bleeding tendency) ; Ascites more than 5cm; The proportion of liver replaced by tumor≥70%, or with tumor infiltration in the portal vein, hepatic veins or inferior vena cava that completely blocks circulation in liver; Prior solid organ transplantation or waiting for organ transplantation (including liver transplantation); Prior anti-tumor therapies within 14 days before study treatment initiation, such as surgery, interventional therapy, radiotherapy, chemotherapy, immunotherapy. Long-term systemic steroid therapy or patients with autoimmune diseases; With a history of allergic reactions attributed to compounds of similar chemical or biological composition used in the study; Have participation in clinical trials of any other investigational agents within 3 months before study treatment initiation. Had received cell therapy previously but ineffective,after physical examination not allowed to received CAR-NK therapy by investigator's judgement; Pregnant or lactating women; Inappropriate to participate in this clinical trial by investigator's judgement.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Yao KaiTao
    Phone
    15916672606
    Email
    42403153@qq.com

    12. IPD Sharing Statement

    Learn more about this trial

    Single-arm, Open-label Clinical Study of SZ003 in the Treatment of Advanced Hepatocellular Carcinoma

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