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Autologous T-cells Transfected With mRNA Encoding HBV-TCR T Cell Therapy in Combination With NUC for Chronic Hepatitis B

Primary Purpose

Chronic Hepatitis B

Status
Active
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
TCR-T
Sponsored by
Beijing 302 Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Hepatitis B

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: HBsAg Positive, HBeAg Negative, Anti-HBe Positive (with HBeAg seroconversion). On first-line treatment with oral nucleoside analogs antiviral drug therapy for more than a year. Adequate organ function Willing to stop and/or not to be on other immunomodulators during the study period, and to inform in time when other treatments such as glucocorticoids are needed Liver biopsy, Fibroscan® or equivalent test obtained within the past 6 months demonstrating liver disease consistent with chronic HBV infection without evidence of bridging fibrosis or cirrhosis (≥ Metavir 3, recommended cut-off for Fibroscan 9.0kPa) Females of childbearing potential must have a negative pregnancy test at Screening (within 3 days prior to first dose) and be willing to have additional pregnancy tests during the study. Females considered not of childbearing potential include those who have been in menopause at least 2 years, or had tubal ligation at least 1 year prior to Screening, or who have had total hysterectomy. Willing and able to comply with all study procedures. Willing and able to provide written, signed informed consent after the nature of the study has been explained, and prior to any research-related procedures. Exclusion Criteria: History of Acute infection, gastrointestinal bleeding, etc. occurring within 28 days prior to study enrollment. Advanced liver cirrhosis, Child-Pugh score ≥ 7 or clinical symptoms of liver function decompensation such as ascites and varicose veins Positive test for other viral infections, anti-HAV IgM, anti HCV, anti-HDV, anti -HEV and anti-HIV Any item is positive; liver disease caused by other reasons (such as autoimmune liver disease, alcoholic liver disease, non-alcoholic liver disease, drug-induced liver disease and other liver diseases of unknown cause, etc.). History of or suspicion of hepatocellular carcinoma or alpha fetoprotein (AFP) > 20 ng/mL at Screening. If AFP > 20 ng/mL, hepatic imaging must exclude hepatocellular carcinoma. History of having received (in the last 6 months) or currently receiving any other cell therapies History of organ transplantation History of severe allergic reaction (hives or anaphylaxis) to blood products History of any Grade 4 immune-related AE from prior immunotherapy. Any immune-related AE that led to permanent discontinuation that occurred less than 6 months prior to leukapheresis or whole blood collection for production Use of any investigational product (IP) within 28 days of study treatment administration. Lack of peripheral venous or central venous access or any condition that would interfere with drug administration or collection of study samples

Sites / Locations

  • The Fifth Medical Center of PLA General Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

HBV-TCR T cell infusion

Arm Description

Autologous HBV specific TCR redirected T cells

Outcomes

Primary Outcome Measures

Safety evaluation of HBV-TCR T cell treatment
Incidence of adverse events/serious adverse events

Secondary Outcome Measures

To evaluate the capability of HBV-TCR T cell treatment to lower the levels of serum HBsAg
This is based on quantitative changes of HBsAg levels from baseline

Full Information

First Posted
June 6, 2023
Last Updated
June 13, 2023
Sponsor
Beijing 302 Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT05905731
Brief Title
Autologous T-cells Transfected With mRNA Encoding HBV-TCR T Cell Therapy in Combination With NUC for Chronic Hepatitis B
Official Title
Study Evaluating the Safety and Efficacy of Autologous T-cells Transfected With mRNA Encoding Hepatitis-B Virus (HBV)-Antigen-specific T Cell Receptor (TCR) in Combination With Nucleos(t)Ide Analogue (NUC) for Chronic Hepatitis B
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
June 1, 2023 (Actual)
Primary Completion Date
June 2025 (Anticipated)
Study Completion Date
June 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Beijing 302 Hospital

4. Oversight

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

5. Study Description

Brief Summary
This is a single center, single arm, open label study to assess the safety, tolerability and effectiveness of the autologous HBV specific T cell receptor (HBV-TCR) redirected T cells in patients with chronic hepatitis B with ongoing with nucleos(t)ide analogue (NUC) treatment. This study will be conducted sequentially starting with Stage-1, followed by Stage-2.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Hepatitis B

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
HBV-TCR T cell infusion
Arm Type
Experimental
Arm Description
Autologous HBV specific TCR redirected T cells
Intervention Type
Biological
Intervention Name(s)
TCR-T
Intervention Description
Stage-1: Patients will receive three biweekly HBV-TCR T cell infusions at escalating doses, ranging from 1 x 10^5 cells/kg to 5 x 10^6 cells/kg bodyweight (by IV infusion). Patients are to remain on existing HBV NUC treatment. Stage-2: Patients will receive three biweekly HBV-TCR T cell infusions at maximum dose as determined in Stage-1 study. Patients are to remain on existing HBV NUC treatment.
Primary Outcome Measure Information:
Title
Safety evaluation of HBV-TCR T cell treatment
Description
Incidence of adverse events/serious adverse events
Time Frame
Start of Treatment until 28 days post last dose
Secondary Outcome Measure Information:
Title
To evaluate the capability of HBV-TCR T cell treatment to lower the levels of serum HBsAg
Description
This is based on quantitative changes of HBsAg levels from baseline
Time Frame
Start of treatment until 12 months post treatment follow-up

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: HBsAg Positive, HBeAg Negative, Anti-HBe Positive (with HBeAg seroconversion). On first-line treatment with oral nucleoside analogs antiviral drug therapy for more than a year. Adequate organ function Willing to stop and/or not to be on other immunomodulators during the study period, and to inform in time when other treatments such as glucocorticoids are needed Liver biopsy, Fibroscan® or equivalent test obtained within the past 6 months demonstrating liver disease consistent with chronic HBV infection without evidence of bridging fibrosis or cirrhosis (≥ Metavir 3, recommended cut-off for Fibroscan 9.0kPa) Females of childbearing potential must have a negative pregnancy test at Screening (within 3 days prior to first dose) and be willing to have additional pregnancy tests during the study. Females considered not of childbearing potential include those who have been in menopause at least 2 years, or had tubal ligation at least 1 year prior to Screening, or who have had total hysterectomy. Willing and able to comply with all study procedures. Willing and able to provide written, signed informed consent after the nature of the study has been explained, and prior to any research-related procedures. Exclusion Criteria: History of Acute infection, gastrointestinal bleeding, etc. occurring within 28 days prior to study enrollment. Advanced liver cirrhosis, Child-Pugh score ≥ 7 or clinical symptoms of liver function decompensation such as ascites and varicose veins Positive test for other viral infections, anti-HAV IgM, anti HCV, anti-HDV, anti -HEV and anti-HIV Any item is positive; liver disease caused by other reasons (such as autoimmune liver disease, alcoholic liver disease, non-alcoholic liver disease, drug-induced liver disease and other liver diseases of unknown cause, etc.). History of or suspicion of hepatocellular carcinoma or alpha fetoprotein (AFP) > 20 ng/mL at Screening. If AFP > 20 ng/mL, hepatic imaging must exclude hepatocellular carcinoma. History of having received (in the last 6 months) or currently receiving any other cell therapies History of organ transplantation History of severe allergic reaction (hives or anaphylaxis) to blood products History of any Grade 4 immune-related AE from prior immunotherapy. Any immune-related AE that led to permanent discontinuation that occurred less than 6 months prior to leukapheresis or whole blood collection for production Use of any investigational product (IP) within 28 days of study treatment administration. Lack of peripheral venous or central venous access or any condition that would interfere with drug administration or collection of study samples
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Fu-Sheng Wang, MD
Organizational Affiliation
Beijing 302 Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
The Fifth Medical Center of PLA General Hospital
City
Beijing
ZIP/Postal Code
100039
Country
China

12. IPD Sharing Statement

Learn more about this trial

Autologous T-cells Transfected With mRNA Encoding HBV-TCR T Cell Therapy in Combination With NUC for Chronic Hepatitis B

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