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GPC3-directed CAR-T in the Treatment Amongst Subjects With Advanced Hepatocellular Carcinoma

Primary Purpose

Hepatocellular Carcinoma

Status
Recruiting
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
CAR-GPC3 T cells
Sponsored by
RenJi Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatocellular Carcinoma

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: 18-75 years-old, male or female Voluntarily willing to participate in the study and sign the written informed consent form Life expectation ≥12 weeks Eastern Cooperative Oncology Group (ECOG) performance status scale ≤1 Histologically-confirmed hepatocellular carcinoma (HCC) No benefits from curative surgery or other local therapies are expected at screening, judged by investigators Radiologically-confirmed progression disease after at least one prior line of systematic treatment and limited benefits from current guideline or consensus for hepatocellular carcinoma are expected at screening, judged by investigators Fresh samples or FFPE, immunohistochemistry (IHC)-stained GPC-3 positive with intensity ++ or +++ Per RECIST v1.1, at least one measurable lesion Manageable lung metastasis Barcelona Clinic Liver Cancer (BCLC) stage C or B and Child-Pugh ≤7 No active HBV infections Adequate organ functions Adequate venous access for APH Non-hematological AEs induced by previous treatment must have recovered to CTCAE ≤1, except for alopecia and peripheral neuropathy Women of childbearing potential must agree to use an effective and reliable contraceptive method during 28 days prior to lymphodepletion to 1 year post infusion; Male patients who have not undergone vasectomy and have sexual activity with women of childbearing potential must agree to the use of a barrier contraceptive method since lymphodepletion to 1year post infusion, and sperm donation is prohibited during the study Women of childbearing potential must have negative serum β-hCG test result at screening and 48 hours prior to lymphodepletion Exclusion Criteria: Cholangiocarcinoma or histological-mixed hepatocellular cholangiocarcinoma Active brain metastasis Primary lesion or infused lesions with the longest diameter ≥15cm, or other potential risk which might not be appropriate for further study treatment judged by the investigator Another primary malignancy within 3 years (with some exceptions for completely-resected early-stage tumors) Systematic autoimmune disorders requiring long-term systematic immunosuppression Previously treated with any genetically engineered modified T cell therapy (TCR-T/CAR-T) or other CGT Active HCV, HIV, or syphilis History of organ transplant Uncontrolled or active infection at screening, prior to APH, 72 hours prior to lymphodepletion or 5 days prior to JWATM214 infusion With severe cardiovascular disease History or presence of clinically-relevant CNS disorders Current presence of hepatic encephalopathy ≥G2 hemorrhage within 30 days prior to screening, or in need of long-term anticoagulants Active digestive ulcer or gastrointestinal bleeding within 3 months prior to screening Pregnant or lactating women Not satisfying wash-out period for APH Unable or unwilling to comply with the study protocol, judged by the investigator Other situations implying that the subject might not be appropriate to participate in the study Previously allergic or intolerable to JWATM214 or its components

Sites / Locations

  • Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong UniversityRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

CAR-GPC3 T cells

Arm Description

The safety and efficacy of JWATM214 will be evaluated in a 'BOIN'-designed dose escalation approach. 3 CAR-T dose levels will be tested in this study: 1×10^8, 3×10^8, and 10×10^8, whereas the dosage 0.5×10^8 and 30×10^8 CAR-T cells will be selected as optional back-up doses for potential escalation or de-escalation.

Outcomes

Primary Outcome Measures

Treatment-related adverse events (AEs)
An AE is defined as any unfavorable and unintended sign, symptom, or disease (new or worsening) temporally associated with the use of study therapy, regardless of whether or not a causal relationship with the study therapy can be determined.
Dose-limiting toxicities
DLT (Dose-limiting toxicity) was an adverse event that occurred within 28 days after JWATM214 infusion that met any of the following criteria. Any grade ≥3 nonhematologic toxicity associated with JWATM214 that has not resolved to ≤ grade 2 within 7 days, excluding clinically insignificant abnormalities in laboratory indicators Hematologic toxicity Grade ≥3 anaphylaxis Grade ≥3 infection did not resolve to grade ≤2 within 7 days after anti-infective treatment. ≥ grade 3 autoimmune toxicity during treatment Grade ≥3 cytokine release syndrome (CRS) during treatment that did not resolve to grade ≤2 within 72 hours. Grade ≥3 CAR-T cell-associated encephalopathy syndrome/immune effector cell-associated neurotoxicity syndrome (CRES/ICANS) that did not resolve to grade ≤2 within 72 hours. Grade 5 events of any nonmalignant cause.
RP2D of JWATM214 in HCC patients
Recommended phase 2 dose of JWATM214

Secondary Outcome Measures

PK of JWATM214 in the peripheral blood (qPCR)
The pharmacokinetic parameters of JWATM214 will be evaluated by qPCR for the copy number of the vector transgene of JWATM214 in peripheral blood to evaluate T-cell expansion and persistence.
Objective response rate (ORR).
Proportion of patients whose tumor volume has reached a predetermined value and can maintain a minimum time limit, including complete response and partial response patients.
Disease Control Rate
the percentage of patients with advanced or metastatic cancer who have achieved complete response, partial response and stable disease to a therapeutic intervention in clinical trials of anticancer agents.
progression-free survival (PFS)
Defined as time from randomisation to first progression by investigator assessment using modified RECIST 1.1 or death (by any cause in the absence of progression)
overall survival (OS)
Defined as the time from randomisation to death due to any cause

Full Information

First Posted
April 4, 2023
Last Updated
June 22, 2023
Sponsor
RenJi Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT05926726
Brief Title
GPC3-directed CAR-T in the Treatment Amongst Subjects With Advanced Hepatocellular Carcinoma
Official Title
JWATM214,an Armored GPC3-directed CAR-T ,in the Treatment Amongst Subjects With Advanced Hepatocellular Carcinoma :a Single-arm, Open-label,Dose-escalation Study
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Recruiting
Study Start Date
January 1, 2023 (Actual)
Primary Completion Date
December 31, 2025 (Anticipated)
Study Completion Date
December 31, 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
RenJi Hospital

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 is a single arm, open-label, dose escalation clinical study to evaluate the safety and efficacy of infused autologous armored GPC3-directed CAR-T in patients with advanced hepatocellular carcinoma refractory to prior systematic treatments.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
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
CAR-GPC3 T cells
Arm Type
Experimental
Arm Description
The safety and efficacy of JWATM214 will be evaluated in a 'BOIN'-designed dose escalation approach. 3 CAR-T dose levels will be tested in this study: 1×10^8, 3×10^8, and 10×10^8, whereas the dosage 0.5×10^8 and 30×10^8 CAR-T cells will be selected as optional back-up doses for potential escalation or de-escalation.
Intervention Type
Biological
Intervention Name(s)
CAR-GPC3 T cells
Intervention Description
Subjects will undergo leukapheresis to isolate peripheral blood mononuclear cells (PBMCs) for the production of JWATM214 . During JWATM214 production, subjects will receive a preconditioning chemotherapy regimen of cyclophosphamide and fludarabine to deplete the lymphocytes. After lymphodepletion, subjects will receive single-dose treatment with JWATM214 by intravenous (IV) injection.
Primary Outcome Measure Information:
Title
Treatment-related adverse events (AEs)
Description
An AE is defined as any unfavorable and unintended sign, symptom, or disease (new or worsening) temporally associated with the use of study therapy, regardless of whether or not a causal relationship with the study therapy can be determined.
Time Frame
2 years
Title
Dose-limiting toxicities
Description
DLT (Dose-limiting toxicity) was an adverse event that occurred within 28 days after JWATM214 infusion that met any of the following criteria. Any grade ≥3 nonhematologic toxicity associated with JWATM214 that has not resolved to ≤ grade 2 within 7 days, excluding clinically insignificant abnormalities in laboratory indicators Hematologic toxicity Grade ≥3 anaphylaxis Grade ≥3 infection did not resolve to grade ≤2 within 7 days after anti-infective treatment. ≥ grade 3 autoimmune toxicity during treatment Grade ≥3 cytokine release syndrome (CRS) during treatment that did not resolve to grade ≤2 within 72 hours. Grade ≥3 CAR-T cell-associated encephalopathy syndrome/immune effector cell-associated neurotoxicity syndrome (CRES/ICANS) that did not resolve to grade ≤2 within 72 hours. Grade 5 events of any nonmalignant cause.
Time Frame
28 days
Title
RP2D of JWATM214 in HCC patients
Description
Recommended phase 2 dose of JWATM214
Time Frame
2 years
Secondary Outcome Measure Information:
Title
PK of JWATM214 in the peripheral blood (qPCR)
Description
The pharmacokinetic parameters of JWATM214 will be evaluated by qPCR for the copy number of the vector transgene of JWATM214 in peripheral blood to evaluate T-cell expansion and persistence.
Time Frame
1 years
Title
Objective response rate (ORR).
Description
Proportion of patients whose tumor volume has reached a predetermined value and can maintain a minimum time limit, including complete response and partial response patients.
Time Frame
1 years
Title
Disease Control Rate
Description
the percentage of patients with advanced or metastatic cancer who have achieved complete response, partial response and stable disease to a therapeutic intervention in clinical trials of anticancer agents.
Time Frame
2 years
Title
progression-free survival (PFS)
Description
Defined as time from randomisation to first progression by investigator assessment using modified RECIST 1.1 or death (by any cause in the absence of progression)
Time Frame
2 years
Title
overall survival (OS)
Description
Defined as the time from randomisation to death due to any cause
Time Frame
2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 18-75 years-old, male or female Voluntarily willing to participate in the study and sign the written informed consent form Life expectation ≥12 weeks Eastern Cooperative Oncology Group (ECOG) performance status scale ≤1 Histologically-confirmed hepatocellular carcinoma (HCC) No benefits from curative surgery or other local therapies are expected at screening, judged by investigators Radiologically-confirmed progression disease after at least one prior line of systematic treatment and limited benefits from current guideline or consensus for hepatocellular carcinoma are expected at screening, judged by investigators Fresh samples or FFPE, immunohistochemistry (IHC)-stained GPC-3 positive with intensity ++ or +++ Per RECIST v1.1, at least one measurable lesion Manageable lung metastasis Barcelona Clinic Liver Cancer (BCLC) stage C or B and Child-Pugh ≤7 No active HBV infections Adequate organ functions Adequate venous access for APH Non-hematological AEs induced by previous treatment must have recovered to CTCAE ≤1, except for alopecia and peripheral neuropathy Women of childbearing potential must agree to use an effective and reliable contraceptive method during 28 days prior to lymphodepletion to 1 year post infusion; Male patients who have not undergone vasectomy and have sexual activity with women of childbearing potential must agree to the use of a barrier contraceptive method since lymphodepletion to 1year post infusion, and sperm donation is prohibited during the study Women of childbearing potential must have negative serum β-hCG test result at screening and 48 hours prior to lymphodepletion Exclusion Criteria: Cholangiocarcinoma or histological-mixed hepatocellular cholangiocarcinoma Active brain metastasis Primary lesion or infused lesions with the longest diameter ≥15cm, or other potential risk which might not be appropriate for further study treatment judged by the investigator Another primary malignancy within 3 years (with some exceptions for completely-resected early-stage tumors) Systematic autoimmune disorders requiring long-term systematic immunosuppression Previously treated with any genetically engineered modified T cell therapy (TCR-T/CAR-T) or other CGT Active HCV, HIV, or syphilis History of organ transplant Uncontrolled or active infection at screening, prior to APH, 72 hours prior to lymphodepletion or 5 days prior to JWATM214 infusion With severe cardiovascular disease History or presence of clinically-relevant CNS disorders Current presence of hepatic encephalopathy ≥G2 hemorrhage within 30 days prior to screening, or in need of long-term anticoagulants Active digestive ulcer or gastrointestinal bleeding within 3 months prior to screening Pregnant or lactating women Not satisfying wash-out period for APH Unable or unwilling to comply with the study protocol, judged by the investigator Other situations implying that the subject might not be appropriate to participate in the study Previously allergic or intolerable to JWATM214 or its components
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Hao Feng, MD.,Ph.D
Phone
008615000901110
Email
surgeonfeng@live.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Qiang Xia, Prof. MD
Organizational Affiliation
Dept. Liver Surgery, Renji Hospital, School of Medicine, SJTU
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Hao Feng, MD.,Ph.D.
Organizational Affiliation
Dept. Liver Surgery, Renji Hospital, School of Medicine, SJTU
Official's Role
Principal Investigator
Facility Information:
Facility Name
Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University
City
Shanghai
ZIP/Postal Code
200127
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Hao Feng, MD, PhD
Email
surgeonfeng@live.com

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

GPC3-directed CAR-T in the Treatment Amongst Subjects With Advanced Hepatocellular Carcinoma

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