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KSD-101 Therapy for EBV-associated Nasopharyngeal Carcinoma: an Exploratory Clinical Trial

Primary Purpose

Nasopharyngeal Carcinoma

Status
Not yet recruiting
Phase
Early Phase 1
Locations
China
Study Type
Interventional
Intervention
KSD-101
Sponsored by
Kousai Bio Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Nasopharyngeal Carcinoma focused on measuring EBV, Nasopharyngeal Carcinoma

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: Patients or their legal guardians voluntarily participate and sign the informed consent form. male or female patients aged 18-70 years (inclusive of the cut-off value) on the date of signing the informed consent. Nasopharyngeal carcinoma confirmed by pathological tissue examination and EBER-positive in tumor tissue by in situ hybridization (ISH or FISH). nasopharyngeal carcinoma with localized recurrence or localized recurrence with systemic metastasis, or primary metastatic nasopharyngeal carcinoma unsuitable for localized or radical treatment, for which there is no effective treatment and which is seriously life-threatening. at least one measurable lesion according to RECIST v1.1 criteria. have an Eastern Cooperative Oncology Group (ECOG) score: 0-1. have criteria for single or venous blood collection and have no other contraindications to cell collection. the patient's laboratory findings are compatible: Blood routine: neutrophils ≥ 1.0×10^9/L, hemoglobin ≥ 80g/L, platelets ≥ 50×10^9/L. Liver function: ALT, AST ≤ 3 × ULN and total bilirubin ≤ 1.5 × ULN. Renal function: creatinine ≤ 1.5 × ULN. Cardiac function: left ventricular ejection fraction (LVEF) ≥ 40%. Coagulation function: fibrinogen ≥ 1.0g/L, activated partial thromboplastin time (APTT) ≤ 1.5 × ULN, prothrombin time (PT) ≤ 1.5 × ULN. The patient's corresponding lymph node region can meet the demand for subcutaneous injection. Exclusion Criteria: Patients receiving any anti-tumor therapy such as chemotherapy, radiotherapy, immunosuppressive therapy, etc. within 4 weeks prior to mono-collection. Women who are pregnant (positive urine/blood pregnancy test), breastfeeding, or men or women who are planning to conceive within the last 1 year. active hepatitis B (HbsAg or HbcAb positive and HBV DNA ≥100 IU/mL), active hepatitis C (HCV antibody positive and peripheral blood HCV RNA positive); human immunodeficiency virus (HIV) antibody positive; syphilis test positive. patients with central nervous system pathology (e.g., cerebral edema, need for hormonal intervention, or progression of brain metastases). patients with uncontrollable infectious disease within 4 weeks prior to enrollment, or with active tuberculosis or on anti-tuberculosis therapy. (< CTCAE grade 2 genitourinary infections and upper respiratory tract infections, except EBV infections). the patient has a serious underlying disease (cardiovascular disease, respiratory disease, renal insufficiency, coagulation abnormality, autoimmune disease or immunodeficiency disease, etc.). other active malignant tumors within the past 3 years, unless they are curable tumors and have been significantly cured, such as basal or squamous cell carcinoma, carcinoma in situ of the uterine cervix or breast. subjects who have undergone major surgery or severe trauma within 4 weeks prior to enrollment or are expected to require major surgical intervention (i.e., surgery requiring the assistance of endotracheal anesthesia) during the study period. the patient has received a prophylactic live or live attenuated vaccine within 4 weeks prior to screening. the patient has participated in another clinical study within 4 weeks prior to screening. patients with a prior history of severe drug allergy, or penicillin allergy. the patient has substance abuse/addiction. patients with other conditions that, in the judgment of the investigator, make them unsuitable for inclusion.

Sites / Locations

  • Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

KSD-101

Arm Description

Biological: Dendritic Cell Vaccine(Autologous monocyte-derived DCs pulsed with EBV Multi-antigen).

Outcomes

Primary Outcome Measures

Safety endpoint
Adverse events will be graded according to the NCI-CTCAE 5.0 grading criteria throughout the study period, except for injection site (localized) adverse events, which will be graded with reference to the Guidelines for Grading Criteria for Adverse Events in Clinical Trials of Vaccines for Prophylaxis. Monitor and assess the incidence and relevance to study drug and severity of all adverse events, vital signs, physical examination and laboratory findings.

Secondary Outcome Measures

EBV-DNA load
Antiviral effect: changes in EBV-DNA load were assessed during the study.
Objective response rate (ORR)
The percentage of participants who achieved PR or better response
Disease control rate (DCR)
The percentage of participants who achieved SD or better response
Duration of response (DOR)
DOR will be calculated among responders (with a PR or better response) from the date of initial documentation of a response (PR or better) to the date of first documented evidence of progressive disease
Progression-free survival (PFS)
The time from the start of CAR-GPRC5D treatment for the participants to the first time of disease progression or death for any reason
Overall survival (OS)
OS is measured from the date of the initial injection of DC Vaccines to the date of the participant's death
Levels of EBV-specific CD8+ T cells
EBV-specific CD8+ T cells in peripheral blood will be assessed to monitor changes
Levels of B cells
B cells in peripheral blood will be assessed to monitor changes
Levels of NK cells
NK cells in peripheral blood will be assessed to monitor changes
Patient-reported outcomes
Patient-reported outcomes were assessed by using the EORTC QLQ-C30, EQ-5D-5L, EORTC QLQ-H&N35, and ECOG fitness status during the study

Full Information

First Posted
October 16, 2023
Last Updated
October 19, 2023
Sponsor
Kousai Bio Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT06097793
Brief Title
KSD-101 Therapy for EBV-associated Nasopharyngeal Carcinoma: an Exploratory Clinical Trial
Official Title
KSD-101 Therapy for EBV-associated Nasopharyngeal Carcinoma: an Exploratory Clinical Trial
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
November 1, 2023 (Anticipated)
Primary Completion Date
December 31, 2024 (Anticipated)
Study Completion Date
December 31, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Kousai Bio Co., Ltd.

4. Oversight

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

5. Study Description

Brief Summary
The main purpse of this study is to evaluate the safety of KSD-101 in patients with EBV-associated Nasopharyngeal Carcinoma,to evaluate the initial clinical outcomes and evaluate the immune response to KSD-101 for the treatment in Patients with EBV-associated Nasopharyngeal Carcinoma
Detailed Description
This is a single-center, single-arm, open, multiple-dose clinical study,evaluating the safety, preliminary efficacy, and immune response of KSD-101 for the treatment of patients with EBV-associated nasopharyngeal carcinoma. Enrolled subjects will receive a peripheral blood single nucleated cell collection (D-20) of approximately 120-150 ml. After the single collection is transported to the dendritic cell vaccine preparation party via the cold chain, a dendritic cell vaccine (KSD-101) will be prepared using the subject's own single nucleated cells. After successful preparation of KSD-101, the subject will return to the hospital for KSD-101 reinfusion as follows. KSD-101 route of administration: subcutaneous injection. KSD-101 treatment dose: 5.0 × 10^6 cells/dose. KSD-101 treatment frequency: once every 2 weeks for a total of 3-5 times. The 4th and 5th times are booster treatments, which need to be decided by the investigator according to the condition of the subjects.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Nasopharyngeal Carcinoma
Keywords
EBV, Nasopharyngeal Carcinoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Early 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
KSD-101
Arm Type
Experimental
Arm Description
Biological: Dendritic Cell Vaccine(Autologous monocyte-derived DCs pulsed with EBV Multi-antigen).
Intervention Type
Biological
Intervention Name(s)
KSD-101
Intervention Description
Patients will receive approximately 5x10^6 DC vaccine via subcutaneous injections bi-weekly,total 3-5 times.
Primary Outcome Measure Information:
Title
Safety endpoint
Description
Adverse events will be graded according to the NCI-CTCAE 5.0 grading criteria throughout the study period, except for injection site (localized) adverse events, which will be graded with reference to the Guidelines for Grading Criteria for Adverse Events in Clinical Trials of Vaccines for Prophylaxis. Monitor and assess the incidence and relevance to study drug and severity of all adverse events, vital signs, physical examination and laboratory findings.
Time Frame
1 year after DC Vaccines injection
Secondary Outcome Measure Information:
Title
EBV-DNA load
Description
Antiviral effect: changes in EBV-DNA load were assessed during the study.
Time Frame
1 year after DC Vaccines injection
Title
Objective response rate (ORR)
Description
The percentage of participants who achieved PR or better response
Time Frame
1 year after DC Vaccines injection
Title
Disease control rate (DCR)
Description
The percentage of participants who achieved SD or better response
Time Frame
1 year after DC Vaccines injection
Title
Duration of response (DOR)
Description
DOR will be calculated among responders (with a PR or better response) from the date of initial documentation of a response (PR or better) to the date of first documented evidence of progressive disease
Time Frame
1 year after DC Vaccines injection
Title
Progression-free survival (PFS)
Description
The time from the start of CAR-GPRC5D treatment for the participants to the first time of disease progression or death for any reason
Time Frame
1 year after DC Vaccines injection
Title
Overall survival (OS)
Description
OS is measured from the date of the initial injection of DC Vaccines to the date of the participant's death
Time Frame
1 year after DC Vaccines injection
Title
Levels of EBV-specific CD8+ T cells
Description
EBV-specific CD8+ T cells in peripheral blood will be assessed to monitor changes
Time Frame
1 year after DC Vaccines injection
Title
Levels of B cells
Description
B cells in peripheral blood will be assessed to monitor changes
Time Frame
1 year after DC Vaccines injection
Title
Levels of NK cells
Description
NK cells in peripheral blood will be assessed to monitor changes
Time Frame
1 year after DC Vaccines injection
Title
Patient-reported outcomes
Description
Patient-reported outcomes were assessed by using the EORTC QLQ-C30, EQ-5D-5L, EORTC QLQ-H&N35, and ECOG fitness status during the study
Time Frame
1 year after DC Vaccines injection

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Patients or their legal guardians voluntarily participate and sign the informed consent form. male or female patients aged 18-70 years (inclusive of the cut-off value) on the date of signing the informed consent. Nasopharyngeal carcinoma confirmed by pathological tissue examination and EBER-positive in tumor tissue by in situ hybridization (ISH or FISH). nasopharyngeal carcinoma with localized recurrence or localized recurrence with systemic metastasis, or primary metastatic nasopharyngeal carcinoma unsuitable for localized or radical treatment, for which there is no effective treatment and which is seriously life-threatening. at least one measurable lesion according to RECIST v1.1 criteria. have an Eastern Cooperative Oncology Group (ECOG) score: 0-1. have criteria for single or venous blood collection and have no other contraindications to cell collection. the patient's laboratory findings are compatible: Blood routine: neutrophils ≥ 1.0×10^9/L, hemoglobin ≥ 80g/L, platelets ≥ 50×10^9/L. Liver function: ALT, AST ≤ 3 × ULN and total bilirubin ≤ 1.5 × ULN. Renal function: creatinine ≤ 1.5 × ULN. Cardiac function: left ventricular ejection fraction (LVEF) ≥ 40%. Coagulation function: fibrinogen ≥ 1.0g/L, activated partial thromboplastin time (APTT) ≤ 1.5 × ULN, prothrombin time (PT) ≤ 1.5 × ULN. The patient's corresponding lymph node region can meet the demand for subcutaneous injection. Exclusion Criteria: Patients receiving any anti-tumor therapy such as chemotherapy, radiotherapy, immunosuppressive therapy, etc. within 4 weeks prior to mono-collection. Women who are pregnant (positive urine/blood pregnancy test), breastfeeding, or men or women who are planning to conceive within the last 1 year. active hepatitis B (HbsAg or HbcAb positive and HBV DNA ≥100 IU/mL), active hepatitis C (HCV antibody positive and peripheral blood HCV RNA positive); human immunodeficiency virus (HIV) antibody positive; syphilis test positive. patients with central nervous system pathology (e.g., cerebral edema, need for hormonal intervention, or progression of brain metastases). patients with uncontrollable infectious disease within 4 weeks prior to enrollment, or with active tuberculosis or on anti-tuberculosis therapy. (< CTCAE grade 2 genitourinary infections and upper respiratory tract infections, except EBV infections). the patient has a serious underlying disease (cardiovascular disease, respiratory disease, renal insufficiency, coagulation abnormality, autoimmune disease or immunodeficiency disease, etc.). other active malignant tumors within the past 3 years, unless they are curable tumors and have been significantly cured, such as basal or squamous cell carcinoma, carcinoma in situ of the uterine cervix or breast. subjects who have undergone major surgery or severe trauma within 4 weeks prior to enrollment or are expected to require major surgical intervention (i.e., surgery requiring the assistance of endotracheal anesthesia) during the study period. the patient has received a prophylactic live or live attenuated vaccine within 4 weeks prior to screening. the patient has participated in another clinical study within 4 weeks prior to screening. patients with a prior history of severe drug allergy, or penicillin allergy. the patient has substance abuse/addiction. patients with other conditions that, in the judgment of the investigator, make them unsuitable for inclusion.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Guangyuan Hu
Phone
+86 13886000095
Email
h.g.y.121@163.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Guangyuan Hu
Organizational Affiliation
Tongji Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
City
Wuhan
ZIP/Postal Code
430030
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Guangyuan Hu
Phone
+86 13886000095
Email
h.g.y.121@163.com

12. IPD Sharing Statement

Learn more about this trial

KSD-101 Therapy for EBV-associated Nasopharyngeal Carcinoma: an Exploratory Clinical Trial

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