Clinical Efficacy and Safety of NKT Cell Infusion in Patients With Advanced Solid Tumor
Primary Purpose
Non-small Cell Lung Cancer, Gastric Cancer, Hepatocellular Carcinoma
Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
natural killer T cell
Sponsored by
About this trial
This is an interventional treatment trial for Non-small Cell Lung Cancer
Eligibility Criteria
Inclusion Criteria:
- Age: 18 to 75 years, Male or Female
- Histological or cytologically diagnosis of advanced non-small cell lung cancer, or advanced gastric cancer, or advanced hepatocellular carcinoma, or advanced colorectal cancer
- Patients' tumor tissue (formalin-fixed, paraffin-embedded) must be sufficient for diagnosis of cancer by a certified Laboratory of Pathology
- Laboratory values within the following ranges prior to receiving treatment of study agent: Hemoglobin≧11.0 g/dL, Neutrophils count≧1.5×l09/L, Lymphocytes count≧lower limit of institutional normal, Platelet count≧80×l09/L, Serum creatinine≦2.0 mg/dL, Serum bilirubin≦2 x upper limit of institutional normal, AST/ALT≦2 x upper limit of institutional normal
- No dyspnea at rest. Oxygen saturation ≥90% on room air
- Able to tolerate apheresis procedure including placement of temporary apheresis catheter
- No genetic disease
- No chemotherapy and radiation therapy to be planned recently
- Fertile females/males must consent to use contraceptives during participation of the trial. Women of child bearing potential must have a negative pregnancy test prior to receiving treatment of study agent within 7 days
- Patients must have a Karnofsky performance status greater than or equal to 80%
- Life expectancy greater than twelve months
- Able and willing to give witnessed, written informed consent form prior to receiving any study related procedure
- Agree that progress of the disease must be radiographically measurable by computerized tomography (CT) scanning technique or magnetic resonance imaging (MRI) (per RECIST1.1 criteria)
- Agrees to participate in long-term follow-up for up to 3 years, if received NKT infusion
Exclusion Criteria:
- Organ dysfunction defined as follows: Significant cardiovascular disease (i.e. New York Heart Association [NYHA] class 3 congestive heart failure, myocardial infarction within the past six months, unstable angina, coronary angioplasty within the past six months, uncontrolled atrial or ventricular cardiac arrhythmias; Child-Pugh C; Renal function failure or uremia; Respiratory failure; Disturbance of consciousness
- Suffering from lymphoma or leukemia
- Serious infections requiring antibiotics, bleeding disorders
- Patients with myelodysplastic syndrome (MDS)
- History of immunodeficiency disease or autoimmune disease
- Known or suspected allergy to the investigational agent or any agent given in association with this trial
- Known central nervous system tumors including metastatic brain disease, unless treated and stable
- Other malignancy within 3 years prior to entry into the study
- Negative HIV antigen and antibody, Hepatitis B surface antigen and Hepatitis C PCR within 21 days prior to enrollment
- Patients with chronic disease which is undergoing immune reagents or hormone therapy
- Previous bone marrow or stem cell transplant, or organ allograft
- Within concurrent chemotherapy
- Concomitant treatment with corticosteroids (Topical or inhalational corticosteroids are permitted)
- Concurrent other medical condition that would prevent the patient from undergoing protocol-based therapy
- Participation in any other clinical trial involving another investigational agent within 4 weeks prior to first dose of study agent
- Pregnant or breast-feeding patients
- Mental impairment or addictive disorders that may compromise the ability to give informed consent
- Lack of availability of a patient for immunological and clinical follow-up assessment
Sites / Locations
- Hua Xin Hosptial First Hosptial of Tsinghua UniversityRecruiting
- Shanghai Public Health Clinical CenterRecruiting
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
natural killer T cell
Arm Description
The eligible patients are infused with two doses of (4±0.5)x10^9 NKT cells in one course of treatment. Intervention: Biological: NKT cell
Outcomes
Primary Outcome Measures
The incidence of adverse events following infusion of NKT cells
liver dysfunction, kidney dysfunciton, shivering, diarrhea, fever and more
Objective Response Rate (ORR), confirmed by CT or MRI, or confirmed by biopsy
The proportion of participants with complete remission and partial remission which judged by RECIST v1.1
Secondary Outcome Measures
Hematology
Hematology, include erythrocytes, leukocytes, platelets, T lymphocytes, B lymphocytes, Natural killer cell, NKT, CD4/CD8, Th1/Th2, Th17 cell and Treg lymphocytes
Serological analysis
Serological analysis, include immunoglobulin G, immunoglobulin A, immunoglobulin D, immunoglobulin E and immunoglobulin M. Albumin (ALB), Alanine aminotransferase (ALT), Aspartate Aminotransferase (AST), Prealbumin (PA), total bilirubin (TB), and direct bilirubin (DB); Blood urea nitrogen (BUN), Urea (UA), and Crea (Cr); Total cholesterol (TC), high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C), triglycerides (TG), very low density lipoprotein cholesterol (VLDL-C), and Non-HDL-C; blood sugar
Overall Survival (OS)
The time from the beginning of ransomization to death from any cause
Progression-Free Survival (PFS)
The time from randomization to the first recording of disease progression (RECIST v1.1)
Tumor Marker
CEA, AFP and more
Full Information
NCT ID
NCT02562963
First Posted
September 25, 2015
Last Updated
April 26, 2022
Sponsor
Minghui Zhang
Collaborators
Shanghai Public Health Clinical Center, First Hospital of Tsinghua University
1. Study Identification
Unique Protocol Identification Number
NCT02562963
Brief Title
Clinical Efficacy and Safety of NKT Cell Infusion in Patients With Advanced Solid Tumor
Official Title
Phase 1/2 Study of Natural Killer T Cell Infusion in Patients With Advanced Solid Tumor
Study Type
Interventional
2. Study Status
Record Verification Date
April 2022
Overall Recruitment Status
Recruiting
Study Start Date
November 2015 (Actual)
Primary Completion Date
May 2023 (Anticipated)
Study Completion Date
December 2024 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Minghui Zhang
Collaborators
Shanghai Public Health Clinical Center, First Hospital of Tsinghua University
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
Natural killer T (NKT) cells are a unique subset of lymphocytes that present a mixed T-NK phenotype. Our hypothesis is that Natural killer T cells may decrease the tumor burden and improve overall survival. The purpose of this study is to determine whether Natural killer T (NKT) cells are effective and safe in the treatment of patients with unresectable advanced solid tumor.
Detailed Description
According to the Annual Report of Cancer Registration in China 2014, lung cancer, gastric cancer, liver cancer and colorectal cancer have become the top 4 solid tumors with the highest morbidity and mortality rates. So far, the main treatment modalities for these tumors have been surgery, radiotherapy and chemotherapy. However, the effect of conventional therapy on advanced cancer is limited, tumor metastasis is the major cause of death in patients with advanced cancer. With the development of oncology and immunology in recent years, immunotherapy represents a novel path to obtain a durable and long-lasting response in cancer patients.
Natural killer T (NKT) cells are a unique subset of lymphocytes that present a mixed T-NK phenotype. NKT cells are expanded conventionally from peripheral blood mononuclear cells by addition of a variety of cytokines in vitro culture. Our previous studies demonstrated that the expansion of NKT cells in a clinical usage scale from peripheral blood mononuclear cells is feasible. Those expanded NKT cells exhibit antitumor effect in vitro and in vivo (tumor -bearing nude mice) against a variety of tumor cells. Furthermore, intravenous infusion of a single dose of 4X10^9 NKT cells in mice has been proved safe.
The purpose of this study is to evaluate the efficacy and safety of NKT cells in patients with unresectable advanced solid tumor.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-small Cell Lung Cancer, Gastric Cancer, Hepatocellular Carcinoma, Colorectal Cancer
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
120 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
natural killer T cell
Arm Type
Experimental
Arm Description
The eligible patients are infused with two doses of (4±0.5)x10^9 NKT cells in one course of treatment. Intervention: Biological: NKT cell
Intervention Type
Biological
Intervention Name(s)
natural killer T cell
Intervention Description
The eligible patients are infused with two doses of (4±0.5)x10^9 NKT cells in one course of treatment.
Primary Outcome Measure Information:
Title
The incidence of adverse events following infusion of NKT cells
Description
liver dysfunction, kidney dysfunciton, shivering, diarrhea, fever and more
Time Frame
30 days post-infusion
Title
Objective Response Rate (ORR), confirmed by CT or MRI, or confirmed by biopsy
Description
The proportion of participants with complete remission and partial remission which judged by RECIST v1.1
Time Frame
up to 24 weeks
Secondary Outcome Measure Information:
Title
Hematology
Description
Hematology, include erythrocytes, leukocytes, platelets, T lymphocytes, B lymphocytes, Natural killer cell, NKT, CD4/CD8, Th1/Th2, Th17 cell and Treg lymphocytes
Time Frame
Baseline, 1 day, 7 days, 14 days and 28 days after cell infusion
Title
Serological analysis
Description
Serological analysis, include immunoglobulin G, immunoglobulin A, immunoglobulin D, immunoglobulin E and immunoglobulin M. Albumin (ALB), Alanine aminotransferase (ALT), Aspartate Aminotransferase (AST), Prealbumin (PA), total bilirubin (TB), and direct bilirubin (DB); Blood urea nitrogen (BUN), Urea (UA), and Crea (Cr); Total cholesterol (TC), high density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C), triglycerides (TG), very low density lipoprotein cholesterol (VLDL-C), and Non-HDL-C; blood sugar
Time Frame
Baseline, 1day, 7 days, 14 days and 28 days after cell infusion
Title
Overall Survival (OS)
Description
The time from the beginning of ransomization to death from any cause
Time Frame
Approximately 3 years
Title
Progression-Free Survival (PFS)
Description
The time from randomization to the first recording of disease progression (RECIST v1.1)
Time Frame
Approximately 1 years
Title
Tumor Marker
Description
CEA, AFP and more
Time Frame
up to 24 weeks
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:
Age: 18 to 75 years, Male or Female
Histological or cytologically diagnosis of advanced non-small cell lung cancer, or advanced gastric cancer, or advanced hepatocellular carcinoma, or advanced colorectal cancer
Patients' tumor tissue (formalin-fixed, paraffin-embedded) must be sufficient for diagnosis of cancer by a certified Laboratory of Pathology
Laboratory values within the following ranges prior to receiving treatment of study agent: Hemoglobin≧11.0 g/dL, Neutrophils count≧1.5×l09/L, Lymphocytes count≧lower limit of institutional normal, Platelet count≧80×l09/L, Serum creatinine≦2.0 mg/dL, Serum bilirubin≦2 x upper limit of institutional normal, AST/ALT≦2 x upper limit of institutional normal
No dyspnea at rest. Oxygen saturation ≥90% on room air
Able to tolerate apheresis procedure including placement of temporary apheresis catheter
No genetic disease
No chemotherapy and radiation therapy to be planned recently
Fertile females/males must consent to use contraceptives during participation of the trial. Women of child bearing potential must have a negative pregnancy test prior to receiving treatment of study agent within 7 days
Patients must have a Karnofsky performance status greater than or equal to 80%
Life expectancy greater than twelve months
Able and willing to give witnessed, written informed consent form prior to receiving any study related procedure
Agree that progress of the disease must be radiographically measurable by computerized tomography (CT) scanning technique or magnetic resonance imaging (MRI) (per RECIST1.1 criteria)
Agrees to participate in long-term follow-up for up to 3 years, if received NKT infusion
Exclusion Criteria:
Organ dysfunction defined as follows: Significant cardiovascular disease (i.e. New York Heart Association [NYHA] class 3 congestive heart failure, myocardial infarction within the past six months, unstable angina, coronary angioplasty within the past six months, uncontrolled atrial or ventricular cardiac arrhythmias; Child-Pugh C; Renal function failure or uremia; Respiratory failure; Disturbance of consciousness
Suffering from lymphoma or leukemia
Serious infections requiring antibiotics, bleeding disorders
Patients with myelodysplastic syndrome (MDS)
History of immunodeficiency disease or autoimmune disease
Known or suspected allergy to the investigational agent or any agent given in association with this trial
Known central nervous system tumors including metastatic brain disease, unless treated and stable
Other malignancy within 3 years prior to entry into the study
Negative HIV antigen and antibody, Hepatitis B surface antigen and Hepatitis C PCR within 21 days prior to enrollment
Patients with chronic disease which is undergoing immune reagents or hormone therapy
Previous bone marrow or stem cell transplant, or organ allograft
Within concurrent chemotherapy
Concomitant treatment with corticosteroids (Topical or inhalational corticosteroids are permitted)
Concurrent other medical condition that would prevent the patient from undergoing protocol-based therapy
Participation in any other clinical trial involving another investigational agent within 4 weeks prior to first dose of study agent
Pregnant or breast-feeding patients
Mental impairment or addictive disorders that may compromise the ability to give informed consent
Lack of availability of a patient for immunological and clinical follow-up assessment
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Minghui Zhang, PhD
Phone
0086-10-62799520
Email
mh-zhang@tsinghua.edu.cn
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Minghui Zhang, PhD
Organizational Affiliation
Tsinghua University
Official's Role
Study Chair
Facility Information:
Facility Name
Hua Xin Hosptial First Hosptial of Tsinghua University
City
Beijing
ZIP/Postal Code
100016
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Minghui Zhang, PhD
Phone
0086-10-62799520
Email
mh-zhang@tsinghua.edu.cn
First Name & Middle Initial & Last Name & Degree
Minghui Zhang, PhD
Facility Name
Shanghai Public Health Clinical Center
City
Shanghai
ZIP/Postal Code
201508
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Xiaoyan Zhang, MD, PhD
Phone
0086-21-37990333
Ext
7310
Email
zhangxiaoyan@shaphc.org
First Name & Middle Initial & Last Name & Degree
Xiaoyan Zhang, MD, PhD
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Clinical Efficacy and Safety of NKT Cell Infusion in Patients With Advanced Solid Tumor
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