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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
Minghui Zhang
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non-small Cell Lung Cancer

Eligibility Criteria

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

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

First Posted
September 25, 2015
Last Updated
April 26, 2022
Sponsor
Minghui Zhang
Collaborators
Shanghai Public Health Clinical Center, First Hospital of Tsinghua University
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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

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Clinical Efficacy and Safety of NKT Cell Infusion in Patients With Advanced Solid Tumor

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