GPC2 CAR T Cells for Relapsed or Refractory Neuroblastoma (GPC2)
Refractory Neuroblastoma, Relapsed Neuroblastoma, High-risk Neuroblastoma
About this trial
This is an interventional treatment trial for Refractory Neuroblastoma
Eligibility Criteria
Inclusion Criteria: Signed Informed Consent Form ≥ 1 year of age Disease status Patients must have high-risk neuroblastoma according to Children's Oncology Group risk classification at the time of study enrollment. Histologically confirmed diagnosis of neuroblastoma that is recurrent/relapsed/persistent according to International Neuroblastoma Response Criteria Patients must have evaluable or measurable disease at enrollment Adequate organ function Adequate performance status defined as Lanksy or Karnofsky performance score ≥60. Subjects of reproductive potential must agree to use acceptable birth control methods. Exclusion Criteria: Patients with active hepatitis B or active hepatitis C. Patients with HIV infection. Patients with uncontrolled active infection Patients with primary or acquired immunodeficiency disorder. Concurrent use of systemic steroids or immunosuppression at the time of cell infusion or cell collection, or a condition, in the treating physician's opinion, that is likely to require steroid therapy or immunosuppression during collection or after infusion. Steroids for disease treatment at times other than cell collection or at the time of infusion are permitted. Use of physiologic replacement hydrocortisone or inhaled steroids is permitted as well. Patients with actively progressing Central Nervous System metastases, including parenchymal or leptomeningeal involvement. Active medical disorder that, in the opinion of the investigator, would substantially increase. the risk of uncontrollable Cytokine Release Syndrome and/or neurotoxicity. Patients with congestive heart failure (as defined by New York Heart Association Functional Classification III or IV), unstable angina, serious uncontrolled cardiac arrhythmia, a myocardial infarction within 6 months prior to study entry or a history of myocarditis. Patients who have received any live vaccines within 30 days prior to enrollment. Pregnant or nursing (lactating) women.
Sites / Locations
- Children's Hospital of PhiladelphiaRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Dose Escalation Arm
Dose Expansion Arm
The dose escalation arm will determine the maximum tolerated dose of GPC2 CAR T cells using a standard 3+3 trial design.
If at least one dose from the dose expansion arm is determined to be safe, additional patients will be enrolled to the dose expansion arm to preliminarily evaluate the rate of response to GPC2 CAR T cells and further characterize the safety profile of GPC2 CAR T cells.