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Immunotherapy of Advanced Hepatitis B Related Hepatocellular Carcinoma With γδT Cells

Primary Purpose

Hepatocellular Carcinoma

Status
Unknown status
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
autologous γδT cells
Sponsored by
Beijing 302 Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatocellular Carcinoma focused on measuring Hepatocellular carcinoma, Hepatitis B

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Patients should sign informed consent form voluntarily and comply with the requirements of this study.
  2. Gender unlimited, age 18 to 70 years old.
  3. Hepatocellular carcinoma histopathology proven by liver fresh biopsy.
  4. According to the 2018 edition of the EASL guidelines for primary liver cancer, patients were diagnosed with advanced HBV-related hepatocellular carcinoma (BCLC stage B and C) by pathology and imaging; all patients required antiviral therapy with nucleoside analogues; other treatments (e.g. interventional therapy) at least 2 weeks prior to γδT cell infusion; patients can take the first- or second-line targeted drugs recommended by the guidelines, such as lenvatinib or sorafenib.
  5. Liver function: Child-Pugh class A/B (5-9), Eastern Cooperative Oncology Group (ECOG) Performance status 0-2.
  6. Expected survival ≥ 6 months.
  7. Male and female of reproductive potential must agree to use birth control during the study and for at least 30 days post study.

Exclusion Criteria:

  1. Combine other viral liver diseases or other liver disease patients.
  2. Acute infection, gastrointestinal bleeding, etc. occurred within 30 days before screening.
  3. Pregnant or lactating women; patients after organ transplantation; patients with severe autoimmune diseases; patients with uncontrolled infectious diseases.
  4. Dysfunction of major organs; patient white blood cell count <1.0×10e9/L, platelet count <60×10e9/L, hemoglobin <86g/L, prothrombin time (INR) >2.3, or prolonged clotting time >6 seconds, serum albumin <28g/L, total bilirubin >51mmol/L, ALT/AST >5 times the upper limit of normal, creatinine >1.5 times the upper limit of normal.
  5. Combined with other serious organic diseases, mental illnesses, including any uncontrolled clinically significant systemic diseases such as urinary, circulatory, respiratory, neurological, psychiatric, digestive, endocrine and immune diseases.
  6. Allergic constitution, history of allergies to blood products, known to be allergic to test substances.
  7. Immunosuppressive or systemic cytotoxic drugs may require within six months prior to screening or during treatment; 6 months prior to screening accepted other cell therapies including NK, CIK, DC, CTL and stem cell therapy etc.; immunotherapy such as PD-1 and PD-L1 antibodies.
  8. Patients currently participating in other clinical trials who may violate this treatment plan and observations.
  9. Those who are unable or unwilling to provide informed consent or who are unable to comply with the research requirements.
  10. Any situation that investigators believe the risk of the subjects is increased or results of the trial are disturbed: patients with any serious acute or chronic physical or mental illness, or laboratory abnormalities.

Sites / Locations

  • Beijing 302 Hospital of China
  • Beijing 302 hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Autologous γδT cells

Arm Description

Subjects will receive 3 cycles of γδT cells treatments, at four-week intervals, each cycle has 2 infusions. Dose escalation subjects will receive 6 infusions with dose of γδT cells escalation from 1×10e9 to 6×10e9. Constant dose subjects will have single infusion intravenously at a target dose of 1~2×10e9 γδT cells.

Outcomes

Primary Outcome Measures

Incidence of adverse events (AEs) and serious adverse events (SAEs)
Incidence of adverse events (AEs) and serious adverse events (SAEs) of each patient will be recorded and analyzed.
Overall survival (OS)
Overall survival is defined as the time from the day in which the patient is enrolled to the date on which the patient dies for any cause.

Secondary Outcome Measures

Objective Response Rate (ORR)
The objective response rate (ORR) is defined as the proportion of patients who achieve radiographic partial or complete response (PR or CR) according to the response evaluation criteria in solid tumors (RECIST) guideline.
Patients-based Quality of Life Evaluation
According to the European Organization for Research and Treatment of Cancer (EORTC) quality of life of the core scale criteria QLQ-C30 to evaluate and compare patients life quality before and after treatment.

Full Information

First Posted
July 19, 2019
Last Updated
July 23, 2019
Sponsor
Beijing 302 Hospital
Collaborators
Chinese Academy of Medical Sciences
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1. Study Identification

Unique Protocol Identification Number
NCT04032392
Brief Title
Immunotherapy of Advanced Hepatitis B Related Hepatocellular Carcinoma With γδT Cells
Official Title
Immunotherapy of Advanced Hepatitis B Related Hepatocellular Carcinoma With γδT Cells
Study Type
Interventional

2. Study Status

Record Verification Date
July 2019
Overall Recruitment Status
Unknown status
Study Start Date
July 23, 2019 (Anticipated)
Primary Completion Date
July 30, 2021 (Anticipated)
Study Completion Date
July 30, 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Beijing 302 Hospital
Collaborators
Chinese Academy of Medical Sciences

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
To evaluate the safety, tolerability and efficacy of autologous γδT cells in the treatment of advanced hepatitis B-related hepatocellular carcinoma.
Detailed Description
This is a single-centre, non-randomised, open label, no control, prospective clinical trial. The study will include the following sequential phases: sign informed consent, γδT cells pre-culture, fresh biopsy and screening, apheresis, γδT cells preparation, treatment and follow-up. The study will evaluate the safety, tolerability and efficacy of autologous γδT cells in patients with advanced hepatitis B related hepatocellular carcinoma (HCC) which are refractory to current treatment. Stage I comprising a safety cohort of patients to identify a safe dose, Stage II comprising an expanded patient group for response signal identification, Stage III to confirm efficacy and safety.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatocellular Carcinoma
Keywords
Hepatocellular carcinoma, Hepatitis B

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
20 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Autologous γδT cells
Arm Type
Experimental
Arm Description
Subjects will receive 3 cycles of γδT cells treatments, at four-week intervals, each cycle has 2 infusions. Dose escalation subjects will receive 6 infusions with dose of γδT cells escalation from 1×10e9 to 6×10e9. Constant dose subjects will have single infusion intravenously at a target dose of 1~2×10e9 γδT cells.
Intervention Type
Biological
Intervention Name(s)
autologous γδT cells
Intervention Description
Cells will be extracted by apheresis, followed by expanding and activating. The autologous γδT cells product will be adoptive transferred.
Primary Outcome Measure Information:
Title
Incidence of adverse events (AEs) and serious adverse events (SAEs)
Description
Incidence of adverse events (AEs) and serious adverse events (SAEs) of each patient will be recorded and analyzed.
Time Frame
14 months
Title
Overall survival (OS)
Description
Overall survival is defined as the time from the day in which the patient is enrolled to the date on which the patient dies for any cause.
Time Frame
14 months
Secondary Outcome Measure Information:
Title
Objective Response Rate (ORR)
Description
The objective response rate (ORR) is defined as the proportion of patients who achieve radiographic partial or complete response (PR or CR) according to the response evaluation criteria in solid tumors (RECIST) guideline.
Time Frame
14 months
Title
Patients-based Quality of Life Evaluation
Description
According to the European Organization for Research and Treatment of Cancer (EORTC) quality of life of the core scale criteria QLQ-C30 to evaluate and compare patients life quality before and after treatment.
Time Frame
14 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients should sign informed consent form voluntarily and comply with the requirements of this study. Gender unlimited, age 18 to 70 years old. Hepatocellular carcinoma histopathology proven by liver fresh biopsy. According to the 2018 edition of the EASL guidelines for primary liver cancer, patients were diagnosed with advanced HBV-related hepatocellular carcinoma (BCLC stage B and C) by pathology and imaging; all patients required antiviral therapy with nucleoside analogues; other treatments (e.g. interventional therapy) at least 2 weeks prior to γδT cell infusion; patients can take the first- or second-line targeted drugs recommended by the guidelines, such as lenvatinib or sorafenib. Liver function: Child-Pugh class A/B (5-9), Eastern Cooperative Oncology Group (ECOG) Performance status 0-2. Expected survival ≥ 6 months. Male and female of reproductive potential must agree to use birth control during the study and for at least 30 days post study. Exclusion Criteria: Combine other viral liver diseases or other liver disease patients. Acute infection, gastrointestinal bleeding, etc. occurred within 30 days before screening. Pregnant or lactating women; patients after organ transplantation; patients with severe autoimmune diseases; patients with uncontrolled infectious diseases. Dysfunction of major organs; patient white blood cell count <1.0×10e9/L, platelet count <60×10e9/L, hemoglobin <86g/L, prothrombin time (INR) >2.3, or prolonged clotting time >6 seconds, serum albumin <28g/L, total bilirubin >51mmol/L, ALT/AST >5 times the upper limit of normal, creatinine >1.5 times the upper limit of normal. Combined with other serious organic diseases, mental illnesses, including any uncontrolled clinically significant systemic diseases such as urinary, circulatory, respiratory, neurological, psychiatric, digestive, endocrine and immune diseases. Allergic constitution, history of allergies to blood products, known to be allergic to test substances. Immunosuppressive or systemic cytotoxic drugs may require within six months prior to screening or during treatment; 6 months prior to screening accepted other cell therapies including NK, CIK, DC, CTL and stem cell therapy etc.; immunotherapy such as PD-1 and PD-L1 antibodies. Patients currently participating in other clinical trials who may violate this treatment plan and observations. Those who are unable or unwilling to provide informed consent or who are unable to comply with the research requirements. Any situation that investigators believe the risk of the subjects is increased or results of the trial are disturbed: patients with any serious acute or chronic physical or mental illness, or laboratory abnormalities.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Yuanyuan Li, Dr
Phone
+86 01066933333
Email
lyy020818@sina.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Fu-Sheng Wang, Dr
Organizational Affiliation
Beijing 302 Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Beijing 302 Hospital of China
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100039
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Fu-Sheng Wang, MD
Phone
01066933328
Email
fswang302@163.com
First Name & Middle Initial & Last Name & Degree
Fu-Sheng Wang, MD
Facility Name
Beijing 302 hospital
City
Beijing
ZIP/Postal Code
100039
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yuanyuan Li, Dr
Phone
+8601066933333
Email
lyy020818@sina.com

12. IPD Sharing Statement

Plan to Share IPD
No

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Immunotherapy of Advanced Hepatitis B Related Hepatocellular Carcinoma With γδT Cells

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