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Intervention of Bladder Cancer by CAR-T

Primary Purpose

Bladder Cancer, Urothelial Carcinoma Bladder

Status
Unknown status
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
4SCAR-PSMA
4SCAR-FRa
Sponsored by
Shenzhen Geno-Immune Medical Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Bladder Cancer focused on measuring CAR T, Bladder

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Histologically or cytologically documented locally advanced or metastatic UBC (including renal pelvis, ureters, urinary bladder, and urethra)
  2. Representative tumor specimens as specified by the protocol
  3. Adequate hematologic and end organ function
  4. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  5. Life expectancy greater than or equal to (>/=) 12 weeks
  6. Measurable disease, as defined by RECIST v1.1

Exclusion Criteria:

  1. Any approved anti-cancer therapy within 3 weeks prior to initiation of study treatment
  2. Treatment with any other investigational agent or participation in another clinical trial with therapeutic intent within 28 days prior to enrollment
  3. Active or untreated central nervous system (CNS) metastases as determined by computed tomography (CT) or magnetic resonance imaging (MRI) evaluation during screening and prior radiographic assessments
  4. Leptomeningeal disease
  5. Malignancies other than UBC within 5 years prior to Cycle 1, Day 1
  6. Pregnant and lactating women
  7. Significant cardiovascular disease
  8. Severe infections within 4 weeks prior to infusion
  9. Major surgical procedure other than for diagnosis within 4 weeks
  10. History of severe allergic, anaphylactic, or other hypersensitivity reactions to chimeric or humanized antibodies or fusion proteins; known hypersensitivity or allergy to biopharmaceuticals produced in Chinese hamster ovary cells or any component of the atezolizumab formulation
  11. History of autoimmune disease
  12. Prior allogeneic stem cell or solid organ transplant
  13. History of idiopathic pulmonary fibrosis, organizing pneumonia, drug-induced pneumonitis, idiopathic pneumonitis, or evidence of active pneumonitis on screening chest CT scan
  14. Positive test for human immunodeficiency virus (HIV) and/or active hepatitis B or hepatitis C or tuberculosis

Sites / Locations

  • Shenzhen Second People HospitalRecruiting
  • Shenzhen Geno-immune Medical InstituteRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

4SCAR-PSMA

4SCAR-FRa

Arm Description

4SCAR PSMA-modified T cells can recognize and kill tumor cells through the recognize of PSMA .This study will evaluate the side effects and effective doses of 4SCAR-PSMA T cells in treating refractory and recurrent solid tumors.

4SCAR FRa-modified T cells can recognize and kill tumor cells through the recognize of FRa .This study will evaluate the side effects and effective doses of 4SCAR-FRa T cells in treating refractory and recurrent solid tumors.

Outcomes

Primary Outcome Measures

Overall Survival rate after receiving 4SCART infusion
to determine the efficacy of 4SCAR T cells
Using CTCAE 4 standard to evaluate the level of adverse events after receiving 4SCART infusion
to evaluate the level of adverse events with CTCAE 4

Secondary Outcome Measures

The expansion and persistence of 4SCAR T cells
The investigators will monitor the expansion and functional persistence of 4SCAR T cells in the peripheral blood of patients and the correlation with antitumor effects
Immune responses after infusions
assessment of cytokine profile

Full Information

First Posted
June 10, 2017
Last Updated
September 18, 2019
Sponsor
Shenzhen Geno-Immune Medical Institute
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1. Study Identification

Unique Protocol Identification Number
NCT03185468
Brief Title
Intervention of Bladder Cancer by CAR-T
Official Title
Intervention of Advanced or Metastatic Urothelial Bladder Cancer by 4SCAR-T Cell Therapies
Study Type
Interventional

2. Study Status

Record Verification Date
September 2019
Overall Recruitment Status
Unknown status
Study Start Date
May 15, 2017 (Actual)
Primary Completion Date
December 2019 (Anticipated)
Study Completion Date
December 2020 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Shenzhen Geno-Immune Medical Institute

4. Oversight

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

5. Study Description

Brief Summary
This is a Phase I/II and multicenter study designed to evaluate the efficacy and safety of 4SCAR-T cells in participants with locally advanced or metastatic urothelial bladder cancer (UBC) who have no further treatment available.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Bladder Cancer, Urothelial Carcinoma Bladder
Keywords
CAR T, Bladder

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
20 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
4SCAR-PSMA
Arm Type
Experimental
Arm Description
4SCAR PSMA-modified T cells can recognize and kill tumor cells through the recognize of PSMA .This study will evaluate the side effects and effective doses of 4SCAR-PSMA T cells in treating refractory and recurrent solid tumors.
Arm Title
4SCAR-FRa
Arm Type
Experimental
Arm Description
4SCAR FRa-modified T cells can recognize and kill tumor cells through the recognize of FRa .This study will evaluate the side effects and effective doses of 4SCAR-FRa T cells in treating refractory and recurrent solid tumors.
Intervention Type
Genetic
Intervention Name(s)
4SCAR-PSMA
Intervention Description
PSMA-specific 4th Generation CART
Intervention Type
Genetic
Intervention Name(s)
4SCAR-FRa
Intervention Description
FRa-specific 4th Generation CART
Primary Outcome Measure Information:
Title
Overall Survival rate after receiving 4SCART infusion
Description
to determine the efficacy of 4SCAR T cells
Time Frame
1 year
Title
Using CTCAE 4 standard to evaluate the level of adverse events after receiving 4SCART infusion
Description
to evaluate the level of adverse events with CTCAE 4
Time Frame
3 months
Secondary Outcome Measure Information:
Title
The expansion and persistence of 4SCAR T cells
Description
The investigators will monitor the expansion and functional persistence of 4SCAR T cells in the peripheral blood of patients and the correlation with antitumor effects
Time Frame
1 year
Title
Immune responses after infusions
Description
assessment of cytokine profile
Time Frame
3 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically or cytologically documented locally advanced or metastatic UBC (including renal pelvis, ureters, urinary bladder, and urethra) Representative tumor specimens as specified by the protocol Adequate hematologic and end organ function Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 Life expectancy greater than or equal to (>/=) 12 weeks Measurable disease, as defined by RECIST v1.1 Exclusion Criteria: Any approved anti-cancer therapy within 3 weeks prior to initiation of study treatment Treatment with any other investigational agent or participation in another clinical trial with therapeutic intent within 28 days prior to enrollment Active or untreated central nervous system (CNS) metastases as determined by computed tomography (CT) or magnetic resonance imaging (MRI) evaluation during screening and prior radiographic assessments Leptomeningeal disease Malignancies other than UBC within 5 years prior to Cycle 1, Day 1 Pregnant and lactating women Significant cardiovascular disease Severe infections within 4 weeks prior to infusion Major surgical procedure other than for diagnosis within 4 weeks History of severe allergic, anaphylactic, or other hypersensitivity reactions to chimeric or humanized antibodies or fusion proteins; known hypersensitivity or allergy to biopharmaceuticals produced in Chinese hamster ovary cells or any component of the atezolizumab formulation History of autoimmune disease Prior allogeneic stem cell or solid organ transplant History of idiopathic pulmonary fibrosis, organizing pneumonia, drug-induced pneumonitis, idiopathic pneumonitis, or evidence of active pneumonitis on screening chest CT scan Positive test for human immunodeficiency virus (HIV) and/or active hepatitis B or hepatitis C or tuberculosis
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Lung-Ji Chang, PhD
Phone
86-13671121909
Email
c@szgimi.org
First Name & Middle Initial & Last Name or Official Title & Degree
Aifa Tang, PhD
Email
tangaifa2004@163.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lung-Ji Chang, PhD
Organizational Affiliation
Shenzhen Geno-Immune Medical Institute
Official's Role
Principal Investigator
Facility Information:
Facility Name
Shenzhen Second People Hospital
City
Shenzhen
State/Province
Gongdong
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
AiFa Tang, Ph. D
Email
tangaifa2004@163.com
Facility Name
Shenzhen Geno-immune Medical Institute
City
Shenzhen
State/Province
Guangdong
ZIP/Postal Code
518000
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Lung-Ji Chang, PhD
Phone
86-13671121909
Email
c@szgimi.org

12. IPD Sharing Statement

Plan to Share IPD
No

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Intervention of Bladder Cancer by CAR-T

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