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Single-arm, Open-label Clinical Study of SZ011 in the Treatment of Advanced Triple Negative Breast Cancer

Primary Purpose

Advanced Triple Negative Breast Cancer

Status
Not yet recruiting
Phase
Early Phase 1
Locations
China
Study Type
Interventional
Intervention
SZ011 CAR-NK
Sponsored by
First Affiliated Hospital of Shantou University Medical College
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Triple Negative Breast Cancer

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria: Patients voluntarily join the study, sign the informed consent form, and have willingness and ability to comply with study procedures. Female ≥ 18 years. Histologically confirmed advanced TNBC , namely, human epidermal growth receptor 2-negative (HER2-negative) and estrogen receptor-negative (ER-negative) and progesterone receptor-negative (PR-negative). The tumor tissue shows positive mesothelin (MESO) detected by immunohistochemistry. At least one target lesion that can be stably evaluated at baseline as per the solid tumor efficacy evaluation criteria (RECIST v1.1). Progress after receiving second-line or above treatment in the past. Eastern Cooperative Oncology Group (ECOG) performance status: 0-2 points. Estimated survival time ≥ 12 weeks. Important organ function meets the following requirements: Blood routine test: neutrophil count (ANC) ≥1.5 × 109/L; Lymphocyte count (LC) ≥0.5×109/L; Platelet count (PLT) ≥75 × 109/L; Hemoglobin (HG) ≥ 90 g/L; Blood biochemistry test: Liver functions: alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤2.5×ULN, alkaline phosphatase (ALP) 2.5×ULN, total bilirubin (TBIL) ≤1.5×ULN; except in the following cases:For patients with liver metastasis: AST and/or ALT ≤5×ULN, TBIL 3×ULN; For patients with liver or bone metastasis: ALP≤5×ULN; Renal function: BUN and Cr ≤1.5×ULN and creatinine clearance ≥60 mL/min (Cockcroft-Gault formula). Women of childbearing potential must have a serum pregnancy test performed 7 days before the first dose and be assessed as non-pregnant. Female subjects of childbearing potential must agree to use an efficient method of contraception (e.g., an intrauterine device, contraceptive pill, or condom) within 4 weeks from the date of the informed consent form until the last dose of study drug. Exclusion Criteria: The patient had other malignancies within the 5 years prior to screening, in addition to cured cervical carcinoma in situ, basal or squamous cell skin cancer, and postoperative ductal carcinoma in situ. Patients with active (without medical control or with clinical symptoms) brain metastasis, cancerous meningitis, spinal cord compression, or patients with a history of primary tumors of the central nervous system. The patient with moderate to large amount of pleural effusion, intraperitoneal effusion or pericardial effusion that cannot be controlled and need repeated drainage. Patients with uncontrolled tumor-related pain judged by the researcher. Subjects in need of analgesic therapy must have a stable analgesic regimen in place by study entry. Symptomatic lesions suitable for palliative radiotherapy should be treated before entering the study. The patient has other active virus and bacterial infection with significant clinical significance or systemic fungal infection that cannot be controlled. Anyone who has had arterial thromboembolism events (including myocardial infarction, cardiac arrest, cerebrovascular accident, cerebral ischemia, and a history of deep vein thrombosis or pulmonary embolism of Class 3 or above by CTCAE5.0) within six months before enrollment. Patients with a history of severe hemorrhagic disease within 6 months before enrollment, or those who were considered by the investigator to have a clear bleeding tendency (such as esophageal varices at risk for bleeding, locally active ulcer lesions, and fecal occult blood > 2+). Anyone who is diagnosed with congenital or acquired immunodeficiency (such as HIV-infected), or active hepatitis (HBV, HCV) infection, or other serious infectious diseases. With clinically significant cardiovascular disease: a) uncontrollable hypertension after treatment (systolic blood pressure ≥160mmHg and/ or diastolic blood pressure ≥110 mmHg); b) Has a history of myocardial infarction or unstable angina within 6 months before enrollment; c) Congestive heart failure or grade II heart failure; d) Arrhythmia in serious need of medical treatment, excluding asymptomatic atrial fibrillation with controllable heart rate. Patients with a history of allergy to any component of cell products. Anyone who has participated in or is participating in other clinical trials within three months. Pregnant or lactating women. Anyone who was considered by the investigator to be unsuitable to participate in this clinical trial.

Sites / Locations

  • Shantou

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

SZ011 CAR-NK

Arm Description

Outcomes

Primary Outcome Measures

Number of Adverse Events (AEs)
To evaluate the safety of SZ011 CAR-NK Cells
Objective response rate (ORR)
To evaluate the ORR of SZ011 CAR-NK Cells

Secondary Outcome Measures

Overall survival (OS)
To determine the anti-tumor effectivity of SZ011 CAR-NK Cells
Disease control rate (DCR)
To determine the anti-tumor effectivity of SZ011 CAR-NK Cells
Progression-free survival (PFS)
To determine the anti-tumor effectivity of SZ011 CAR-NK Cells
Duration of remission (DOR)
To determine the anti-tumor effectivity of SZ011 CAR-NK Cells

Full Information

First Posted
December 22, 2022
Last Updated
January 9, 2023
Sponsor
First Affiliated Hospital of Shantou University Medical College
Collaborators
Guangdong ProCapZoom Biosciences Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05686720
Brief Title
Single-arm, Open-label Clinical Study of SZ011 in the Treatment of Advanced Triple Negative Breast Cancer
Official Title
Single-arm, Open-label Clinical Study of SZ011 in the Treatment of Advanced Triple Negative Breast Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
January 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
February 1, 2023 (Anticipated)
Primary Completion Date
February 1, 2024 (Anticipated)
Study Completion Date
June 1, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
First Affiliated Hospital of Shantou University Medical College
Collaborators
Guangdong ProCapZoom Biosciences Co., Ltd.

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
This study was a single-center, open-label, investigator-initiated clinical trial (IIT) to observe and investigate the clinical safety and efficacy of SZ011 in the treatment of advanced triple-negative breast cancer.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Triple Negative Breast Cancer

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
SZ011 CAR-NK
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
SZ011 CAR-NK
Intervention Description
In the escalation study, the minimum initial dose was 5.0×10^6 cells, then increased to 5.0×10^7 and 2.0×10^8 cells. The infusion is given every 2 weeks.
Primary Outcome Measure Information:
Title
Number of Adverse Events (AEs)
Description
To evaluate the safety of SZ011 CAR-NK Cells
Time Frame
Up to 6 months after infusion
Title
Objective response rate (ORR)
Description
To evaluate the ORR of SZ011 CAR-NK Cells
Time Frame
Up to 6 months after infusion
Secondary Outcome Measure Information:
Title
Overall survival (OS)
Description
To determine the anti-tumor effectivity of SZ011 CAR-NK Cells
Time Frame
Up to 6 months after infusion
Title
Disease control rate (DCR)
Description
To determine the anti-tumor effectivity of SZ011 CAR-NK Cells
Time Frame
Up to 6 months after infusion
Title
Progression-free survival (PFS)
Description
To determine the anti-tumor effectivity of SZ011 CAR-NK Cells
Time Frame
Up to 6 months after infusion
Title
Duration of remission (DOR)
Description
To determine the anti-tumor effectivity of SZ011 CAR-NK Cells
Time Frame
Up to 6 months after infusion

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients voluntarily join the study, sign the informed consent form, and have willingness and ability to comply with study procedures. Female ≥ 18 years. Histologically confirmed advanced TNBC , namely, human epidermal growth receptor 2-negative (HER2-negative) and estrogen receptor-negative (ER-negative) and progesterone receptor-negative (PR-negative). The tumor tissue shows positive mesothelin (MESO) detected by immunohistochemistry. At least one target lesion that can be stably evaluated at baseline as per the solid tumor efficacy evaluation criteria (RECIST v1.1). Progress after receiving second-line or above treatment in the past. Eastern Cooperative Oncology Group (ECOG) performance status: 0-2 points. Estimated survival time ≥ 12 weeks. Important organ function meets the following requirements: Blood routine test: neutrophil count (ANC) ≥1.5 × 109/L; Lymphocyte count (LC) ≥0.5×109/L; Platelet count (PLT) ≥75 × 109/L; Hemoglobin (HG) ≥ 90 g/L; Blood biochemistry test: Liver functions: alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤2.5×ULN, alkaline phosphatase (ALP) 2.5×ULN, total bilirubin (TBIL) ≤1.5×ULN; except in the following cases:For patients with liver metastasis: AST and/or ALT ≤5×ULN, TBIL 3×ULN; For patients with liver or bone metastasis: ALP≤5×ULN; Renal function: BUN and Cr ≤1.5×ULN and creatinine clearance ≥60 mL/min (Cockcroft-Gault formula). Women of childbearing potential must have a serum pregnancy test performed 7 days before the first dose and be assessed as non-pregnant. Female subjects of childbearing potential must agree to use an efficient method of contraception (e.g., an intrauterine device, contraceptive pill, or condom) within 4 weeks from the date of the informed consent form until the last dose of study drug. Exclusion Criteria: The patient had other malignancies within the 5 years prior to screening, in addition to cured cervical carcinoma in situ, basal or squamous cell skin cancer, and postoperative ductal carcinoma in situ. Patients with active (without medical control or with clinical symptoms) brain metastasis, cancerous meningitis, spinal cord compression, or patients with a history of primary tumors of the central nervous system. The patient with moderate to large amount of pleural effusion, intraperitoneal effusion or pericardial effusion that cannot be controlled and need repeated drainage. Patients with uncontrolled tumor-related pain judged by the researcher. Subjects in need of analgesic therapy must have a stable analgesic regimen in place by study entry. Symptomatic lesions suitable for palliative radiotherapy should be treated before entering the study. The patient has other active virus and bacterial infection with significant clinical significance or systemic fungal infection that cannot be controlled. Anyone who has had arterial thromboembolism events (including myocardial infarction, cardiac arrest, cerebrovascular accident, cerebral ischemia, and a history of deep vein thrombosis or pulmonary embolism of Class 3 or above by CTCAE5.0) within six months before enrollment. Patients with a history of severe hemorrhagic disease within 6 months before enrollment, or those who were considered by the investigator to have a clear bleeding tendency (such as esophageal varices at risk for bleeding, locally active ulcer lesions, and fecal occult blood > 2+). Anyone who is diagnosed with congenital or acquired immunodeficiency (such as HIV-infected), or active hepatitis (HBV, HCV) infection, or other serious infectious diseases. With clinically significant cardiovascular disease: a) uncontrollable hypertension after treatment (systolic blood pressure ≥160mmHg and/ or diastolic blood pressure ≥110 mmHg); b) Has a history of myocardial infarction or unstable angina within 6 months before enrollment; c) Congestive heart failure or grade II heart failure; d) Arrhythmia in serious need of medical treatment, excluding asymptomatic atrial fibrillation with controllable heart rate. Patients with a history of allergy to any component of cell products. Anyone who has participated in or is participating in other clinical trials within three months. Pregnant or lactating women. Anyone who was considered by the investigator to be unsuitable to participate in this clinical trial.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jing Lin, PhD
Phone
13531285809
Email
316603568@qq.com
Facility Information:
Facility Name
Shantou
City
Shantou
ZIP/Postal Code
GuangDong
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Single-arm, Open-label Clinical Study of SZ011 in the Treatment of Advanced Triple Negative Breast Cancer

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