Cervical Cancer Clinical Trial
Official title:
A Phase I Study to Evaluate the Safety, Tolerance and Efficacy of CRTE7A2-01 TCR-T Cell for HPV16 Positive Advanced Cervical, Anal, or Head and Neck Cancers
A single center, open, single arm dose escalation phase I study to evaluate the safety, tolerability, and efficacy of CRTE7A2-01 TCR-T cell for HPV16 positive advanced cervical, anal, or head and neck cancers. The study will determine MTD of CRTE7A2-01 TCR-T cell injection, as well as investigate RP2D.
Status | Recruiting |
Enrollment | 12 |
Est. completion date | December 2024 |
Est. primary completion date | March 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility | Inclusion Criteria: 1. Age =18 years and =65 years. 2. Histologically-confirmed cervical cancer, anal cancer, head and neck cancers with confirmed HPV16 infection and HLA-A*02:01 allele 3. Failure on or intolerance to systemic therapy for unresectable advanced cancer. 4. ECOG performance status of 0-1. 5. Estimated life expectancy = 3 months. 6. Patients must have at least one measurable lesion defined by RECIST 1.1. 7. Female patients of childbearing age must undergo a serum pregnancy test within 7 days prior to study treatment and the results must be negative, and are willing to use a very effective and reliable method of contraception from screening through 6 months after the last dose of study treatment. 8. The patient must be willing to sign the informed consent form and have a good anticipation of compliance with study procedure. Exclusion Criteria: 1. The proportion of T cell immune-related gene deletion mutations>5%. 2. Patient received any genetically modified T cell therapy. 3. Patient who is being treated with T cell immunosuppressive agent (such as cyclophosphamide, FK506,tripterygium glycosides) or T cell immunoagonist. 4. Patients received chemotherapy, targeted therapy, immunotherapy, or other investigational agents within 2 weeks and received radiotherapy within 4 weeks before apheresis. 5. Patients with any organ dysfuntion as defined below: - leukocytes<3.0 x 109/L - absolute neutrophil count >1.5 x 109/L - hemoglobin<90g/L - platelets <100 x 1010/L - lymphocytes<0.8 x 109/L - percentage of lymphocytes<15% - creatinine>1.5×ULN or creatinine clearance <50mL/min - total bilirubin>3×ULN; ALT/AST>3×ULN (patients with liver metastasis,>5×ULN) - INR>1.5×ULN; APTT>1.5×ULN - SpO2=90% 6. Patients with serious medical conditions, disorders, and / or comorbidities, including, but are not limited to: severe heart disease, cerebrovascular disease, epileptic seizures, uncontrolled diabetes (CTCAE 5.0: FBG = 2 grade), active infection, active digestive tract Ulcer, gastrointestinal bleeding, intestinal obstruction, pulmonary fibrosis, renal failure, respiratory failure. 7. Patient with a severe cardiovascular disease with 6 months before screening, including, but are not limited to, myocardial infarction, severe or unstable angina, coronary or peripheral artery bypass grafting, Heart failure NYHA grade ? or ?. 8. Left Ventricular Ejection Fractions (LVEF) <50%. 9. Patient with a known active brain metastases. 10. Patient with a known myelodysplastic syndrome (MDS) or lymphoma. 11. Patient with a known active autoimmune disease, including , but are not limited to, acquired or congenital immunodeficiency disease, allogeneic organ transplantation, autoimmune hepatitis, systemic lupus erythematosus, inflammatory bowel disease. 12. Patient with a known active Hepatitis B or Hepatitis C. 13. Patient with a history of Human Immunodeficiency Virus (HIV) . 14. Patient with a history of syphilis. 15. Pregnant or lactating women. 16. Patient with a known active mental and neurological diseases. 17. The principal investigator judged that it is not suitable to participate in this clinical study. |
Country | Name | City | State |
---|---|---|---|
China | The First Affiliated Hospital of Zhengzhou University | Zhengzhou | Henan |
Lead Sponsor | Collaborator |
---|---|
Corregene Biotechnology Co., Ltd |
China,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Peripheral blood TCR-T cell copy number | 2 years | ||
Other | Negative conversion rate among HPV-16 positive patients detected by tissue biopsy | 2 years | ||
Primary | MTD | Maximum Tolerated Dose | 28 days | |
Primary | DLT | Dose-limiting toxicity | 28 days | |
Primary | RP2D | Recommended Phase II Dose | 28 days | |
Primary | Incidence of treatment related AEs, AEs of special interest and serious adverse events (SAEs). | grade 1-5 (CTCAE) | 2 years | |
Secondary | Objective Response Rate(ORR) | Assessed by RECIST 1.1 | 2 years | |
Secondary | Disease Control Rate(DCR) | Assessed by RECIST 1.1 | 2 years | |
Secondary | Duration of Response(DOR) | Assessed by RECIST 1.1 | 2 years | |
Secondary | Progression-Free Survival(PFS) | Assessed by RECIST 1.1 | 2 years |
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