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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05122221
Other study ID # CRTE7A2-2107C
Secondary ID
Status Recruiting
Phase Phase 1
First received
Last updated
Start date July 17, 2022
Est. completion date December 2024

Study information

Verified date November 2021
Source Corregene Biotechnology Co., Ltd
Contact Sa Wang, Master
Phone 8610-86464526-840
Email wangsa@corregene.com
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

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.


Recruitment information / eligibility

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.

Study Design


Intervention

Drug:
Fludarabine + Cyclophosphamide
Fludarabine: 25mg/m²/day×3days Cyclophosphamide: 500mg/m²/day×3 days
Interleukin-2
Interleukin-2 20,000,000 IU/time infused within 15 minutes approximately every 8 hours (according to the subject's tolerance, the interval between medications can be extended to 24 hours) for a maximum usage time up to 14 days.
Biological:
CRTE7A2-01 TCR-T Cell
On day 0, the TCR-T cells will be administered one time, each bag of cell intravenously within 20 minutes.

Locations

Country Name City State
China The First Affiliated Hospital of Zhengzhou University Zhengzhou Henan

Sponsors (1)

Lead Sponsor Collaborator
Corregene Biotechnology Co., Ltd

Country where clinical trial is conducted

China, 

Outcome

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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