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RATINALE: Placing a tumor antigen chimeric receptor that has been created in the laboratory into patient autologous T cells may make the body build immune response to kill cancer cells.
PURPOSE: This clinical trial is to study genetically engineered lymphocyte therapy in treating patients with HER-2 positive advanced solid tumors,such as breast cancer, gastric cancer, hepatic carcinoma, endometrial cancer and ovary cancer.
PRIMARY OBJECTIVES:
I.Determine the safety and feasibility of the chimeric antigen receptor T cells transduced with anti-HER-2 vector(referred to as CART-HER-2 cells).
II.Determine duration of in vivo survival of CART-HER-2 cells. RT-PCR(reverse transcription polymerase chain reaction)analysis of whole blood will be used to detect and quantify survival of CART-HER-2 TCR zeta:CD137 and TCR(T-cell receptor) zeta cells over time.
SECONDARY OBJECTIVES:
I.For patients with detectable diseases, measure anti-tumor response due to CART-HER-2 cell infusions.
II.Estimate relative trafficking of CART-HER-2 cells in tumor bed.
III.Determine if cellular or humoral host immunity develops against the murine anti-HER-2, and assess correlation with loss of detectable CART-HER-2(loss of engraftment).
IV.Determine the relative subsets of CART-HER-2 T cells (Tcm,Tem,and Treg).
OUTLINE: Patients are assigned to 1 group according to order of enrollment. Patients receive anti-HER-2-CAR (coupled with CD137 and CD3 zeta signalling domains)vector-transduced autologous T cells on days 0,1, and 2 in the absence of unacceptable toxicity.
After completion of study treatment, patients are followed intensively for 6 months, every 3 months for 2 years, and annually thereafter for 13 years.
Estimate relative trafficking of CART-HER-2 cells in peripheral blood.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Anti-tumor responses of CART-HER-2 | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CART-HER-2 | Biological |
|
| Measure | Description | Time Frame |
|---|---|---|
| Occurrence of Study related adverse events | Until week 24 |
| Measure | Description | Time Frame |
|---|---|---|
| Anti-leukemia response to CART-HER-2 cell infusions | up to 24 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| In vivo existence of CART-HER-2 | 1 year |
Inclusion Criteria:
Absolute neutrophil count greater than 1500/mm3. Platelet count greater than 100,000/mm3. Hemoglobin greater than 10g/dl (patients may receive transfusions to meet this parameter).
Total bilirubin < 1.5 times upper limits of normal. Serum creatinine less than or equal to 1.6 mg/ml or the creatinine clearance must be greater than 70 ml/min/1.73m(2).
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Weidong Han, Dr. | Contact | +86-10-13651392893 | hanwdrsw@sina.com | |
| Xiru Li, Dr. | Contact | +86-10-13910594988 | Huyi0401@yahoo.com.cn |
| Name | Affiliation | Role |
|---|---|---|
| Weidong Han, Dr. | Chinese PLA General Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chinese PLA General Hospital | Recruiting | Beijing | Beijing Municipality | 100853 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28710747 | Derived | Feng K, Liu Y, Guo Y, Qiu J, Wu Z, Dai H, Yang Q, Wang Y, Han W. Phase I study of chimeric antigen receptor modified T cells in treating HER2-positive advanced biliary tract cancers and pancreatic cancers. Protein Cell. 2018 Oct;9(10):838-847. doi: 10.1007/s13238-017-0440-4. Epub 2017 Jul 14. |
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