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Project terminated due to revision of local regulations
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The purpose of this study is to preliminarily evaluate the safety and efficacy of CAR-T cell immunotherapy for GPC3 positive hepatocellular carcinoma.
Chimeric antigen receptor (CAR) is a recombinant receptor with both antigen-binding and T cell activating functions. Chimeric antigen receptor T cell Immunotherapy has more advantages compared with conventional immunotherapy, especially in dealing with patients of hematologic malignancies and solid malignant tumors.This study design a novel specific Chimeric antigen receptor targeting glypican-3(GPC3) antigen.After CAR-T cell infusion,At periodic intervals, the investigators will evaluate clinical symptoms Improved conditions of this disease.Through this study,the investigators will evaluate the safety and efficacy of CAR-T cell immunotherapy in treating with GPC3 positive malignant glioma patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CAR-T cell immunotherapy | Experimental | Enrolled patients will receive CAR-T cell immunotherapy with a novel specific Chimeric antigen receptor aiming at GPC3 antigen by infusion. |
|
| no intervention | No Intervention | no intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CAR-T cell immunotherapy | Biological | This CAR-T cell immunotherapy with a novel specific Chimeric antigen receptor aiming at GPC3 antigen. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Radiological assessment | Radiological assessment of the therapeutic effect by systemic or local computed Tomography(CT) or positron emission tomography scan. | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| The safety of CAR-T cell immunotherapy (adverse events) | After CAR-T cell infusion,we will observe the potential adverse events related to the T-cell infusion such as high fever,jaundice, kidney failure and so on. | 4 weeks |
| Peripheral blood tumor markers |
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Inclusion Criteria:
Exclusion Criteria:
Pregnant and lactating women.
Lymphocyte separation or peripheral venous access cannot be performed in patients .
Patients in the active stage of infection or with coagulation disorders.
Patients with a previous history of hepatic coma.
Patients with severe gastrointestinal ulcers or gastrointestinal bleeding.
Patients with organ transplantation or waiting for organ transplantation.
Patients with anticoagulant therapy.
Patients with antiplatelet therapy.
Serum sodium(Na)<125 mmol/L.
Serum potassium(K)<3.5 mmol/L(except patients up to the standards after the use of supplements).
Patients with organ failure:
Patients with non controlled infectious diseases,for example,HIV positive, syphilis, hepatitis A, hepatitis B, hepatitis C, hepatitis E virus (HEV) positive etc.
Patients used corticosteroids or other immunosuppressive agents in the past 4 weeks.
Patients with autoimmune disease.
Patients with previous history of gene therapy.
The actual transfection rate of T cells was lower than 30% or the proliferation was less than 5 times after costimulation.
Patients participated in other drug trials in the past 4 weeks.
Patients received radiation treatment in the past 4 weeks.
Patients do not meet the criteria above.
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| Name | Affiliation | Role |
|---|---|---|
| Lizhi Niu, PhD | Fuda Cancer Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Central laboratory in Fuda cancer hospital | Guangzhou | Guangdong | 510000 | China |
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| ID | Term |
|---|---|
| C537340 | Simpson-Golabi-Behmel syndrome |
| D006528 | Carcinoma, Hepatocellular |
| ID | Term |
|---|---|
| D000230 | Adenocarcinoma |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
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| ID | Term |
|---|---|
| D016219 | Immunotherapy, Adoptive |
| ID | Term |
|---|---|
| D019264 | Adoptive Transfer |
| D007116 | Immunization, Passive |
| D007114 | Immunization |
| D007167 | Immunotherapy |
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tested regularly to reflect the role of the Chimeric Antigen Receptor-Modified T Cell in the removal of residual tumor cells. |
| 3 months |
| CAR-T cell testing | The level of CAR-T cells will be tested regularly by Real-time Quantitative Polymerase Chain Reaction Detecting System(qPCR) or Flow cytometry to evaluate the proliferation in vivo and long-term survival. | 3 months |
| D009369 | Neoplasms |
| D008113 | Liver Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D004066 | Digestive System Diseases |
| D008107 | Liver Diseases |
| D056747 |
| Immunomodulation |
| D001691 | Biological Therapy |
| D013812 | Therapeutics |
| D007158 | Immunologic Techniques |
| D008919 | Investigative Techniques |