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This is a single center, single arm Phase I study to establish the safety and feasibility of intravenously administered lentivirally transduced dual PSMA-specific/TGFβ-resistant CAR modified autologous T cells (CART-PSMA-TGFβRDN cells) in patients with metastatic castrate resistant prostate cancer.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1 | Experimental | CART-PSMA-TGFβRDN cells 1-3x10^7 Day 0 |
|
| Cohort 2 | Experimental | CART-PSMA-TGFβRDN cells 1-3x10^8 Day 0 |
|
| Cohort -3 | Experimental | CART-PSMA-TGFβRDN cells 1-3x10^7 Day 0 |
|
| Cohort 4 | Experimental | CART-PSMA-TGFβRDN cells 0.70-1.00 x 10^8 Day 0 |
|
| Cohort 3 | Experimental | CART-PSMA-TGFβRDN cells at the MTD (established by Cohorts 1-2) on day 0 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CART-PSMA-TGFβRDN cells | Biological | autologous CAR T cells |
|
| Measure | Description | Time Frame |
|---|---|---|
| Occurrence of study related adverse events, laboratory toxicities and clinical events that are possibly, likely, or definitely related to study participation. | using CTCAE v 4.03 | 15 years |
| Clinical feasibility is defined as the frequency of subjects enrolled on this protocol who do not receive CART-PSMA-TGFβRDN cells. | 30 days | |
| Manufacturing feasibility is determined by the frequency of product release failures and the occurrence of dose failures (inability to meet target dose). | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Assess the clinical anti-tumor effect of CART-PSMA-TGFβRDN cells by RECIST | RECIST 1.1 criteria for soft tissue disease | 6 months |
| Assess the clinical anti-tumor effect of CART-PSMA-TGFβRDN cells by PCWG2 |
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Inclusion Criteria:
Metastatic castrate resistant prostate cancer
RETIRED WITH PROTOCOL VERSION 15
Radiographic evidence of osseous metastatic disease and/or measurable, non-osseous metastatic disease (nodal or visceral)
Patients ≥ 18 years of age
ECOG performance status of 0 - 1
Adequate organ function, as defined by:
Adequate hematologic reserve within 4 weeks of eligibility confirmation by physician-investigator as defined by:
Evidence of progressive castrate resistant prostate adenocarcinoma, as defined by:
i. soft tissue progression by RECIST 1.1 criteria ii. osseous disease progression with 2 or more new lesions on bone scan (as per PCWG2 criteria) iii. increase in serum PSA of at least 25% and an absolute increase of 2 ng/ml or more from nadir (as per PCWG2 criteria)
Prior therapy with at least one standard initial therapy for the treatment of metastatic castrate resistant prostate cancer (i.e. docetaxel chemotherapy, 17α lyase inhibitor, or second-generation anti-androgen therapy)
Provides written informed consent
Subjects of reproductive potential must agree to use acceptable birth control methods
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Naomi Haas, MD | Universtiy of Pennsylvania | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Pennsylvania | Philadelphia | Pennsylvania | 19104 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35314843 | Derived | Narayan V, Barber-Rotenberg JS, Jung IY, Lacey SF, Rech AJ, Davis MM, Hwang WT, Lal P, Carpenter EL, Maude SL, Plesa G, Vapiwala N, Chew A, Moniak M, Sebro RA, Farwell MD, Marshall A, Gilmore J, Lledo L, Dengel K, Church SE, Hether TD, Xu J, Gohil M, Buckingham TH, Yee SS, Gonzalez VE, Kulikovskaya I, Chen F, Tian L, Tien K, Gladney W, Nobles CL, Raymond HE; Prostate Cancer Cellular Therapy Program Investigators; Hexner EO, Siegel DL, Bushman FD, June CH, Fraietta JA, Haas NB. PSMA-targeting TGFbeta-insensitive armored CAR T cells in metastatic castration-resistant prostate cancer: a phase 1 trial. Nat Med. 2022 Apr;28(4):724-734. doi: 10.1038/s41591-022-01726-1. Epub 2022 Mar 21. | |
| 29807781 |
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| ID | Term |
|---|---|
| D011471 | Prostatic Neoplasms |
| ID | Term |
|---|---|
| D005834 | Genital Neoplasms, Male |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D003520 | Cyclophosphamide |
| C024352 | fludarabine |
| ID | Term |
|---|---|
| D010752 | Phosphoramide Mustards |
| D009588 | Nitrogen Mustard Compounds |
| D009150 | Mustard Compounds |
| D006846 | Hydrocarbons, Halogenated |
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| Cyclophosphamide | Drug | 300 mg/m2/day given over 3 days |
|
| Fludarabine | Drug | 30 mg/m2/day given over 3 days |
|
PCWG2 criteria for osseous disease
| 6 months |
| Assess the clinical anti-tumor effect of CART-PSMA-TGFβRDN cells by serum PSA measurement | serum PSA measurement | 6 months |
| Assess the clinical anti-tumor effect of CART-PSMA-TGFβRDN cells by overal survival (OS). | 15 Years |
| Assess the clinical anti-tumor effect of CART-PSMA-TGFβRDN cells by number of subjects with progression free survival (PFS). | 15 Years |
| Derived |
| Kloss CC, Lee J, Zhang A, Chen F, Melenhorst JJ, Lacey SF, Maus MV, Fraietta JA, Zhao Y, June CH. Dominant-Negative TGF-beta Receptor Enhances PSMA-Targeted Human CAR T Cell Proliferation And Augments Prostate Cancer Eradication. Mol Ther. 2018 Jul 5;26(7):1855-1866. doi: 10.1016/j.ymthe.2018.05.003. Epub 2018 May 8. |
| D005832 |
| Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D011469 | Prostatic Diseases |
| D052801 | Male Urogenital Diseases |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D063088 | Phosphoramides |
| D009943 | Organophosphorus Compounds |