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| Name | Class |
|---|---|
| Shanghai Biomed-union Biotechnology Co., Ltd. | UNKNOWN |
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Clinical Study on the Safety and Efficacy of specific TIL-TCM cells for advanced relapse-refractory or metastatic pancreatic cancer.
This is a single arm, open-label, single-center study.This study is indicated for advanced relapse-refractory or metastatic pancreatic cancer.The selections of dose levels and the number of subjects are based on clinical trials of similar foreign products. Primary objective is to explore the safety, main consideration is dose-related safety.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| adoptive TIL-TCM transfer | Experimental | TIL-TCM cells are isolated from the patients' Tumor tissue (or ascites) and peripheral blood obtained before standard chemotherapy and then cultured ex-vivo. The first infusion will be conducted in 7-10 days after chemotherapy and is assessed by the investigators.TIL-TCM cells are transfused to patients in a dosage escalated manner.The total dose was 1× 109-1 ×1010 cells.After cell infusion, IL-2 was administered at 720000 IU/kg (based on whole body weight) by intravenous (I.V.),every 8 hours for up to 4 days. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Adoptive TIL-TCM transfer therapy | Drug | Abraxane:100-200 mg/m2,QD×1D;Cyclophosphamide:15-35 mg/kg/d,QD×2D. Biological: Adoptive TIL-TCM transfer therapy |
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| Measure | Description | Time Frame |
|---|---|---|
| Dose-limiting toxicity (DLT) | To evaluate the Safety and Effectiveness of specific TIL-TCM cells in the Treatment of patients with advanced relapse-refractory or metastatic pancreatic cancer | Baseline up to 28 days after TIL-TCM cells infusion |
| Maximum Tolerated Dose(MTD) | To evaluate the Safety and Effectiveness of specific TIL-TCM cells in the Treatment of patients with advanced relapse-refractory or metastatic pancreatic cancer | Baseline up to 28 days after TIL-TCM cells infusion |
| incidence of adverse events( AE )and Serious adverse events(SAE) | Adverse events assessed according to NCI-CTCAE v5.0 criteria. | up to 72 weeks after TIL-TCM cells infusion |
| Measure | Description | Time Frame |
|---|---|---|
| Overall response rate (ORR) | ORR is defined as the percentage of patients who have a clinical response (objective tumor regression).ORR is computed by: the sum of the number of patients with Complete Response (CR) and number of patients with Partial Response (PR) / total number of patients. The total number of patients is the sum of the number of patients with CR, PR, stable disease (SD) or progressive disease (PD). The Response Evaluation Criteria in Solid Tumors (RECIST v1.1) is used as the criteria to determine whether a tumor disappears (CR), shrinks (PR), stays the same (SD) or gets bigger (PD). |
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Inclusion Criteria:
1)absolute neutrophil count (ANC) ≥1000/μL; 2)White blood cell count (WBC) 3000/μL; 3)Platelet count (PLT) 75,000 /μL; 4)Hemoglobin (Hb) > 8.0 g/dL; 5) Coagulation: activated partial thromboplastin time (APTT) ≤1.5×ULN, international normalized ratio (INR) or Prothrombin time (PT)≤1.5×ULN; 6) Liver functions: alanine aminotransferase (ALT)/aspartate aminotransferase (AST) ≤5.0 ×ULN; 7) Liver functions:Total bilirubin (TBIL)<1.5×ULN (baseline value normal); <1.0 - 1.5×ULN( baseline value abnormal); If diagnosed as Gilbert syndrome, ≤3.0 mg/dL; The test results should prevail of the center laboratory ; 8)Renal function: eGFR>60 mL/min or 6-24 hours CrCl>60 mL/min; 9)Heart Doppler ultrasound:LVEF≥50%;
8.Non-surgically sterilized women of child-bearing age are required to consent to use at least one medically approved contraceptive method during the study and one year after completion.Women of child-bearing age must be negative for pregnancy test at 7 days before initiation of the treatment.Male subjects must agree to use medically approved contraception from the time they sign the informed consent form to the time they leave the study.
9.Expected survival no less than 3 months.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xinbo Wang, MD | Contact | 13505172912 | wxinbo2008@163.com | |
| Sizhen Wang, MD | Contact | 15195900565 | wsizhen@163.com |
| Name | Affiliation | Role |
|---|---|---|
| Xinbo Wang, MD | Jinling Hospital,Nanjing University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Jinling Hospital | Recruiting | Nanjing | Jiangsu | China |
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| 18 months |
| Duration of response (DOR) | DOR is the time between the initial response to treatment per RECIST v1.1 and subsequent disease progression among patients achieving Complete Response (CR) or Partial Response (PR). RECIST v1.1 is used as the criteria to determine whether a tumor disappears (CR) or shrinks (PR). | 18 months |
| Progression-free survival (PFS) | PFS is the length of time from the date patient enrolled in to the date on which tumor progresses or the patient dies for any cause. | 18 months |