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New York Esophageal Squamous Cell Carcinoma 1 (NY-ESO-1) is a Cancer-Testis Antigen (CTA) which is expressed in various tumors. After selected the high affinity TCR gene to NY-ESO-1, the researchers insert genes into the cell that expressing a kind of protein that targeting NY-ESO-1. Then the engineered cells are re-infused in the patients with tumors for curing the tumor patient or prolonging life.
This is a single-center, open-label, Phase I clinical study of TCR-T cells for the treatment of the recurrent/metastatic solid tumors patients who had failed standard therapy.
TCR-T cells are expanded from peripheral blood, and after ex vivo modification, and extensive expansion, are reinfused to patients after non-myeloablative lymphocyte-depleting preparative regimen.
The primary purpose of this study is to evaluate the safety and tolerability of TCR-T cells in patients with recurrent/metastatic solid tumors.
The second purpose of this study is to preliminarily explore the effectiveness of TCR-T cells in patients with recurrent/metastatic solid tumors.
Eligibility:
Adults aging 18-70 who were failed to standard treatment or have no standard treatment with recurrent/metastatic solid tumors.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TCR-T cells | Experimental | TCR-T cells will be infused to patients with advanced solid tumors after non-myeloablative lymphocyte-depleting preparative regimen. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TCR-T cells | Biological | patients will be administration of TCR-T cells |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Dose Limiting Toxicity | Dose Limiting Toxicity (DLT) is defined as patients with the adverse event (AE) or laboratory abnormality recognized by Investigators, and should be possibly related to TCR-T cells therapy | up to Day28 |
| Adverse Event | The severity and incidence of various adverse events and serious adverse events | up to 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Overall response rate (ORR) | Objective response rate (ORR) is defined as the proportion of patients in whom a complete response (CR) or partial response (PR) (per Response Evaluation Criteria in Solid Tumors [RECIST 1.1]) is observed as best overall response | up to 24 months |
| Progression free survival (PFS) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Meifang Li | Contact | 15985795022 | 362952772@qq.com | |
| Zhiyong He | Contact | 13805086391 | heyong1015@163.com |
| Name | Affiliation | Role |
|---|---|---|
| Zhiyong He | Fujian Cancer Hospital | Principal Investigator |
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| ID | Term |
|---|---|
| C024352 | fludarabine |
| D003520 | Cyclophosphamide |
| D000068196 | Albumin-Bound Paclitaxel |
| D007376 | Interleukin-2 |
| ID | Term |
|---|---|
| D010752 | Phosphoramide Mustards |
| D009588 | Nitrogen Mustard Compounds |
| D009150 | Mustard Compounds |
| D006846 | Hydrocarbons, Halogenated |
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| Fludarabine |
| Drug |
Part of the non-myeloablative lymphocyte-depleting preparative regime |
|
| Cyclophosphamide Capsules | Drug | Part of the non-myeloablative lymphocyte-depleting preparative regime |
|
| Albumin-bound paclitaxel | Drug | Part of the non-myeloablative lymphocyte-depleting preparative regime |
|
| IL-2 | Drug | Following cell infusion, the patient will be administration high-dose IL-2. |
|
PFS is defined as time from start of treatment to the first documentation of disease progression or death, whichever occurs first |
| up to 24 months |
| Overall survival | OS defined as the time from start of treatment to the date of death due to any cause | up to 24 months |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D063088 | Phosphoramides |
| D009943 | Organophosphorus Compounds |
| D017239 | Paclitaxel |
| D043823 | Taxoids |
| D043822 | Cyclodecanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D004224 | Diterpenes |
| D013729 | Terpenes |
| D000418 | Albumins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D007378 | Interleukins |
| D016207 | Cytokines |
| D036341 | Intercellular Signaling Peptides and Proteins |
| D010455 | Peptides |
| D008222 | Lymphokines |
| D001685 | Biological Factors |