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| Name | Class |
|---|---|
| Beijing DCTY Biotech Co.,Ltd. | OTHER |
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This is a single-center, open, dose-increasing study. For subjects with recurrent glioblastomaIt ,is estimated that about 22 subjects will be enrolled, The main purpose was to evaluate the safety and tolerance of Epidermal Growth Factor Receptor Variant III Chimeric antigen receptor T(EGFRvIII CAR-T) in the treatment of patients with recurrent glioblastoma.The secondary purpose is to preliminarily evaluate the anti-tumor activity of Epidermal Growth Factor Receptor Variant III Chimeric antigen receptor T(EGFRvIII CAR-T) in the treatment of patients with recurrent glioblastoma, and preliminarily evaluate the relationship between the clinical efficacy, safety and pharmacokinetics of Epidermal Growth Factor Receptor Variant III Chimeric antigen receptor T cells(EGFRvIII CAR-T cells) preparation, as well as their correlation with tumor markers or other potential biomarkers.
This clinical study is an open clinical study, including dose increasing stage and expansion stage. The main objective of the study was to observe the efficacy and safety of Epidermal Growth Factor Receptor Variant III Chimeric antigen receptor T cells(EGFRvIII CAR-T cells) in the treatment of Glioblastoma (GBM) by local administration (Omaya capsule administration). The study will be divided into the following stages: screening stage, baseline stage, treatment stage, short-term follow-up and long-term follow-up stage.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| The dose increase phase of this study adopts a 3+3 half-step design | Experimental | The main research objective of active comparator is to observe the efficacy and safety of Epidermal Growth Factor Receptor Variant III Chimeric antigen receptor T cells(EGFRvIII CAR-T cells) injected by local administration (Omaya capsule administration) in the treatment of Glioblastoma(GBM). Initial dose 22 × 10^6 cells will adopt accelerated titration (ATD); 60 × 10^6 cells,160 × 10^6 cells and 220 × 10^6 cells will use the BOIN method to increase the dose. The planned dose increase scheme is divided into accelerated titration stage (ATD) and BOIN stage |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Targeted Epidermal Growth Factor Receptor Variant III(EGFRvIII) autochimeric antigen receptor T cell injection | Drug | Infusion of Epidermal Growth Factor Receptor Variant III Chimeric antigen receptor T(EGFRvIII CAR-T) with Omaya capsule |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of adverse events | Will assess dose limiting toxicity and all toxicities. Toxicity is the primary endpoint and will be assessed using the National Cancer Institute (NCI)'s Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 . Rates and associated 95% Clopper and Pearson binomial confidence limits (95% confidence interval [CI]) will be estimated for participants' experiencing dose limiting toxicity (DLT). All toxicities and side effects will be summarized in tables by dose, time period, organ, and severity. | Up to 15 years |
| Dose-limiting toxicity (DLT) | A toxicity that causes side effects that are serious enough to prevent an increase in dose or level of that treatment. | Up to 28 days |
| Measure | Description | Time Frame |
|---|---|---|
| T cell levels | Will assess chimeric antigen receptor (CAR) T levels and phenotype detected in peripheral blood (PB) (absolute number per ul by flow). Will assess EGFRvIII CAR gene copies in peripheral blood (PB)(Q-PCR method ). Statistical and graphical methods will be used to describe persistence and expansion. | Up to 15 years |
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Inclusion Criteria:
Exclusion Criteria:
Those who have received radiotherapy after recurrence;
They received immunosuppressive or glucocorticoid treatment within 2 weeks before enrollment;
Those who receive live vaccine within 4 weeks before enrollment and/or plan to participate in the trial;
He received other chemical drugs except lymphocyte clearance within 2 weeks before enrollment;
Not recovered from the adverse events caused by previous anti-tumor treatment before enrollment (according to NCI-CTCAE v5.0, recovered to ≤ 1 level), excluding hair loss and sequelae;
Previously received targeted drug therapy, cell therapy, gene therapy or other immunotherapy;
Have received organ transplantation in the past;
Those who are unable to perform brain MRI examination;
Any of the following exceptions occurred in the laboratory inspection:
Acute bacterial or fungal infection requiring intravenous antibiotics during cell transfusion;
Negligent compensatory heart failure (NYHA grade III and IV), unstable angina pectoris, acute myocardial infarction, persistent and clinically significant arrhythmia occurred within 3 months before enrollment;
Those who need to inhale oxygen to maintain blood oxygen saturation above 95% before entering the group and cannot return to normal within 2 weeks;
Having other malignant tumors and not being effectively controlled;
Have a history of tuberculosis;
Those who are known or expected to have allergic reactions or have a history of allergy to any component of the test treatment;
Known contrast agent allergy;
Have a clear history of mental disorders in the past;
Previous history of drug abuse or drug abuse;
Pregnant or lactating women, or those who plan to become pregnant during the study period;
Women of childbearing age and men with fertility cannot take effective and adequate contraceptive measures (such as intrauterine devices, condoms, spermicidal gel plus condoms, diaphragms, etc.) during the period of receiving the study drug and three months after the end of the study;
Those who participated in other clinical trials within 30 days before study enrollment;
The investigator judged that it was not suitable to participate in this clinical trial.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yang Xuejun | Contact | 13011329950 | yxja03728@btch.edu.cn | |
| Zuo Ran | Contact | 15110273315 | zr@taiyuanshengwu.com |
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|
| Cytokine levels in PB |
Statistical and graphical methods will be used to describe persistence and expansion. |
| Up to 15 years |
| Disease response | By Response Assessment in Neuro-Oncology (RANO) criteria with the need for Avastin as an additional indicator of progression. | Up to 15 years |
| Time to progression | Progression is defined by RANO with the need for Avastin as an additional indicator of progression. | Up to 15 years |
| Complete response (CR) | Kaplan Meier methods will be used to estimate median CR and graph the results. | Up to 15 years |
| Partial Response (PR) | Kaplan Meier methods will be used to estimate median PR and graph the results. | Up to 15 years |
| Stable disease (SD) | Kaplan Meier methods will be used to estimate median SD and graph the results. | Up to 15 years |
| Progressive disease (PD) | Kaplan Meier methods will be used to estimate median PD and graph the results. | Up to 15 years |
| Progression free survival (PFS) | Kaplan Meier methods will be used to estimate median PFS and graph the results. | Up to 15 years |
| Overall survival (OS) | Kaplan Meier methods will be used to estimate median OS and graph the results. | Up to 15 years |
| Quality of life (QOL) | Will estimate the mean and standard error for change from baseline during treatment and post treatment in the quality of life functioning scale, symptom scale and item scores from the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30(EORTC QLQ-C30). Health-Related Quality of Life and Sympotoms will be assessed from the International Validation Study of the EORTC Brain Cancer Module(EORTC QLQ-BN20) | Up to 15 years |
| ID | Term |
|---|---|
| D005909 | Glioblastoma |
| ID | Term |
|---|---|
| D001254 | Astrocytoma |
| D005910 | Glioma |
| D018302 | Neoplasms, Neuroepithelial |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009380 | Neoplasms, Nerve Tissue |
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