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A multicenter, open label, single arm dose escalation phase I study to evaluate the safety, tolerability, and efficacy of HRYZ-T101 injection for HPV18 positive solid tumor. The study will investigate RP2D of HRYZ-T101 TCR-T cell injection.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| HRYZ-T101 Injection | Experimental | Patients will undergo lymphocytapheresis, then treatment with HRYZ-T101 TCR-T cells. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| HRYZ-T101 Injection | Biological | On day 1, the TCR-T cells will be administered intravenously. |
|
| Measure | Description | Time Frame |
|---|---|---|
| DLT | Dose-limiting toxicity | 28 days |
| Adverse events and serious adverse events | Incidence of adverse events and serious adverse events | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Objective Response Rate(ORR) | The percentage of subjects with PR or CR assessed by RECIST 1.1. | 2 years |
| Disease Control Rate (DCR) | The percentage of subjects with a confirmed CR, PR, or stable disease (SD) assessed by RECIST 1.1. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Subjects with positive anti-drug antibodies (ADA) | Serum samples will be collected to analyze for the presence of ADAs using validated immunoassays. | 2 years |
| Number of subjects with replication competent lentivirus (RCL) |
Inclusion Criteria:
1. The patient must be willing to sign the informed consent form.
2. Age ≥18 years and ≤75 years.
3. Metastatic or recurrent solid tumors with confirmed HPV18 infection based on TNM & FIGO staged histopathological investigation. .
4. Subjects who have failed anti-tumor treatment in the past and lack effective treatment options.
5. HPV18 positive and HLA-DRB1*0901 allele.
6. ECOG performance status ≤1.
7. Estimated life expectancy ≥ 3 months.
8. Patients must have at least one measurable lesion defined by RECIST 1.1.
9. Patients with any organ dysfunction as defined below:
10. Subjects with potential fertility must agree to use effective contraceptive methods during the whole trials period and at least 1 year after receiving HRYZ-T101 cell transfusion treatment. HCG test for female with potential fertility must be negative within 7 days before apheresis.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xuemin Rao | Contact | 021-61049928 | raoxuemin@shhryz.com |
| Name | Affiliation | Role |
|---|---|---|
| Xiaohua Wu, Doctor | Fudan University | Principal Investigator |
| Jian Zhang, Doctor | Fudan University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fudan University Shanghai Cancer Center | Recruiting | Shanghai | Shanghai Municipality | China |
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| ID | Term |
|---|---|
| D002583 | Uterine Cervical Neoplasms |
| D000077195 | Squamous Cell Carcinoma of Head and Neck |
| D014625 | Vaginal Neoplasms |
| D010412 | Penile Neoplasms |
| D001005 | Anus Neoplasms |
| D014846 | Vulvar Neoplasms |
| ID | Term |
|---|---|
| D014594 | Uterine Neoplasms |
| D005833 | Genital Neoplasms, Female |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
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| ID | Term |
|---|---|
| C024352 | fludarabine |
| D003520 | Cyclophosphamide |
| ID | Term |
|---|---|
| D010752 | Phosphoramide Mustards |
| D009588 | Nitrogen Mustard Compounds |
| D009150 | Mustard Compounds |
| D006846 | Hydrocarbons, Halogenated |
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| Fludarabine + Cyclophosphamide | Drug | Fludarabine: 25mg/m²/day×3days; Cyclophosphamide: 250mg/m²/day×3 days |
|
| 2 years |
| Duration of response (DoR) | Subjects who show a confirmed CR or PR as assessed by RECIST 1.1. | 2 years |
| Time to response (TTR) | Time from date of T-cell administration to first documented evidence of confirmed (CR or PR) as assessed by RECIST 1.1. | 2 years |
| Progression-Free Survival(PFS) | The length of time from enrollment until the time of progression of disease. | 2 years |
| Overall Survival (OS) | The interval of time between the date of T-cell infusion and the date of death. | 2 years |
| Duration of TCR T cells in-vivo persistence | Blood samples were collected to measure persistence of infused HRYZ-T101. | 2 years |
| Concentration of Cytokines (IL-2、IL-6、IL-10、TNFα、IFNγ) | Collect blood samples and analyze for presence of cytokines (IL-2、IL-6、IL-10、TNFα、IFNγ) at specified intervals before and after treatment with HRYZ-T101. | 2 years |
RCL exposure will be assessed by polymerase chain reaction (PCR) based assay.
| 2 years |
| T cell subgroup in peripheral blood | Collect blood samples and analyze for T cell subgroup by flow cytometry at specified intervals before and after treatment with HRYZ-T101. | 2 years |
| D009369 |
| Neoplasms |
| D002577 | Uterine Cervical Diseases |
| D014591 | Uterine Diseases |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D000091662 | Genital Diseases |
| D002294 | Carcinoma, Squamous Cell |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D006258 | Head and Neck Neoplasms |
| D014623 | Vaginal Diseases |
| D005834 | Genital Neoplasms, Male |
| D005832 | Genital Diseases, Male |
| D010409 | Penile Diseases |
| D052801 | Male Urogenital Diseases |
| D012004 | Rectal Neoplasms |
| D015179 | Colorectal Neoplasms |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D007410 | Intestinal Diseases |
| D001004 | Anus Diseases |
| D012002 | Rectal Diseases |
| D014845 | Vulvar Diseases |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D063088 | Phosphoramides |
| D009943 | Organophosphorus Compounds |