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This is a single arm, open-label, multi-center, phase I study to evaluate the safety, tolerability, preliminary efficacy, pharmacodynamics and immunogenicity of universal chimeric natural killer receptor modified T-cells (CNK-UT) targeting NKG2D-Ligands and NCR2-Ligands with or without lymphodepletion in advanced solid tumors.
This is a single arm, open-label, multi-center, phase I, dose escalation/indications expansion study to assess the safety and tolerability of CNK-UT cells therapy, and to obtain the preliminary efficacy, pharmacodynamics and immunogenicity result in participants who have been diagnosed with advanced solid tumors and failed to standard systemic treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CNK-UT cells therapy | Experimental |
Intravenous injection of CNK-UT cells according to the results of dose escalation. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Universal Chimeric Natural Killer Receptor Modified T-cells (CNK-UT) | Biological |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Treatment Related adverse events (AEs) | Incidence of Treatment Related AEs, AEs of special interest and serious adverse events (SAEs) assessed by NCI-CTCAE v5.0 criteria | up to 1 year |
| Identification of Maximum Tolerated Dose (MTD) & incidence of Dose-limiting Toxicities (DLTs) | Incidence of dose-limiting toxicities (DLTs) | up to 21 days since first infusion of CNK-UT |
| Measure | Description | Time Frame |
|---|---|---|
| Objective response rate (ORR) | The number of cases in which tumor size is reduced to PR or CR / the total number of evaluable cases (%). In the event of PR or CR, the participants should confirm it no less than 4 weeks after the first evaluation | up to 1 year |
| Disease control rate (DCR) |
| Measure | Description | Time Frame |
|---|---|---|
| biomarkers | Detection the expression of NKG2D ligand, NKp44 ligand, PD-L1, TIL infiltration ( biomarkers related to clear indications in tumor tissue using immunohistochemical methods, such as RAS and BRAF gene mutations, MSI/MMR, etc. in colorectal cancer.) | Enrollment |
| HLA typing |
Inclusion Criteria:
Aged 18 to 70 years (including 18 and 70 years old), male or female;
Participants with advanced solid tumor diagnosed by histology or cytology (or patients with clinically diagnosed hepatocellular carcinoma) have recurrence or disease progression after first or second-line treatment (with metastasis not excluded). Either the existing standard regimen has failed or cannot be tolerated, or the researchers believe that the participants are not suitable for standard treatment for medical reasons (The Dose Escalation Stage is not limited to the types of tumors, including but not limited to advanced hepatocellular carcinoma, advanced colorectal cancer, advanced cholangiocarcinoma, advanced renal cell carcinoma, advanced triple negative breast cancer, melanoma, sarcoma etc. The Indications Expansion Stages include advanced hepatocellular carcinoma, advanced colorectal cancer, advanced cholangiocarcinoma, advanced renal cell carcinoma, advanced triple negative breast cancer, melanoma, sarcoma).
According to the RECIST 1.1, there is at least one measurable target lesion, or a measurable lesion with definite progression after local treatment (based on RECIST v1.1 standard);
ECOG physical status score 0 or 1;
Estimated life expectancy > 12 weeks;
Adequate organ and bone marrow function, and the laboratory test value meets the following requirements within 7 days before enrollment, as follows:
Blood Routine Test: Absolute neutrophil count (ANC)≥1.0×10^9/L; Platelet count ≥75×10^9/L; Haemoglobin≥9.0 g/dL; Hepatic function:Total bilirubin≤3×ULN; Aspartate aminotransferase (AST) or alanine aminotransferase (ALT)≤5×ULN; Serum albumin≥28 g/L; Renal function: Serum creatinine≤1.5×ULN, or Creatinine clearance rate (CCR)≥60 mL/min (Cockroft-Gault formula); Coagulation function: International normalized ratio (INR)≤1.5×ULN.
All toxic responses originating from previous radiotherapy, chemotherapy, or other treatments (occurring within 4 weeks or 5 half-lives of anti-tumor drugs therapy [including but not limited to chemotherapy, targeted therapy, immunotherapy, Chinese herbal medicine]) have returned to NCI CTCAEV5.0 Grade≤1 (except for hair loss);
Sufficient venous access for intravenous infusion or venous blood collection;
Female participants of childbearing age must undergo a serum or urine pregnancy test before enrollment, and the results must be negative, and agree to take acceptable measures to minimize the possibility of pregnancy during the trial; For female participants of childbearing age or male participants whose sexual partners are women of childbearing age, effective contraceptive measures should be taken during the study and for at least 6 months following the last dose of the study cells infusion.
participants voluntarily participate in clinical trial; Understand and know this study, sign an informed consent form, and be willing to follow all experimental procedures.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yang Gao | Contact | +86 0571 87235147 | gaoyang954@zju.edu.cn |
| Name | Affiliation | Role |
|---|---|---|
| Weijia Fang | Zhejiang University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| First affiliated hospital, School of Medicine, Zhejiang University | Recruiting | Hangzhou | China |
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The number of cases in which response are achieved from the start of cells infusion/the total number of evaluable cases (%) |
| up to 1 year |
| Best overall response(BOR) | The best efficacy recorded from the beginning of treatment to the progression or recurrence of the disease | up to 1 year |
| Duration of response (DOR) | The period from the first evaluation of CR or PR to the first evaluation of PD or death of any cause | up to 1 year |
| Progression-free survival (PFS) | The period from the day when the participant receives the infusion of cellss to the first recorded tumor progression (whether treated or not) or death of any cause, which occurs first | up to 1 year |
| Overall survival (OS) | The period from the first infusion to any cause of death | up to 1 year |
| Pharmacokinetics (PK) | CNK-UT DNA in peripheral blood detected by q-PCR after infusion | up to 48 weeks |
| Pharmacodynamics (PD) | IL-2, IFN-γ, TNF-α | up to 48 weeks |
| tumor marker | specific tumor related biomarker(such as CEA、CA19-9,CA125、CA50、CA242、AFP) will be analyzed | up to 48 weeks |
| Immunogenicity | Antidrug antibodies (ADA) in peripheral blood detected by q-PCR | up to 48 weeks |
Evaluate the impact of HLA typing matching between donors and participants on the survival time and efficacy of CNK-UT in vivo. |
| Baseline |