Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Shanghai First Song Therapeutics Co., Ltd | INDUSTRY |
Not provided
Not provided
Not provided
Not provided
Not provided
This is a single-center, open-label clinical study of anti-CEA-CAR-T cells for CEA+ patients with locally advanced and/or metastatic solid tumors. In this study, a single-dose regimen was designed, and the investigator had the discretion to decide whether the patient received more than once CAR T-cell therapy.This study intends to include CEA+ patients with locally advanced and/or metastatic solid tumors.They will take the anti-CEA-CAR-T cell transfusion after a screening period, mononuclear cell (PBMC) collection, bridging therapy if necessary, and lymphocyte clearance pretreatment period.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Anti-CEA-CAR-T cell infusion | Experimental | Anti-CEA-CAR-T cell is administered as a single intravenous infusion. Follow-up infusions are based on the investigator's decision.The dose group to be infusion was 0.3×10^7 CAR-T cells/kg, 1×10^7 CAR-T cells/kg, and 3×10^7 CAR-T cells/kg based on the 3+3 dose escalation principle. The infusion dose refers to the number of CAR-positive cells.The patients will receive lymphocyte clearance therapy with cyclophosphamide and fludarabine before the infusion. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Intravenous infusion anti-CEA-CAR-T cell | Biological | Anti-CEA-CAR-T cell is administered as a single intravenous infusion. Follow-up infusions are based on the investigator's decision.The dose group to be infusion was 0.3×10^7 CAR-T cells/kg, 1×10^7 CAR-T cells/kg, and 3×10^7 CAR-T cells/kg based on the 3+3 dose escalation principle. The infusion dose refers to the number of CAR-positive cells. |
| Measure | Description | Time Frame |
|---|---|---|
| Dose-limiting toxicity | Dose-limiting toxicity | 21 days within anti-CEA-CAR-T cell infusion |
| Measure | Description | Time Frame |
|---|---|---|
| Objective response rate | Objective response rate | 4week,8week,3month,6month,9month and12month after the anti-CEA-CAR-T cell infusion |
Not provided
Inclusion Criteria:
Patients should understand and sign informed consent forms and voluntarily participate in clinical studies;
Age≥ 18, < 70 years old, gender is not limited;
Locally advanced and/or metastatic solid tumors; Cytoplasmic and/or membranous high CEA expression in tumor tissue is required (expression intensity of 2+ and above on the area ≥50%) ;
Histology-confirmed solid tumors (gastric cancer, colorectal cancer, esophageal cancer, small bowel cancer, pancreas adenocarcinoma and other digestive system tumors are predominant), conventional treatment is ineffective or Intolerability conventional treatment or lack of effective treatment;
According to RECIST v 1.1, at least one measurable lesion with a maximum lesion diameter not exceeding 6 cm;
Expected survival≥ 12 weeks;
ECOG score≤ 2 ;
Adequate hematological function ; have no performed blood transfusion or received cell growth factor within 7 days before screening hematological evaluation:
Adequate liver function: serum total bilirubin ≤1.5× ULN (excluding Gilbert's syndrome); AST and ALT≤2.5×ULN;( AST and ALT ≤5×ULN with liver metastasis)
Adequate renal function: creatinine ≤1.5× ULN or endogenous creatinine clearance ≥50 mL/min;
LVEF ≥ 50%;
There was no evidence that subjects had difficulty breathing at rest or pulse oximetry>90% when breathing indoor air;
Sufficient intravenous access for apheresis; no other contraindications to blood cell separation;
The pregnancy test for women of childbearing age must be negative. All subjects must agree to take effective contraception from the signing of the informed consent to 6 months after the last dose of the study drug infusion.
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Shuhui Song, bachelor | Contact | 024-83281137 | 593900927@qq.com |
| Name | Affiliation | Role |
|---|---|---|
| Zhenning Wang, doctor | The First Affiliated Hospital of China Medical Univeristy | Principal Investigator |
| Funan Liu, doctor | The First Affiliated Hospital of China Medical Univeristy | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Affiliated Hospital of China Medical Univeristy | Recruiting | Shenyang | Liaoning | 110001 | China |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
|
|
| ID | Term |
|---|---|
| D002277 | Carcinoma |
| ID | Term |
|---|---|
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
Not provided
Not provided
| ID | Term |
|---|---|
| D003520 | Cyclophosphamide |
| C024352 | fludarabine |
| ID | Term |
|---|---|
| D010752 | Phosphoramide Mustards |
| D009588 | Nitrogen Mustard Compounds |
| D009150 | Mustard Compounds |
| D006846 | Hydrocarbons, Halogenated |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D063088 | Phosphoramides |
| D009943 | Organophosphorus Compounds |
Not provided
Not provided