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| Name | Class |
|---|---|
| KAEDI | OTHER |
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This is a Phase 1, single-arm, single-center, open-label study to evaluate the safety and effectiveness of NKG2D/CLDN18.2-based CAR-T cells infusion in the treatment of advanced NKG2DL+/CLDN18.2+ solid tumors.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| KD-496 cell infusion | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| KD-496 | Biological | Autologous genetically modified anti-NKG2DL/CLDN18.2 CAR transduced T cells |
|
| 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) | 3 months after infusion |
| Dose-limiting toxicity (DLT) rate | A drug-related toxicity during treatment with the drug, the severity of which is clinically unacceptable, limiting the further escalation of drug dose. | 1 month after single infusion |
| Measure | Description | Time Frame |
|---|---|---|
| Objective response rate(ORR) | objective tumor response rate will be calculated for patients with measurable disease per RECIST 1.1 | Up to 1 year after infusion |
| Duration of Response | Duration of time from first response to progression of disease as determined by investigator |
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Inclusion Criteria:
1)Absolute neutrophil count ≥1.5×10^9/L, platelets ≥90×10^9/L, hemoglobin ≥90 g/L (no blood transfusion or erythropoietin within 14 days) 2)Coagulation parameters: INR≤1.5 times upper limit of normal (ULN), APTT≤1.5 ULN; 3)Liver function: total bilirubin ≤1.5 ULN; Serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤2.5 ULN; 4)Renal function: creatinine ≤1.5 ULN or creatinine clearance ≥60ml/min (Cockcroft and Gault formula); 5)Lung function: SaO2≥92%; 6)Cardiac function: Cardiac ejection fraction (LVEF) ≥50% detected by echocardiography or MUGA 1 month before enrollment; 10.Male and female participants of reproductive age agreed to use an approved contraceptive method (e.g., contraceptive pill, barrier device, IUD) for the duration of the study until at least 12 months after the last dose of infusion and two consecutive PCR tests found no CAR T cells.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Lin Shen, Professor | Contact | 13911219511 | doctorshenlin@sina.cn | |
| Changsong Qi, Professor | Contact | 13811394004 | xiwangpku@126.com |
| Name | Affiliation | Role |
|---|---|---|
| Lin Shen, Professor | Peking University Cancer Hospital & Institute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Cancer Hospital | Beijing | Beijing Municipality | 100142 | China |
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| ID | Term |
|---|---|
| D013274 | Stomach Neoplasms |
| D010190 | Pancreatic Neoplasms |
| ID | Term |
|---|---|
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| Up to 18 months |
| Disease Control Rate | Percentage of patients evaluated as CR and PR determined by investigator | Up to 18 months |
| CAR positive T cells in patients | The time of CAR-T cell reach the peak and turn back to baseline | Up to 6 months after infusin |
| D004066 |
| Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D013272 | Stomach Diseases |
| D004701 | Endocrine Gland Neoplasms |
| D010182 | Pancreatic Diseases |
| D004700 | Endocrine System Diseases |