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This is a single arm, open-label, dose escalation clinical study to evaluate the safety and tolerability of autologous mesothelin (MSLN)-targeted chimeric antigen receptor (MSLN-CAR) T cells secreting PD-1 and CTLA-4 nanobodies (αPD1/CTLA-4-MSLN-CAR T cells) in patients with solid tumors.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CAR T cells | Experimental | αPD1/CTLA4-MSLN-CAR T Cells |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| αPD1/CTLA4-MSLN-CAR T cells | Biological | BZE2209 is prepared by non-viral vector technology consisting of autologous CD3+T cells expressing mesothelin-specific chimeric antigen receptor (CAR), PD1 nanoantibody and CTLA4 antibody with dimethyl sulfoxide as medium. It can be used for direct intravenous infusion. Autologous CD3+ T cells were transfected with plasmids expressing anti-mesothelin-specific CAR, anti-PD1 nanoantibody and anti-CTLA-4 antibody by electroporation in vitro. Mesothelin-specific CAR is a single-domain antibody (VHH) derived from alpaca, which is composed of a binding domain and a CD28 and CD3ζ chain signal transduction domain. |
| Measure | Description | Time Frame |
|---|---|---|
| Dose-limiting toxicity(DLT) | Safety | 28 days |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum tolerated dose (MTD) | Tolerability | 28 days |
| Objective response rate (ORR) | Clinical response will be assessed by RECIST 1.1. |
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Inclusion Criteria:
Patients must have a histological or cytological diagnosis of advanced solid tumors, such as non-small-cell lung cancer and mesothelioma;
Patients must have failed established standard medical anti-cancer therapies;
Greater than or equal to 18 years of age and less than or equal to 70 years of age on day of signing informed consent;
Life expectancy ≥3 months;
Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1;
Staining of MSLN must be greater than 50% of the cells in the tumor tissue and with apparent expression in the membrane. PD-L1 expression must be positive. Tissue obtained for the biopsy must be ≤3 year prior to enrollment for screening;
Satisfactory organ and bone marrow function as defined by the following:
Subjects must have measureable disease as defined by RECIST 1.1 criteria;
Subjects sufficiently understand the trial and willingly sign the informed consent;
Male and Female subjects agree to use approved contraceptive methods (e.g. birth control pills, barrier device, intrauterine device, abstinence) during the study and for at least 12 months following the last dose of the study cell infusion and until no CAR-T cells can be detected after two consecutive PCR tests.
Exclusion Criteria:
Prior therapy with targeted therapy or cell therapy against MSLN;
Prior therapy with any gene therapy (including CAR-T cell therapy) or any T cell therapy home and abroad;
Active bacteria, viral or fungal infection, and not contained after anti-infective therapy (positive results in the blood ≤72 hours before infusion);
Patient is positive for Syphilis, Human Immunodeficiency Virus (HIV) , active Hepatitis B (HBsAg reactive) or Hepatitis C (HCV RNA (qualitative) is detected);
Patient has a medical condition such as autoimmune disease or organ transplantation that requires chronic systemic steroid therapy or requires any other form of immunosuppressive medication;
History of severe cardiac or pulmonary disease, including hypertension that cannot be controlled by medication, and any of the conditions occurred within the past 6 months: congestive heart failure (New York Heart Association functional classification ≥3), cardiac angioplasty and stents, myocardial infarction, unstable angina, or other clinically significant heart disease;
Detectable clinically relevant central nervous system (CNS) metastases and/or pathology such as epilepsy/seizure, brain Ischemia/ hemorrhage, dementia, cerebellar disease, or autoimmune disease affecting central nervous system;
Patient has a history or current evidence of any condition such as neurotic, psychiatric, immune, metabolic and infectious disease, on any therapy, or laboratory abnormality that might confound the results of the study, interfere with the patient's participation for the full duration of the study, or is not in the best interest of the patient to participate, in the opinion of the treating Investigator;
Patient has a known history of a hematologic malignancy, or of another malignant primary solid tumor concurrently, with the exception of :
Has had chemotherapy, radioactive, small molecules, biological cancer therapy, immunotherapy or other investigational drugs within 2 weeks prior to the initiation of the study;
Pregnant or breastfeeding women;
Investigators think that patient has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the study, interfere with the patient's participation for the full duration of the study and cooperation with the requirements of the trial, uncontrolled medical, psychological, familial, sociological, or geographical conditions, or is not in the best interest of the patient to participate.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yong Xia | Contact | 021-67091399 | xiay@shcell.com |
| Name | Affiliation | Role |
|---|---|---|
| Jinxing Lou | Shanghai Mengchao Cancer Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shanghai Mengchao Cancer Hospital | Recruiting | Shanghai | Shanghai Municipality | China |
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| Month 12 |
| Progression-free survival (PFS) | PFS of patients receiving αPD1/CTLA4-MSLN-CAR T cells | Month 12 |
| Peak Plasma Concentration (Cmax) | Pharmacokinetics (PK) | Month 12 |
| AUC | Pharmacokinetics (PK) | Month 12 |
| Pharmacodynamics (PD) | PD of IL-2, IL-4, IL-6, IL-8, IL-10, IL-15, IFN-γ, TNF-α and MCP1 will be analysed after CAR T cell infusion | Day 28 |