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 |
|---|---|
| Peking University Cancer Hospital & Institute | OTHER |
Not provided
Not provided
Not provided
Not provided
This is a first-in-human, single-arm, open-label, dose escalation clinical study to evaluate the safety, tolerability, pharmacokinetic and pharmacodynamic characteristics, immunogenicity and preliminary efficacy of UCMYM802 (Circular mRNA encoding Anti-Mesothelin CAR-T) injection in patients with Mesothelin-positive advanced malignant solid tumors.
All subjects who qualified after screening will receive the proposed dose of UCMYM802 injection once a week, 4 times in total. The Starting Dose of cell injection was set at 1×10^8, and the maximum dose was set at 2.0×10^9.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| UCMYM802 Injection | Experimental | Active ingredient:Anti-MSLN CAR+ T cell |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| UCMYM802 Injection | Biological | 1×10^8~2×10^9 cells will be infused intravenously for 4 times. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Treatment Emergent Adverse Event (TEAE) | Incidence and severity of treatment emergent adverse events. | 2 years |
| Treatment Related Adverse Event (TRAE) | Incidence and severity of treatment related adverse events | 2 years |
| Adverse Events of Special Interest (AESI) | Incidence and severity of adverse event of special interest | 2 years |
| Incidence of Dose-limiting Toxicities (DLTs) | Incidence and severity of dose-limiting toxicities (DLTs) following infusion of UCMYM802 injection at each dose level. | 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Bio-distribution of UCMYM802 | CAR copies will be measured by qPCR to evaluate the expansion and persistence of CAR-T cells in vivo. | 3 months |
| Peak Plasma Concentration (Cmax) | The maximum (peak) of CART cells observed in peripheral blood |
Not provided
Inclusion Criteria:
18 to 70 years old,regardless of gender
Diagnosed Patients with malignant solid tumors confirmed histopathologically (including but not limited to mesothelioma, pancreatic cancer, biliary tract cancer, lung cancer, ovarian cancer, gastric cancer, colorectal cancer, thymus cancer, esophageal cancer, breast cancer, and endometrial cancer, etc.) who fail or cannot tolerate standard treatment or lack effective treatment methods as defined by CSCO and NCCN guidelines
At least have one evaluable lesion;
Patients who Can provide tumor tissue samples or tumor samples can be obtained through methods such as tumor biopsy;
Positive expression of MSLN in tumor cells confirmed by Immunohistochemistry (IHC) or immunocytochemistry (ICC) staining
Eastern Cooperative Oncology Group (ECOG) performance score at 0 or 1;
Life expectancy ≥ 3 months.
The organ function must meet the following requirements:
Women of childbearing potential (WCBP) must have negative results on a serum pregnancy test, and WCBP or Male who have partners of reproductive potential must agree to use effective contraceptive methods to avoid pregnancy throughout the screening and study period until 1 year after the last cell infusion;
Voluntary signing informed consent form(s) indicating that they are willing to participate in the study and are able to comply with the protocol.
Exclusion Criteria:
Have received systemic antitumor therapy involving cytotoxic chemical agents, monoclonal antibodies or immunotherapy within 4 weeks or 5 half-lives (whichever is shorter) prior to signing the informed consent form(ICF); Have received systemic glucocorticoids (prednisone or other equivalent hormone at a dose ≥ 10 mg/day) or other treatments to suppress the immune system within 2 weeks prior to signing the ICF; Have received systemic antitumor therapy involving biologics or other approved small molecule targeted inhibitors within 1 week or 5 half-lives (whichever is shorter) prior to signing the ICF; Have received treatments with Chinese herbal medicines (CHM) and Chinese proprietary medicines (CPM) that has an antitumor indication within 1 week prior to signing the ICF;
Pregnant or lactating women;
The finding of Positive hepatitis B surface antigen (HBsAg) or positive hepatitis B core antibody (HBcAb) and the result of quantitative HBV DNA test in peripheral blood is above the lower limit of detection (LLOD); positive Hepatitis C virus (HCV) antibody, and the result of quantitative HCV RNA test in peripheral blood is above the LLOD; The presence of positive Human immunodeficiency virus (HIV) antibody; positive Syphilis antibody test;
Patients with Epstein-Barr Virus (EBV) DNA positive.
Non-hematologic toxicity due to prior therapy (surgery, chemotherapy, radiation, targeted therapy, and immunotherapy, etc.) have not resolved to ≤ CTCAE grade 1 (except alopecia, peripheral sensory nerve disorders);
Have received any prior xenotransplantation of tissues /organs (including bone marrow transplantation, stem cell transplantation, liver transplantation, and kidney transplantation, etc.), except for transplants that do not require immunosuppression (e.g., corneal graft and hair transplantation, etc.);
Previoulsly received any anti mesothelin (MSLN) treatment and any genetically modified cell therapy within 6 months prior to signing the informed consent form;
Have undergone major surgery and not fully recovered within 4 weeks prior to signing informed consent or have a history of severe trauma that have not recovered, or planned to receive major surgery within 12 weeks after cell infusion;
Presence of known CNS metastases
Presence of clinically significant systemic disease (e.g., severe active infection or significant dysfunctions of the heart, lungs, liver, nervous system, or other organs) that, at the discretion of the investigator, impairs the patient's ability to tolerate the treatment specified in this trial protocol or significantly increases the risk of complications. Including but not limited to:
History of severe systemic hypersensitivity reactions to the drugs/components used in this trial [such as: fludarabine, cyclophosphamide, dimethyl sulfoxide (DMSO), low molecular dextran, and human serum albumin (HSA), etc.];
Have received a live attenuated vaccine within 4 weeks prior to signing the ICF;
Participation in another clinical trial within 4 weeks prior to signing the ICF(Enrolled and given of investigational drugs/treatments);
History of another malignancy within the previous 5 years (except adequately treated non-melanoma skin cancer and in situ cancer in the following sites: breast, stomach, colon, and cervical, etc.);
Prior neuropsychiatric disorders diagnosed by International Classification of Diseases 11th Revision (ICD-11) criteria for mental and behavioral disorders or neuropsychiatric disorders to be excluded as assessed by the investigator, including but not limited to epilepsy, schizophrenia, dementia, addictive behaviors due to drugs and alcohol, etc.;
Presence of other conditions that, in the judgment of the investigator, would preclude the patient from participating in this trial.
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Changsong Qi, Doctor | Contact | 0086-10-88196813 | xiwangpku@126.com | |
| Chang Liu | Contact |
| Name | Affiliation | Role |
|---|---|---|
| Lin Shen, Doctor | Peking University Cancer Hospital & Institute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking University Cancer Hospital & Institute | Recruiting | Beijing | China |
Not provided
| ID | Term |
|---|---|
| D000086002 | Mesothelioma, Malignant |
| D015179 | Colorectal Neoplasms |
| D001650 | Bile Duct Neoplasms |
| D012004 | Rectal Neoplasms |
| D010051 | Ovarian Neoplasms |
| D010190 | Pancreatic Neoplasms |
| ID | Term |
|---|---|
| D008654 | Mesothelioma |
| D000236 | Adenoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
Not provided
Not provided
Accelerated titration design and 3+3 design
Not provided
Not provided
Not provided
Not provided
| 3 months |
| Time to Maximum Plasma Concentration (Tmax) | The time for CART cells to reach maximum(peak)in peripheral blood | 3 months |
| Area Under Curve (AUC) | The area under curve (AUC) from time zero to 24, 48 ,72 hours and AUC0-tlast, AUC0-inf in peripheral blood | 3 months |
| Cytokine Level in Peripheral Blood | The concentration level of CAR-T cell related cytokines/chemokines in peripheral blood | 2 years |
| Anti-drug Antibodies | Positive rate of anti-drug antibody in the serum of subjects | 2 years |
| Objective Response Rate (ORR) | The proportion of subjects who achieved complete response (CR) or partial response (PR) according to the RECIST v1.1 criteria | 2 years |
| Disease Control Rate (DCR) | The proportion of subjects who achieved complete response (CR), partial response (PR), or disease stability (SD) according to the RECIST v1.1 criteria | 2 years |
| Duration of Response (DoR) | The time from the initial evaluation as complete remission (CR) or partial remission (PR) to the initial evaluation as disease progression (PD) or death from any cause | 2 years |
| Progression-Free Survival (PFS) | The time from initial CART cell infusion to first disease progression (PD) or death for any cause | 2 years |
| Overall Survival (OS) | The time from initial CART cell infusion to death due to any reasons. | 2 years |
| D009369 |
| Neoplasms |
| D018301 | Neoplasms, Mesothelial |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D010997 | Pleural Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
| D001661 | Biliary Tract Neoplasms |
| D001649 | Bile Duct Diseases |
| D001660 | Biliary Tract Diseases |
| D004701 | Endocrine Gland Neoplasms |
| D010049 | Ovarian Diseases |
| D000291 | Adnexal Diseases |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D005833 | Genital Neoplasms, Female |
| D014565 | Urogenital Neoplasms |
| D000091662 | Genital Diseases |
| D004700 | Endocrine System Diseases |
| D006058 | Gonadal Disorders |
| D010182 | Pancreatic Diseases |