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To observe the safety, tolerability and initial effectiveness of gene modified T cell therapy in patients with malignant tumors in First Affiliated Hospital of Zhengzhou University, China.
The study population included subjects with malignant tumors confirmed by histopathology or cytology, including: non-small cell lung cancer, esophageal squamous cell carcinoma, gastric cancer, colorectal cancer, liver cancer, pancreatic cancer, kidney cancer, cervical squamous cell carcinoma, ovarian cancer, breast cancer, melanoma, brain glioma, lymphoma, etc.
The study is aimed to observe the safety, tolerability and initial effectiveness of gene modified T cell therapy in patients with malignant tumors.To observe Progression-Free Survival (PFS) and Overall survival (OS) after the application of gene modified T cell therapy in patients with malignant tumors, and to evaluate the Disease Control Rate (Disease Control Rate). DCR, Clinical Benefit Rate (CBR), Quality of Life (QOL).And explore the diversity of T cell receptors and proportion of lymphocyte subsets in subjects treated with gene-modified T cell therapy for malignant tumors changes in distribution and count, immune cell function, and serum cytokine levels.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| subject | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CAR-T cell reinfusion | Biological | Subjects were identified according to their benefit from the first treatment and target expression Whether to accept multiple returns; CAR-T cell reinfusion dose was 1~10×106 cells/kg, and the reinfusion dose could be adjusted according to the tolerance of the subjects Usually intravenous infusion, but also according to the need for local interventional treatment or injection treatment |
| Measure | Description | Time Frame |
|---|---|---|
| PFS | Progression-Free-Survival (PFS) is defined as admission to the group according to imaging specialists based on RECIST 1.1 review when disease progression or death from any cause was first recorded, whichever came first. | up to 36 months |
| Measure | Description | Time Frame |
|---|---|---|
| OS | Overall survival (OS) is the time from enrollment to death from any cause | up to 36 months |
| ORR | Objective response rate(ORR) refers to the proportion of subjects in the analysis population who achieved complete response (CR) or partial response (PR). |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of life improvement | EORTC QLQ C-30 survey | Baseline,The first day of each course (before dosing),up to 4weeks . |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yi Zhang, MD | Contact | +86 15138928971 | yizhang@zzu.edu.cn |
| Name | Affiliation | Role |
|---|---|---|
| Yi Zhang, MD | The First Affiliated Hospital of Zhengzhou University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zhengzhou University First Affiliated Hospital | Recruiting | Zhengzhou | Henan | China |
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| up to 36 months |
| DOR | Duration of response (DOR). For subjects with confirmed CR or PR, duration of remission is the time from first recording to evidence of CR or PR until disease 2 progression (according to RECIST 1.1) or death from any cause, whichever occurs first. | up to 36 months |