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This is a single-arm, open-label clinical study to evaluate the safety, tolerability, and efficacy of U87 injection solution in patients with advanced malignant head and neck tumors.
Following consent, patients must have tumor tissue evaluated by IHC assay. Patients meeting all eligibility criteria will undergo a leukapheresis procedure to collect autologous mononuclear cells for manufacture of investigational drug product (U87). Following manufacture of the drug product, subjects will receive preconditioning prior to U87 infusion. All subjects will be asked to continue to undergo long-term gene safety follow-up.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| U87 autologous CAR T-cell injection | Experimental | Two stages: dose escalation and dose expansion |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| U87 autologous CAR T-cell | Drug | Treatment with U87 chimeric antigen receptor T-cell infusion. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Adverse events after U87 CAR-T cells infusion [Safety and Tolerability] | An assessment of severity grade will be made according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) | 28 days post administration of CAR-T-cells |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics of U87 CAR-T cells | Time at the maximal concentration(Tmax) | 2 years post CAR T cell infusion |
| Pharmacokinetics of U87 CAR-T cells | Area under the concentration-time curve(AUC) |
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Inclusion Criteria:
Exclusion Criteria:
Inadequate washout period from prior anti-cancer treatments before leukapheresis.
Receipt of live or attenuated vaccines within 4 weeks prior to leukapheresis or planned receipt during the study.
Major surgery or significant trauma within 4 weeks prior to leukapheresis or planned during the study.
Previous Trop2-targeted CAR-T/TCR-T cell therapy or other cellular treatments, or therapeutic cancer vaccines.
Symptomatic brain metastases or leptomeningeal metastases deemed ineligible by the investigator.
Active infection requiring intravenous anti-infective therapy.
Positive for HBsAg, HBeAg, HBV-DNA, HCV-Ab, HCV-RNA, TP-Ab, HIV antibodies, or elevated EBV-DNA, CMV-DNA.
Primary immunodeficiency or active autoimmune disease.
Chronic use of systemic corticosteroids or immunosuppressants within 7 days before leukapheresis, except for local, ophthalmic, intra-articular, intranasal, or inhaled treatments.
Prior treatment-related adverse effects not recovered to CTCAE v5.0 grade ≤1 or specified levels, except for non-safety risk toxicities.
History of interstitial lung disease, interstitial pneumonia, pulmonary inflammation, or extensive thoracic radiotherapy.
Allergy to protein drugs or multiple medications.
Other untreated malignancies within 5 years prior to study drug use. History of immune deficiency, hematopoietic stem cell/organ transplantation. Uncontrollable third-space fluid accumulation.
Severe cardiovascular or cerebrovascular disease history, including NYHA class ≥II heart failure, uncontrolled hypertension, or recent severe events.
Pregnant or breastfeeding women.
Uncontrollable psychiatric history.
Other conditions deemed unsuitable for study participation by the investigator.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Haitao Wu, Ph.D | Contact | 13585504678 | eentwuhaitao@163.com | |
| Jian Chen, Ph.D | Contact | 18917785406 | wzcj21@163.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Eye ENT Hospital of Fudan University | Recruiting | Shanghai | 200000 | China |
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| ID | Term |
|---|---|
| D009303 | Nasopharyngeal Neoplasms |
| D006258 | Head and Neck Neoplasms |
| ID | Term |
|---|---|
| D010610 | Pharyngeal Neoplasms |
| D010039 | Otorhinolaryngologic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| 2 years post CAR T cell infusion |
| Pharmacokinetics of U87 CAR-T cells | The maximal concentration of eripheral blood (Cmax) | 2 years post CAR T cell infusion |
| Pharmacodynamics of U87 CAR-T cells | Concentration levels of CAR-T-related serum cytokines such as IL-6, IFN γ, ferritin and CRP at each time point | 2 years post CAR T cell infusion |
| Objective Response Rate (ORR), as assessed by Investigators | The Objective Response Rate (ORR) is the percentage of participants who achieved a best overall response of Complete Response (CR) or Partial Response (PR) based on RECIST version 1.1. | 2 years post CAR T cell infusion |
| Duration of response (DOR), as assessed by Investigators | Duration of response (DOR) is defined as the time from the first documented objective response (CR or PR) to the first documented disease progression or death. | 2 years post CAR T cell infusion |
| Overall survival (OS) | Overall Survival (OS) was defined as the time from the date of first infusion of U87 to the date of death due to any cause. | 2 years post CAR T cell infusion |
| Progression-free survival (PFS), as assessed by Investigators | Progression-free survival (PFS) was defined as the time from the date of randomization to the earliest date of the first objective documentation of progressive disease (PD) or death due to any cause. | 2 years post CAR T cell infusion |
| Disease control rate (DCR), as assessed by Investigators | Disease control rate (DCR) is the percentage of participants who achieved a best overall response of Complete Response (CR) or Partial Response (PR) or Stable disease (SD) based on RECIST version 1.1. | 2 years post CAR T cell infusion |
| D009302 |
| Nasopharyngeal Diseases |
| D010608 | Pharyngeal Diseases |
| D009057 | Stomatognathic Diseases |
| D010038 | Otorhinolaryngologic Diseases |