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| Name | Class |
|---|---|
| Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine | OTHER |
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This is a open-Label, dose-escalation study to evaluate the safety, tolerability and antitumor activity of DIT309 in subjects with advanced bone and soft tissue sarcomas.The study also plan to explore the Maximum Tolerated Dose (MTD) and determine the Recommended Phase II Dose (RP2D) of the CAR-T cell therapy.
Subjects will be enrolled to receive DIT309 via intravenous infusion. Patients will be administered DIT309 on Day 1 of each 28-day treatment cycle, followed by a 28-day observation period.
The study will include three escalating dose levels, utilizing a traditional 3+3 dose escalation design. Each dose level will enroll 3 to 6 patients. Dose-limiting toxicities (DLTs) will be assessed during the first treatment cycle to evaluate the safety and tolerability of DIT309.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose Escalation Cohort | Experimental | DIT309 were administered via intravenous reinfusion on Days 1 in a 28-day treatment cycle. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DIT309 cell injection | Biological | Patients receive CAR+ T cells via intravenous infusion on a single day, with pre-specified dose levels determined by the 3+3 dose escalation design detailed in the study protocol. |
| Measure | Description | Time Frame |
|---|---|---|
| Safety:Incidence of Dose Limiting Toxicity (DLT) | Type, incidence, and severity of dose limiting toxicities (DLTs) within 28 days after the first DIT309 infusion. | 28 days after the first DIT309 infusion. |
| Safety:Incidence and severity of adverse events (AEs) | To evaluate the possible adverse events after DIT309 infusion, including the incidence, and severity of AEs. | 1year post CAR-T cells infusion. |
| The maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) of DIT309. | The maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) of DIT309. | From first dose of DIT309 until the end of Dose Limiting Toxicity (DLT) observation period (typically 28 days post-infusion for each dose cohort). |
| Measure | Description | Time Frame |
|---|---|---|
| Progression Free Survival (PFS) | To evaluate the time from the start of DIT309 therapy to disease progression (according to RICIST1.1 criteria) or death from any cause, whichever occurs first. The proportion of progression-free subjects from the beginning of DIT309 therapy to a fixed time point (6 months) after treatment (6-Mon PFS) will also be evaluated. | 1 year post CAR-T cells infusion. |
| Measure | Description | Time Frame |
|---|---|---|
| The immunogenicity of DIT309 | Drug antibody (ADA) positive rate after infusion of DIT309 cells. | Up to 12 months |
| The positive rate of replication competent lentivirus tests | Detect replication competent lentivirus (RCL) |
Inclusion Criteria:
Voluntarily agrees to participate in the clinical trial; is fully informed about the study and has signed the informed consent form (ICF); is willing and able to comply with all study procedures.
Male or female patients aged ≥8 weeks.
Histologically confirmed diagnosis of advanced bone and soft tissue sarcoma, who have failed or are intolerant to prior standard therapies.
At least one measurable lesion as defined by RECIST version 1.1.
Tumor tissue demonstrates positive expression for the target antigen according to the protocol-defined criteria.
ECOG performance status of 0-1 within 24 hours prior to leukapheresis and prior to lymphodepletion.
Life expectancy of more than 6 months.
Adequate venous access for leukapheresis, with no contraindications for the procedure.
Laboratory parameters must meet the following criteria:
Subjects of childbearing potential must agree to use effective contraception from the date of signing the informed consent through 6 months after the last infusion.
Exclusion Criteria:
Pregnant or breastfeeding women
Viral infections:
Medical history and comorbidities:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Rui Feng, MD | Contact | +(86)13509312934 | fengrui@tcelltech.com | |
| Xianzhen Chen, MM | Contact | +(86)18649725652 | chenxianzhen@tcelltech.com |
| Name | Affiliation | Role |
|---|---|---|
| Gangxiong Huang, MD | Tcelltech Inc. | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shanghai General Hospital | Recruiting | Shanghai | Shanghai Municipality | China |
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| ID | Term |
|---|---|
| D012516 | Osteosarcoma |
| D012509 | Sarcoma |
| ID | Term |
|---|---|
| D018213 | Neoplasms, Bone Tissue |
| D009372 | Neoplasms, Connective Tissue |
| D018204 | Neoplasms, Connective and Soft Tissue |
| D009370 | Neoplasms by Histologic Type |
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| Disease Control Rate (DCR) | To evaluate the proportion of subjects who achieved CR/PR/SD in the best overall response according to RICIST1.1 criteria. | 1 year post CAR-T cells infusion. |
| Duration of disease control (DDC) | To evaluate the time from the first evaluation of tumor as CR, PR or SD to the first evaluation of PD or death from any cause. | 1 year post CAR-T cells infusion. |
| Objective response rate (ORR) | To evaluate the proportion of subjects who achieved CR/PR in the best response condition according to RICIST1.1 criteria. | 1 year post CAR-T cells infusion. |
| Time to Remission (TTR) | To evaluate the time from the start of treatment to the first remission (CR/PR). | 1 year post CAR-T cells infusion. |
| Duration of Response (DOR) | DOR after DIT309 infusion, defined as the time from the first evaluation of the tumor as CR or PR to the first evaluation of PD or death from any cause. | 1 year post CAR-T cells infusion. |
| Up to 15 years. |
| Peak Concentration (Cmax) of DIT309 CAR gene. | Peak Concentration (Cmax) of DIT309 CAR gene. | Up to 12 months |
| Area under the concentration versus time curve (AUC) of DIT309 CAR-T cells | Up to 12 months. | Area under the concentration versus time curve (AUC) of DIT309 CAR-T cells. |
| Peak concentration of cytokines | Peak concentration of IL-2, IL-4,IL-6, IL-8,IL-10,IFN-γ, TNF-a | Up to 12 months |
| D009369 | Neoplasms |