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This clinical trial is a prospective, dose-escalation, multicenter, single- arm, Phase 1 clinical trial to evaluate the safety, tolerability, PK and preliminary clinical activity of PRAME Antigen-targeted TCR-T Cells (NW-101C) infusion in patients with previously heavily treated, metastatic solid malignant tumors.
Using a classic 3+3 dose escalation design, this study will enroll ~24 subjects to characterize the safety and preliminary anti-tumor activity of NW-101C.
SCREENING: Patient eligibility will be determined by protocol inclusion/exclusion criteria including HLA (human leukocyte antigen) and a biopsy (or collection of archival tumor tissue) for biomarker screening. Leukapheresis for potential manufacturing of the NW-101C cellular product may be performed,if patients are HLA-A*02:01 positive and meet the eligibility criteria for leukapheresis.
MANUFACTURING: NW-101C products will be made from the patients' white blood cells.
TREATMENT: Lymphodepletion with cyclophosphamide and fludarabine will occur in the days before the NW-101C product infusion to improve the duration of time that NW-101C product stays in the body. The patient will be admitted to the hospital during the T-cell infusion until 28 days following NW-101C infusion. After the NW-101C product infusion, dose -limiting toxicities (DLT) will be assessed from the infusion of NW-101C until 28 days following the infusion of NW-101C.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| NW-101C dose 1-4 | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| NW-101C | Biological | 4 dosage of NW-101C will be tested in this study using classic 3+3 dose escalation approach: 4×10^8±30%, 8×10^8±30%,15×10^8±30% and 30×10^8±30% TCR-T+ cells |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluate the Dose-limiting toxicities(DLTs) of NW-101C in patients with solid malignant tumors | Type, frequency and severity of adverse events assessed by CTCAE5.0 | 28 days following NW-101C infusion |
| Evaluate the Maximum Tolerated Dose (MTD) of NW-101C in patients with solid malignant tumors | Type, frequency and severity of adverse events assessed by CTCAE5.0 | Through the study completion, an average of 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluate the AUC of NW-101C in patients with solid malignant tumors | Area under the Plasma concentration versus time curve(AUC) assessed centrally | 2 years following NW-101C infusion |
| Evaluate the Objective response rate (ORR) of NW-101C in patients with solid malignant tumors |
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Inclusion Criteria:
(Additional protocol-defined Inclusion criteria may apply)
Exclusion Criteria:
(Additional protocol-defined Exclusion criteria may apply)
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yuhui He | Contact | 0512-67991566 | yuhui.he@neowisebio.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Cancer hosptial | Recruiting | Beijing | Beijing Municipality | China |
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A classic 3+3 model will be used to dose escalation,4 doses will be used: 4×10^8±30%, 8×10^8±30%, 15×10^8±30% and 30×10^8±30% TCR-T cells/ patients
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Complete response (CR) and partial response (PR) assessed by investigators following RECIST1.1 criteria |
| 2 years following NW-101C infusion |
| Evaluate the Cmax of NW-101C in patients with solid malignant tumors | Maximum Concentration(Cmax) assessed centrally | Through the study completion, an average of 2 years |
| Evaluate the Tmax of NW-101C in patients with solid malignant tumors | Time of Maximum Concentration assessed centrally | Through the study completion, an average of 2 years |