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| Name | Class |
|---|---|
| RenJi Hospital | OTHER |
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This is a single-arm, open-label, dose-escalating Phase 1 clinical study. It aims to evaluate the safety, tolerability and pharmacokinetic(PK) profiles of the investigational agent, and preliminarily assess its efficacy in subjects with advanced/metastatic renal cell carcinoma, and determine the recommended dose and infusion regimen for Phase 2 trials.
This study is a single-arm, open-label, dose-escalation Phase 1 clinical trial designed to evaluate the safety, tolerability, and pharmacokinetic (PK) profiles of the investigational agent. It also aims to preliminarily assess its efficacy in subjects with advanced/metastatic renal cell carcinoma (RCC) and to determine the appropriate clinical dose and administration regimen for Phase 2.
Subjects who sign the informed consent form (ICF) will undergo screening based on the inclusion/exclusion criteria. Eligible subjects will be sequentially enrolled into treatment cohorts receiving total doses of 2.0 × 10⁸ chimeric antigen receptor-positive (chimeric antigen receptor (CAR)+) T cells, 5.0 × 10⁸ CAR+ T cells, and 1.0 × 10⁹ CAR+ T cells, with each subject receiving a single infusion. The dose-escalation study utilizes a standard "3+3" design, in which 3-6 subjects per cohort will complete a single infusion.
For the first subject enrolled in the initial dose cohort, a safety assessment will be conducted 28 days after the single infusion. If no significant safety concerns are identified, subsequent subjects in the same cohort may receive the infusion, with a total of 3 subjects to be enrolled.
If no dose-limiting toxicity (DLT) occurs among the 3 subjects, the study may escalate to the next dose cohort. If 1 of the 3 subjects in a given cohort experiences a DLT, an additional 3 subjects must be enrolled in the same cohort (for a total of 6 subjects completing DLT evaluation in that cohort): (1) If no DLT occurs among the additional 3 subjects, dose escalation will continue. (2) If 1 of the additional 3 subjects experiences a DLT, dose escalation will stop, and this cohort will be defined as the maximum tolerated dose (MTD). (3) If more than 1 of the additional 3 subjects experiences a DLT, dose escalation will stop. On this basis, if 6 subjects had already been enrolled in the preceding dose cohort, the study will be terminated and that cohort will be defined as the MTD; if only 3 subjects were enrolled in the preceding dose cohort, an additional 3 subjects must be enrolled in that cohort for DLT evaluation.
When more than 1 of 3 subjects in a given cohort experience a DLT, dose escalation will stop. On this basis: (1) If 6 subjects had already been enrolled in the preceding dose cohort, the study will be terminated and that cohort will be defined as the MTD. (2) If only 3 subjects were enrolled in the preceding dose cohort, an additional 3 subjects must be enrolled in that cohort for DLT evaluation.
If the MTD is not reached at the highest pre-specified dose cohort, the investigators and the sponsor will jointly discuss and decide whether to add further dose cohorts, taking into account preclinical data, clinical safety and tolerability findings, and pharmacokinetic parameters.
During the study, the number of dose cohorts may be increased or decreased, or doses within cohorts may be adjusted, upon joint discussion among the investigators, the sponsor, and the relevant regulatory authorities, based on accumulating PK data and other relevant findings, to ultimately determine the recommended Phase 2 dose (RP2D).
For the selected RP2D cohort, additional subjects may be enrolled if necessary to further characterize the safety profile.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Anti-Human CD70 T-Cell Injection | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Anti-Human CD70 T-Cell Injection | Drug | Autologous genetically modified anti-Human CD70 CAR transduced T cells |
|
| Measure | Description | Time Frame |
|---|---|---|
| Dose limited toxicity (DLT) | 28 days post infusion |
| Measure | Description | Time Frame |
|---|---|---|
| Number of subjects with adverse event | adverse event is any untoward medical event that occurs in a subject administered an investigational drug | 2 years post infusion |
| Change from baseline in perform status as measured by Eastern Cooperative Oncology Group (ECOG) performance status score |
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Inclusion Criteria:
Age 18 to 70 years (inclusive), regardless of gender;
Life expectancy of more than 12 weeks;
Eastern Cooperative Oncology Group Performance Status (ECOG PS) score of 0 to 1;
Subjects with advanced/metastatic renal cell carcinoma (RCC):
Venous access required for apheresis can be established; hemoglobin ≥ 90 g/L, absolute neutrophil count (ANC) ≥ 1.5×10^9/L, and platelet count ≥ 100× 10^9/L, and the leukepheresis can be carried according to the judgement of investigators;
Hepatic, renal, cardiac, and pulmonary functions must meet the following criteria:
Voluntary participation in the clinical study: Must understand and be informed about this study, voluntarily sign the Informed Consent Form (ICF), and be willing to complete all study procedures.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Fang Xiang | Contact | 86-21-58552006 | xiangfang@dashengbio.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| RenJi Hospital, Shanghai Jiaotong University School of Medicine | Recruiting | Shanghai | 200000 | China |
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| ID | Term |
|---|---|
| D002292 | Carcinoma, Renal Cell |
| ID | Term |
|---|---|
| D000230 | Adenocarcinoma |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
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Single Group
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Eastern Cooperative Oncology Group (ECOG) performance status score will be assessed by the investigator at each designated time point. The ECOG performance status Score ranges from 0 to 5, where 0 indicates fully active with no restriction, and 5 indicates death. Higher scores indicate worse functional status and greater disease burden. |
| 2 years post infusion |
| Number of participants with clinically significant changes from baseline in laboratory parameters | Laboratory assessments include complete blood count (CBC) with differential (e.g., white blood cell [WBC] count, hemoglobin [Hgb], and platelet count), serum chemistry panel (e.g., serum creatinine [SCr], alanine aminotransferase [ALT], aspartate aminotransferase [AST], and total bilirubin [TBIL]), and coagulation parameters (e.g., prothrombin time [PT] and activated partial thromboplastin time [aPTT]). Clinically significant abnormalities will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0. Changes from baseline will be summarized descriptively by visit and toxicity grade. | 2 years post infusion |
| Number of participants with clinically significant changes from baseline in physical examination findings | Physical examinations will include assessment of general appearance, vital signs (blood pressure [BP], heart rate [HR], respiratory rate [RR], and body temperature), body weight, and organ system review (e.g., cardiovascular, respiratory, abdominal, neurological). Clinically significant changes from baseline will be identified by the investigator and recorded as adverse events (AEs), graded per NCI CTCAE v5.0. | 2 years post infusion |
| Pharmacokinetics parameters - Maximum concentration (Cmax) | Maximum chimeric antigen receptor (CAR) level in blood | 2 years post infusion |
| Pharmacokinetics parameters - Time to maximum Concentration (Tmax) | Time to peak CAR level in blood | 2 years post infusion |
| Pharmacokinetics parameters - Area under the concentration-time curve from 0 to 28 days (AUC0-28) | Area under the CAR level curve in blood from 0 to 28 days | 2 years post infusion |
| Pharmacodynamics characteristics- Cytokines concentrations | cytokines level in blood | 2 years post infusion |
| Overall response rate (ORR) | Overall response rate (ORR) defined as proportion of subjects who achieved PR or better according to RECIST1.1 as determined by an investigator assessment | 2 years post infusion |
| Progression-free survival (PFS) | Progression-free survival (PFS) defined as time from date of initial infusion of CAR-T to date of first disease progression according to RECIST1.1, or death due to any cause, whichever occurs first | 2 years post infusion |
| Duration of response (DOR) | Duration of response (DOR) will be calculated among responders (with a PR or better response) from the date of initial response (PR or better) to the date of first documented evidence of progressive disease, as defined in the RECIST1.1 | 2 years post infusion |
| Overall survival (OS) | Overall survival (OS) is measured from the date of the initial infusion of CAR-T to the date of the subject's death | 2 years post infusion |
| D009369 | Neoplasms |
| D007680 | Kidney Neoplasms |
| D014571 | Urologic Neoplasms |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052801 | Male Urogenital Diseases |