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면역치료 | 유방암 CAR-T 임상 HER2

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작성자 HK HIS 작성일19-09-16 18:18 조회4,344회 댓글0건

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Brief Summary:

 

Chimeric antigen receptor T cells (CAR-T) therapy has not yet been fully explored in solid tumors. Human epidermal growth factor receptor-2(HER2) is widely expressed in cancers. Investigators have developed anti-HER2 CAR-modified T cells and validated the efficiency targeting HER2-positive cancer in preclinical studies. This study is aimed to confirm its adverse effects including cytokine storm response and any other adverse effects. In addition, CAR-T cells persistence, tumor elimination and disease status after treatment will be evaluated.

 

 

 

Breast Cancer

Ovarian Cancer

Lung Cancer

Gastric Cancer

Colorectal Cancer

Glioma

Pancreatic Cancer

 

 

 

Biological: Anti-HER2 CAR-T

 

 

 

Arms and Interventions

 

Arm

 

Experimental: HER2 positive cancers

 

Patients with relapsed and refractory cancer of HER2 expression will be treated with anti-HER2 CAR-T cells

 

 

 

Intervention

 

Biological: Anti-HER2 CAR-T

 

HER-2-targeting CAR-T cells infusion in HER2 positive cancers

 

 

 

 

 


Primary Outcome Measures 
 :

 

  1. Determine the toxicity profile of the HER2 targeted CAR T cells with Common Toxicity Criteria for Adverse Effects (CTCAE) version 4.0. [ Time Frame: 3 years ]

 

Observe and handle the toxicity profile of the HER2 targeted CAR T cells with Common Toxicity Criteria for Adverse Effects (CTCAE) version 4.0.

 

Secondary Outcome Measures  :

 

  1. Survival time of Anti-HER2 CAR T cells in vivo. [ Time Frame: 1 year ]

 

Detect the existence of CAR-T cells in the blood of participants through qPCR or flow cytometry.

  1. Efficacy of anti-HER2 CAR T cells to confirm the ability of CAR T cells to eliminate HER2 positive cancer cells [ Time Frame: 12 weeks ]

 

Evaluate the anti-tumor efficacy of CAR-T therapy by Response Evaluation Criteria In Solid Tumors (RECIST) v1.1 and Immune-Related Response CriteriaiRECIST.

  1. Maximum tolerated dose (MTD) of HER2 targeted CAR T cells [ Time Frame: 4 weeks ]

 

Determine the maximum tolerated dose of each participant through the grades of side effects.

 

 

 

 

 

Ages Eligible for Study:  

18 Years to 80 Years   (Adult, Older Adult)

Sexes Eligible for Study:  

All

Accepts Healthy Volunteers:  

No

 

Criteria

 

Inclusion Criteria:

 

1.     Relapsed or refractory HER2 positive cancer.

 

2.     KPS>60.

 

3.     Life expectancy>3 months.

 

4.     Gender unlimited, age from 18 years to 80 years.

 

5.     Assessable lesions with a minimum size of 10mm by CT scan or MRI.

 

6.     Acceptable organ function

 

Hematology:

 

o   Absolute neutrophil count greater than 800/mm^3 without the support of filgrastim.

 

o   White blood cell (WBC) (> 2000/mm^3).

 

o   Platelet count greater than 50,000/mm^3.

 

o   Hemoglobin greater than 9.0 g/dl.

 

Chemistry:

 

o   Serum alanine aminotransferase (ALT)/aspartate aminotransferase (AST) less or equal to 3 times the upper limit of normal (patients without liver metastasis) or 6 times the upper limit of normal (patients with liver metastasis).

 

o   Serum creatinine less or equal to 3 times the upper limit of normal

 

o   Total bilirubin less than or equal to 3 times the upper limit of normal.

 

7.     No other serious diseases(autoimmune disease, immunodeficiency etc.).

 

8.     Adequate cardiac function(LVEF≥40%).

 

9.     No other tumors.

 

10. Patients volunteer to participate in the research.

 

Exclusion Criteria:

 

1.     Allergic to cytokines.

 

2.     Uncontrolled active infection.

 

3.     Acute or chronic GVHD.

 

4.     MODS.

 

5.     Treated with T cell inhibitor.

 

6.     HIV affected.

 

7.     Other situations improper for the research.

 

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