면역치료 | 폐암 CAR-T 임상 연구 Anti-HER2
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작성자 HK HIS 작성일19-09-16 18:18 조회4,573회 댓글0건관련링크
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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
Interventions
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.
2. 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 Criteria(iRECIST).
3. 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:
○Absolute neutrophil count greater than 800/mm^3 without the support of filgrastim.
○White blood cell (WBC) (> 2000/mm^3).
○Platelet count greater than 50,000/mm^3.
○Hemoglobin greater than 9.0 g/dl.
Chemistry:
○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).
○Serum creatinine less or equal to 3 times the upper limit of normal
○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.