Background:
A new cancer treatment takes a person s own T cells, modifies them in a laboratory so
they can better fight cancer cells, and then gives them back to the person. Researchers
want to see if this treatment can help people with a certain type of liver cancer.
Objective:
To see if a personalized immune treatment, anti-GPC3 CAR-T cells, is safe.
Eligibility:
Adults aged 18 years and older who have Glypican-3 (GPC3) positive HCC, a type of liver
cancer.
Design:
Participants will be screened with the following:
Blood and urine tests
Medical history
Physical exam
Heart function tests
Review of their symptoms and their ability to perform their normal activities
Tumor biopsy
Imaging scan of the chest, abdomen, and pelvis
Participants will have leukapheresis. They may have an IV (intravenous catheter, a small
tube put into an arm vein) inserted into each arm or get a central line. Blood will be
removed. A machine will separate the white blood cells from their blood. The rest of
their blood will be returned to them.
Participants will be admitted to the hospital for about 2 weeks. They will get the
chemotherapy drugs fludarabine and cyclophosphamide by IV for 3 days. Then they will
receive the modified white blood cells by IV.
Participants will have frequent blood draws. They will give blood and tumor samples for
research.
Participants will have follow-up visits for the next 15 years. Then they will be
contacted by email or phone for the rest of their life. If their disease does not get
worse after 5 years, they will continue to be invited to do imaging studies every 6
months.
Study sponsor and potential other locations can be found on ClinicalTrials.gov for NCT05003895.
Locations matching your search criteria
United States
Maryland
Bethesda
National Institutes of Health Clinical CenterStatus: Active
Contact: National Cancer Institute Referral Office
Phone: 888-624-1937
Background:
- Hepatocellular carcinoma (HCC) is the fifth most common cancer worldwide and the
second leading cause of cancer-associated mortality with an average life expectancy
of 6-9 months
- Despite the success of several studies showing efficacy in treating HCC, most
clinical trials have failed to prove a survival advantage.
- Adoptive T-cell therapy exploits the natural ability of T-cells to recognize and
eliminate their target.
- GPC3 is a cell surface protein that is expressed in nearly all HCC yet is
undetectable in normal adult hepatic tissues.
- GPC3 is also expressed strongly in some non-HCC solid tumor malignancies.
- We want to evaluate the role of GPC3 targeted chimeric antigen receptor (CAR)-T
cells in advanced GPC3 expressing HCC as well as other advanced solid tumor
malignancies with GPC3 expression.
Objective:
-To determine the safety and feasibility of T-cells, expressing a novel humanized
anti-GPC3 chimeric antigen receptor, in participants with advanced solid tumor
malignancy, expressing GPC3.
Eligibility:
- Histologically confirmed diagnosis of hepatocellular carcinoma or other solid tumor
malignancy.
- GPC3 positivity of >= 25% by immunohistochemistry
- At least 1 measurable lesion by RECIST v 1.1 criteria
- Age >= 18 years
Design:
- We plan to conduct a phase I dose escalation designed clinical trial using CAR
(hYP7)-T cells in participants with advanced hepatocellular carcinoma or other
advanced solid tumor malignancy, expressing GPC3.
- Participants will undergo leukapheresis
- Participants will receive a lymphocyte depleting chemotherapy conditioning regimen
with the intent of enhancing the activity of the infused CAR-expressing T cells
- Following the T cell infusion, there is a mandatory 9-day inpatient hospitalization
to monitor for toxicity.
- The participants will be closely monitored during the first year after cell infusion
and followed for life.
Lead OrganizationNational Cancer Institute
Principal InvestigatorTim F. Greten