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Ori-C101嵌合抗原受体(CAR)修饰T细胞治疗肝细胞癌

英文原题:Ori-C101Chimeric Antigen Receptor (CAR) Modified T Cells for the Treatment of HCC

ClinicalTrials.gov 2022/12/15(首次登记) I/II 期注册临床试验 · 招募中

⚠ 该试验的登记信息已有 30 个月未更新, 页面上显示的「招募中」可能已经失效。联系研究中心之前,建议先到 ClinicalTrials.gov 核对登记原文的最新状态与联系方式。

简要介绍

这是一项 I/II 期注册临床试验,评估细胞治疗用于肝细胞癌的安全性、可行性及初步疗效。当前状态:招募中。计划入组 105 例。试验地点:中国 · 北京、长沙、长春、成都(共 7 个中心,其中中国 7 个)。登记号:NCT05652920。

入组条件决定能不能参加

不限性别 · ≥ 18 Years 且 ≤ 70 Years

纳入标准:病理或影像学确诊HCC;当地实验室免疫组化(IHC)确认肿瘤组织GPC3阳性(可接受签署知情同意书前≤1年的肿瘤样本;如无存档样本,须活检检测GPC3);按巴塞罗那肝癌临床分期(BCLC)为不可切除B期(中期)或C期(晚期),B期患者须既往治疗后进展或不适合手术/局部治疗;既往接受至少两线系统治疗(包括靶向、免疫或化疗等),且治疗期间或之后影像学显示疾病进展;Child-Pugh A或B7级且无肝性脑病史;签署同意书时ECOG 0-1分;预计生存期至少12周;至少有一个靶病灶。排除标准:中枢神经系统转移、软脑膜疾病或转移性脊髓压迫;既往骨髓或器官移植;开始研究治疗前5年内有其他原发恶性肿瘤(研究疾病、充分治疗的基底细胞/鳞状细胞皮肤癌及宫颈原位癌除外);活动性乙肝(HBsAg或HBcAb阳性者须HBV-DNA<20 IU/mL,HBsAg阳性者按当地指南接受抗病毒治疗);HCV RNA、HIV抗体、CMV DNA或梅毒血清学阳性;既往接受细胞治疗,如GPC3靶向治疗、TCR-T或CAR-T;骨髓储备或器官功能不足;研究者认为可能混淆研究结果或不利于患者参加的既往/当前状况或疾病;妊娠或哺乳。
核对登记原文(英文)
Inclusion Criteria:

1. Confirmed pathologic or radiologic diagnosis of HCC ;
2. Tumor tissue GPC3 expression positive by immunohistochemistry(IHC) at the local laboratory (Tumor samples ≤1 years prior to ICF signature are acceptable), if no archived tumor tissue samples, tumor biopsy is required for GPC3 expression test;
3. Unresectable stage B (intermediate) or C (advanced) HCC according to the Barcelona Clinic Liver Cancer (BCLC) staging. If stage B, must have progressed after, or not be eligible for, surgical or locoregional therapy;
4. Received at least two prior line of systemic therapy (included but not limited to target therapy, immunotherapy or chemotherapy) with radiologic disease progression during or following systemic therapy;
5. Child-Pugh A or B7, no history of hepatic encephalopathy;
6. Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1 at the time of ICF signature;
7. Estimated life expectancy of minimum of 12 weeks;
8. Must have at least 1 target lesion

Exclusion Criteria:

1. Central nervous system metastatic disease, leptomeningeal disease, or metastatic cord compression;
2. Prior bone marrow or organ transplantation;
3. Have a history of another primary malignancy within 5 years prior to starting study treatment. Exceptions here are as follows: the disease under study; adequately treated basal or squamous cell carcinoma of the skin; cancer of the cervix in situ;
4. Active hepatitis B infection (If Hepatitis B surface antigen \[HBsAg\] or Hepatitis B core antibody \[HBcAb\] positive, then HBV-DNA must be \< 20 IU/mL, and HBsAg-positive patients should have been treated with antiviral therapies as per the local guidelines);
5. Positive hepatitis C (HCV) RNA, Human Immunodeficiency Virus (HIV) antibody, Cytomegalovirus(CMV) DNA or syphilis serology;
6. Have received prior cell-based therapies such as targeted GPC3 therapy, TCR-T therapy, CAR-T therapy;
7. Inadequate bone marrow reserve or organ function;
8. History or current evidence of any condition or disease that could confound the results of the study or, in the opinion of Investigator, is not in the best interest of the patient to participate.
9. Pregnant or Breast-feeding women.

以上为辅助阅读译文。是否适合入组须由主治医生判断,最终以登记平台与研究者确认为准。

研究终点衡量什么算有效

  • 主要终点Ori-C101最大耐受剂量(MTD)1年。
  • 次要终点客观缓解率
核对登记原文(英文)

主要终点:Maximum tolerated dose of Ori-C101 · The MTD is defined as the highest dose with an observed incidence of DLT in no more than one out of six patients treated at a particular dose level. · 1 year
次要终点:Objective Response Rate

研究设计怎么做的

研究类型
干预性研究
入组人数
105 人(预计)
分组方式
不适用(单臂)
  • Ori-C101(GPC3定向CAR修饰T细胞)实验性
核对分组登记原文(英文)
  • Ori-C101 ( GPC3-directed chimeric antigen receptor modified T cells ) · EXPERIMENTAL

关键日期

开始日期
2022-12-15
主要完成日期
2026-12
全部完成日期
2026-12
登记状态核实于
2024-04

联系与责任方

申办方
OriCell Therapeutics Co., Ltd.

登记简述

I期、开放标签、多中心研究,评估GPC3定向嵌合抗原受体修饰T细胞注射液(Ori-C101)治疗晚期肝细胞癌(HCC)的安全性、药代动力学及初步疗效。

核对登记原文(英文)

This is a Phase I, open-label, multi-center study to assess the safety, pharmacokinetics, and preliminary efficacy of GPC3-directed chimeric antigen receptor modified T cells injection (Ori-C101) in Advanced Hepatocellular Carcinoma(HCC).

登记原文与核验信息

试验登记号
NCT05652920
试验期别
I 期 / II 期
试验状态
招募中
中国试验中心(7 个)
Peking University Cancer Hospital · 北京 · 中国 | Hunan Cancer Hospital · 长沙 · 中国 | The first hospital of Jilin University · 长春 · 中国 | West China Hospital · 成都 · 中国 | Sir Run Run Shaw Hospital · 杭州 · 中国 | Lishui Central Hospital · 丽水 · 中国 | Zhongshan Hospital Fudan University · 上海 · 中国
适应症(原文)
Hepatocellular Carcinoma
干预方式(原文)
Ori-C101