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FT825(HER2 CAR-T)治疗晚期实体瘤:I 期临床试验

英文原题:FT825/ONO-8250, an Off-the-Shelf, HER2 CAR-T, With or Without Monoclonal Antibodies in Advanced Solid Tumors

ClinicalTrials.gov 2024/02/05(首次登记) I 期注册临床试验 · 招募中

简要介绍

这是一项 I 期注册临床试验,评估细胞治疗用于晚期实体瘤的安全性、可行性及初步疗效。当前状态:招募中。计划入组 351 例。试验地点:美国 · 吉尔伯特、拉霍亚、纽黑文、芝加哥(共 14 个中心)。登记号:NCT06241456。

入组条件决定能不能参加

不限性别 · ≥ 18 Years

纳入标准:
• 组织病理学或细胞学确诊局部晚期或转移性癌症,且符合方案规定的标准。
• 疾病不适合根治性治疗;既往治疗要求依肿瘤类型而定。
• 女性和男性参与者须按当地临床研究避孕法规采取避孕措施。
• ECOG体能状态评分0或1。
• 首次研究干预开始前28天内,依据RECIST 1.1评估存在可测量疾病。
• 预期生存期至少3个月。

排除标准:
• 妊娠或哺乳期女性。
• 器官功能不足。
• 临床显著心血管疾病。
• 已知恶性肿瘤活动性累及中枢神经系统(CNS)。
• 非恶性CNS疾病,如卒中、癫痫、CNS血管炎或神经退行性疾病;或入组前2年内因上述疾病接受药物治疗。
• 活动性细菌、真菌或病毒感染。
• 既往接受嵌合抗原受体(CAR)T细胞治疗、其他细胞治疗或FATE研究性人诱导多能干细胞(iPSC)产品。
• 有需使用类固醇治疗的非感染性间质性肺病(ILD)/肺炎史、当前患有ILD/肺炎,或筛查影像学怀疑ILD/肺炎且无法排除。
• 既往癌症免疫治疗引起≥3级免疫相关不良事件或≥2级眼部毒性;激素替代治疗可控制的内分泌病或无症状血清淀粉酶/脂肪酶升高除外。
• 有活动性或既往自身免疫性疾病或免疫缺陷。
• 曾接受异体器官移植。
核对登记原文(英文)
Inclusion Criteria:

* Histopathological or cytologically confirmed locally advanced or metastatic cancer that meets protocol-defined criteria
* Disease that is not amenable to curative therapy, with prior therapies defined by specific tumor types
* Contraceptive use by women and men should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies
* Eastern Cooperative Oncology Group (ECOG) Performance Status 0 or 1
* Presence of measurable disease by RECIST, v1.1 assessed within 28 days prior to start of first study intervention
* Anticipated life expectancy of at least 3 months

Exclusion Criteria:

* Females who are pregnant or breastfeeding
* Evidence of inadequate organ function
* Clinically significant cardiovascular disease
* Known active central nervous system (CNS) involvement by malignancy
* Non-malignant CNS disease such as stroke, epilepsy, CNS vasculitis, or neurodegenerative disease or receipt of medications for these conditions within 2 years prior to study enrollment
* Active bacterial, fungal, or viral infections
* Prior receipt of chimeric antigen receptor (CAR) T-cell therapy, other cellular therapy, or a FATE investigational human induced pluripotent stem cell (iPSC) product
* History of (non-infectious) interstitial lung disease (ILD)/pneumonitis that required steroids, current ILD/pneumonitis, or suspected ILD/pneumonitis that cannot be ruled out based on imaging at screening
* Any history of Grade ≥3 immune-related AE or Grade ≥2 eye toxicity attributed to prior cancer immunotherapy, other than endocrinopathy managed with replacement therapy or asymptomatic elevation of serum amylase or lipase
* Active or history of autoimmune disease or immune deficiency
* Receipt of an allograft organ transplant

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

  • 主要终点发生剂量限制性毒性(DLT)的参与者人数最长约29天
  • 主要终点发生治疗期间出现的不良事件(TEAE)的参与者人数最长约2年
  • 主要终点不良事件严重程度最长约2年
  • 次要终点研究者评估的总缓解率(ORR)
  • 次要终点研究者评估的缓解持续时间(DOR)
  • 次要终点无进展生存期(PFS)
  • 次要终点总生存期(OS)
  • 次要终点FT825血浆浓度
核对登记原文(英文)

主要终点:Number of participants with dose limiting toxicities (DLTs) · The number of participants with DLTs will be reported. · Up to approximately 29 days;Number of participants with treatment-emergent adverse events (TEAEs) · The number of participants with TEAEs will be reported. · Up to approximately 2 years;Severity of AEs · Severity of AEs will be determined according to appropriate rating scales for the type of event reported. · Up to approximately 2 years
次要终点:Investigator-Assessed Overall Response Rate (ORR);Investigator-Assessed Duration of Response (DOR);Progression-Free Survival (PFS);Overall Survival (OS);Plasma Concentration of FT825

研究设计怎么做的

研究类型
干预性研究
入组人数
351 人(预计)
分组方式
非随机分组
  • 方案A:FT825试验组

    晚期HER2表达实体瘤参与者在第1周期(每周期约61天)化疗后接受FT825。根据第1周期的安全性、耐受性及影像学确认的临床获益,可考虑增加一个治疗周期(第2周期再治疗)。

  • 方案B:FT825联合西妥昔单抗试验组

    晚期表皮生长因子受体(EGFR)表达实体瘤参与者在第1周期化疗后接受FT825联合西妥昔单抗(每周期约61天)。根据第1周期的安全性、耐受性及影像学确认的临床获益,可考虑增加一个治疗周期(第2周期再治疗)。

核对分组登记原文(英文)
  • Regimen A: FT825 · EXPERIMENTAL · Participants with advanced HER2-expressing solid tumors receive FT825 following chemotherapy in Cycle 1 (each cycle is approximately 61 days). Based on the safety, tolerability, and radiographically confirmed clinical benefit to treatment in Cycle 1, participants may be considered for an additional treatment cycle (Cycle 2 retreatment).
  • Regimen B: FT825 + Cetuximab · EXPERIMENTAL · Participants with advanced epidermal growth factor receptor (EGFR)-expressing solid tumors receive FT825 in combination with cetuximab following chemotherapy in Cycle 1 (each cycle is approximately 61 days). Based on the safety, tolerability, and radiographically confirmed clinical benefit to treatment in Cycle 1, participants may be considered for an additional treatment cycle (Cycle 2 retreatment).

关键日期

开始日期
2024-01-05
主要完成日期
2029-05-01
全部完成日期
2044-05-01
登记状态核实于
2024-12

联系与责任方

申办方
Fate Therapeutics
联系邮箱
FateTrialDisclosure@fatetherapeutics.com
联系电话
858-875-1800

登记简述

这是一项I期研究,旨在评估FT825(又称ONO-8250)作为现货型HER2 CAR-T,在化疗后单独使用或联合单克隆抗体治疗HER2阳性或其他晚期实体瘤的安全性、耐受性和抗肿瘤活性。研究包括剂量递增阶段,随后在不同适应症队列中扩展,以进一步评估FT825的安全性和活性。

核对登记原文(英文)

This is a phase 1 study designed to evaluate the safety, tolerability, and antitumor activity of FT825 (also known as ONO-8250) with or without monoclonal antibody therapy following chemotherapy in participants with advanced human epidermal growth factor receptor 2 (HER2)-positive or other advanced solid tumors. The study will consist of a dose-escalation stage, followed by an expansion stage to further evaluate the safety and activity of FT825 in indication-specific cohorts.

登记原文与核验信息

试验登记号
NCT06241456
试验期别
I 期
试验状态
招募中
试验中心
Banner MD Anderson Cancer Center · 吉尔伯特 · 美国 | University of California San Diego Moores Cancer Center · 拉霍亚 · 美国 | Yale New Haven Hospital - Yale Cancer Center · 纽黑文 · 美国 | University of Chicago Medical Center · 芝加哥 · 美国 | Karmanos Cancer Institute · 底特律 · 美国 | University of Minnesota Medical School · 明尼阿波利斯 · 美国 | Washington University School of Medicine · 圣路易斯 · 美国 | Memorial Sloan Kettering Cancer Center · 纽约 · 美国
适应症(原文)
Advanced Solid Tumor
干预方式(原文)
FT825; Fludarabine; Cyclophosphamide; Bendamustine; Docetaxel; Cisplatin; Cetuximab