Status:

UNKNOWN

A Clinical Research of CAR T Cells Targeting CEA Positive Colorectal Cancer (CRC)

Lead Sponsor:

Ruijin Hospital

Collaborating Sponsors:

HuaDao (Shanghai) Biomedical Co., Ltd.

Conditions:

Stage III Colorectal Cancer

Colorectal Cancer Liver Metastasis

Eligibility:

All Genders

18-65 years

Phase:

EARLY_PHASE1

Brief Summary

The main purpose of this research is to verify the safety of CEA targeted chimeric antigen receptor T cells and to determine the proper dosage of CAR T cells infused.

Detailed Description

Chimeric antigen receptor (CAR)-modified T cells have demonstrated great successes in treating even late stage cluster of differentiation antigen 19 (CD19) positive B cell malignancies. But it has few...

Eligibility Criteria

Inclusion

  • CEA positive T4/N2 high-risk stage-Ⅲ colorectal cancer after surgery or patients with colorectal cancer liver metastasis after R0 surgery;
  • Patients whose serum CEA ≥11 ng/mL;
  • Life expectancy ≥ 3 months;
  • PS score 0-2, KPS score ≥60;
  • \>3 CTC/7.5 mL blood sample;
  • Patients who plan to use XELOX chemotherapy after surgery;
  • Patients must have adequate organ function , such as NYHA heart function classification grade III or higher, no severe anemia, hypoxia; liver function: total bilirubin ≤ 1.5 × ULN (total bilirubin ≤ 3 × ULN when liver metastasis), ALT≤2.5×ULN, AST≤2.5×ULN (ALT or/and AST≤5×ULN when liver metastasis); renal function: blood creatinine ≤1.5 × ULN and creatinine clearance ≥50 mL/min, only when blood creatinine ≤ Calculate the creatinine clearance rate when 1.5 × ULN;
  • Sufficient peripheral blood can be obtained through peripheral veins without contraindications to apheresis;
  • Patients of childbearing age have no birth plans and take effective contraceptive measures during the study period and within 1 year after the study.

Exclusion

  • Patients who have a history of severe central nervous system disease;
  • Other organ metastases except liver;
  • Patients who have non malignant diseases, including autoimmune diseases, primary immunodeficiency diseases or obstructive or restrictive respiratory diseases;
  • Patients received car-t or other gene modified T cell therapy previously;
  • Patients who plan to use other targeted anti-tumor drugs;
  • Patients who participated in other clinical studies within 30 days before screening or planned to participate in other clinical studies during the study period;
  • Patients who have syphilis or HIV / HBV / HCV / HPV / EBV / CMV infection ; HBV-DNA copy number ≥ 1 × 10 \^ 5 copies / ml is required for HBV seropositive patients;
  • Patients who have uncontrollable systemic infectious diseases;
  • Patients who have multiple malignant tumor;
  • Patients who received or may need Chinese herbal medicine, systemic glucocorticoid or other immunosuppressants within 2 weeks before enrollment;
  • Patient who are pregnancy and lactating;
  • Patients who have severe gastroduodenal ulcer, ulcerative colitis and other intestinal inflammation;

Key Trial Info

Start Date :

August 30 2020

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

August 30 2023

Estimated Enrollment :

18 Patients enrolled

Trial Details

Trial ID

NCT04513431

Start Date

August 30 2020

End Date

August 30 2023

Last Update

August 14 2020

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