NY-ESO-1-specific T Cell Receptor (TCR) T Cell in Sarcoma

  • STATUS
    Recruiting
  • End date
    Feb 15, 2023
  • participants needed
    20
  • sponsor
    Sun Yat-sen University
Updated on 23 November 2021
colony stimulating factor
metastasis
g-csf
ny-eso-1
cellular therapy
soft tissue sarcoma

Summary

The main purpose of this trial is to investigate the safety and tolerability of NY-ESO-1TCR Affinity Enhancing Specific T cell Therapyin the first-line treatment failed advanced bone and soft tissue sarcoma. The secondary purpose of this trial is to investigate the efficacy of NY-ESO-1TCR Affinity Enhancing Specific T cell Therapyin the first-line treatment failed advanced bone and soft tissue sarcoma.

Description

This is a one arm, open label, dose escalation, single dose phase I study. The investigators include first-line treatment failed advanced patients with bone or soft tissue sarcoma and without standard regimen;TCR-T cell therapy has made a breakthrough for tumors in recent years. Phase I/II trial of NY-ESO-1-specific TCR-T treatment for synovial sarcoma and melanoma, conducted by the Rosenberg team at the National Cancer Institute, showed that 61% Synovial cell sarcoma patients and 55% melanoma patients benefit from this treatment, without severe side effects found in T cell receptor (TCR) transduced T-Cell Immunotherapy.

This clinical trial is mainly focused on cancer-testis antigen, because it is not expressed in normal cells. NY-ESO-1 antigen as one member of cancer-testis antigen, is commonly expressed in 10-50% of melanoma, lung, liver, esophageal, breast, prostate, bladder, thyroid and ovarian cancer cases, 60% of multiple myeloma cases, and 70-80% of synovial sarcoma. NY-ESO-1 expression was also found in 88.2% of myxoid liposarcomas, 61.1% of synovial sarcomas, 31.3% of osteosarcomas, 21.4% of pleomorphic liposarcomas, 16.7% of desmoplastic small round cell tumors, and 14.3% of chondrosarcomas. The NY-ESO-1 TCR cell therapy for synovial sarcoma and melanoma has benefited many patients, but its effect on bone and soft tissue sarcoma is still unknown. So the investigators plan to explore its efficacy.

The patients must meet the two criteria: HLA-A*0201+ and NY-ESO-1 positive cells25% by immunohistochemistry. By this trial, the dose-limiting toxicity (DLT) and maximum tolerance (MTD) will be initially identified.

Details
Condition Connective and Soft Tissue Neoplasm, Osteosarcoma, Sarcoma, All Solid Tumors, Solid Tumors, Sarcoma of Bone, Sarcoma (Pediatric), Soft Tissue Sarcoma, bone sarcoma, sarcomas, soft tissue sarcomas
Treatment NY-ESO-1(TCR Affinity Enhancing Specific T cell Therapy)
Clinical Study IdentifierNCT03462316
SponsorSun Yat-sen University
Last Modified on23 November 2021

Eligibility

Yes No Not Sure

Inclusion Criteria

Sign an informed consent before undertaking any trial-related activities
Aged 14 to 70 years old
Patients withbone and soft tissue sarcoma in stage IV by licensed pathologist
First-line treatment failed advanced patients
With measurable lesions, the product of the two maximum vertical diameters should not be less than 5mm5mm
Meet the two screening indicators: HLA-A0201+, NYESO-1+(25% by immunohistochemistry)
Eastern Cooperative Oncology Group score 0-1; life expectancy is longer than 3 months
The patient did not receive anti-tumor therapy within 4 weeks before enrollment
A brain metastasis patient in a stable condition for one month after anti-tumor therapy can be included
Left ventricular ejection fraction50%
Lab test results meet the following requirements: white blood cell count3.010^9/L; absolute neutrophil count1.5 10^9/L (No human granulocyte colony stimulating factor support); absolute lymphocyte count0.710^9/L;blood platelet75 10^9/L; Hemoglobin10g/dL (No transfusion in the last 14 days); Prothrombin time or International normalized rate 1.5normal upper limit, except taking anticoagulant therapy; thrombin time1.5normal upper limit, except taking anticoagulant therapy; Serum creatinine: 1.5mg /dL (or 132.6 microns /L)a 24-hour creatinine clearance rate60mL/ min; Aspartate transaminase / serum glutamic oxaloacetic transaminase2.5 upper limit of normal; Alanine aminotransferase/ serum glutamate pyruvate transaminase2.5 upper limit of normal; total bilirubin1.5upper limit of normal
In the case of liver metastasis, glutamate transaminase and glutamate alanine
transaminase should be less than 5 x ULN
\. Women of child-bearing age who have not undergone sterilization before
menopause must agree to use effective contraceptive measures at least 30 days
from the start of the study treatment to the last drug use, and serum
pregnancy test is negative 14 days before the first treatment
\. Men who have not received sterilization must agree to use effective
contraception from the start of the study until at least 90 days after the
last study medication is administered
\. During the whole test period, the subjects can regularly go to the
enrolled research institutions for relevant detection, evaluation and
management

Exclusion Criteria

other types of tumors; If the patient has a previous history of malignant tumor, the disease-free time of the patient needs > for 5 years
received major surgery, conventional chemotherapy, large-area radiotherapy, immune therapy or any biological anti-tumor therapy within 4 weeks before enrollment
allergic to ingredients in this trial
common terminology criteria for adverse events not return to under 2 level from previous surgery or treatment-related adverse reactions
poorly managed hypertension (systolic blood pressure >160 mmHg and / or diastolic blood pressure > 90 mmHg) or clinically serious (for example, active) cerebrovascular diseases such as cerebrovascular incident (within 6 months prior to signing the informed consent), myocardial infarction (within 6 months prior to signing the informed consent), unstable angina, grade II or above heart failure according to New York Heart Association Grading Congestive, or severe arrhythmia can not be controlled by medication or has a potential impact on the study; with consecutive three times of obvious abnormality on electrocardiogram or average QT corrected interval 450 millisecond
combined with other serious organic and mental disorders
serious or active bacteria, viral or fungal infections that require systemic treatment
with autoimmune diseases: such as a history of inflammatory bowel disease or other autoimmune diseases determined by the investigator as unsuitable for the study (e.g. systemic lupus erythematosus,vasculitis, invasive pulmonary disease)
within 4 weeks prior the infusion, received chronic systemic steroid cortisone, hydroxyurea, immunomodulatory treatment (for example: Interleukin 2, alpha or gamma interferon, granulocyte colony stimulating factor, mammalian target of rapamycin inhibitors, cyclosporine, Thymosin etc)
with organ transplantation, autologous/allogeneic stem cell transplantation and renal replacement therapy
with uncontrolled diabetes, pulmonary fibrosis, interstitial lung disease, acute lung disease, or liver failure
alcohol and / or drug abuse
pregnant or lactating women
with any medical condition or disease determined by the investigators that may be detrimental to this trial
without legal capacity / limited behavior
receive any other gene therapy products before study
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