T-Cell Therapy (ECT204) in Adults With Advanced HCC

Last updated: April 9, 2025
Sponsor: Eureka Therapeutics Inc.
Overall Status: Active - Recruiting

Phase

2

Condition

Primary Biliary Cholangitis

Liver Metastases

Liver Disease

Treatment

Regorafenib (STIVARGA®, BAY73-4506)

ECT204 T cells

Clinical Study ID

NCT04864054
ETUS20GPC3AR124
  • Ages > 18
  • All Genders

Study Summary

This is an open-label, dose escalation, multi-center, Phase I/II clinical trial aimed at assessing the safety and preliminary efficacy of an investigational ARTEMIS® ECT204 T-cell therapy. The trial is suitable for adult subjects (≥ 18 years of age) diagnosed with GPC3-positive HCC, who have failed or not tolerated at least two (2) different anti-HCC systemic agents.

Phase I has concluded and a Recommended Phase II Dose (RP2D) has been determined. We are now conducting Phase II to further confirm the safety profile of ECT204 and evaluate its efficacy.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Histologically confirmed HCC, which is unresectable, recurrent and/or metastatic.

  • GPC3-positive expression in HCC tumor cells confirmed by immunohistochemistry (IHC).To be eligible for Phase 2 (expansion phase) of the study, the subject's tumorbiopsy sample (resection or needle core sample) must demonstrate that more than 50%of tumor cells exhibit at least 3+ GPC3 expression intensity.

  • Must have failed, or not tolerated, at least two (2) different anti-HCC systemicagents.

  • Life expectancy of at least 4 months per the Investigator's opinion.

  • Karnofsky Performance Scale of 70 or higher.

  • Measurable disease by RECIST v1.1. Previously treated lesions are allowed as long asthere is a new confirmed measurable component.

  • Child-Pugh score of A6 or better.

  • Adequate organ function.

Exclusion

Exclusion Criteria:

  • Pre-existing illness (e.g., symptomatic congestive heart failure) that would limitcompliance with study requirements.

  • Active, uncontrolled systemic bacterial, fungal, or viral infection. Subjects withHuman Immunodeficiency Virus (HIV), hepatitis B, or hepatitis C are eligibleprovided their infection is being treated and the viral load is controlled.

  • Active malignancy (other than HCC), with the exception of cholangiocarcinoma (CCA)or any malignancy without any organ involvement and with an expected survival ≥ 3years without any treatment (exception: hormone/androgen- deprivation therapy).

  • Currently receiving or ending (< 14 days from date of consent) liver tumor-directedtherapy (e.g., radiation, ablation, embolization), or hepatic surgery.

  • Concurrently receiving other investigational agents, biological, chemical, orradiation therapies, while participating in the study.

  • Active autoimmune disease requiring therapy.

  • Compromised circulation in the main portal vein, hepatic vein, or vena cava due toobstruction.

  • History of organ transplant.

  • Advanced HCC involving greater than half (50%) of the liver.

Study Design

Total Participants: 30
Treatment Group(s): 2
Primary Treatment: Regorafenib (STIVARGA®, BAY73-4506)
Phase: 2
Study Start date:
March 11, 2022
Estimated Completion Date:
December 31, 2027

Study Description

This is an open-label, dose escalation, multi-center, Phase I/II clinical trial. The purpose of this study is to evaluate an investigational ARTEMIS® ECT204 T-cell therapy in adult patients with GPC3-positive advanced hepatocellular carcinoma (HCC). In this study, a patient's T cells are collected and genetically modified to express Eureka's proprietary anti-GPC3 ARTEMIS T cell receptors (AbTCR). These modified T cells are then reintroduced into the patient to specifically seek out and destroy GPC3-expressing cancer cells.

Phase 1 (Dose Escalation Phase): Completed; RP2D of ECT204 was determined.

Phase 2 (Expansion Phase): The expansion phase includes 2 study arms.

Arm A: Subjects will receive ECT204 as monotherapy

Arm B: Subjects will receive pre-treatment with regorafenib (STIVARGA®) before ECT204 administration.

The active assessment period of the study will continue for 2 years. Subjects will be followed for assessment of treatment safety and overall survival during Long Term Follow-Up (LTFU; year 2 -15).

Connect with a study center

  • National Taiwan University Cancer Center

    Taipei, 106
    Taiwan

    Active - Recruiting

  • City of Hope

    Duarte, California 91010
    United States

    Active - Recruiting

  • Kansas University Medical Center

    Westwood, Kansas 66205
    United States

    Active - Recruiting

  • Kansas University Medical Center, Principal Investigator:

    Westwood, Kansas 66205
    United States

    Completed

  • Roswell Park Comprehensive Cancer Center

    Buffalo, New York 14263
    United States

    Active - Recruiting

  • Fred Hutchinson Cancer Center, University of Washington

    Seattle, Washington 98109
    United States

    Active - Recruiting

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