Last updated: April 10, 2024
Sponsor: TCRCure Biopharma Ltd.
Overall Status: Active - Recruiting
Phase
1/2
Condition
Carcinoma
Cervical Cancer
Treatment
Cyclophosphamide Capsules
TC-E202 cells
IL-2
Clinical Study ID
NCT05357027
TC-E202-CC-PI
Ages 18-70 Female
Study Summary
Eligibility Criteria
Inclusion
Inclusion Criteria:
- Be able to understand and sign the Informed of Consent Document. Be willing to followthe procedure and protocol of the clinical trial.
- Age ≥ 18 years and ≤ 70 years.
- Expected survival time > 3 months.
- ECOG score 0-1.
- Recurrent or metastatic cervical carcinoma based on TNM & FIGO stagedhistopathological investigation.
- Received at least second-line standard treatment and diagnosed as PD through imageassessment. (previously received radio-therapy, chemo-therapy, targeted-therapy orimmune-therapy, wash-out period > 14 or 5 half life)
- Be able provide fresh or preserved tissue specimen. (fresh specimen first, paraffinespecimen or at least 12 tumor section, tumor tissue >20%)
- At least 1 measurable lesion (according to RECIST1.1 standard).
- HPV16 positive.
- HLA-A2 positive.
- Hematology should at least meet the following criteria: Absolute neutrophil count (ANC) ≥ 1.5× 109/L (±20%); Platelet (PLT) ≥ 75× 109/L (±20%); Hemoglobin (HGB) ≥ 90 g/L (±20%).
- Blood biochemistry should at least meet the following criteria: Serum creatinine (Cr) ≤ 1.5 times of upper limit of normal (ULN) or creatine clearance ≥ 60 ml/min; Serum Alanine aminotransferase (ALT) or/and Aspartate aminotransferase (AST) ≤ 2.5 times of upper limit of normal; Total bilirubin (TBIL) ≤ 15 times of upperlimit of normal.
- Blood coagulation function is normal: Prothrombin time (PT) ≤ 1.5 ULN, InternationalNormalized Ratio (INR) ≤ 1.5 ULN, or Activated Partial Thromboplastin Time (APTT) ≤ 1.5 ULN.
- Women of childbearing potential should be ascetic or take contraception since thesigning of ICF to 24 weeks or later after the last administration of drug.
- Recovered from toxic effect of previous treatment (CTCAE ≤ 1), or related AE(s) is notdefined as safety issue.
- Catheter insertion is feasible and No White Blood Cells collection contraindications.
Exclusion
Exclusion Criteria:
- Under pregnancy or lactation, or positive based on blood pregnancy test.
- Severe allergic to related ingredients in the clinical trial.
- Received any other investigational treatment within 4 weeks before the firstadministration or enrolled in another clinical trial the same time (exception: theother treatment is observational and non-investigational or the patient is underfollow-up period)
- Primary central nerve system (CNS) cancer, or subjects with CNS metastasis afterlocalized treatment (except patients without CNS metastasis, clinically stable andneither steroid treatment nor treatment for CNS metastasis).
- Patients with active autoimmune disease or require systemic steroid treatment. (exceptpatients with cutaneous condition but without systemic treatment, or subjects withasthma in childhood but without intervention after grown-up, or subjects withhypothyroidism mediated by autoimmune dysfunction and receiving thyroxine as replacedtreatment)
- Immunodeficiency including HIV positive, harvested or natural immunodeficiency.
- Patients with ≥ grade 3 thromboembolic events within 2 years or under thrombolysistreatment.
- Patients with hereditary or acquired hemorrhagic disease
- Patients with cardiovascular disease or symptoms: congestive heart failure (NYHA > 2); history of unstable angina pectoris; miocardialinfarction within 48 weeks; clinically significant malignant arrhythmia (except atrialfibrillation and paroxysmal supraventricular tachycardia); Clinically significantprolonged QTcF (Male QTcF > 450 msec, Female QTcF > 470 msec); Uncontrolledhypertension.
- Patients under active infection (except subjects with fever caused by tumor)
- Patients with active tuberculosis, or history of active tuberculosis within 1 yearbefore enrollment, or history of active tuberculosis over a year before enrollment butwithout standard treatment.
- Patient with Active Hepatitis B or Active Hepatitis C.
- Treponema pallidum antibody positive.
- Received major surgery or under severe injury within 4 weeks before enrollment.
- History of drug abuse, alcohol or drug addiction.
- Received cell therapy before enrollment,such as TCR-T,CAR-T and TIL .
- Allergic to IL-2.
- Received treatment related chemo-therapy within 14 days of TC-E202 infusion (exceptlymphodepletion) .
- Patient not suitable for the clinical trial according to investigators.
Study Design
Total Participants: 18
Treatment Group(s): 4
Primary Treatment: Cyclophosphamide Capsules
Phase: 1/2
Study Start date:
August 10, 2022
Estimated Completion Date:
August 31, 2025
Study Description
Connect with a study center
Xiaochun Cheng
Chongqing, Chongqing 400000
ChinaActive - Recruiting
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