BGT007H Cells for the Treatment of Refractory Digestive System Tumors

Last updated: October 23, 2023
Sponsor: The Affiliated Hospital of Xuzhou Medical University
Overall Status: Active - Recruiting

Phase

1

Condition

Digestive System Neoplasms

Abdominal Cancer

Treatment

BGT007H Injection

Clinical Study ID

NCT06104215
BR-BGT-005
  • Ages 18-70
  • All Genders

Study Summary

This is an exploratory clinical study evaluating the safety and initial efficacy of BGT007H injection in the treatment of recurrent/metastatic/refractory digestive system tumors.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Voluntarily sign a written informed consent;
  2. Age ≥18 years old, ≤70 years old, male and female;
  3. Expected survival ≥ 3 months;
  4. The Eastern Cancer Collaboration (ECOG) physical fitness score was 0-1;
  5. Biopsy specimen or pathological wax section test (within 3 years before the signing ofinformed consent) : Target protein test is positive;
  6. At least one measurable lesion according to RECIST v1.1 solid tumor evaluationcriteria;
  7. Patients with recurrent/metastatic refractory digestive tract tumors (esophageal,gastric, pancreatic, or colorectal cancer) who have previously received second-line orabove standard treatment failure or intolerance;
  8. It is possible to establish a vein access for simple or intravenous blood collection,and there are no other contraindications for blood cell separation;
  9. having adequate organ and bone marrow function, as defined below: Blood routineexamination Neutrophil count (NEU #) ≥1.0×10^9/L Platelet count (PLT) ≥80×10^9/LHemoglobin concentration ≥90g/L Liver function: subjects without liver metastasesAspartate aminotransferase (AST) ≤2.5× Upper Limit of Normal (ULN) Alanineaminotransferase (ALT) ≤2.5× Upper Limit of Normal (ULN) Total bilirubin (TBIL) ≤1.5×ULN Liver function: Subjects with liver metastases Aspartate aminotransferase (AST) ≤5× Upper limit of normal (ULN) Alanine aminotransferase (ALT) ≤5× Upper limitof normal (ULN) Liver function: Subjects with liver metastases or Gilbert syndromeTotal bilirubin (TBIL) ≤2×ULN renal function Creatinine clearance (CCR) ≥50 mL/minCoagulation function International Standardized ratio (INR) ≤1.5×ULN Activated partialthromboplastin time (APTT) ≤1.5×ULN
  10. Toxic side effects left over from previous anti-tumor therapy (radiotherapy,chemotherapy, targeted therapy, etc.) ≤ grade 1 (CTCAE 5.0);
  11. During the study period and for 6 months after the end of dosing, fertile subjects (both male and female) must use effective medical contraception. For female subjectsof reproductive age, a pregnancy test should be performed within 72 hours before thefirst dose and the result is negative.

Exclusion

Exclusion Criteria:

  1. Active central nervous system metastases (except those stable after treatment);
  2. HIV positive, HBsAg positive, HBV DNA copy number positive (quantitative detection ≥1000cps/ml), HCV antibody positive and HCV RNA positive;
  3. Patients with mental or mental illness who cannot cooperate with treatment andefficacy evaluation;
  4. Subjects with severe autoimmune diseases and long-term use of immunosuppressants;
  5. Active or uncontrolled infections requiring systemic treatment during the 14 daysprior to enrollment;
  6. Any unstable systemic disease (including but not limited to) : Active infections (except local infections); unstable angina pectoris; cerebralischemia or cerebrovascular accident (within 6 months prior to screening); myocardialinfarction (within 6 months before screening); Congestive heart failure (New YorkHeart Association [NYHA] classification ≥III); Severe arrhythmias requiring medicaltreatment; have a heart condition that requires treatment or uncontrolled hypertensionafter treatment (blood pressure > 160mmHg/100 mmHg);
  7. dysfunction of important organs such as lung, brain and kidney;
  8. The subject has undergone major surgery or severe trauma within 4 weeks prior toreceiving cell therapy, or is expected to undergo major surgery during the studyperiod;
  9. Received any systemic chemotherapy, immunotherapy, or small molecule targeted therapywithin 1-2 weeks prior to anapheresis or within 5 half-lives, whichever is shorter;
  10. The subject currently has or has had other malignant tumors that cannot be curedwithin 3 years, except cervical carcinoma in situ or basal cell carcinoma of the skin,and other malignant tumors with disease-free survival of more than 5 years;
  11. Received chimeric antigen receptor modified T cells (including CAR-T, TCR-T) withinsix months;
  12. Graft-versus-host disease (GVHD);
  13. Participants who were receiving systemic steroid therapy prior to screening and whowere determined by the investigator to require long-term use of systemic steroidtherapy during treatment (except for inhalation or topical use); And subjects treatedwith systemic steroids within 72 h prior to cell transfusion (except for inhalation ortopical use);
  14. Severe allergies or history of allergies;
  15. Subjects requiring anticoagulation therapy;
  16. Pregnant or breastfeeding women, or have a pregnancy plan within six months (for bothmen and women)
  17. Researchers believe that there are other reasons for not being included in thetreatment.

Study Design

Total Participants: 14
Treatment Group(s): 1
Primary Treatment: BGT007H Injection
Phase: 1
Study Start date:
October 22, 2023
Estimated Completion Date:
October 20, 2027

Study Description

The researchers designed a single arm, open, exploratory study to improve the "3+3" dose escalation. The maximum dose or the best effective dose shall be determined according to the subject and dose increasing test to verify the safe and effective number of cells per unit weight. The improved "3+3" dose increasing design was adopted, and BGT007H cells were set with 5 dose groups that were gradually increased for treatment evaluation. The dose groups were 2.0 × 10^8cells,5.0 × 10^8cells,1.0 × 10^9cells,3.0 × 10^9cells,6.0 × 10^9cells。 Cell reinfusion will be carried out on day 0 (d0), and each subject will be observed for at least 4 weeks after receiving cell reinfusion (DLT observation period).

Connect with a study center

  • The Affiliated Hospital of Xuzhou Medical University

    Xuzhou, Jiangsu 221000
    China

    Active - Recruiting

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.