Clinical Study of QH104 Cell Injection for the Treatment of Meningeal Metastases of B7H3+ Solid Tumors

Last updated: September 9, 2024
Sponsor: Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Overall Status: Active - Recruiting

Phase

N/A

Condition

Neoplasm Metastasis

Neuroblastoma

Treatment

QH104 Cell injection

Clinical Study ID

NCT06592092
QH10402-LMD-01
  • Ages > 18
  • All Genders

Study Summary

This is an open, single-arm, single-center, interventional clinical study. It is planned to enroll 3-6 patients with meningeal metastases from B7H3+ solid tumors and to explore, on a small scale, the efficacy of local injection of allogeneic B7H3 CAR-γδ T cells (3*107/dose) for the treatment of patients with meningeal metastases from B7H3+ solid tumors.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Age ≥18 years;

  2. Have a histologically or cytologically confirmed solid malignant tumor with positiveB7H3 expression;

  3. ECOG ≤ 2 or KPS ≥ 60;

  4. Life expectancy ≥ 8 weeks as assessed by the investigator;

  5. Meningeal metastases (or with brain parenchymal metastases) from any solidmalignancy that is refractory to standard treatment or for which no standardtreatment is available and positive cerebrospinal fluid (CSF) cytology;

  6. Substantially normal bone marrow reserve function and normal hepatic and renalfunction (laboratory tests are required to be satisfied prior to first treatmentwith QH104 Cell Injection): White blood cell count (WBC) ≥ 3 x 109/L; Lymphocyte count (LY) ≥ 0.8 x 109/L;Hemoglobin (Hb) ≥ 90 g/L; Platelet (PLT) ≥90×109/L; Albumin transaminase (ALT) &albumin transaminase (AST) < 1.5 x ULN; Serum creatinine (Cr) < 1.5 x ULN; Totalbilirubin < 1.5 x ULN; PT & PTT ≤ 1.25 × ULN.

  7. Pregnancy test should be negative for women of childbearing potential and both menand women agree to use effective contraception during treatment and for 1 yearthereafter;

  8. Be able to understand the requirements and matters of the trial and be willing toparticipate in the clinical study as required;

  9. Sign the trial informed consent form.

Exclusion

Exclusion Criteria:

  1. Targeted CNS irradiation within 7 days prior to receiving the first QH104 infusion;

  2. Uncontrolled comorbidities including, but not limited to: persistent or activeinfections, symptomatic congestive heart failure, unstable angina, cardiacarrhythmias, or psychiatric/social conditions that would limit the patient's abilityto comply with study requirements;

  3. Has a known psychiatric or substance abuse disorder that would interfere withcooperation with trial requirements;

  4. Is receiving treatment with any other investigational drug;

  5. Have a confirmed diagnosis of an immunodeficiency disorder;

  6. Have an active infection requiring systemic treatment;

  7. Inability to perform an MRI;

  8. Serious cardiovascular compromise: history of New York Heart Association (NYHA)class II or greater congestive heart failure, unstable angina, myocardial infarctionor stroke within 6 months of first dose, or arrhythmia requiring treatment atscreening;

  9. Allergy to immunotherapy and related cells;

  10. Prior treatment with CAR-T and other immune cell therapy;

  11. Other reasons, in the opinion of the investigator, why participation in this studyis not appropriate.

Study Design

Total Participants: 6
Treatment Group(s): 1
Primary Treatment: QH104 Cell injection
Phase:
Study Start date:
April 01, 2024
Estimated Completion Date:
December 31, 2027

Study Description

This study is an open, single-arm, single-center, interventional clinical study. It is planned to enroll 3-6 patients with meningeal metastases from B7H3+ solid tumors and to explore, on a small scale, the clinical response to local injection of allogeneic B7H3 CAR-γδ T cells (3*107/dose) for the treatment of patients with meningeal metastases from B7H3+ solid tumors. During the period of cell therapy, the enrolled subjects may be given additional multiple infusions of cells, after imaging, neurological function, cerebrospinal fluid cytology or the investigator's assessment of the potential benefit of continuing cell therapy. It is recommended that the frequency of multiple infusions be 2 weeks each, and the interval between infusions can be adjusted at a later stage based on the PK and clinical symptoms of the subject after infusion.

Connect with a study center

  • Cancer Institute and Hospital, Chinese Academy of Medical Sciences

    Beijing, Beijing 100021
    China

    Active - Recruiting

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