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Clinical study on the safety and effectiveness of CART cells in the treatment of advanced ALPP-positive tumors

Clinical study on the safety and effectiveness of CART cells in the treatment of advanced ALPP-positive tumors

Status
Recruiting
Phases
Early Phase 1
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2100053829
Enrollment
Unknown
Registered
2021-11-30
Start date
2021-11-15
Completion date
Unknown
Last updated
2022-10-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Ovarian cancer, melanoma, pancreatic cancer, gastric cancer, etc.

Interventions

Sponsors

The First Bethune Hospital of Jilin University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 65 Years

Inclusion criteria

Inclusion criteria: 1. Aged 18 - 65 years; 2. Target expression >=1 + as determined by immunohistochemistry (IHC) in a laboratory accredited by the sponsor; 3. Pathological diagnosis is Digestive tract tumors; 4. Patients who are unable or unsuitable for surgery or who have recurrence after surgery; 5. According to RECIST 1.1 version or EORTC or PERCIST of the standard has at least one measles extracranial measurable lesion has not received radiotherapy; 6. Expected survival of >= 90 days; 7. The main organs function properly, that is, meet the following criteria: 1) The ECOG physical status score is 0-2; 2) Blood test should meet the following criteria: HB >= 90g/L (no blood transfusion within 14 days); ANC >= 1.5x10^9/L; PLT >= 80 x 10^9/L; 3) Biochemical tests should meet the following criteria: TBIL 50 ml / min (Cockcroft-Gault formula); 8. There was no hemorrhagic disease or coagulation dysfunction; 9. No allergy to the contrast agent; 10. Women of childbearing age must have a pregnancy test (serum or urine) within 7 days before enrollment and the result is negative and are willing to use appropriate methods of contraception either during the experiment and 8 weeks after the last dose of CART (subject to sterilization or menopause women who have been at least 2 years old can be considered as having no fertility); 11. Participants voluntarily joined the study, signed informed consent, compliance is good, with follow-up.

Exclusion criteria

Exclusion criteria: 1. Previous history of other malignant tumors; 2. T cell transduction efficiency 140 mmHg, diastolic > 90 mmHg), patients with grade I or higher myocardial ischemia or myocardial infarction, grade I and above arrhythmias Including QT interval >= 440ms) or complete cardiac function; 5. Long-term unhealed chest or other parts of the wound or fracture; 6. Those with a history of abuse of psychotropic substances who can not be abstinent or who have mental disorders; 7. Past and current patients with objective evidence of a history of pulmonary fibrosis, interstitial pneumonia, pneumoconiosis, radiation pneumonitis, drug-associated pneumonia, severely impaired pulmonary function; 8. There are fungi, bacteria, viruses, or other infections that can not be controlled or require antimicrobial treatment. If there is a response to active therapy, a simple urinary tract infection and no complication of bacterial pharyngitis are allowed after consultation with the medical examiner; 9. For subjects with previously used chemotherapy, >= 2 hematologic toxicity or >= 3 non-hematologic toxicity at enrollment according to NCI-CTCAE 4.0 criteria; 10. Known history of HIV or Hepatitis B (HBsAg positive) or Hepatitis C virus (anti-HCV positive) infection is known; 11. There are any indwelling catheters or drains (eg, percutaneous nephrostomy tubes, indwelling Foley catheters, bile ducts, or pleural/peritoneal/pericardial catheters). Allow use of a dedicated central venous catheter; 12. Brain metastases; 13. There is a CNS history or disease, such as seizure disease, cerebrovascular ischemia/hemorrhage, dementia, cerebellar disease, or any autoimmune disease involving CNS; 14. There is a significant immunodeficiency; 15. Have a history of severe hypersensitivity reactions to the major therapeutic agents used in this study, including fludarabine, cyclophosphamide, mesna, and tocilizumab and anti-infectives against CRS during pretreatment; 16. There was a history of deep venous thrombosis or pulmonary embolism within the first 6 months of enrollment; 17. A history of autoimmune diseases (eg, Crohn's disease, rheumatoid arthritis, systemic lupus erythematosus) that cause damage to the terminal organ or that require systemic immunosuppression / systemic disease modulation over the past two years; 18. With hemorrhagic disease or coagulation dysfunction.

Design outcomes

Primary

MeasureTime frame
Objective response rate (ORR);safety;

Secondary

MeasureTime frame
Duration of Response;Incidence of Adverse Events;Serum cytokine levels;

Countries

China

Contacts

Public ContactJiuwei Cui

The First Bethune Hospital of Jilin University

cuijw@jlu.edu.cn+86 431 88783172

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026