NY-ESO-1 TCR-T Cells for NY-ESO-1 Positive Subjects With Advanced Solid Tumors

Last updated: April 10, 2024
Sponsor: TCRCure Biopharma Ltd.
Overall Status: Active - Recruiting

Phase

1

Condition

Neoplasms

Treatment

TC-N201 cells

Cyclophosphamide

IL-2

Clinical Study ID

NCT05881525
TC-N201-ST
  • Ages 18-70
  • All Genders

Study Summary

New York Esophageal Squamous Cell Carcinoma 1 (NY-ESO-1) is a cancer-testis antigen (CTA) which is expressed in various tumors. In TCR-T therapy, researchers take the blood of a certain patient, select T cells and insert genes into the cell that expressing a kind of protein that targeting NY-ESO-1. The genetically engineered cells are called NY-ESO-1 TCR-T cells. Then the engineered cells are re-infused to the cancer patients to cure the disease or prolong life.

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;
  • Metastatic or recurrent solid tumors confirmed by histopathology;
  • Refractory to standard treatment evaluated by radiological assessment;
  • Be able provide fresh or preserved tissue specimen;
  • At least 1 measurable lesion (according to RECIST 1.1);
  • NY-ESO-1 expression positive: Immunohistochemical staining positive cells ≥25% andpositive staining intensity is "++" or above;
  • HLA typing is HLA-A2 (excluding HLA-A*0203);
  • Hematology should at least meet the following criteria:
  1. Absolute neutrophil count (ANC) ≥ 1.5× 109/L (±20%);
  2. Platelet (PLT) ≥ 75× 109/L (±20%);
  3. Hemoglobin (HGB) ≥ 90 g/L (±20%).
  • Liver and kidney function are normal:
  1. Serum creatinine (Cr) ≤ 1.5 times of upper limit of normal (ULN) or creatineclearance ≥ 60 ml/min;
  2. Serum Alanine aminotransferase (ALT) or/and Aspartate aminotransferase (AST) ≤ 2.5 times of upper limit of normal;
  3. Total bilirubin (TBIL) ≤ 15 times of upper limit 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;
  • Echocardiogram results show: Left ventricular ejection fraction >45%;
  • 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 Note: Womenof childbearing age who have undergone surgical sterilization or who have alreadyexperienced menopause are considered to have no possibility of pregnancy.
  • Before the TC-N201 injection was reconstituted, the toxic effects of standardtreatment had already recovered, and the corresponding adverse events were judged bythe researcher to not pose a safety risk;
  • 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;
  • History of other known malignant tumors within the previous 5 years, includingcarcinoma in situ of the cervix, basal cell carcinoma of the skin, and carcinoma insitu of the prostate; Except for localized tumors that have been cured;
  • Primary central nerve system (CNS) cancer, or subjects with CNS metastasis afterlocalized treatment;
  • Subjects with any active autoimmune disease, a history of autoimmune disease, or ahistory or syndrome requiring treatment with systemic steroids or immunosuppressivedrugs;
  • Immunodeficiency including HIV positive, harvested or natural immunodeficiency;
  • Subjects with ≥ grade 3 thromboembolic events within 2 years or under thrombolysistreatment;
  • Subjects with hereditary or acquired hemorrhagic disease;
  • Have clinical cardiovascular disease or symptoms;
  • Subjects with active infection: active infection requiring systemic anti-infectivetreatment (except topical antibiotics), fever caused by cancer could be enrolledaccording to the investigator's judgment;
  • Subjects with active pulmonary tuberculosis infection detected by medical history orComputed Tomography (CT), or a history of active pulmonary tuberculosis infectionwithin 1 year before enrollment, or a history of active pulmonary tuberculosisinfection more than 1 year before enrollment but without regular treatment;
  • Subjects with positive hepatitis B surface antigen or positive hepatitis B coreantibody or positive hepatitis C virus antibody;
  • Treponema pallidum antibody positive;
  • Subjects received major surgery or under severe injury within 4 weeks before TC-N201cell infusion;
  • Subjects who received live vaccine or attenuated live vaccine 28 days beforeleukapheresis;
  • Subjects who have drug addiction history, or alcoholism, drug users;
  • Subjects who received cell therapy before enrollment,such as TCR-T,CAR-T and TIL;
  • Subjects who have previously received treatment targeting NY-ESO-1;
  • Subjects not suitable for the clinical trial according to investigators.

Study Design

Total Participants: 18
Treatment Group(s): 5
Primary Treatment: TC-N201 cells
Phase: 1
Study Start date:
June 01, 2023
Estimated Completion Date:
March 31, 2025

Study Description

This is a single-center, open-label, Phase I clinical study of TCR-T cells for the treatment of the recurrent/metastatic solid tumors patients who had failed standard therapy.

Objective:

To evaluate the safety and efficacy of TCR-T cells for the treatment of advanced solid tumors.

Eligibility:

Adults aging 18-70 with advanced solid tumors

Design:

Patients will undergo screening tests, including imaging procedures, heart and lung tests, and lab tests.

Patients will have leukapheresis. Blood will be removed through a needle in the arm. A machine separates the white blood cells. The rest of the blood is returned through a needle in the other arm.

Engineered T cells will be re-infused into the patient. Patients will stay in hospital and be evaluated

Connect with a study center

  • TCRCure Biopharma Ltd.

    Chongqing,
    China

    Active - Recruiting

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