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Engineered Immune Effectors Against Cervical Cancer

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT03362619
Recruitment Status : Unknown
Verified September 2019 by Lung-Ji Chang, Shenzhen Geno-Immune Medical Institute.
Recruitment status was:  Recruiting
First Posted : December 5, 2017
Last Update Posted : September 19, 2019
Sponsor:
Information provided by (Responsible Party):
Lung-Ji Chang, Shenzhen Geno-Immune Medical Institute

Tracking Information
First Submitted Date  ICMJE November 20, 2017
First Posted Date  ICMJE December 5, 2017
Last Update Posted Date September 19, 2019
Actual Study Start Date  ICMJE November 15, 2017
Actual Primary Completion Date January 31, 2019   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: January 22, 2018)
Safety of CC-EIEs in patients using CTCAE version 4.0 standard to evaluate the level of adverse events [ Time Frame: 6 months ]
Physiological parameter (measuring cytokine response, fever, symptoms)
Original Primary Outcome Measures  ICMJE
 (submitted: November 29, 2017)
Safety of CC-CTLs in patients using CTCAE version 4.0 standard to evaluate the level of adverse events [ Time Frame: 6 months ]
Physiological parameter (measuring cytokine response, fever, symptoms)
Change History
Current Secondary Outcome Measures  ICMJE
 (submitted: January 22, 2018)
  • Functional analyses of CC-EIEs in vitro [ Time Frame: 4 weeks ]
    The specificity of CC-EIEs in vitro will be analysed by enzyme-linked immunospot assay (ELISPOT).
  • Anti-tumor effects [ Time Frame: 1 year ]
    Objective response, such as complete response (CR), partial response (PR), stable disease (SD), or progressive disease (PD) will be assessed by the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 criteria.
Original Secondary Outcome Measures  ICMJE
 (submitted: November 29, 2017)
  • Functional analyses of CC-CTLs in vitro [ Time Frame: 4 weeks ]
    The specificity of CC-CTLs in vitro will be analysed by enzyme-linked immunospot assay (ELISPOT).
  • Anti-tumor effects [ Time Frame: 1 year ]
    Objective response, such as complete response (CR), partial response (PR), stable disease (SD), or progressive disease (PD) will be assessed by the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 criteria.
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE Engineered Immune Effectors Against Cervical Cancer
Official Title  ICMJE Innovative Treatment of Cervical Cancer Using Engineered Antigen-specific Immune Effectors (EIEs)
Brief Summary The primary objective of this study is to evaluate the safety of cervical cancer specific engineered immune effectors (CC-EIEs). The secondary objectives are to evaluate the rate of successful CC-EIE generation in vitro and determine the anti-CC efficacy.
Detailed Description

Cervical cancer (CC) is a cancer arising from the cervix. Human papillomavirus (HPV) infection causes more than 90% of the cases. Other risk factors include smoking, a weak immune system, birth control pills, starting sex at a young age, and having many sexual partners, but these are less important. Worldwide, CC is both the fourth-most common cause of cancer and the fourth-most common cause of death from cancer in women. The treatment of CC consists of surgical intervention, radiation, chemotherapy and immunotherapy.

Adoptive immunotherapy with cytotoxic T lymphocytes reactive with specific viral antigens has proven to be effective. Here, the investigators aim to evaluate the safety and efficacy of multiple infusions of CC-specific engineered immune effectors including cytotoxic T lymphocytes in patients.

Study Type  ICMJE Interventional
Study Phase  ICMJE Phase 1
Phase 2
Study Design  ICMJE Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Condition  ICMJE Cervical Cancer
Intervention  ICMJE Biological: CC-EIEs
2 to 4 infusions, once a week, for 1x10^5~1x10^7 CTLs/kg via IV, abdominal cavity or intratumoral injection each time
Study Arms  ICMJE Experimental: CC-EIEs
Autologous cervical cancer specific engineered immune effectors (EIEs)
Intervention: Biological: CC-EIEs
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Unknown status
Estimated Enrollment  ICMJE
 (submitted: November 29, 2017)
20
Original Estimated Enrollment  ICMJE Same as current
Estimated Study Completion Date  ICMJE December 2020
Actual Primary Completion Date January 31, 2019   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  1. Written, informed consent obtained prior to any study-specific procedures.
  2. Age older than 10 years.
  3. Eastern Cooperative Oncology Group (ECOG) PS of 0 or 1.
  4. Expected survival ≥ 12 weeks.
  5. Not pregnant, and on appropriate birth control if of childbearing potential.
  6. Evidence of high-risk HPV infection.
  7. Stage III-IV or recurrent cervical cancer.
  8. Initial hematopoietic reconstitution with

    • neutrophils (ANC) ≥ 1,000/mm^3;
    • platelet (PLT) ≥ 100,000/mm^3.
  9. Proper renal and hepatic functions (ULN denotes "upper limit of normal range") with

    • serum creatinine ≤ 2×ULN;
    • serum bilirubin ≤ 2×ULN;
    • AST/ALT ≤ 2×ULN;
    • ALKP ≤ 5×ULN;
    • serum bilirubin. 2.0 is acceptable in the setting of known Gilbert's syndrome.
  10. Human immunodeficiency virus (HIV) and Hepatitis C virus (HCV) test negative.

Exclusion Criteria:

  1. Patients with

    • cervical benign lesions: cervical columnar epithelium ectopic, cervical polyps, cervical endometriosis and cervical tuberculous ulcers;
    • cervical benign tumors: cervical submucous myoma, cervical cancer, cervical papilloma.
  2. Patients with evidence of abdominal free air not explained by paracentesis or recent surgical procedure (prior, current or planned treatment).
  3. Previous exposure to mouse SCC antibody.
  4. Current or recent treatment (within the 28-day period prior to Day 0) with another investigational drug or previous participation in this study.
  5. Minor surgical procedures within 2 days prior to Day 0 (including central venous access device placement for chemotherapy administration, tumor biopsies, needle aspirations).
  6. Pregnant or lactating females.
  7. Inadequate bone marrow function with

    • absolute neutrophil count < 1,000/mm^3;
    • platelet count < 100,000/mm^3;
    • Hb < 9 g/dL.
  8. Inadequate liver and renal function with

    • serum (total) bilirubin > 1.5 x ULN;
    • AST & ALT > 2.5 x ULN (> 5 x ULN in patients with liver metastases);
    • alkaline phosphatase > 2.5 x ULN;
    • serum creatinine >2.0 mg/dl (> 177 μmol/L);
    • urine dipstick for protein uria should be < 2+. Patients with ≥ 2+ proteinuria on dipstick urinalysis at baseline should undergo 24 hour urine collection and must demonstrate < 1 g of protein/24 hr.
  9. Serious active infection requiring i.v. antibiotics at during screening.
  10. Subject actively infected with HCV (HCV antibody positive), HBV (HBsAg positive), HIV (HIV antibody positive), HTLV (HTLV antibody positive), Treponema pallidum antibody positive or TB culture positive.
Sex/Gender  ICMJE
Sexes Eligible for Study: Female
Ages  ICMJE 10 Years to 80 Years   (Child, Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE No
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE China
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT03362619
Other Study ID Numbers  ICMJE GIMI-IRB-17019
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement  ICMJE
Plan to Share IPD: No
Current Responsible Party Lung-Ji Chang, Shenzhen Geno-Immune Medical Institute
Original Responsible Party Same as current
Current Study Sponsor  ICMJE Shenzhen Geno-Immune Medical Institute
Original Study Sponsor  ICMJE Same as current
Collaborators  ICMJE Not Provided
Investigators  ICMJE
Principal Investigator: Lung-Ji Chang, PhD Shenzhen Geno-Immune Medical Institute
Study Director: Qichun Cai, MD Jinshazhou Hospital of Guangzhou University of Chinese Medicine
Study Director: Xun Lai, MD Yunnan Cancer Hospital & The Third Affiliated Hospital of Kunming Medical University & Yunnan Cancer Center
PRS Account Shenzhen Geno-Immune Medical Institute
Verification Date September 2019

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP