What this study is
The purpose of this study is to test the safety of using T lymphocyte chimeric antigen receptor cells against the B7-H3 antigen (CAR.B7-H3T cells) in patients with glioblastoma. CAR.B7-H3T cells treatment has not been tested in humans and is not an approved treatment by the Food and Drug Administration for glioblastoma.
What's being tested
- CAR.B7-H3T cells infusion
Intervention · DRUG
The Chimeric Antigen Receptors (CAR).B7-H3T cells will be administered via intraventricular infusion up to 3 weekly infusions. A suspension of T cells infusion is given, over 5-10 minutes, via a Rickham catheter and will be followed by a normal-saline flush. Dose escalation will be performed considering the dose limiting toxicities (DLTs) listed in the protocol. Six doses will be explored. The starting dose will be 2 × 10\^6 transduced cells/infusion (Dose Level (DL) 1) and will enroll at least 3 subjects. If there are no dose DLTs within 4 weeks of the third cellular product administration in the first 3 subjects, then the next cohort will evaluate 5 × 10\^6 transduced cells/infusion (DL2).
Study details
- Official title
- Phase I Study of Intraventricular Infusion of T Cells Expressing B7-H3 Specific Chimeric Antigen Receptors (CAR) in Subjects With Recurrent or Refractory Glioblastoma
- Sponsor
- UNC Lineberger Comprehensive Cancer Center
- Conditions
- Glioblastoma Multiforme
- Enrolling
- 36 people
- Starts
- 2022-09-02
- Est. completion
- 2030-05-30
- Design
- Open-label, single group, Phase 1
- Record
- View on ClinicalTrials.gov ↗
Who can join
Age 18 Years and overSex ALLHealthy volunteers Not acceptedYou may qualify if
- Karnofsky score of > 60%
- Diagnosis or recurrent supratentorial- or infra-tentorial glioblastoma multiforme (GBM) (World Health Organization 2016 or 2021) based on Response assessment in neuro-oncology criteria (RANO) magnetic resonance imaging (MRI) criteria. Disseminated GBM down the spinal cord is not allowed. Must have previously undergone resection or biopsy at initial diagnosis.
- Must have undergone at least 4005 cGy of radiation with concurrent temozolomide.
- No current or previous exposure to antiangiogenic agents, such as bevacizumab.
- Female subjects of childbearing potential must be willing to abstain from heterosexual activity or to use 2 forms of effective methods of contraception from the time of informed consent until 6 months after study treatment discontinuation.
- Male subjects with female partners must have had a prior vasectomy or agree to use an adequate method of contraception starting with the first dose of study therapy through 3 months after the cell infusion therapy. If a male subject receives multiple infusions, they must remain on contraception throughout the duration and 3 months after the last cell infusion therapy.
- The subject is willing and able to comply with study procedures based on the judgment of the investigator.
You can't join if
- Subject is pregnant or lactating (Note: Breast milk cannot be stored for future use while the mother is being treated on study).
- Subjects with a prior or concurrent malignancy whose natural history or treatment has the potential to interfere with the safety or efficacy assessment of the investigational regimen.
- Active infection with HIV, hepatitis B virus, hepatitis C virus (HCV). Note: To meet eligibility subjects are required to be negative for HIV antibody, negative for HTLV1 and 2 antibodies, negative for Hepatitis B surface antigen, and negative for HCV antibody and viral load.
- Contraindication to MRI contrast agents or an inability to undergo MRI scans due to MRI non-compatible implanted materials.
- Prior exposure to chimeric antigen receptor T cell therapy for treatment of glioblastoma.
- Evidence of disseminated disease involving the brainstem, cerebellum or spinal cord.
- Previously implanted carmustine wafers or brachytherapy for the treatment of glioma.
Sign in and we'll check these against your records.Full criteria on ClinicalTrials.gov ↗
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Study locations (1)
1 openLineberger Comprehensive Cancer Center
Chapel Hill, North Carolina, United States
- Sierra Thomas · Contact919-445-4208UNCImmunotherapy@med.unc.edu
- Chelsea Baker · Contact+1 919-962-8491UNCImmunotherapy@med.unc.edu
- Felicia Cao, MD, PhD · Principal investigator
Recruiting
Study team
Sponsor
UNC Lineberger Comprehensive Cancer Center
Study ID LCCC2059-ATL
Principal investigator
Felicia Cao, MD, PhD
UNC Lineberger Comprehensive Cancer Center
Frequently asked questions
The sponsor hasn't published answers to common questions for this trial.