About this trial
A single-arm, single-center, open-label clinical study comprising three cohorts, evaluating the safety, preliminary efficacy, and pharmacokinetic/ pharmacodynamic (PK/PD) characteristics of autologous tumor-reactive T cells (GK02) derived from malignant ascites caused by advanced solid tumors.
The trial initially plans to enroll 9 subjects with malignant ascites caused by advanced solid tumors.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Ability to understand and sign a written informed consent document;
At the date of signing ICF, 18 ~75 years old, male or female;
Patients with advanced solid tumors confirmed by histology or pathology to have failed at least second-line treatment (treatment failure is defined as progression after treatment or intolerance after treatment), including but not limited to gastric cancer, colorectal cancer, pancreatic cancer, ovarian cancer, etc.;
Pathological diagnosis or clinical diagnosis of malignant ascites, and the researcher determines that treatment for malignant ascites is necessary; During screening, the ascites volume was confirmed to be above the medium level by ultrasound (the maximum depth of ascites in the supine position was ≥3.0cm, and the total volume was ≥500ml);
Disqualifiers
Those with a history of severe allergies or allergic reactions to any components of the drugs to be used in this study, including but not limited to NMA-LD drugs, contrast agents and contrast agents used in imaging examinations, excipients such as dimethyl sulfoxide (DMSO) and antibiotics in cell products;
Central nervous system (CNS) metastasis is present;
Toxicity from previous antitumor therapy did not return to grade 1 or baseline levels (CTCAE version 5.0);
Accompanied or prior to interstitial lung disease or interstitial pneumonia;
Trial design
Single group
Treatments tested in this trial
GK02
DrugAutologous tumor-reactive T cells
Treatment groups
Trial outcomes
Primary outcomes
Incidence of AEs
Incidence and severity of AEs, including but not limited to vital signs, physical examination, laboratory tests. All AEs will be classified as Grades 1 through 5 as defined by NCI CTCAE v5.0.
Incidence of DLTs
Number of DLTs (dose limiting toxicities) during the first 28 days after the administrations of GK02 in each cohort.
Secondary outcomes
Changes in the volume of malignant ascites
Change in malignant ascites volume at 28D(day)、2、3、4、5、6、9、12M(month) after GK02 treatment compared to baseline (prior to GK02 infusion).
PuFS
From the first infusion of GK02 to the first paracentesis for ascites drainage or death from any cause.
OS
OS will be assessed from the first GK02 infusion to death from any cause.
Other outcomes
Count of TCR copies
T-cell receptor sequencing (TCR-seq) by obtaining the copy number of the target GK02 T-cell receptors (TCRs) in peripheral blood and malignant ascites: Cmax、Tmax、AUC0-t、AUC0-inf、λz、T1/2.
Concentration of Cytokines
IL-1β、IL-2、IL-4、IL-6、IL-8、IL-10、 IL-12、TGF-b1、IFN-γ and TNF-α
Percentage of Lymphocyte subsets
Total T cells、Th/Ti cells、Ts/Tc cells、NK cells
Proportion of EpCAM + cells
Proportion of EpCAM+ cells among cells
Sponsors and contacts
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Beijing Geekgene Technology Co., LTD
Lead sponsor
Beijing GoBroad Hospital
Collaborator