Clinical Study of a Novel Humanized CD70-Targeted CAR-T Cell Incorporating TLR2 for Advanced Renal Cell Carcinoma Therapy

Trial statusNot yet recruiting
Trial phaseEarly Phase 1
Trial typeInterventional
Biological sexAll
Age18-75
SponsorWei Guan

About this trial

In this clinical study, participants with advanced renal cell carcinoma will receive a novel humanized CD70-targeted CAR-T-cell product that incorporates the TLR2 co-stimulatory domain. Peripheral blood mononuclear cells will be collected from each subject, genetically modified to express the CAR construct, and expanded ex vivo; after passing multiple quality-control assays, the CAR-T cells will be infused at the pre-specified dose. Post-infusion, the efficacy and safety of CD70-directed CAR-T-cell therapy will be systematically evaluated using clinical symptom assessments, quality-of-life questionnaires, biomarker analyses, laboratory tests, imaging studies, adverse-event monitoring, and long-term follow-up.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

1. Voluntary participation with written informed consent provided by the patient or legally authorized representative;

2.Age 18-75 years (inclusive) at the time of consent, regardless of sex;

Recurrence after first-line or later-line treatment(s).

Progression or persistent progression following prior therapy;

Disqualifiers

1.Pregnant or lactating women;

2.Uncontrolled fungal, bacterial, Treponema pallidum, viral, or other infections;

3.Active hepatitis: HBV DNA >500 IU/mL. Positive HCV RNA (confirmed by repeat testing);

4.HIV infection, known acquired immunodeficiency syndrome (AIDS), or syphilis infection;

Trial design

Design model

Single group

Treatments tested in this trial

  • CAR-T(CD70)

    Biological/Vaccine

    In this clinical study, participants with advanced renal cell carcinoma will receive a novel humanized CD70-targeted CAR-T-cell product that incorporates the TLR2 co-stimulatory domain. Peripheral blood mononuclear cells will be collected from each subject, genetically modified to express the CAR construct, and expanded ex vivo; after passing multiple quality-control assays, the CAR-T cells will be administered intratumorally under CT guidance at the pre-specified dose. Following treatment, the efficacy and safety of CD70-directed CAR-T-cell therapy will be comprehensively assessed through clinical symptom evaluations, quality-of-life questionnaires, biomarker analyses, laboratory tests, imaging studies, adverse-event monitoring, and long-term follow-up.

Treatment groups

30 Participants
are divided into 1 treatment group
Group A: Experimental ArmExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Immune Effector Cell-Associated Neurotoxicity Syndrome(ICANS)

To assess the number and severity of ICANS after treatment according to the ASTCT criteria

Time frame
in 6 months
2

Cytokine Release Syndrome(CRS)

To assess the number and severity of CRS after treatment according to the ASTCT criteria

Time frame
in 6 months
3

Objective response rate (ORR)

Objective response rate (ORR) will be assessed by imaging at 1 month, 6 months, and 1 year post-CAR-T infusion.

Time frame
1 month, 6 months, and 1 year

Secondary outcomes

1

Progression-Free Survival(PFS)

Time frame
The time from the start of treatment to disease progression, up to a maximum of 36 months.
2

Overall Survival(OS)

Time frame
The time from the start of treatment to death, up to a maximum of 36 months.
3

Adverse Events

Number of participants with treatment-related adverse events as assessed by CTCAE v4.0

Time frame
in six months

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Wei Guan

Lead sponsor

Tongji Hospital

Sponsor institution

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