Clinical Safty and Efficacy Study of Infusion of iNKT Cells and CD8+T Cells in Patients With Advanced Solid Tumor

Trial statusRecruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age18-70
SponsorShanghai Public Health Clinical Center

About this trial

Invariant Natural killer T (iNKT) cells are a unique subset of lymphocytes that express homogeneous TCR recognizing KRN7000 which was up-regulated by many kinds of cancer cells. PD-1+CD8+T cells of patients with advanced tumor are most likely tumor-specified. Our hypothesis is that immunotherapy strategy of infusion of iNKT cells and PD-1+CD8+T cells may decrease the tumor burden and improve overall survival. The purpose of this study is to assess the safety and efficacy of treatment of patients with advanced solid tumor by infusing of iNKT cells and PD-1+CD8+T cells.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Histological or cytologically diagnosis of advanced lung cancer, or advanced gastric cancer, or advanced pancrease cancer, or hepatocellular carcinoma, or advanced colorectal cancer

Patients' tumor tissue (formalin-fixed, paraffin-embedded) must be sufficient for diagnosis of cancer by a certified Laboratory of Pathology

Laboratory values within the following ranges prior to receiving treatment of study agent: Hemoglobin≧8.0 g/dL, Neutrophils count≧1E9/L, Lymphocytes count≧lower limit of institutional normal, Platelet count≧50E9/L, Serum creatinine≦2.0 mg/dL, Serum bilirubin≦2 x upper limit of institutional normal, AST/ALT≦2 x upper limit of institutional normal

No dyspnea at rest. Oxygen saturation ≥90% on room air

Disqualifiers

Organ dysfunction,such as significant cardiovascular disease, myocardial infarction within the past six months, unstable angina, coronary angioplasty within the past six months, uncontrolled atrial or ventricular cardiac arrhythmias; Child-Pugh C; Renal function failure or uremia; Respiratory failure; Disturbance of consciousness; Renal failure.

Suffering from lymphoma or leukemia

Serious infections requiring antibiotics, bleeding disorders

Patients with myelodysplastic syndrome (MDS)

Trial design

Design model

Single group

Treatments tested in this trial

  • Infusion of iNKT cells and CD8+T cells

    Biological/Vaccine

    The eligible patients receive twice infusions of iNKT cells(1E8\~1E10) and CD8+T cells(1E7\~1E9) in one course of treatment.

Treatment groups

40 Participants
are divided into 1 treatment group
Group A: treatmentExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Incidence of adverse events related to the infusion of cells

The incidence of adverse events following infusion of iNKT cells and CD8+T cells

Time frame
28 days post-infusion
2

Objective Response Rate (ORR)

Change of target focus confirmed by CT or MRI

Time frame
up to 4 months post-infection

Secondary outcomes

1

Hematologic analysis

Hematologic analysis is used to assess the impact of infusion to the cells in blood, including erythrocytes, leukocytes, platelets, T lymphocytes , B lymphocytes, Natural killer cell, NKT, CD4/CD8, and Treg lymphocytes.

Time frame
Base line, the day before the first infusion in each course of treatment and up to 12 weeks after the treatment
2

Liver biochemical examination

Liver Biochemical examination is a serological analysis about the metabolites related to the function of liver , such as immunoglobulins, Albumin (ALB), Alanine aminotransferase (ALT), Aspartate Aminotransferase (AST), Prealbumin (PA), total bilirubin (TB), and direct bilirubin (DB).

Time frame
Base line, the day before the first infusion in each course of treatment and up to 12 weeks after the treatment
3

Kidney biochemical examination

Kidney Biochemical examination is a serological analysis about the metabolites related to the function of liver, such as Blood urea nitrogen (BUN), Urea (UA), and Crea (Cr).

Time frame
Base line, the day before the first infusion in each course of treatment and up to 12 weeks after the treatment
4

Tumor Marker

Tumor Marker

Time frame
Base line, the day before the first infusion in each course of treatment and up to 12 weeks after the treatment

Other outcomes

1

Progression-Free Survival (PFS)

Progression-Free Survival (PFS)

Time frame
Approximately 1 years after the treatment

Sponsors and contacts

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