About this trial
The purpose of this study is to assess the feasibility, safety and efficacy of combination immunotherapy based on CAR T cells, cytotoxic T lymphocytes (CTLs), and dendritic cell (DC) vaccines modified with GM-CSF and B7-2 (CD86) against melanoma, which targets CAR T specific surface antigens such as GD2, CTL specific antigens such as MAGE-A4, gp100 and a pool of melanoma specific antigens presented by the DCs. Another goal of the study is to learn more about the function and persistence of the CAR T cells and antigen-specific immune effectors in patients.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients with melanoma have received standard first-line therapy and have been diagnosed with non-resectable, metastatic, progressive or recurrent conditions.
The expression of melanoma specific antigens is immunohistochemically stained and verified.
Body weight greater than or equal to 40 kg.
Age: ≥18 year and ≤ 75 years of age at the time of enrollment.
Disqualifiers
Existing severe illness (e.g. significant cardiac, pulmonary, hepatic diseases, etc.) or major organ dysfunction, with the exception of grade 3 hematologic toxicity.
Untreated central nervous system (CNS) metastasis: Patients with previous CNS tumor involvement that has been treated and is stable for at least 4 weeks following completion of therapy are eligible.
Previous treatment with other genetically engineered CAR T cells.
Active HIV, Hepatitis B virus (HBV), Hepatitis C virus (HCV) infection or uncontrolled infection.
Trial design
Single group
Treatments tested in this trial
Antigen-specific CAR T, CTL and DCvac to treat melanoma.
Biological/VaccineAntigen-specific CAR T, CTL and DCvac to treat melanoma.
Treatment groups
Trial outcomes
Primary outcomes
Number of patients with adverse events
The toxicity profile of CAR T, CTL or DCvac is determined by Common Toxicity Criteria for Adverse Effects version 4.0
Secondary outcomes
Anti-tumor effects
Disease status is defined by the measurement of biochemical markers and image scan, and the outcome of treatment is classified as Complete Response/remission (CR), Very Good Partial Response/remission (VGPR), etc.
The expansion and persistency of antigen-specific CAR T cells
The investigators will monitor the expansion and functional persistency of CAR T cells in the peripheral blood of patients and examine their correlation with antitumor effects.
Immune responses after CAR T and CTL infusions and DCvac injections
IL-2 cytokine secretion profile will be assessed
Immune responses after CAR T and CTL infusions and DCvac injections
IFN-γ cytokine secretion profile will be assessed
Sponsors and contacts
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This trial is not recruiting at the moment. You can still explore other options: