About this trial
open-label trial of an allogeneic dual-target CAR-NK product directed against GPC3 and B7-H3 for adults with advanced hepatocellular carcinoma. The design intentionally uses GPC3 as the primary target anchor because GPC3 is the dominant HCC cell-therapy antigen in current clinical development, while adding B7-H3 to reduce antigen escape and to broaden coverage across tumor and tumor-microenvironment compartments. The study first evaluates safety and dose-limiting toxicities, then expands at the recommended phase 2 dose.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18 to 75 years.
Histologically or cytologically confirmed HCC, or radiologically diagnosed HCC with mandatory tissue confirmation of target expression before enrollment.
Unresectable, locally advanced, or metastatic HCC not amenable to curative surgery, transplant, or further locoregional therapy; BCLC stage C, or stage B that is not suitable for or has progressed after locoregional therapy.
Disease progression on, intolerance to, or ineligibility for at least 1 prior standard systemic regimen.
Disqualifiers
Prior gene-modified cellular therapy (for example prior CAR-T, CAR-NK, or TCR-engineered therapy) within the protocol-defined washout period or with unresolved clinically significant toxicity.
Active, uncontrolled infection, including uncontrolled bacterial, viral, or fungal infection; uncontrolled HIV; active HBV or HCV with uncontrolled viral load; or active tuberculosis.
Known active CNS metastases or leptomeningeal disease requiring escalating steroids or urgent local intervention.
Liver transplant or other solid-organ transplant history, or current requirement for chronic immunosuppression.
Trial design
Sequential
Treatments tested in this trial
EB-G3B7-NK dual-target CAR-NK cells
Biological/VaccineAllogeneic donor-derived NK cells genetically modified to express a dual-target CAR recognizing GPC3 and B7-H3/CD276. Administered intravenously after lymphodepletion.
Fludarabine
DrugLymphodepleting chemotherapy given before CAR-NK infusion.
Cyclophosphamide
DrugLymphodepleting chemotherapy given before CAR-NK infusion.
Treatment groups
Trial outcomes
Primary outcomes
Incidence of dose-limiting toxicities (DLTs)
Incidence, type, and severity of treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs)
Secondary outcomes
response rate (ORR) by RECIST 1.1 and mRECIST
Disease control rate (DCR)
Duration of response (DoR)
Progression-free survival (PFS)
Sponsors and contacts
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