Redirected HBV-Specific T Cells in Patients With HBV-related HCC (SAFE-T-HBV)

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age21-75
SponsorLion TCR Pte. Ltd.

About this trial

This is a single center, single arm and open-label study to determine the safety of mRNA modified HBV-TCR redirected T-cells and to analyze the changes in tumor microenvironment caused by these HBV-TCR redirected T-cells in subjects with HBV-related HCC who are not amenable to/failed conventional treatment.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Eastern Cooperative Oncology Group (ECOG) performance status ≤1

Presence of primary hepatocellular carcinoma in the liver with presence of measurable tumour by RECIST 1.1 criteria, that is not amenable to, or failed, conventional treatment options

Serum HBsAg positivity

Non-cirrhotic or compensated cirrhosis Child-Pugh A (5 - 6 points)

Disqualifiers

Brain metastasis

Second primary malignancy that is clinically detectable at the time of consideration for study enrolment, except for in situ carcinoma of the cervix, non-melanoma skin carcinoma localized prostate cancer, ductal carcinoma in situ, or Stage I uterine cancer and superficial bladder tumors

Use of immune checkpoint inhibitors and/or tyrosine kinase inhibitor (TKI) within 5 half-lives of the drug prior to baseline liver biopsy procedure

Alterations of concomitant medications which could potentially cause drug induced liver injury and affect liver biopsy result within 3 months of baseline liver biopsy procedure.

Trial design

Design model

Single group

Treatments tested in this trial

  • mRNA HBV/TCR T-cells

    Drug

    Study Infusion The first dose of mRNA HBV-TCR T-cells at dose 1x10e5/kg BW will be infused on Day 0, and subsequently incremental doses on Day 14 and 28, up to the dose of 5-10x10e6/kg BW.

Treatment groups

10 Participants
are divided into 1 treatment group
Group A: mRNA HBV/TCR T-cellsExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Safety evaluation of mRNA HBV/TCR T-cell treatment

Based on incidence and severity of adverse events

Time frame
Start of treatment until 28 days post last dose
2

Analysis of modifications of tumour microenvironment caused by mRNA HBV/TCR T-cell treatment

Histological staining using biopsy and analysis of serum factors such as cytokines and chemokines

Time frame
Start of treatment until end of study

Secondary outcomes

1

Evaluation of anti-tumor efficacy of mRNA HBV/TCR T-cell treatment

Objective response rate (ORR)

Time frame
Up to 4 years
2

Evaluation of anti-tumor efficacy of mRNA HBV/TCR T-cell treatment

Progression free survival (PFS)

Time frame
Up to 4 years
3

Evaluation of anti-tumor efficacy of mRNA HBV/TCR T-cell treatment

Overall survival (OS)

Time frame
Up to 4 years

Other outcomes

Sponsors and contacts

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