About this trial
A single-center, single-arm, dose-escalation exploratory clinical trial of the safety, efficacy, and pharmacokinetics of XKDCT225 cell injection in Claudin18.2-positive advanced solid tumors
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18-75 (including the critical value), regardless of gender;
Patients with advanced solid tumors (including but not limited to gastric adenocarcinoma, esophagogastric junction adenocarcinoma, esophageal adenocarcinoma) with moderate to high expression of Claudin18.2 (expression intensity ≥ 2+ and tumor cell positive rate ≥ 50 %), and whose condition cannot be completely relieved or continues to progress after adequate treatment;
At least one measurable lesion according to RECIST 1.1 criteria (non-lymph node lesion with long diameter ≥10 mm, lymph node lesion with short diameter ≥15 mm);
Estimated life expectancy > 12 weeks;
Disqualifiers
Pregnant or breastfeeding women;
Hepatitis B surface antigen (HBsAg) positive; Hepatitis B core antibody (HBcAb) positive, and HBV DNA copy number positive; Hepatitis C antibody (HCV-Ab) positive; Anti-Treponema pallidum antibody (TP-Ab) positive; Human immunodeficiency virus antibody (HIV-Ab) positive; Those who meet any of the following conditions;
Any active infection requiring antibiotic treatment;
Received any immune cell therapy within one year;
Trial design
Single group
Treatments tested in this trial
XKDCT225
DrugAutologous targeted claudin18.2 chimeric antigen receptor T cell injection
Treatment groups
Trial outcomes
Primary outcomes
Dose limiting toxicity (DLT)
Dose limiting toxicity (DLT) in the dose escalation phase
Maximum tolerated dose (MTD)
Maximum tolerated dose (MTD) in the dose escalation phase
The incidence and severity of adverse events (AEs) (%)
The incidence and severity of AEs
Secondary outcomes
Pharmacokinetics (the number of CAR copies (copies/μg gDNA) in peripheral blood)
The number of CAR copies (copies/μg gDNA) were detected by qPCR method to determine the peak time (day) of XKDCT225, sustained survival period (day).
Peripheral blood cytokines
Including IL-6 concentration (pg/ml) , etc.
XKDCT293 immunogenicity assay
employing a validated electrochemiluminescence (ECL) assay on the MESO QuickPlex SQ 120 system from Meso Scale Discovery (MSD). This assay detects XKDCT293 antibody titer (ng/ml) by measuring the emitted light from the SULFO-TAG label.
Objective response rate (ORR) (%)
According to RECIST 1.1 criteria, the percentage of the analyzed population with the best efficacy evaluation reaching CR and PR.
Sponsors and contacts
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