Status:

NOT_YET_RECRUITING

Study of HBV-TCR T Cells (LioCyx-M) as Monotherapy or as Combination With Lenvatinib for HBV-related HCC

Lead Sponsor:

Lion TCR Pte. Ltd.

Conditions:

Hepatocellular Carcinoma

Liver Cancer, Adult

Eligibility:

All Genders

18-75 years

Phase:

PHASE2

Brief Summary

This is an open-label and multi-center Phase 2 study to evaluate the safety and efficacy of autologous T-cells transfected with mRNA encoding Hepatitis-B virus (HBV)-antigen-specific T cell receptor (...

Eligibility Criteria

Inclusion

  • Eastern Cooperative Oncology Group (ECOG) performance status ≤1
  • Advanced HCC with diagnosis confirmed by histology/ cytology or clinically by AASLD criteria in cirrhotic patients.
  • Disease that is not amenable to curative surgical and/or locoregional therapies, or progressive disease after surgical and /or locoregional therapies
  • Patients who failed first-line systemic therapy for HCC
  • Serum HBsAg positivity
  • Non-cirrhotic or compensated cirrhosis Child-Pugh A (5 - 6 points)
  • HLA class 1 profile matching HLA-class I restriction element of the available T cell receptor

Exclusion

  • 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 tumours.
  • Lack of peripheral venous or central venous access or any condition that would interfere with drug administration or collection of study samples
  • History of severe allergic anaphylactic reactions to T cell therapy products and/or lenvatinib
  • Local or loco-regional therapy of intrahepatic tumour lesions (e.g. surgery, radiation therapy, hepatic arterial embolization, chemoembolization, radiofrequency ablation, percutaneous ethanol injection, or cryoablation) must have been completed ≥4 weeks before the first infusion of LioCyx-M.
  • Concurrent administration of any other anti-tumour therapy, including cytotoxic chemotherapy, tyrosine kinase inhibitor therapy, and immunotherapy.
  • Treatment with anticancer therapy, including investigational therapy, within 2 weeks prior to first infusion. For prior therapies with a half-life longer than 3 days, discontinuation of the therapy must have occurred at least 28 days prior to leukapheresis.
  • Treatment with other investigational therapy within 28 days prior to initiation of study treatment. Patients participating in surveys or observational studies are eligible to participate in this study.
  • Likelihood to require any immunosuppressive treatments during the period of the clinical trial (Localized steroid use should be allowed)
  • Human immunodeficiency virus (HIV) positive or active infection requiring treatment (except for HBV)
  • Significant cardiovascular disease (such as New York Heart Association (NYHA) Functional Classification Class II or greater cardiac disease, myocardial infarction, or cerebrovascular accident within 3 months prior to initiation of study treatment), unstable arrhythmia, or unstable angina
  • Uncontrolled hypertension, defined as systolic blood pressure \>160 mmHg or diastolic pressure \>110 mmHg, despite optimal medical management

Key Trial Info

Start Date :

March 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2028

Estimated Enrollment :

55 Patients enrolled

Trial Details

Trial ID

NCT05195294

Start Date

March 1 2025

End Date

December 1 2028

Last Update

March 10 2025

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