Actively Recruiting

Phase 1
Phase 2
Age: 18Years - 72Years
All Genders
ID02830724

A Phase I/II Study of Anti-CD70 Gene-Modified Peripheral Blood Lymphocytes for Patients With CD70-Expressing Cancers

Led by National Cancer Institute (NCI) · Updated on 2026-04-06

124

Participants Needed

1

Research Sites

52 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating a gene therapy treatment for adults aged 18 to 72 with cancers that express the CD70 protein, such as renal cell carcinoma, pancreatic cancer, breast cancer, melanoma, and ovarian cancer. This study aims to determine if modifying a person's white blood cells with an anti-CD70 receptor can safely shrink tumors and assess the safety of this approach. The therapy involves using a virus to change the genes of selected white blood cells to target cancer cells. Participants receive a preparative chemotherapy regimen with cyclophosphamide and fludarabine to prepare their body for the gene-modified cells. On the day of treatment, they receive an infusion of their own peripheral blood lymphocytes modified with the anti-CD70 receptor, followed by high-dose aldesleukin to support immune activity. The treatment is delivered intravenously over several days in a hospital setting. Some participants may receive escalating doses during the Phase I portion, while others receive a maximum tolerated dose in Phase II. The study includes two cohorts based on cancer type. Before treatment, participants undergo screening including medical history, physical exams, scans, and blood tests. Leukapheresis is performed to collect white blood cells for modification. After infusion, participants are monitored closely in the hospital and take antibiotics for six months. Follow-up visits occur every 1 to 3 months in the first year and every 6 months in the second year, involving lab tests, imaging, and physical exams to assess tumor response and safety. Researchers measure treatment-related side effects and tumor shrinkage over time.

CONDITIONS

Brief Title

Administering Peripheral Blood Lymphocytes Transduced With a CD70-Binding Chimeric Antigen Receptor to People With CD70 Expressing Cancers

Who Can Participate

Age: 18Years - 72Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age between 18 and 72 years
  • Diagnosed with measurable, unresectable cancer expressing CD70 as confirmed by specific tissue tests
  • Cancer has progressed after at least one standard therapy or recurred
  • Up to 3 asymptomatic brain metastases (less than or equal to 1 cm) that are stable after treatment are allowed
  • Clinical performance status of ECOG 0 or 1
  • Willing to use birth control during the study and for specified time after treatment
  • Women of child-bearing potential must agree to pregnancy testing
  • Seronegative for HIV, hepatitis B antigen, and hepatitis C antibody (with additional testing if needed)
  • Adequate blood counts and organ function as defined by specific lab values
  • Completed any prior systemic therapy before enrollment
  • Able to understand and willing to sign informed consent
  • Willing to sign a durable power of attorney
  • Must be co-enrolled on the specified cell harvest protocol
Not Eligible

You will not qualify if you...

  • Pregnant or breastfeeding women
  • Current systemic steroid therapy
  • Active systemic infections requiring treatment
  • Coagulation disorders or other major uncontrolled medical illnesses
  • Primary immunodeficiency or autoimmune diseases requiring immunosuppressive treatment
  • Opportunistic infections
  • History of severe allergic reaction to study drugs (cyclophosphamide, fludarabine, aldesleukin)
  • History of coronary revascularization or ischemic heart symptoms
  • Reduced heart function (LVEF ≤ 45%) if indicated by history
  • Reduced lung function (FEV1 ≤ 50% predicted) if indicated by history
  • Receiving any other investigational agents currently

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Preparative Regimen

Duration - Approximately 7 days before cell infusion

Participants receive a non-myeloablative, lymphodepleting preparative regimen of cyclophosphamide and fludarabine before cell infusion.

Visits over 7 days including Days -7 to -3 or -5 depending on phase

Treatment

Duration - Day 0 plus up to 3 days of aldesleukin dosing

Participants receive an infusion of peripheral blood lymphocytes transduced with anti-hCD70 CAR followed by high-dose aldesleukin treatment.

1 day for cell infusion and up to 3 days of dosing visits (maximum 9 doses)

Follow-up Evaluation

Duration - Approximately 6 weeks (plus or minus 2 weeks) after treatment

Participants undergo evaluation of lesions and monitoring of treatment response and safety after treatment.

1 visit for lesion evaluation and safety assessment

Trial Site Locations

Total: 1 location

1

National Institutes of Health Clinical Center

Bethesda, Maryland, United States, 20892

Actively Recruiting

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Research Team

N

NCI SB Immunotherapy Recruitment Center

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

Identification of CD70 as a diagnostic biomarker for clear cell renal cell carcinoma by gene expression profiling, real-time RT-PCR and immunohistochemistry.

Julia Diegmann, Kerstin Junker, Bernhard Gerstmayer...

https://pubmed.ncbi.nlm.nih.gov/16043348