Actively Recruiting

Phase 1
Age: 18Years - 75Years
All Genders
NCT05631886

Combination of CAR-DC Vaccine and ICIs in Malignant Tumors

Led by Chinese PLA General Hospital · Updated on 2023-08-28

10

Participants Needed

1

Research Sites

182 weeks

Total Duration

On this page

Sponsors

C

Chinese PLA General Hospital

Lead Sponsor

Z

Zhejiang University

Collaborating Sponsor

AI-Summary

What this Trial Is About

This is a pilot clinical trial for subjects with local advanced/metastatic solid tumors or relapsed/refractory (R/R) lymphomas to determine the safety, efficacy and immune response of autologous EphA2-targeting CAR-DC vaccine loaded with TP53 mutant peptide (TP53-EphA-2-CAR-DC) in combination with ICIs. It aims to: assess the safety and antitumor effects of TP53-EphA-2-CAR-DC vaccine; detect T cell response against TP53 mutant peptide and tumor neoepitopes after the treatment with TP53-EphA-2-CAR-DC vaccine and ICIs.

CONDITIONS

Official Title

Combination of CAR-DC Vaccine and ICIs in Malignant Tumors

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 to 75 years inclusive
  • ECOG performance status of 0 to 2 and life expectancy more than 3 months
  • Diagnosed with locally advanced/metastatic solid tumors or relapsed/refractory lymphomas confirmed by histopathology or cytology
  • Tumor tested positive for EphA2 expression (at least 20%) and TP53 mutation (R273H, R175H, R248Q, or R249S) within 6 months before screening
  • No clinical response to standard frontline therapy or no standard therapy available for solid tumors; relapse after at least two lines of systemic therapy or refractory disease for lymphomas
  • Patients who declined or lack access to standard therapy with documented reasons
  • Previous treatment with anti-PD-1/PD-L1 or anti-CTLA4 antibodies allowed
  • At least one measurable lesion at baseline per RECIST 1.1 or Lugano response criteria 2014
  • Adequate organ function as defined by specific blood counts and liver/kidney function tests
  • Willing to undergo excised or large-needle lymph node or tissue biopsy or provide tumor tissue blocks or slides
  • Willing to complete all scheduled visits and assessments at the treatment institution
  • Able to read, understand, and provide written informed consent
Not Eligible

You will not qualify if you...

  • Presence of TP53 germline mutations (R273H, R175H, R248Q, or R249S)
  • Active central nervous system disease or recent severe CNS drug toxicity
  • Prior organ allograft or allogeneic hematopoietic stem cell transplantation
  • Active uncontrolled infections including viral, bacterial, or fungal
  • Positive for HIV or AIDS
  • Active hepatitis B or C infection
  • History or risk of autoimmune disease with recent immunosuppressive medication or corticosteroids exceeding 10 mg/day prednisone equivalent
  • Major trauma or surgery within 4 weeks before enrollment
  • Previous treatment targeting TP53 mutant or EphA2
  • Systemic chemotherapy or other interventions within 2 weeks before vaccination
  • Participation in or withdrawal from other trials within 4 weeks
  • Serious medical or psychiatric conditions limiting study compliance
  • Vaccination within 30 days before enrollment
  • Pregnant, lactating, or breastfeeding females
  • Other reasons deemed unsuitable for trial participation by researchers

AI-Screening

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Trial Site Locations

Total: 1 location

1

Biotherapeutic Department of Chinsese PLA Gereral Hospital

Beijing, Beijing Municipality, China, 100853

Actively Recruiting

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Research Team

W

Weidong Han, Ph.D

CONTACT

Y

Yang Liu, M.D

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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