Actively Recruiting

Phase 1
Age: 1Year +
All Genders
NCT05650749

GPC2 CAR T Cells for Relapsed or Refractory Neuroblastoma and Metastatic Retinoblastoma

Led by Stephan Grupp MD PhD · Updated on 2025-12-29

45

Participants Needed

1

Research Sites

349 weeks

Total Duration

On this page

Sponsors

S

Stephan Grupp MD PhD

Lead Sponsor

C

Children's Hospital of Philadelphia

Collaborating Sponsor

AI-Summary

What this Trial Is About

This is a first in human dose escalation trial to determine the safety of administering GPC2 CAR T cells in patients with advanced neuroblastoma or retinoblastoma.

CONDITIONS

Official Title

GPC2 CAR T Cells for Relapsed or Refractory Neuroblastoma and Metastatic Retinoblastoma

Who Can Participate

Age: 1Year +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients must be at least 1 year old for neuroblastoma or at least 6 months old for retinoblastoma
  • Patients must have high-risk neuroblastoma or metastatic retinoblastoma confirmed by standard classifications
  • Patients must have relapsed, refractory, or persistent disease for which standard curative treatments do not exist or are no longer effective
  • Patients must have measurable or evaluable disease at enrollment
  • Patients must meet specific disease progression or response criteria including new or increasing lesions, biopsy confirmation, or partial response with residual disease
  • Patients must have a Lansky score (for 16 years or younger) or Karnofsky score (for older than 16 years) of at least 60
  • Patients must have adequate kidney, liver, lung, and heart function as defined by laboratory and clinical assessments
  • Patients must have a baseline pulse oximetry of at least 92% on room air
  • For neuroblastoma, patients must have a previously confirmed histological diagnosis
  • For retinoblastoma cohort 1, extra-CNS metastasis must be histologically confirmed and measurable disease must be present
  • For retinoblastoma cohort 2, CNS disease must meet defined measurable or non-measurable criteria
  • Prior treatments vary by cohort but include intensive chemotherapy or equivalent regimens for recurrent or refractory disease
Not Eligible

You will not qualify if you...

  • Patients with active hepatitis B or hepatitis C infection
  • Patients with HIV infection
  • Patients with uncontrolled active infection
  • Patients with primary or acquired immunodeficiency disorders
  • Patients with known hypersensitivity to DMSO
  • Patients using systemic steroids or immunosuppression during cell infusion or collection, except for physiologic replacement or inhaled steroids
  • Patients with actively progressing CNS metastases (for neuroblastoma) or bulky CNS disease compressing brainstem or thalamus (for retinoblastoma cohort 2)
  • Patients with active medical disorders increasing risk of severe cytokine release syndrome or neurotoxicity
  • Patients with congestive heart failure (NYHA class III or IV), unstable angina, serious arrhythmias, recent myocardial infarction, or myocarditis
  • Patients who received live vaccines within 30 days prior to enrollment
  • Patients who are pregnant or nursing
  • Patients with life expectancy less than 6 months
  • Retinoblastoma cohort 1 patients with concurrent CNS disease or stage III disease
  • Retinoblastoma cohort 2 patients with clinically significant increased intracranial pressure at enrollment if not improved

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States, 19104

Actively Recruiting

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Research Team

C

CART Nurse Navigator

CONTACT

M

Melissa Varghese, M.S.

CONTACT

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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