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A Clinical Research of CAR T Cells Targeting CEA Positive Cancer


2014-12


2018-12


2019-12


75

Study Overview

A Clinical Research of CAR T Cells Targeting CEA Positive Cancer

The main purpose of this research is to verify the safety of CEA targeted chimeric antigen receptor T cells and to determine the proper dosage of CAR T cells infused.

Chimeric antigen receptor (CAR)-modified T cells have demonstrated great successes in treating even late stage cluster of differentiation antigen 19 (CD19) positive B cell malignancies. But it has not yet been fully explored in solid tumors. The carcino-embryonic antigen(CEA) is widely expressed in cancers like gastric cancer, lung cancer, pancreatic cancer, breast cancer and colorectal cancer. To confirm if CAR T cells still function in solid tumors, we have developed anti-CEA CAR-modified T cells. Preclinical studies have demonstrated effective killing of CEA target cells. In this study, the CEA CARs, will be evaluated in CEA positive gastric cancer, lung cancer, pancreatic cancer, breast cancer and colorectal cancer patients. The primary goal is to confirm its adverse effects including cytokine storm response and any other adverse effects. In addition, tumor targeting and disease status after treatment will also be evaluated.

  • Lung Cancer
  • Colorectal Cancer
  • Gastric Cancer
  • Breast Cancer
  • Pancreatic Cancer
  • BIOLOGICAL: Anti-CEA-CAR T
  • TMMU-BTC-002

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2015-01-25  

N/A  

2017-04-24  

2015-01-28  

N/A  

2017-04-25  

2015-01-29  

N/A  

2016-03  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Treatment


Allocation:
Non Randomized


Interventional Model:
Single Group


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
OTHER: Pancreatic cancer

Pancreatic cancer treated with Anti-CEA-CAR T.

BIOLOGICAL: Anti-CEA-CAR T

  • T cells modified with CEA targeted chimeric antigen receptor.
OTHER: Lung cancer

Lung cancer treated with T cells modified with Anti-CEA-CAR T.

BIOLOGICAL: Anti-CEA-CAR T

  • T cells modified with CEA targeted chimeric antigen receptor.
OTHER: Gastric cancer

Gastric cancer treated with T cells modified with Anti-CEA-CAR T.

BIOLOGICAL: Anti-CEA-CAR T

  • T cells modified with CEA targeted chimeric antigen receptor.
OTHER: Breast cancer

Breast cancer treated with T cells modified with Anti-CEA-CAR T.

BIOLOGICAL: Anti-CEA-CAR T

  • T cells modified with CEA targeted chimeric antigen receptor.
OTHER: Colorectal cancer

Colorectal cancer treated with T cells modified with Anti-CEA-CAR T.

BIOLOGICAL: Anti-CEA-CAR T

  • T cells modified with CEA targeted chimeric antigen receptor.
Primary Outcome MeasuresMeasure DescriptionTime Frame
Adverse events of each patient.Determine the toxicity profile of the CEA targeted CAR T cells with Common Toxicity Criteria for Adverse Effects (CTCAE) version 4.0.3 years
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Survival time of Anti-CEA CAR T cells in vivo.To evaluate the presence of circulating CAR T cells with flow cytometry and real time PCR in patient blood.3 years
Efficacy of anti-CEA CAR T cells to confirm the ability of CAR T cells to kill CEA positive cancer cells12 weeks
Maximum tolerated dose (MTD) of CEA targeted CAR T cells.To confirm the maximum tolerated dose of CEA targeted CAR T cells.4 weeks

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Name: Cheng Qian, MD, PhD

Phone Number: 0086-023-68765461

Email: cqian8634@gmail.com

Study Contact Backup

Name: Zhi Yang, PhD

Phone Number: 0086-13206140093

Email: Lystch@outlook.com

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:
    1. Relapsed or refractory CEA positive lung cancer, pancreatic cancer, gastric cancer, breast cancer and colorectal cancer. 2. KPS>60. 3. Life expectancy>3 months. 4. Gender unlimited, age from 18 years to 80 years. 5. Disease progresses but reserves reaction to recent treatments. 6. Patients who have failed at least one line of a standard treatment. 7. No serious mental disorder. 8. Patients must have adequate cardiac function(no cardiac disease, LVEF≥40% ), adequate pulmonary function as indicated by room air oxygen saturation of >94%, and adequate renal function(Cr≤133umol/L). 9. No other serious diseases(autoimmune disease, immunodeficiency etc.). 10. No other tumors. 11. Patients volunteer to participate in the research.
    Exclusion Criteria:
    1. KPS<50. 2. Patients are allergic to cytokines. 3. MODS. 4. Uncontrolled active infection. 5. Acute or chronic GVHD. 6. Treated with T cell inhibitor. 7. Pregnancy and nursing females. 8. HIV affected. 9. Other situations we think improper for the research.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.


    • STUDY_CHAIR: Cheng Qian, MD, PhD, Southwest Hospital, China

    Publications

    The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

    General Publications

    No publications available