Claudin18.2 CAR-T (CT041) In Patients With Gastric, Pancreatic Cancer, Or Other Specified Digestive Cancers

Overview

About this study

A Phase 1b/2, open label, multi-center, clinical study of Chimeric Antigen Receptor T Cells (CAR-T) targeting claudin18.2 in patients with advanced gastric, pancreatic or other specified digestive system cancers.

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

  • Voluntarily signed the informaed consent from.
  • Age ≥ 18 and ≤ 80 years.
  • Pathologically/histologically confirmed diagnosis of adenocarcinoma of the stomach or gastroesophageal junction, referred to collectively as STAD, or pancreatic adenocarcinoma (PAAD).
  • Must have CLDN18.2-positive tumor expression as determined by the CLDN18.2 IHC assay.
  • Pathologically/histologically confirmed diagnosis of STAD, or PAAD who have failed or been intolerant of prior lines of systemic therapy.
  • Estimated life expectancy > 12 weeks.
  • At least 1 measurable lesion per RECIST 1.1.
  • ECOG performance status of 0 or 1.
  • Sufficient venous access for leukapheresis collection and no other contraindications to leukapheresis.
  • Patients should meet the following without intensive supporting therapy:
    • Complete blood count (CBC) results (without transfusion and growth factor support): WBC count ≥ 2.0 × 109/L, absolute neutrophil count (ANC) ≥ 1.0 × 109/L, lymphocytes (LY) ≥ 0.4 × 109/L, platelets (PLT) ≥ 80 × 109/L, hemoglobin (Hb) ≥ 9.0 g/dL.
    • Blood biochemistry: creatinine clearance ≥ 50 mL/min (Cockcroft –Gault formula), alanine aminotransferase (ALT) ≤ 2.5 × ULN), aspartate aminotransferase (AST) ≤ 2.5 × ULN, total bilirubin ≤ 1.5 × ULN; Gilbert’s syndrome, total bilirubin ≤ 2.5 × ULN, AST < 5 × ULN, ALT < 5 × ULN; if bone and liver metastasis occur and alkaline phosphatase (ALP) < 2.5 × ULN, AST < 5 × ULN, ALT < 5 × ULN.
    • PT < ULN + 4 seconds.
  • Women of childbearing age must undergo a serum pregnancy test with negative results before screening and infusion and be willing to use effective and reliable method of contraception.
  • Men must be willing to use effective and reliable method of contraception for at least 6 months after T-cell infusion.

Exclusion Criteria:

  • Pregnant or lactating women
  • HIV, active hepatitis C virus (HCV), or active hepatitis B virus (HBV) infusion
  • Any uncontrolled active infection
  • AEs from previous treatment that have not recovered
  • Patients who have clinically significant thyroid dysfunction
  • Patients allergic to any drugs of the preconditioning regimen, tocilizumab, dimethyl sulfoxide (DMSO), or CT041 CAR-CLDN18.2 T-cell
  • Patients who have received prior cellular therapy such as (CAR T, TCR, tumor-infiltrating lymphocytes) or organ transplantation; Untreated central nervous system (CNS) metastatic disease, leptomeningeal disease, or cord compression
  • Patients with heavy tumor burdens:
    • Patients with a tumor lesion > 4 cm identified as measurable per RECIST1.1.
    • Centric or wide-spreading metastatic lung lesion(s) that have involved more than 5% of thoracic tissues (each individual lesion does not need to be measurable per RECIST1.1).
  • Unstable/active ulcer or digestive tract bleeding or recent digestive surgery that may have increased risk of bleeding
  • Patients who have a history of esophageal or gastric resection with increased risk of bleeding or perforation
  • Patients requiring anticoagulant therapy such as warfarin or heparin
  • Patients requiring long-term antiplatelet therapy
  • Use of prednisone or other equivalent within 14 days before leukapheresis or preconditioning
  • Anticancer treatment within approximately 2 weeks prior to leukapheresis or approximately 3 weeks before preconditioning
  • Major surgery less than 1 week prior to leukapheresis or 3 weeks prior to preconditioning
  • Patients who have any of the following cardiac conditions:
    • New York Heart Association (NYHA) Stage III or IV congestive heart failure (CHF).
    • Myocardial infarction or coronary artery bypass graft within 6 months prior to enrollment.
    • History of clinically significant ventricular arrhythmia or unexplained syncope, not believed to be vasovagal in nature or due to dehydration.
    • History of severe non-ischemic cardiomyopathy.
    • Uncontrolled blood pressure as defined as systolic > 160 mmHg, diastolic > 100 mmHg within 3 months prior to enrollment.
    • Left ventricular ejection fraction (LVEF) < 45% as assessed by echocardiogram or multiple-gated acquisition (MUGA) scan.
    • Other conditions that the treating physicians believe may endanger the health of the patients by their participation in this clinical trial.
  • Patients who have 1 of the following pulmonary conditions:
    • Forced expiratory volume in 1 second (FEV1) < 60%.
    • Active obstructive chronic pulmonary disease.
    • Oxygen dependence as defined by a blood oxygen saturation that can only be maintained above 92% by oxygen inhalation (finger oxygen detection method).
  • Patients known to have active autoimmune diseases
  • Patients with second malignancies in addition to STAD or PAAD
  • Patients have significant neurologic disorders
  • Patients are unable or unwilling to comply with the requirements of clinical trial.

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Rochester, Minn.

Mayo Clinic principal investigator

Zhaohui Jin, M.D.

Closed for enrollment

Contact information:

Cancer Center Clinical Trials Referral Office

(855) 776-0015

More information

Publications

Publications are currently not available

Additional contact information

Cancer-related trials contact form

Phone: 855-776-0015 (toll-free)

International patient clinical studies questions