Clinical trial

A Phase 1, Open-Label Study Evaluating the Safety, Tolerability and Efficacy of (LCAR)-G08, a Chimeric Antigen Receptor (CAR)-T Cell Therapy Targeting Guanylyl Cyclase C (GCC) in Subjects With Advanced Gastrointestinal Tumors

Name
LB2301-0001
Description
This is a phase 1, single-arm, open-label, dose escalation and expansion study of LCAR-G08 in adult subjects with advanced gastrointestinal tumors expressing guanylyl cyclase C (GCC).
Trial arms
Trial start
2024-01-01
Estimated PCD
2025-11-01
Trial end
2028-03-01
Status
Recruiting
Phase
Early phase I
Treatment
LCAR-G08 cells
Prior to infusion of the LCAR-G08, subjects will receive a conditioning premedication regimen consisting of cyclophosphamide and fludarabine.
Arms:
Chimeric Antigen Receptor T cell LCAR-G08 Cells
Size
42
Primary endpoint
Dose-limiting toxicity (DLT) rate
Minimum 2 years after LCAR-G08 infusion (Day 1)
Incidence, severity, and type of treatment-emergent adverse events (TEAEs)
Minimum 2 years after LCAR-G08 infusion (Day 1)
Recommended Phase 2 Dose (RP2D) regimen finding
Minimum 2 years after LCAR-G08 infusion (Day 1)
Maximum concentration (Cmax)
Minimum 2 years after LCAR-G08 infusion (Day 1)
Time to Cmax (Tmax)
Minimum 2 years after LCAR-G08 infusion (Day 1)
Time to the last observed concentration
Minimum 2 years after LCAR-G08 infusion (Day 1)
Area Under the Curve (AUC) last
Minimum 2 years after LCAR-G08 infusion (Day 1)
Eligibility criteria
Inclusion Criteria: * Voluntary agreement to provide written informed consent. * Histologically confirmed metastatic colorectal cancers and other advanced gastrointestinal cancers (esophageal cancer, gastric cancer, pancreatic cancer, and small bowel cancer). * Aged 18 to 70 years, either sex. * GCC immunohistochemistry (IHC) staining is positive. * At least one measurable tumor lesion according to RECIST v1.1. * Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1. * Expected survival ≥ 3 months. * Clinical laboratory values meet screening visit criteria. Exclusion Criteria: * Previous CAR-T cell, T cell receptor-engineered (TCR) T cell, or therapeutic tumor vaccination treatment within the past 6 months; and the corresponding CAR-T, TCR-T cells can still be detected. * Ever received any treatment targeting GCC. * Prior antitumor therapy with insufficient washout period. * Brain metastases. * Pregnant or lactating women. * Hepatitis C virus (HCV) antibody-positive or human immunodeficiency virus (HIV) antibody-positive, active syphilis, Epstein-Barr virus (EBV) infected. * Severe underlying disease. * Presence of other serious pre-existing medical conditions that may limit patient participation in the study.Any condition that, in the investigator's judgment, will make the subject unsuitable for participation in this study. Any condition that, in the investigator's judgment, will make the subject unsuitable for participation in this study.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE1'], 'designInfo': {'allocation': 'NA', 'interventionModel': 'SINGLE_GROUP', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 42, 'type': 'ESTIMATED'}}
Updated at
2024-01-09

1 organization

1 product

1 indication

Organization
Peking University
Product
LCAR-G08