Clinical trial

Phase 1 Trial of GPC2-Directed Chimeric Antigen Receptor Autologous T Cells (GPC2 CAR T) for Relapsed or Refractory Neuroblastoma

Name
22-019659
Description
This is a first in human dose escalation trial to determine the safety of administering GPC2 CAR T cells in patients with advanced neuroblastoma.
Trial arms
Trial start
2023-05-23
Estimated PCD
2025-01-30
Trial end
2026-01-30
Status
Recruiting
Phase
Early phase I
Treatment
GPC2 CAR T cells
The GPC2 CAR T investigational product is comprised of autologous human T cells that have been genetically modified to express a GPC2-targeting chimeric antigen receptor (CAR) transgene.
Arms:
Dose Escalation Arm, Dose Expansion Arm
Size
30
Primary endpoint
Determine the Maximum Tolerated Dose of GPC2 CAR T cells
5 years
Frequency of Adverse Events Following GPC2 CAR T cell administration
5 years
Eligibility criteria
Inclusion Criteria: 1. Signed Informed Consent Form 2. ≥ 1 year of age 3. Disease status 1. Patients must have high-risk neuroblastoma according to Children's Oncology Group risk classification at the time of study enrollment. 2. Histologically confirmed diagnosis of neuroblastoma that is recurrent/relapsed/persistent according to International Neuroblastoma Response Criteria 3. Patients must have evaluable or measurable disease at enrollment 4. Adequate organ function 5. Adequate performance status defined as Lanksy or Karnofsky performance score ≥60. 6. Subjects of reproductive potential must agree to use acceptable birth control methods. Exclusion Criteria: 1. Patients with active hepatitis B or active hepatitis C. 2. Patients with HIV infection. 3. Patients with uncontrolled active infection 4. Patients with primary or acquired immunodeficiency disorder. 5. Concurrent use of systemic steroids or immunosuppression at the time of cell infusion or cell collection, or a condition, in the treating physician's opinion, that is likely to require steroid therapy or immunosuppression during collection or after infusion. Steroids for disease treatment at times other than cell collection or at the time of infusion are permitted. Use of physiologic replacement hydrocortisone or inhaled steroids is permitted as well. 6. Patients with actively progressing Central Nervous System metastases, including parenchymal or leptomeningeal involvement. 7. Active medical disorder that, in the opinion of the investigator, would substantially increase. the risk of uncontrollable Cytokine Release Syndrome and/or neurotoxicity. 8. Patients with congestive heart failure (as defined by New York Heart Association Functional Classification III or IV), unstable angina, serious uncontrolled cardiac arrhythmia, a myocardial infarction within 6 months prior to study entry or a history of myocarditis. 9. Patients who have received any live vaccines within 30 days prior to enrollment. 10. Pregnant or nursing (lactating) women.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE1'], 'designInfo': {'allocation': 'NON_RANDOMIZED', 'interventionModel': 'SEQUENTIAL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 30, 'type': 'ESTIMATED'}}
Updated at
2023-08-30

1 organization

1 product

2 indications

Organization
Stephan Grupp
Indication
Neuroblastoma