A Study of IMC008 for Advanced Solid Tumors

Sponsor
Changhai Hospital (Other)
Overall Status
Recruiting
CT.gov ID
NCT05837299
Collaborator
(none)
18
1
1
35.9
0.5

Study Details

Study Description

Brief Summary

An open label, multi-center, dose-escalating study to evaluate the safety and preliminary efficacy of IMC008 in CLDN18.2 positive advanced solid tumors.

Condition or Disease Intervention/Treatment Phase
Phase 1

Detailed Description

This study is an open label, multi-center, dose-escalating clinical study to evaluate the safety and preliminary efficacy of IMC008 in the treatment of CLDN18.2 positive advanced solid tumors. DLTs observations will be performed 28 days after IMC008 administration. During the study, regular safety meetings will be held according to the progress of the study, and recommendations will be made on dose escalation, safety of subjects and possible study change.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
18 participants
Allocation:
N/A
Intervention Model:
Sequential Assignment
Intervention Model Description:
Dose escalation of 3 dosage groupsDose escalation of 3 dosage groups
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Clinical Study on the Safety and Preliminary Efficacy of IMC008 in the Treatment of CLDN18.2- Positive Advanced Solid Tumors
Actual Study Start Date :
Apr 2, 2023
Anticipated Primary Completion Date :
Dec 31, 2025
Anticipated Study Completion Date :
Mar 31, 2026

Arms and Interventions

Arm Intervention/Treatment
Experimental: IMC008 dose 1-3

a certain number of IMC008 cell per kg will be infused

Drug: IMC008
allowing 10% dose error
Other Names:
  • NKG2D receptor-modified autologous CAR -T cells targeting CLDN18.2
  • Outcome Measures

    Primary Outcome Measures

    1. DLT [within 28 days]

      To observe the incidence of dose-limiting toxicity (DLT) after IMC008 infusion

    Secondary Outcome Measures

    1. TRAE [up to 96 weeks]

      To treatment-related adverse events (TRAE) and severity

    2. PFS [upto 96 weeks]

      To evaluate the progression-free survival of IMC008 in patients with CLDN18.2 positive advanced solid tumor

    3. Objective response rate (ORR) [upto 96 weeks]

      The ORR is defined as the proportion of subjects with confirmed CR or confirmed PR, based on RECIST Version 1.1

    4. Tmax [upto 96 weeks]

      Tmax of CAR-T cells in the blood.

    5. Lymphocyte subsets [upto 96 weeks]

      CAR-T cell lymphocyte subsets/phenotype, etc.

    6. OS [upto 96 weeks]

      To evaluate the overall survival of of IMC008 in patients with CLDN18.2 positive advanced solid tumor

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 70 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Advanced gastric cancer /esophagogastric junction adenocarcinoma advanced pancreatic cancer.

    • Tumor tissue samples of subjects expected to be available with positive for CLDN18.2 immunohistochemistry.

    • The expected survival period of the subject is ≥12 weeks.

    • The subject needs to have at least one target lesion that can be stably evaluated.

    • The ECOG score is 0-1.

    • Subject has adequate organ and bone marrow function

    • All toxic reactions caused by previous anti-tumor therapy were relieved to grade 0-1.

    • Fertility status : Women of childbearing age or men whose sexual partners are women of childbearing age are willing to take medically approved high-efficiency contraceptive measures.

    • Subjects must sign and date written informed consent.

    Exclusion Criteria:
    • Pregnant and lactating women.

    • Known history of human immunodeficiency virus infection; acute or chronic active hepatitis B; acute or chronic active hepatitis C. Syphilis antibody positive; Epstein-Barr virus infection; CMV infection.

    • Serious infection that is active or poorly controlled clinically.

    • Uncontrollable pleural effusion, pericardial effusion, peritoneal effusion existed before enrollment.

    • Extensive or diffuse lung metastases or extensive or diffuse liver metastases.

    • Oxygen saturation ≤ 95% without oxygen inhalation.

    • Suffering from other research diseases that may limit their participation in this study.

    • Known past or current hepatic encephalopathy requiring treatment; patients with current or history of central nervous system disease.

    • There are heart diseases that need to be treated or hypertension that is poorly controlled by the investigator, poorly controlled after standard treatment type 2 diabetes mellitus.

    • Presence of any cardiac clinical symptoms or disorders.

    • Evidence of significant coagulopathy or other significant bleeding risk.

    • Received systemic steroids equivalent to >15 mg/ day prednisone cumulatively for more than 3 days within 2 weeks prior to apheresis , excluding inhaled steroids.

    • Prior or concurrent occurrence of other malignancies, with the following exceptions.

    • Subjects who have previously received other gene therapy.

    • Allergic/ intolerance to lymphodepletion regimen or CRS treatment drugs or IMC008.

    • Subjects with severe mental disorders.

    • The investigator assessed the subject's inability or unwillingness to comply with the requirements of the study protocol .

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Shanghai Changhai Hospital Shanghai Shanghai China 200433

    Sponsors and Collaborators

    • Changhai Hospital

    Investigators

    • Principal Investigator: Tianhang Luo, MD, Changhai Hospital

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Luo Tianhang, Professor, Changhai Hospital
    ClinicalTrials.gov Identifier:
    NCT05837299
    Other Study ID Numbers:
    • IMC008-CT01
    First Posted:
    May 1, 2023
    Last Update Posted:
    May 1, 2023
    Last Verified:
    Apr 1, 2023
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of May 1, 2023