RecruitingPhase 1Phase 2NCT06463522

Safety and Efficacy of Autologous Tumor-infiltrating Lymphocytes Therapy in Patients With Hepatocellular Carcinoma


Sponsor

Beijing 302 Hospital

Enrollment

20 participants

Start Date

Jul 1, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

This is a Phase 1, open label clinical trial of tumor-infiltrating lymphocytes for the treatment of patients with hepatocellular carcinoma. The purpose of this study is to assess the safety of tumor-infiltrating lymphocytes therapy in patients with hepatocellular carcinoma.


Eligibility

Min Age: 18 YearsMax Age: 70 Years

Inclusion Criteria9

  • Aged 18 to 70 years;
  • Diagnosis of HCC with BCLC stage B/C;
  • Anticipated survival time is longer than 3 months;
  • Liver function grade Child-Pugh A or B, without hepatic encephalopathy;
  • Left ventricular ejection fraction (LVEF) ≥ 50%;
  • ECOG physical status 0-2;
  • Laboratory tests at baseline meet the following: Absolute neutrophil count \>1.0 x 109/L; Absolute neutrophil count \>1.0 x 109/L; White blood cell count \> 2.0 x 109/L; Platelet count \> 60 x 109/L; Hgb \> 8.0 g/dL; ALT and AST ≤ 5 times the upper limit of normal (ULN), Serum total bilirubin (TBiL) ≤ 51 mmol/L, or \< 3 times the ULN.
  • Female subjects of childbearing potential must take acceptable measures to minimize the likelihood of pregnancy during the trial. Female subjects of childbearing potential must have a negative serum or urine pregnancy result within 48 hours prior to treatment;
  • Able to receive treatment and follow-up, including the need for the subject to receive treatment at the enrollment center.

Exclusion Criteria10

  • Pregnant or breastfeeding women;
  • WIth HIV/AIDS infection;
  • Active infection with a temperature \>38.3°C prior to study treatment and have been treated with antibiotics within 2 weeks prior to enrollment;
  • Presence of the following pre-existing or concomitant diseases: Prior diagnosis of a severe autoimmune disease requiring systemic immunosuppression (steroids) for a prolonged period of time (more than 2 months), or immune-mediated symptomatic disease; Prior diagnosis of autoimmune-induced motor neuron disease; Prior toxic epidermal necrolysis release; Subjects with any psychiatric condition, including dementia, altered mental status, which may interfere with treatment in this study; Subjects with other malignancies in the previous 5 years; Subjects with heart failure ≥ grade 2 (NYHA) or hypertension uncontrolled by standard therapy; Subjects with unstable or active peptic ulcer or gastrointestinal bleeding; Subjects with serious uncontrollable disease, as determined by the study, that may interfere with treatment in this study;
  • Subjects undergoing treatment with systemic steroids;
  • Subjects who have previously used immune cell therapy (CIK, DC, DC-CIK, LAK therapy) and are less than 28 days from the end of treatment to screening;
  • Subjects who are allergic to cell therapy products or related drugs;
  • Subjects who have previously received an organ transplant or are planning to receive an organ transplant;
  • Subjects requiring anticoagulant therapy (warfarin or heparin);
  • Subjects who are judged by the investigator to be unsuitable for participation in this study due to other conditions.

Interventions

PROCEDUREAutologous Tumor-infiltrating Lymphocytes

Autologous Tumor-infiltrating Lymphocytes, 2.0\*10\^7/Kg, single intravenous infusion.


Locations(1)

the Fifth Medical Center of PLA

Beijing, China

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NCT06463522


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