Solid TumorEarly Phase 1NCT05284968
RD07 Cell Injection in the Treatment of Patients With Advanced Claudin18.2 Positive Solid Tumors
A Early Phase 1 study testing Cell injection in people with Solid Tumor, run by Peking University.
Trial summary
IP: RD07 cell injection; Target disease:solid tumor; Protocol design: Single arm, open label, dose increasing design. The experiment was divided into two stages: dose increasing stage and dose extension stage. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Solid Tumor
- What is being tested?
- Cell injection
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 36 participants
- Where
- No sites listed yet
- Study dates
- 1 Apr 2022to 1 Apr 2025
- Phase
- Early Phase 1
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 1) Age ≥18 years old and <75 years old, gender is not limited; 2) Claudin18.2 positive confirmed by histology or cytology (the proportion of positive cells is ≥10% and the staining intensity is ≥1+; the specimen is acceptable within 1 year, and re-biopsy is required for more than 1 year) advanced gastric cancer, gastroesophageal combination solid tumors such as adenocarcinoma and pancreatic cancer; 3) Patients with gastric cancer and gastroesophageal junction adenocarcinoma who are ineffective in second-line standard therapy, or who are unwilling to perform or cannot tolerate second-line standard therapy; pancreatic cancer patients who fail or cannot tolerate first-line therapy; for other tumor types patients, they should meet the requirements of the existing standard of care for ineffective or intolerable standard treatment; 4) Referring to the RECIST 1.1 standard, there is at least one measurable lesion: according to CT or MRI evaluation, the longest diameter of the lesion is at least 10 mm (slice thickness 5 mm); or the short diameter of the lymph node lesion must be ≥15 mm; 5) ECOG score 0-2 points; 6) Blood routine neutrophil count ≥1.5×109/L; hemoglobin ≥80g/L and platelets ≥75×109/L (no blood transfusion within 14 days); 7) Creatinine clearance rate > 60ml/min (Cockcroft and Gault formula); for patients without liver involvement, serum total bilirubin is less than or equal to 1.5 times the upper limit of the normal value, and both serum ALT and AST are less than or equal to 3 times the upper limit of the normal value range; For liver violations, serum total bilirubin is ≤3 times the upper limit of the normal value, and both serum ALT and AST are ≤5 times the upper limit of the normal value range; 8) Echocardiography shows left ventricular ejection fraction (LVEF) ≥ 50%; 9) The estimated survival period is more than 3 months; The subjects or their legal guardians voluntarily participated in this trial and signed the informed consent.
Who cannot join
- 1) Those who have received Claudin18.2-targeted monoclonal antibody or cell therapy in the past; 2) Uncontrolled intracranial metastases (except those with stable disease for ≥8 weeks and no need for glucocorticoid therapy within 4 weeks after the first dose); 3) Acute pancreatitis or severe active upper gastrointestinal disease history within 4 weeks, such as upper gastrointestinal bleeding, etc.; 4) Receive anti-tumor therapy before infusion, if any of the following are met, it should be excluded: Received chemotherapy and small molecule targeted therapy within 2 weeks; Received radiotherapy within 4 weeks; Have received monoclonal antibody treatment and the last monoclonal antibody infusion is less than 2 half-lives from apheresis;
- Received traditional Chinese medicine, Chinese patent medicine, etc. for the main purpose of anti-tumor treatment within 1 week.
- 5) Those who used granule/granule-monoline colony-stimulating factor (G/GM-GSF) within 2 weeks before screening; 6) Patients who must use steroid hormones during CAR-T infusion (except for topical or inhaled steroid hormones); patients who are receiving systemic steroid therapy before screening and who are judged by the investigator to need long-term use of systemic steroid therapy during treatment. subjects (except inhalation or topical use); and subjects treated with systemic steroids within 72 hours before cell infusion (except inhalation or topical use); 7) Those with a history of serious heart disease, including but not limited to: history of acute myocardial infarction within 12 months, unstable angina pectoris, chronic heart failure of grade ≥III (standard of New York Heart Association), and electrocardiogram showing QT History of prolonged interval or severe arrhythmia; 8) Those with a history of craniocerebral trauma, disturbance of consciousness, epilepsy, cerebrovascular ischemia, cerebrovascular hemorrhagic disease, etc.; 9) Uncontrolled severe active infection (except for simple urinary tract infection and bacterial pharyngitis); 10) Subjects with positive hepatitis B surface antigen (HBsAg) or hepatitis B core antibody (HBcAb) and peripheral blood HBV DNA >1000 copies/ml at screening; hepatitis C virus (HCV) antibody positive or peripheral blood HCV RNA positive ; Human immunodeficiency virus (HIV) antibody positive; Syphilis antibody positive; 11) Autoimmune disease subjects in need of treatment or subjects in need of immunosuppressive treatment; 12) The subject has a history of other primary cancers, except for the following: Non-melanoma cured by resection, such as skin basal cell carcinoma; Cervical carcinoma in situ, local prostate cancer, and ductal carcinoma in situ with a disease-free survival period of ≥2 years after adequate treatment; 13) The subject has a history of alcoholism, drug addiction or mental illness; 14) Inoculated with live or attenuated or inactivated vaccine within 4 weeks before screening; 15) Those who have a history of allergy to any component in the cell product; 16) Those who have participated in other clinical trials within 2 weeks before screening; 17) Pregnant, lactating women and subjects who are fertile and cannot take effective contraceptive measures (whether male or female); Any other condition that the investigator believes may increase the risk to the subject or interfere with the results of the trial.
Trial locations and contacts
No sites are listed yet.
About this study
Official title: Clinical Study on the Safety and Efficacy of RD07 Cell Injection in the Treatment of Patients With Advanced Claudin18.2 Positive Solid Tumors
IP: RD07 cell injection; Target disease:solid tumor; Protocol design: Single arm, open label, dose increasing design. The experiment was divided into two stages: dose increasing stage and dose extension stage. After the completion of the dose escalation phase (9 or 12 cases) and the conclusion of safety, the investigator can select the appropriate dose group according to the safety, tolerance, and treatment response to enter the dose expansion phase. Dose extension stage (24 and 27 cases) according to the indications in the crowd into three queues: respectively for the integration of a stomach and the stomach esophagus adenocarcinoma, pancreatic cancer and other solid tumor, expand stage each queue number of cases can be determined by the actual filter and into the group of patients, no separate regulation, but two phase of the total case must not exceed 36 cases.
Read the detailed description
Principle of dose escalation:
- If there is no DLT in 3 subjects in one dose group, increase to the next dose group;
- If DLT occurs in only 1 of 3 subjects in a dose group, 3 subjects will be added to the dose group. If no more than 1 out of 6 subjects developed DLT, then increments to the next dose group;
- If DLT occurs in ≥2 of 6 subjects, the level of the dose group exceeds MTD and should be reduced to the first dose group. If there were only 3 patients in the dose group, 3 more patients were enrolled. If this dose has been tested in 6 patients, the test is over and this dose is MTD;
- If the dose increase to the highest dose group still does not reach MTD, the dose increase should be stopped.
Dose extension After the completion of the dose escalation phase (9 or 12 cases) and the conclusion of safety, the investigator can select the appropriate dose group according to the safety, tolerance, and treatment response to enter the dose expansion phase. Dose extension stage (24 and 27 cases) according to the indications in the crowd into three queues: respectively for the integration of a stomach and the stomach esophagus adenocarcinoma, pancreatic cancer and other solid tumor, expand stage each queue number of cases can be determined by the actual filter and into the group of patients, no separate regulation, but two phase of the total case must not exceed 36 cases.
Multiple infusion Efficacy was assessed as PR or SD lasting more than 12 weeks after the initial infusion, and subsequent infusion could be considered if patients developed disease progression. The pretreatment plan before the second infusion is the same as the first pretreatment. The researcher can decide whether to preprocess and adjust the pretreatment plan according to the specific situation of the subjects. Re-infusion can be performed 48 hours after the completion of the re-infusion, and the follow-up nodes after the re-infusion are the same as the treatment cycle of the first infusion. If the efficacy evaluation of the subjects is still PD after the re-infusion, RD07 infusion will not be performed later.
- Conditions
- Solid Tumor
- Being tested
- Cell injection
- Keywords
- Solid Tumor, CAR-T
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Cell injectionDrug
All subjects will be treated with cell injection
| Study group | Role | What they receive |
|---|---|---|
| Cell injection | Experimental | Cell injection Receives: Drug: Cell injection |
What is being measured
The primary outcome is the main question the study is designed to answer.
Dose-limiting toxicity (DLT) and maximum tolerated dose (MTD)
Measured: 3 years
Adverse events (TEAEs) and incidence after initial infusion, treatment-related adverse events and incidence, AESI and incidence of special concern
Measured: 3 years
Secondary outcomes (1)
ORR
Measured: 3 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Mar 2022
- Study start1 Apr 2022 (estimated)
- Primary completion1 May 2023 (estimated)
- Study completion1 Apr 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Solid TumorStudies of the same condition, open and under way.
- More trials run by Peking UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Early Phase 1
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 36 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Peking University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05284968
- Sponsor's protocol ID
- BHCT-RD07-07
- Status last verified
- Dec 2021
- First submitted
- 10 Mar 2022
- Last updated
- 17 Mar 2022
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 17 Mar 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Clinical Study on the Safety and Efficacy of RD07 Cell Injection in the Treatment of Patients With Advanced Claudin18.2 Positive Solid Tumors
- ClinicalTrials.gov ID
- NCT05284968
- Acronym / sponsor ID
- BHCT-RD07-07
- Conditions
- Solid Tumor
- Keywords
- Solid Tumor, CAR-T
- Phase
- Early Phase 1
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 36 participants (estimated)
- Lead sponsor
- Peking UniversityUniversity, hospital or other
- Study start
- 1 Apr 2022 (estimated)
- Primary completion
- 1 May 2023 (estimated)
- Study completion
- 1 Apr 2025 (estimated)
- First posted
- 17 Mar 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
IP: RD07 cell injection; Target disease:solid tumor; Protocol design: Single arm, open label, dose increasing design. The experiment was divided into two stages: dose increasing stage and dose extension stage. After the completion of the dose escalation phase (9 or 12 cases) and the conclusion of safety, the investigator can select the appropriate dose group according to the safety, tolerance, and treatment response to enter the dose expansion phase. Dose extension stage (24 and 27 cases) according to the indications in the crowd into three queues: respectively for the integration of a stomach and the stomach esophagus adenocarcinoma, pancreatic cancer and other solid tumor, expand stage each queue number of cases can be determined by the actual filter and into the group of patients, no separate regulation, but two phase of the total case must not exceed 36 cases.
Detailed description
Principle of dose escalation:
- If there is no DLT in 3 subjects in one dose group, increase to the next dose group;
- If DLT occurs in only 1 of 3 subjects in a dose group, 3 subjects will be added to the dose group. If no more than 1 out of 6 subjects developed DLT, then increments to the next dose group;
- If DLT occurs in ≥2 of 6 subjects, the level of the dose group exceeds MTD and should be reduced to the first dose group. If there were only 3 patients in the dose group, 3 more patients were enrolled. If this dose has been tested in 6 patients, the test is over and this dose is MTD;
- If the dose increase to the highest dose group still does not reach MTD, the dose increase should be stopped.
Dose extension After the completion of the dose escalation phase (9 or 12 cases) and the conclusion of safety, the investigator can select the appropriate dose group according to the safety, tolerance, and treatment response to enter the dose expansion phase. Dose extension stage (24 and 27 cases) according to the indications in the crowd into three queues: respectively for the integration of a stomach and the stomach esophagus adenocarcinoma, pancreatic cancer and other solid tumor, expand stage each queue number of cases can be determined by the actual filter and into the group of patients, no separate regulation, but two phase of the total case must not exceed 36 cases.
Multiple infusion Efficacy was assessed as PR or SD lasting more than 12 weeks after the initial infusion, and subsequent infusion could be considered if patients developed disease progression. The pretreatment plan before the second infusion is the same as the first pretreatment. The researcher can decide whether to preprocess and adjust the pretreatment plan according to the specific situation of the subjects. Re-infusion can be performed 48 hours after the completion of the re-infusion, and the follow-up nodes after the re-infusion are the same as the treatment cycle of the first infusion. If the efficacy evaluation of the subjects is still PD after the re-infusion, RD07 infusion will not be performed later.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Cell injection | Experimental | Drug: Cell injectionCell injection |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- 1) Age ≥18 years old and <75 years old, gender is not limited; 2) Claudin18.2 positive confirmed by histology or cytology (the proportion of positive cells is ≥10% and the staining intensity is ≥1+; the specimen is acceptable within 1 year, and re-biopsy is required for more than 1 year) advanced gastric cancer, gastroesophageal combination solid tumors such as adenocarcinoma and pancreatic cancer; 3) Patients with gastric cancer and gastroesophageal junction adenocarcinoma who are ineffective in second-line standard therapy, or who are unwilling to perform or cannot tolerate second-line standard therapy; pancreatic cancer patients who fail or cannot tolerate first-line therapy; for other tumor types patients, they should meet the requirements of the existing standard of care for ineffective or intolerable standard treatment; 4) Referring to the RECIST 1.1 standard, there is at least one measurable lesion: according to CT or MRI evaluation, the longest diameter of the lesion is at least 10 mm (slice thickness 5 mm); or the short diameter of the lymph node lesion must be ≥15 mm; 5) ECOG score 0-2 points; 6) Blood routine neutrophil count ≥1.5×109/L; hemoglobin ≥80g/L and platelets ≥75×109/L (no blood transfusion within 14 days); 7) Creatinine clearance rate > 60ml/min (Cockcroft and Gault formula); for patients without liver involvement, serum total bilirubin is less than or equal to 1.5 times the upper limit of the normal value, and both serum ALT and AST are less than or equal to 3 times the upper limit of the normal value range; For liver violations, serum total bilirubin is ≤3 times the upper limit of the normal value, and both serum ALT and AST are ≤5 times the upper limit of the normal value range; 8) Echocardiography shows left ventricular ejection fraction (LVEF) ≥ 50%; 9) The estimated survival period is more than 3 months; The subjects or their legal guardians voluntarily participated in this trial and signed the informed consent.
Key exclusion criteria (3 listed)
- 1) Those who have received Claudin18.2-targeted monoclonal antibody or cell therapy in the past; 2) Uncontrolled intracranial metastases (except those with stable disease for ≥8 weeks and no need for glucocorticoid therapy within 4 weeks after the first dose); 3) Acute pancreatitis or severe active upper gastrointestinal disease history within 4 weeks, such as upper gastrointestinal bleeding, etc.; 4) Receive anti-tumor therapy before infusion, if any of the following are met, it should be excluded: Received chemotherapy and small molecule targeted therapy within 2 weeks; Received radiotherapy within 4 weeks; Have received monoclonal antibody treatment and the last monoclonal antibody infusion is less than 2 half-lives from apheresis;
- 5) Those who used granule/granule-monoline colony-stimulating factor (G/GM-GSF) within 2 weeks before screening; 6) Patients who must use steroid hormones during CAR-T infusion (except for topical or inhaled steroid hormones); patients who are receiving systemic steroid therapy before screening and who are judged by the investigator to need long-term use of systemic steroid therapy during treatment. subjects (except inhalation or topical use); and subjects treated with systemic steroids within 72 hours before cell infusion (except inhalation or topical use); 7) Those with a history of serious heart disease, including but not limited to: history of acute myocardial infarction within 12 months, unstable angina pectoris, chronic heart failure of grade ≥III (standard of New York Heart Association), and electrocardiogram showing QT History of prolonged interval or severe arrhythmia; 8) Those with a history of craniocerebral trauma, disturbance of consciousness, epilepsy, cerebrovascular ischemia, cerebrovascular hemorrhagic disease, etc.; 9) Uncontrolled severe active infection (except for simple urinary tract infection and bacterial pharyngitis); 10) Subjects with positive hepatitis B surface antigen (HBsAg) or hepatitis B core antibody (HBcAb) and peripheral blood HBV DNA >1000 copies/ml at screening; hepatitis C virus (HCV) antibody positive or peripheral blood HCV RNA positive ; Human immunodeficiency virus (HIV) antibody positive; Syphilis antibody positive; 11) Autoimmune disease subjects in need of treatment or subjects in need of immunosuppressive treatment; 12) The subject has a history of other primary cancers, except for the following: Non-melanoma cured by resection, such as skin basal cell carcinoma; Cervical carcinoma in situ, local prostate cancer, and ductal carcinoma in situ with a disease-free survival period of ≥2 years after adequate treatment; 13) The subject has a history of alcoholism, drug addiction or mental illness; 14) Inoculated with live or attenuated or inactivated vaccine within 4 weeks before screening; 15) Those who have a history of allergy to any component in the cell product; 16) Those who have participated in other clinical trials within 2 weeks before screening; 17) Pregnant, lactating women and subjects who are fertile and cannot take effective contraceptive measures (whether male or female); Any other condition that the investigator believes may increase the risk to the subject or interfere with the results of the trial.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Cell injectionAll subjects will be treated with cell injection | Drug | Cell injection |
Primary outcome
Dose-limiting toxicity (DLT) and maximum tolerated dose (MTD)
Time frame: 3 years
Adverse events (TEAEs) and incidence after initial infusion, treatment-related adverse events and incidence, AESI and incidence of special concern
Time frame: 3 years
1 secondary outcome
ORR
Time frame: 3 years
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Mar 2022.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Questions about this trial
What is this clinical trial studying?
A Early Phase 1 study testing Cell injection in people with Solid Tumor, run by Peking University.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 17 Mar 2022. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Early Phase 1 (sometimes called Phase 0) studies give a very small amount of a treatment to a few people, mainly to see how the body handles it.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Qi Changsong (13811394004, xiwangpku@126.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Dose-limiting toxicity (DLT) and maximum tolerated dose (MTD) (time frame: 3 years). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Mar 2022; AzTrials last refreshed its copy on 7 Nov 2026.