AzTrials
AzTrials

Relapsed NeuroblastomaPhase 1NCT07211737

NKG2D.Zeta-NK Cell Conditioning With C7R.GD2.CAR-T Cells for Patients With Relapsed or Refractory Osteosarcoma or Neuroblastoma

A Phase 1 study testing i15.NKG2D.zeta NK cells and C7R.GD2.CARTs cells in people with Relapsed Neuroblastoma and Refractory Neuroblastoma, run by Baylor College of Medicine at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The purpose of this study is to find the largest safe dose of i15.NKG2D.zeta-NK cells in combination with C7R.GD2.CAR-T cells, and additionally to evaluate how long they can be detected in patients' blood and what affect they have on patients' cancer. Read more about this study

Who is it for?
Ages 1 year to 24 years
What is being tested?
i15.NKG2D.zeta NK cells and C7R.GD2.CARTs cells
Could I receive a placebo?
No, everyone receives an active treatment
How many people
27 participants
Where
1 siteUnited States
Study dates
15 Jul 2026to Apr 2044
Phase
Phase 1
Are there results?
Not yet: the study is under way

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 1 year to 24 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

PROCUREMENT INCLUSION:

  1. Patients with Neuroblastoma that have persistent disease after standard treatment or have relapsed/refractory disease. Or Patients with Osteosarcoma that have persistent disease after standard treatment or have relapsed/refractory disease.
  2. Karnofsky/Lansky score of 60% or greater.
  3. Informed consent and assent (as applicable) obtained from parent/guardian and child.
  4. Greater than 1 year of age.

PROCUREMENT EXCLUSION:

  1. History of hypersensitivity to murine protein-containing products.
  2. Known presence of Human Anti-Mouse Antibodies (HAMA).
  3. Active autoimmune disease (requiring immunosuppressive treatment in the past 6 months).
  4. Primary brain tumor or known brain metastases (on evaluation by MIBG and/or PET if applicable, CT/MRI/LP not required).

TREATMENT INCLUSION:

  1. Patients with Neuroblastoma that have persistent disease after standard treatment or have relapsed/refractory disease. Or Patients with Osteosarcoma that have persistent disease after standard treatment or have relapsed/refractory disease.
  2. Karnofsky/Lansky score of 50% or greater
  3. Pulse Ox greater than or equal to 90% on room air
  4. AST less than 5 times upper limit of normal (less than 10 times upper normal if known with metastatic liver disease)
  5. Total bilirubin less than 3 times the upper limit of normal
  6. Serum creatinine less than 3 times upper limit of normal
  7. Available autologous T-cells with greater than or equal to 20% expressing GD2.CAR
  8. Informed consent and assent (as applicable) obtained from parent/guardian and child.
  9. Greater than 1 year of age.
  10. Recovered from acute toxic effects of all prior chemotherapy and investigational agents before entering this study.

TREATMENT EXCLUSION:

  1. History of hypersensitivity to murine protein containing products (patients who have undergone desensitization and successful re-challenge without hypersensitivity reaction are eligible).
  2. Known presence of Human Anti-Mouse Antibodies (HAMA).
  3. Tumor potentially causing airway obstruction per investigator discretion.
  4. Pregnancy or lactation / will not use birth control methods.
  5. Currently receiving immunosuppressive drugs (patients on low dose corticosteroids are eligible: less than 0.25 mg/kg/day of prednisone/equivalent).
  6. Primary brain tumor or known brain metastases (on evaluation by MIBG and/or PET if applicable, CT/MRI/LP not required).

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Robin Parihar, MD, PhD contact

832-824-4746

rxpariha@texaschildrens.org

Martha Arredondo contact

832-824-1201

Martha.Arredondo@bcm.edu

United States1 site, 1 recruiting
  • Texas Children's Hospital

    Houston, Texas, 77030

    Robin Parihar, MD, 832-824-4746, rxpariha@texaschildrens.org

    Recruiting

Other trials in United States

About this study

Official title: (INCITE-ON) Phase I Study of i15.NKG2D.Zeta-NK Cell Conditioning in the Tumor Micro-environment in Combination With C7R.GD2.CAR-T for the Treatment of Patients With Relapsed or Refractory Osteosarcoma or Neuroblastoma

The purpose of this study is to find the largest safe dose of i15.NKG2D.zeta-NK cells in combination with C7R.GD2.CAR-T cells, and additionally to evaluate how long they can be detected in patients' blood and what affect they have on patients' cancer.

Patients eligible for this study have neuroblastoma or osteosarcoma that expresses a substance on the cancer cells called GD2. This cancer has either come back after treatment or did not respond to the standard or other investigational treatments or therapies used to treat it. There is no standard treatment for these types of advanced cancers at this time. This is a gene transfer research study using special immune cells called NK cells and T cells. NK cells and T cells are types of white blood cell that help the body fight infection.

Read more

The body has different ways of fighting infection and disease. No single way seems perfect for fighting cancers. This research study combines two different ways of fighting cancer: NK cells and T cells. T cells are special infection-fighting blood cells that can kill cells infected with viruses and tumor cells. NK cells, another kind of infection-fighting cell, can recognize a wide range of cells in distress, including tumor cells and cells that help protect tumor cells in the cancer environment. Both NK cells and T cells have been used individually to treat patients with cancers. They have shown promise, but have not been strong enough individually to cure most patients.

Investigators have found from previous research that we can put a new gene into T cells that will make them recognize GD2, a substance found on almost all neuroblastoma and osteosarcoma cells. We can also put a new gene into NK cells that help them fight the tumor environment. Investigators know that T cells and NK cells need substances called cytokines to survive but the cells do not get enough cytokines after infusion into the body; therefore, the investigators have added the genes C7R and IL15 into the T and NK cells, respectively, to give each cell a constant supply of cytokine that helps them to survive longer.

The C7R.GD2.CAR-T cells and i15.NKG2D.zeta-NK cells are investigational products not approved by the Food and Drug Administration.

Read the detailed description

To make the T cells, the investigators will take patient's blood and stimulate it with growth factors that make T cells grow. Investigators will use a retrovirus to insert the GD2-targeting chimeric antigen receptor (CAR) into the T cells. To make NK cells, investigators will take blood from healthy donors and stimulate them with growth factors that make NK cells grow. Investigators will also use a retrovirus to insert the tumor environment-targeting NK receptor, called NKG2D.zeta, into the NK cells.

The cells generated will be frozen and stored to give back to the patient. Because patients will have received cells with a new gene in them, patients will be followed for a total of 15 years to see if there are any long term side effects of gene transfer.

Patients will be assigned a dose of i15.NKG2D.zeta-NK cells. The assigned dose of cells is based on body weight and height.

In this study, patients will receive the i15.NKG2D.zeta-NK and C7R.GD2.CAR-T cells. On Day -5, the patient will be given an injection of i15.NKG2D.zeta-NK cells into the vein through an IV line at the assigned dose. Before receiving the NK cell infusion, the patient may be given a dose of Benadryl (diphenhydramine) and Tylenol (acetaminophen). The infusion will take between 1 to 10 minutes. Investigators will then monitor the patient in the clinic for about 3 hours. The study was designed to not give doses of lymphodepletion chemotherapy prior to the i15.NKG2D.zeta-NK and C7R.GD2.CAR-T cells. However, some patients may need to receive lymphodepletion chemotherapy prior to the NK cell infusion, based on preliminary study results.

This will be followed by an injection of C7R.GD2.CAR-T cells on Day 0. Before receiving the infusion, the patient may be given doses of Benadryl (diphenhydramine) and Tylenol (acetaminophen). The infusion will take between 1 to 10 minutes. Investigators will monitor the patient in the clinic for about 3 hours. The treatment will be given by the Center for Cell and Gene Therapy at Texas Children's Hospital. The patient may need to stay in Houston for up to 4 weeks after the infusion so we can monitor for side effects.

The patient will have follow-up visits after the T cell infusion at day -3, day +3, weeks 1, 2, 3, 4, and 8, then at months 3, 6, 9, an d 12, and then twice a year for the next 4 years and annually for the next 10 years. The patient will also have scheduled disease evaluations after the T cell injection at week 6 and then as clinically needed.

Medical test before treatment--

Before being treated, the patient will receive a series of standard medical tests:

  • Physical exam
  • Blood tests to measure blood cells, kidney and liver function
  • Measurements of the tumor by routine imaging studies and/or bone marrow evaluation. We will use the imaging studies that have been used in the past to best assess the tumor: Computed Tomography (CT) scan, Magnetic Resonance Imaging (MRI), Position Emission Tomography (PET/CT), Bone Scan, and/or MIBG scan.
  • Pulmonary Function Tests (PFT) to see how well the patient's lungs are working.

Medical tests during and after treatment--

The patient will receive standard medical tests when they are getting the infusions and afterwards:

  • Physical exams
  • Blood tests to measure blood cells, kidney and liver function
  • Measurements of the tumor by routine imaging studies and/or bone marrow evaluation 6 weeks after the infusion (if the bone marrow showed tumor before the infusion).

To learn more about the way the i15.NKG2D.zeta-NK cells and C7R.GD2.CAR-T cells are working and how long they last in the body, an extra amount of blood will be obtained on the day of the NK-cell infusion and the T-cell infusion and at the end of the NK-cell and T-cell infusions, 1, 2, 3, 4, and 8 weeks after the T-cell infusion and every 3 months for the 1st year, every 6 months for the next 4 years and annually for the next 10 years. The amount of blood taken will be based on the patient's weight with up to a maximum of 60 mL (12 teaspoons) of blood to be obtained at any one time. For children, the total amount of blood drawn will not be more than 3 mL (less than 1 teaspoon) per 1 kg of body weight on any one day. This volume is considered safe, but may be decreased if patient is anemic (has a low red blood cell count).

During the time points listed above, if the i15.NKG2D.zeta-NK cells or C7R.GD2.CAR-T cells are found in the patient's blood at a certain amount, an extra 5 mL (about 1 teaspoon) of blood may need to be collected for additional testing.

If the patient has a procedure where tumor samples are obtained, like a repeat bone marrow evaluation or tumor biopsy, the investigators will request a sample to be used for research purposes.

The patient will receive supportive care for any acute or chronic toxicities, including blood components or antibiotics, and other intervention as medically appropriate.

Being tested
i15.NKG2D.zeta NK cells and C7R.GD2.CARTs cells
Keywords
Gene Therapy, CAR T cells, Neuroblastoma, Osteosarcoma, Immunotherapy, chimeric antigen receptor, NK Cell
Medical subject headings
Neuroblastoma, Osteosarcoma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • i15.NKG2D.zeta NK cells and C7R.GD2.CARTs cellsGenetic

    Dose Level 1: 3 x 10^8/m^2 of i15.NKG2D.zeta NK cells and 3 x 10^7/m^2 of C7R.GD2.CAR T cells given 5 days later.

  • i15.NKG2D.zeta NK cells and C7R.GD2.CARTs cellsGenetic

    Dose Level 2: 6 x 10^8/m^2 of i15.NKG2D.zeta NK cells and 3 x 10^7 cells/m^2 of C7R.GD2.CAR T cells given 5 days later.

  • i15.NKG2D.zeta NK cells and C7R.GD2.CARTs cellsGenetic

    Dose Level 3: 12 x 10^8/m^2 of i15.NKG2D.zeta NK cells and 3 x 10^7 cells/m^2 of C7R.GD2.CAR T cells given 5 days later.

Study groups in NCT07211737
Study groupRoleWhat they receive
i15.NKG2D.zeta NK cells and C7R.GD2.CARTs cellsExperimentalThree dose levels will be evaluated. This is a dose escalating trial which will infuse doses of i15.NKG2D.zeta NK cells followed by a fixed dose of C7R.GD2.CAR T cells 5 days later.
Receives: Genetic: i15.NKG2D.zeta NK cells and C7R.GD2.CARTs cells

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Dose-limiting toxicity (DLT) rate

    Proportion of participants with DLTs related to the combination of NK cell and T cell infusions evaluated as per the NCI CTCAE v5.0 criteria

    Measured: 4 weeks post-CAR-T cell infusion

  2. Maximum tolerated dose (MTD) of i15.NKG2D.zeta-NK cells when given in combination with C7R.GD2.CAR-T cells

    The dose level of infused NK cells for which the DLT rate is approximately 0.3

    Measured: 4 weeks post CAR-T infusion of the last participant

Secondary outcomes (2)
  1. Objective response rate (ORR)

    Proportion of participants with complete response (CR) or partial response (PR) according to RECIST v1.1 criteria and/or MIBG evaluation (for neuroblastoma)

    Measured: 6 weeks after CAR-T infusion

  2. Cytokine release syndrome (CRS) grade

    Any grade CRS as evaluated by established clinical CRS Grading Scale

    Measured: 4 weeks post CAR-T infusion

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Oct 2025
  2. Study start15 Jul 2026
  3. Primary completionApr 2029 (estimated)
  4. Study completionApr 2044 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
27 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07211737
Sponsor's protocol ID
H-55743 INCITE-ON
Status last verified
Jul 2026
First submitted
4 Sep 2025
Last updated
21 Jul 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing i15.NKG2D.zeta NK cells and C7R.GD2.CARTs cells in people with Relapsed Neuroblastoma and Refractory Neuroblastoma, run by Baylor College of Medicine at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

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: looking for participants now, as of the sponsor's last update on 21 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

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?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Robin Parihar, MD, PhD (832-824-4746, rxpariha@texaschildrens.org), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Dose-limiting toxicity (DLT) rate (time frame: 4 weeks post-CAR-T cell infusion). 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 21 Jul 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in