Clinical trial • Phase I/II • Oncology
ALLOGENEIC PERIPHERAL BLOOD-DERIVED CD56+ NATURAL KILLER CELLS, CO-CULTURED WITH K562-MB15-41BBI CELL LINE for Sarcoma
Phase I/II trial of ALLOGENEIC PERIPHERAL BLOOD-DERIVED CD56+ NATURAL KILLER CELLS, CO-CULTURED WITH K562-MB15-41BBI CELL LINE for Sarcoma. open-label.
Overview
- Trial Therapeutic Area
- Oncology
- Trial Disease
- Sarcoma
- Trial Stage
- Phase I/II
- Drug Modality
- Cell therapy
- Paediatric Trial
- Yes
Key dates
- Initial CTIS Submission Date
- 09-04-2024
- First CTIS Authorization Date
- 18-04-2024
Trial design
open-label Phase I/II trial across 1 site in Spain.
- Open Label
- Yes
- Target Sample Size
- 10
- Trial Duration For Participant
- 2557
Eligibility
Recruits 10 paediatric patients.
- Pregnancy Exclusion
- Women of childbearing capacity must have a negative pregnancy test at inclusion and must agree to use highly effective contraceptive methods (diaphragms plus spermicide or male condom plus spermicide, oral contraceptive combined with a second method of contraceptive implant, injectable contraceptive, permanent intrauterine device, sexual abstinence or vasectomized partner) during their participation in the study and within 30 days of the last visit.
- Vulnerable Population
- Consent and assent handling: Adult subjects must voluntarily sign informed consent prior to first intervention. For minor subjects the representative/legal guardian must voluntarily sign informed consent prior to first intervention. For mature minors (12-17 years) the minor's assent will be obtained in addition to the legal guardian's consent.
Inclusion criteria
- {"criterion_text":"- Patients aged 0-40 years diagnosed with malignant sarcoma, who at the end of conventional treatment still have detectable residual disease (based on imaging techniques) or in case of stable disease or minimal disease when there is an absence of clinical benefit from chemotherapy (poor tolerance due to adverse effects related to chemotherapy)."}
- {"criterion_text":"- Lansky/Karnofsky index > 60%."}
- {"criterion_text":"- Mild-moderate (<4) organ functional impairment (hepatic, renal, respiratory), according to National Cancer Institute criteria (NCI CTCAE v5.0)."}
- {"criterion_text":"- Left ventricular ejection fraction >39%."}
- {"criterion_text":"- Adult subjects who had voluntarily signed the informed consent prior to the first intervention of the study."}
- {"criterion_text":"- Minor subjects whose representative/legal guardian voluntarily signed the informed consent prior to the first intervention of the study."}
- {"criterion_text":"- In the case of mature minors (12 - 17 years of age), in addition to the consent signed by the legal guardian, the minor's assent will be obtained."}
- {"criterion_text":"- Women of childbearing capacity must have a negative pregnancy test at inclusion and must agree to use highly effective contraceptive methods (diaphragms plus spermicide or male condom plus spermicide, oral contraceptive combined with a second method of contraceptive implant, injectable contraceptive, permanent intrauterine device, sexual abstinence or vasectomized partner) during their participation in the study and within 30 days of the last visit."}
- {"criterion_text":"- Presence of a compatible haploidentical donor (parent or sibling)."}
Exclusion criteria
- {"criterion_text":"- Patients with a history of poor therapeutic compliance."}
- {"criterion_text":"- Patients who after a psycho-social evaluation are censored as unsuitable for the procedure. Socio-familial situation that makes proper participation in the study impossible. Patients with emotional or psychological problems secondary to the disease, such as post-traumatic stress disorder, phobias, delirium, psychosis, requiring specialist support. Evaluation of the involvement of family members in the patient's health. Impossibility to understand information about the trial."}
- {"criterion_text":"- Severe functional organ impairment (hepatic, renal, respiratory) (4), according to the criteria of the National Cancer Institute (NCI CTCAE 5.0)."}
- {"criterion_text":"- The contraindications, interactions, precautions for use and dose reductions indicated in the corresponding data sheets should be considered."}
- {"criterion_text":"- Subjects who have been administered other investigational drugs in the 90 days prior to inclusion."}
Endpoints
Primary endpoints
- {"endpoint_text":"- Toxicity will be classified according to the common toxicity criteria established by the National Cancer Institute (CTC NCI, version 5.0).","definition_or_measurement_approach":"Classified according to the National Cancer Institute Common Toxicity Criteria (CTC NCI, version 5.0)."}
Secondary endpoints
- {"endpoint_text":"- Incidence of episodes of febrile neutropenia, bacteraemia, infections (viral, fungal), haematological recovery and hospital admission associated with treatment.","definition_or_measurement_approach":""}
- {"endpoint_text":"- Five-year disease progression rate after treatment with NK cells + IL-2. This will be determined by imaging techniques.","definition_or_measurement_approach":"Determined by imaging techniques."}
- {"endpoint_text":"- Expression levels of NK cell inhibitory/activating ligands in solid tumour samples and patient serum. These shall be determined by immunohistochemistry and PCR techniques.","definition_or_measurement_approach":"Determined by immunohistochemistry and PCR techniques."}
Recruitment
- Planned Sample Size
- 10
- Recruitment Window Months
- 84
- Consent Approach
- Adult subjects provide voluntary informed consent prior to first intervention. Minor subjects require consent from a representative/legal guardian prior to first intervention. Mature minors (12-17 years) must provide assent in addition to the legal guardian's consent. Specific age-tailored documents or languages available are not specified in the record.
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 10
Spain
- Earliest CTIS Part Ii Submission Date
- 05-04-2024
- Latest Decision Or Authorization Date
- 18-04-2024
- Processing Time Days
- 13
- Number Of Sites
- 1
- Number Of Participants
- 10
Sites
- Site Name
- Hospital Universitario La Paz
- Department Name
- Unidad de Hemato-Oncología Pediátrica
- Principal Investigator Name
- Antonio Pérez Martínez
- Principal Investigator Email
- aperezmartinez@salud.madrid.org
- Contact Person Name
- Antonio Pérez Martínez
- Contact Person Email
- aperezmartinez@salud.madrid.org
- Number Of Participants
- 10
Sponsor
Primary sponsor
- Full Name
- Hospital Universitario La Paz
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- Spain
Investigational products
- Investigational Product Name
- Allogeneic peripheral blood-derived CD56+ natural killer cells, co-cultured with K562-mb15-41BBI cell line
- Active Substance
- ALLOGENEIC PERIPHERAL BLOOD-DERIVED CD56+ NATURAL KILLER CELLS, CO-CULTURED WITH K562-MB15-41BBI CELL LINE
- Modality
- Cell therapy
- Routes Of Administration
- INTRAVENIOUS INFUSION
- Route
- Intravenous infusion
- Combination Treatment
- Yes
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