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Recruiting Early Phase 1

Exploratory Clinical Study of Targeted Activated DC and CAR-T Therapy in Advanced Solid Cancers

NCT07475182 · tracked via the Priya Life Science China tracker
Sponsor
Hainan Cancer Hospital
Phase
Early Phase 1
Started
2025-12-06
Last updated
2026-03-16

Condition(s) studied

Advanced Solid Cancers

Investigational drug(s) / intervention(s)

Targeted Activated Dendritic CellsTargeted CAR-T Cells

Targeted Activated Dendritic Cells: Autologous dendritic cells (DCs) genetically modified to express chimeric antigen receptor (CAR) and activation domain

Targeted CAR-T Cells: Autologous T cells genetically modified to express chimeric antigen receptor (CAR)

Study summary

This is an open-label, single-arm clinical study designed to evaluate the safety and preliminary efficacy of Targeted Activated DC combined with CAR-T therapy in patients with Advanced Solid Cancers.This combination therapy activates dendritic cells (DCs) to precisely target the tumor site, reshaping the tumor immune microenvironment, breaking down the immunosuppressive barrier, and allowing CAR-T cells to penetrate deeper into the tumor more efficiently, precisely and persistently killing cancer cells.

Eligibility

Sex
ALL
Min age
18 Years
Max age
75 Years
Healthy volunteers
No
Inclusion Criteria: 1. Age ≥ 18 years and ≤ 75 years, regardless of gender; 2. Advanced solid tumors with clear pathological confirmation, including but not limited to gastric cancer, colorectal cancer, pancreatic cancer, prostate cancer, etc.; at least one measurable lesion meeting RECIST 1.1 criteria (according to RECIST 1.1, the longest diameter of a measurable lesion on spiral CT scan ≥ 10 mm, or the short diameter of a pathological lymph node ≥ 15 mm); 3. Tumor tissue positive for Claudin 18.2, GCC, TROP2, or PSMA targets by immunohistochemistry (IHC) (expression intensity ≥ 2+; percentage of positive cells ≥ 40%); 4. Meets the indications for PBMC collection and has no contraindications for cell collection; 5. Failure of standard second-line treatment, or lack of a standard treatment regimen; or refusal to receive chemotherapy (with signed documentation); 6. ECOG performance status: 0-1; 7. Life expectancy: ≥ 3 months; 8. Toxicities from prior chemotherapy or other anti-tumor therapies must have resolved after a washout period (except for residual alopecia), ensuring that all organ functions meet the inclusion criteria; 9. Adequate organ function, including: 1. Adequate immune function: absolute lymphocyte count (ALC) ≥ 0.5 × 10⁹/L, absolute neutrophil count (ANC) ≥ 1.0 × 10⁹/L, monocyte count ≥ 0.1 × 10⁹/L. 2. Adequate hematopoietic function: platelet count ≥ 75 × 10⁹/L, hemoglobin ≥ 90 g/L. Patients must not have received blood transfusions or treatments such as granulocyte colony-stimulating factor, thrombopoietin, or erythropoietin within 14 days prior to the blood count assessment. 3. Adequate liver function: total bilirubin (TBIL) \< 2 × upper limit of normal (ULN), aspartate aminotransferase (AST) and alanine aminotransferase (ALT) \< 2.5 × ULN. 4. Adequate renal function: creatinine (Cr) ≤ 1.5 × ULN. 5. Adequate coagulation function: prothrombin time (PT) or activated partial thromboplastin time (APTT) \< 1.5 × ULN, and international normalized ratio (INR) \< 1.5. 10. Individuals of childbearing potential must agree to use effective contraception during the study; 11. Ability to understand and willingness to sign a written informed consent form; 12. Willingness and ability to comply with scheduled visits, treatment plans, laboratory tests, and other study procedures. Exclusion Criteria: 1. Oncological emergencies requiring immediate intervention, such as malignant pericardial effusion or tamponade, superior vena cava syndrome, or spinal cord compression; 2. Significant cardiovascular disease, including: 1. Documented major cardiovascular events within the past 6 months, such as myocardial infarction, angina pectoris, heart failure, severe arrhythmia, or prior angioplasty, stent implantation, or coronary artery bypass grafting; 2. Clinically significant QT interval prolongation (QTcF \> 470 ms for women or QTcF \> 450 ms for men); 3. Clinically significant bleeding tendency or coagulation disorders (e.g., hemophilia); 4. Active infection with HIV, syphilis, hepatitis B virus (HBV), or hepatitis C virus (HCV); 5. History of involuntary commitment due to mental illness, or any psychiatric condition deemed by the investigator to make the patient unsuitable for the trial; 6. Concurrent autoimmune diseases, or long-term use of immunosuppressants or systemic corticosteroids; 7. Poor compliance, as assessed by the investigator; 8. Prior treatment with any targeted CAR-T cell therapy within 3 months before this CAR-T infusion; 9. Uncontrolled active bacterial or fungal infections; 10. Any other condition that, in the opinion of the investigator, makes the patient ineligible for the study.

Primary outcome measure(s)

  • Adverse Events (AEs) — 2 years post cell infusion
    To evaluate adverse events following infusion of targeted activated dendritic cells (DC) and CAR-T cells, with an assessment of the incidence and severity of treatment-related toxicities, including cytokine release syndrome (CRS), immune effector cell-associated neurotoxicity syndrome (ICANS), hematological abnormalities, infections, autoimmune reactions, and secondary malignancies.

Trial sites (1)

FacilityCityRegionStatus
Hainan Cancer Hospital Haikou Hainan Recruiting
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT07475182 on ClinicalTrials.gov ↗ ← All trials in China