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Trial Title: A Phase I/II Study to Evaluate AZD5851 in GPC3+ Advanced/Recurrent Hepatocellular Carcinoma

NCT ID: NCT06084884

Condition: Hepatocellular Carcinoma

Conditions: Official terms:
Carcinoma
Carcinoma, Hepatocellular

Conditions: Keywords:
Hepatocellular Carcinoma
Liver Cancer
Liver Neoplasm
advanced HCC
HCC
Metastatic Liver Cancer
CAR-T
CART
AZD5851
T-cell
Cell Therapy

Study type: Interventional

Study phase: Phase 1/Phase 2

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Masking description: Open-label

Intervention:

Intervention type: Biological
Intervention name: AZD5851
Description: Subjects will undergo leukapheresis to isolate peripheral blood mononuclear cells (PBMCs) to produce AZD5851. During AZD5851 production, subjects may receive bridging therapy for disease control. Upon successful generation of AZD5851 product, subjects will receive treatment with AZD5851 therapy. Study treatment will include lymphodepleting chemotherapy followed by one dose of AZD5851 administered by intravenous (IV) infusion.
Arm group label: AZD5851

Other name: Cell Therapy

Summary: A Phase I/II study to evaluate AZD5851 in patients with GPC3+ advanced/recurrent hepatocellular carcinoma.

Detailed description: This first-time in human, single-arm, open-label multicentre Phase I/II study will evaluate the safety, tolerability, antitumour activity, cellular kinetics, pharmacodynamics, and immunogenicity of AZD5851 in adult participants with GPC3+ advanced/recurrent HCC, where at least one line of prior therapy has failed/or was intolerable, or participant/investigator decision.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Participant must be 18 years or older and has voluntarily agreed to participate by giving written informed consent. 2. Participants with confirmed advanced/recurrent or metastatic and/or unresectable HCC based on histopathological findings 3. Completed or were unable to tolerate at least one prior line of standard systemic therapy for HCC and/or participant/investigator decision. 4. GPC3-positive tumour as determined by a central laboratory using an analytically validated IHC assay 5. Barcelona Clinic Liver Cancer Stage B (if not amenable to local treatment/surgery) or C prior to apheresis 6. Child-Pugh score: Grade A 7. Participants with HBV and HCV undergoing management of these infections per institutional practice. Exclusion Criteria: 1. Active or prior documented gastrointestinal (GI) variceal bleed or history of upper GI bleeding, ulcers, or esophageal varices with bleeding within 12 months 2. History of liver transplantation or on waiting list 3. Current clinically significant ascites 4. Main portal vein thrombus, or tumor thrombus invasion of mesenteric vein / inferior vena cava 5. Uncontrolled intercurrent illness 6. Active Infections 7. Positive serology for HIV 8. History of hepatic encephalopathy within 12 months prior to treatment allocation 9. History of chronic or recurrent (within the last year) severe autoimmune or immune mediated disease requiring steroids or other immune-suppressive treatments. 10. Prior treatment with any CAR-T therapy directed at any target or any therapy that is targeted to GPC3. 11. Receipt of the last dose of anticancer therapy (chemotherapy, immunotherapy, endocrine therapy, targeted therapy, biologic therapy, tumour embolisation, or monoclonal antibodies, investigational product) within 5 half-lives or ≤ 21 days (whichever is shortest).

Gender: All

Minimum age: 18 Years

Maximum age: 130 Years

Healthy volunteers: No

Locations:

Facility:
Name: Research Site

Address:
City: Phoenix
Zip: 85054
Country: United States

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Duarte
Zip: 91010
Country: United States

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Orange
Zip: 92868
Country: United States

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: San Francisco
Zip: 94143
Country: United States

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Washington
Zip: 20007
Country: United States

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Jacksonville
Zip: 32224
Country: United States

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Atlanta
Zip: 30322
Country: United States

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Westwood
Zip: 66205
Country: United States

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Rochester
Zip: 55905
Country: United States

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Hackensack
Zip: 07601
Country: United States

Status: Recruiting

Facility:
Name: Research Site

Address:
City: New York
Zip: 10065
Country: United States

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Columbus
Zip: 43210
Country: United States

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Portland
Zip: 97239
Country: United States

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Philadelphia
Zip: 19104
Country: United States

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Pittsburgh
Zip: 15237
Country: United States

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Seoul
Zip: 03080
Country: Korea, Republic of

Status: Not yet recruiting

Start date: November 27, 2023

Completion date: December 13, 2027

Lead sponsor:
Agency: AstraZeneca
Agency class: Industry

Source: AstraZeneca

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06084884

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