An Open-Label, Dose Escalation, Multi-Center Phase I/II Clinical Trial of ECT204 T-Cell Therapy in Adults With Advanced Hepatocellular Carcinoma (HCC)
Summary
This is an open-label, multi-center, Phase 1/2 clinical trial evaluating the safety, tolerability, and efficacy of ECT204, an investigational ARTEMIS® T-cell therapy, in adult subjects with GPC3-positive hepatocellular carcinoma (HCC) who have experienced disease progression on, or intolerance to, prior systemic therapy.
Detailed description
ECT204 is an autologous T-cell product built on the ARTEMIS® Cell Receptor platform, incorporating two GPC3-targeting surface components: an antibody-T-cell receptor (AbTCR) and a chimeric stimulating receptor (CSR). Each subject's T cells are collected and genetically modified ex vivo to co-express these receptors, then re-administered to selectively recognize and eliminate GPC3-expressing HCC tumor cells. The study consists of a completed Phase 1 and a Phase 2 expansion cohort. Phase 1 used a traditional 3+3 dose-escalation design to determine the recommended Phase 2 dose (RP2D), followed by an RP2D confirmatory cohort to further characterize safety. Phase 2 evaluates a multi-infusion strategy of up to four ECT204 infusions administered across two treatment cycles, with the second cycle administered to subjects who achieve stable disease or better at the Month 2 assessment. The active assessment period extends for 2 years (24 months) after the first ECT204 infusion (Day 0). Subjects then enter long-term follow-up (LTFU) for ongoing safety and overall survival assessments through Year 15.
Arms & interventions
- BiologicalECT204 T cells
ECT204 is an autologous T-cell therapy whereby a subject's own T cells are transduced with a lentiviral vector expressing the ECT204 transgene.
Outcome measures
Primary
To assess the safety and tolerability of ECT204.
Type, frequency, and severity of adverse events (AEs), including treatment-emergent AEs (TEAEs), treatment-related AEs (TRAEs), serious adverse events (SAEs), adverse events of special interest (AESIs), clinically significant laboratory abnormalities recorded as AEs, and AEs leading to permanent discontinuation.
Time frame: Up to 2 years (active assessment period); additional long-term follow-up (LTFU) up to 15 years
Secondary
To assess the efficacy of ECT204 using RECIST v1.1 | Overall Response Rate (ORR)
Time frame: Up to 15 years
To assess the efficacy of ECT204 using RECIST v1.1 | Duration of Response (DOR)
Time frame: Up to 15 years
To assess the efficacy of ECT204 using RECIST v1.1 | Progression-Free Survival (PFS)
Time frame: Up to 15 years
To assess the efficacy of ECT204 using RECIST v1.1 | Disease Control Rate (DCR)
Time frame: Up to 15 years
To assess the efficacy of ECT204 using RECIST v1.1 | Time to Response (TTR)
Time frame: Up to 15 years
To assess the efficacy of ECT204 using RECIST v1.1 | Time to Progression (TTP)
Time frame: Up to 15 years
To assess the efficacy of ECT204 using RECIST v1.1 | Overall Survival (OS)
Time frame: Up to 15 years
To evaluate changes in serum GPC3 as a pharmacodynamic marker of ECT204 activity.
Time frame: Up to 2 years
To characterize the pharmacokinetic (PK) profile of ECT204, including the expansion and persistence of ECT204 | Peak exposure (Cmax)
Time frame: Up to 2 years
To characterize the pharmacokinetic (PK) profile of ECT204, including the expansion and persistence of ECT204 | Time to reach peak exposure (Tmax)
Time frame: Up to 2 years
To characterize the pharmacokinetic (PK) profile of ECT204, including the expansion and persistence of ECT204 | Area under the concentration-time curve to the last quantifiable concentration (AUCt)
Time frame: Up to 2 years
Eligibility criteria
Study locations (7)
City of Hope
Duarte, California, 91010
Kansas University Medical Center, Principal Investigator:
Westwood, Kansas, 66205
Roswell Park Comprehensive Cancer Center
Buffalo, New York, 14263
Montefiore Einstein Comprehensive Cancer Center
The Bronx, New York, 10467
Oregon Health and Sciences University
Portland, Oregon, 97239
University of Texas Southwestern, Harold C. Simmons Comprehensive Cancer Center
Dallas, Texas, 75235
Fred Hutchinson Cancer Center, University of Washington
Seattle, Washington, 98109