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RecruitingInterventionalPhase 1

Study of Administration of T Cells Expressing B7-H3 Specific Chimeric Antigen Receptors and Containing the Inducible Caspase 9 Safety Switch in Subjects With Triple Negative Breast Cancer

NCT ID: NCT06347068Sponsor: UNC Lineberger Comprehensive Cancer CenterLast updated: 2026-04-22

Summary

This phase 1, single-center, open-label study explores the safety of escalating doses of chimeric antigen receptor T cells (CAR-T) cells in subjects with relapsed/refractory triple-negative breast cancer (TNBC).

Detailed description

T lymphocyte chimeric antigen receptor cells against the B7-H3 antigen (iC9-CAR.B7-H3 T cells) treatment is experimental and has not been approved by the Food and Drug Administration. The safety of iC9-CAR.B7-H3 T cells will be investigated using a modified 3+3 design. The data from the dose escalation will be used to determine a recommended phase 2 dose (RP2D), which will be decided based on the maximum tolerated dose (MTD) and additional factors such as the ability to manufacture sufficient cells for infusion. Subjects with TNBC who meet procurement eligibility criteria will have cells collected to manufacture iC9-CAR.B7-H3 T cells. Eligible subjects will receive lymphodepletion with cyclophosphamide and fludarabine.

Arms & interventions

  • BiologicaliC9-CAR.B7-H3 T Cell Therapy

    iC9-CAR.B7-H3 T cells will then be administered intravenously

  • Drugcyclophosphamide

    cyclophosphamide 300 mg/m2 IV will be given.

  • Drugfludarabine

    fludarabine 30 mg/m2 IV will be given.

Outcome measures

Primary

  • Toxicity: NCI-CTCAE

    Toxicity will be graded as the Number of participants with adverse events (AE)s AEs will be classified and graded according to the National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0.

    Time frame: Up to 4 weeks

  • Toxicity: Cytokine Release Syndrome (CRS)

    CRS will be graded according to the American Society for Transplantation and Cellular Therapy (ASTCT) CRS Consensus Grading. Grade 1 - Mild: Fever ≥38\^ o C, No hypotension, No hypoxia, Grade 2 - Moderate: Fever ≥38\^ o C, Hypotension not requiring vasopressors, Hypoxia requiring low-flow nasal cannula (≤6 L/minute) or blow-by, Grade 3 - Severe: Fever ≥ 38\^ o C, Hypotension requiring a vasopressor with or without vasopressin, Hypoxia requiring high-flow nasal cannula (\>6 L/minute), facemask, nonrebreather mask, or Venturi mask, Grade 4 - Life-threatening: Fever ≥38\^oC, Hypotension requiring multiple vasopressors (excluding vasopressin), Hypoxia requiring positive pressure (e.g. Continuous positive airway pressure, BiPAP, intubation, mechanical ventilation), Grade 5 - Death

    Time frame: Up to 8 weeks after infusion of Biological/Vaccine

  • Toxicity: Immune effector cell-associated neurotoxicity syndrome (ICANS)

    Neurotoxicity will be graded according to the Immune effector cell-associated neurotoxicity syndrome (ICANS) criteria. Immune effector cell-associated neurotoxicity syndrome (ICANS) symptoms will be graded according to the criteria outlined in the protocol on a scale from 1 (mild) to 4 (critical). Cytokine release syndrome (CRS) will be graded according to criteria outlined in the protocol on a scale from 1 (mild) to grade 5 (death).

    Time frame: Up to 4 weeks

Secondary

  • The recommended phase 2 dose (RP2D) NCI-CTCAE v5.

    Time frame: Up to 4 weeks

  • The recommended phase 2 dose (RP2D) CRS Grading

    Time frame: Up to 4 weeks

  • The recommended phase 2 dose (RP2D)

    Time frame: Up to 4 weeks

  • Objective response rate

    Time frame: Up to 2 years

  • Progression Free Survival (PFS)

    Time frame: Up to 2 years

  • Overall Survival (OS)

    Time frame: Up to 2 years

  • Duration of Response (DOR)

    Time frame: Up to 2 years

Eligibility criteria

Sex: AllAge: 18 Years and olderHealthy volunteers: No
Inclusion Criteria: Unless otherwise noted, subjects must meet all of the following criteria to participate in in all phases of the study: 1. Written informed consent and Health Insurance Portability and Accountability Act (HIPAA) authorization for release of personal health information explained to, understood by and signed by the subject or legally authorized representative. 2. Age ≥ 18 years at the time of consent. 3. Karnofsky score of \> 60% (see APPENDIX VI- Karnofsky Scale)) 4. Histologically confirmed TNBC (ER-, PR-, HER2-negative) 1. ER- and PR-negative: defined as \< 1% staining by immunohistochemistry (IHC) 2. HER2-negative: defined as IHC 0-1+ or fluorescence in situ hybridization (FISH) ratio \< 2.0 Exclusion Criteria: 1. Patients with a history of symptomatic CNS involvement or multiple metastases requiring whole-brain radiation. 2. Subjects with a prior or concurrent malignancy whose natural history or treatment has the potential to interfere with the safety or efficacy assessment of the investigational regimen are eligible for this trial. 3. Subject does not have a measurable and or evaluable disease as defined by RECIST 1.1

Study locations (1)

University of North Carolina

Chapel Hill, North Carolina, 27599

Recruiting
Catherine Cheng · Contact
E. Claire Dees, MD, MSc · Sub Investigator