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NCT Number: NCT05241392

Safety and Efficacy Study of Anti-B7-H3 CAR-T Cell Therapy for Recurrent Glioblastoma

This is an open, single-arm, dose-escalation and multiple-dose study to evaluate the safety, tolerability and preliminary effectiveness of B7-H3-targeting Chimeric Antigen Receptor-T (CAR-T) cell therapy on patients with recurrent glioblastomas. The study also plan to explore the Maximum Tolerated Dose (MTD) and determine the Recommended Phase II Dose (RP2D) of the CAR-T cell therapy.

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This study is active but is not currently recruiting participants.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Beijing Tiantan Hospital

Beijing, Beijing Municipality, 100730, China

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male or female, aged 18-75 years (including 18 and 75 years old);
  • Patients with relapsed glioblastoma, as confirmed by positron emission tomography (PET) or histologic pathology;
  • A >= 30% staining extent of B7-H3 in his/her primary/recurrent tumor tissue by the immunochemical method;
  • Karnofsky scale score>=50
  • Availability in collecting peripheral blood mononuclear cells (PBMCs) ;
  • Adequate laboratory values and adequate organ function;
  • Patients with childbearing/fathering potential must agree to use highly effective contraception;

Exclusion criteria

  • Pregnant or breastfeeding females;
  • Contraindication to bevacizumab;
  • Within 5 days before the CAR-T cell infusion, subjects receiving systemic administration of steroids with dosage more than 10mg/d prednisone or the equivalent doses of other steroids ( not including inhaled corticosteroid);
  • Comorbid with Other uncontrolled malignancy;
  • Active immunodeficiency virus (HIV) or hepatitis B virus or hepatitis C virus or tuberculosis infection;
  • Subjects receiving the placement of a carmustine slow-release wafer within 6 months before the enrollment;
  • Autoimmune diseases;
  • Receiving long-term immunosuppressive treatment after organ transplantation;
  • Severe or uncontrolled psychiatric diseases or condition that could increase adverse events or interfere the evaluation of outcomes;
  • Not recovered from the toxicities or side effects by previous treatment;
  • Subjects who have participated the other interventional trial within one month before the enrollment, or have received other CAR-T cell therapies or gene-modified cell therapy before enrollment.
  • Subjects with medical conditions that affect signing the written informed consent or complying with the research procedures, the medical conditions including, but not limited to cardio-cerebral vascular diseases, renal dysfunction/failure, pulmonary embolism, coagulation disorders, active systemic infection, uncontrolled infection et. al; or patients who are unwilling or unable to comply with the research procedures; these
  • Subjects with other conditions that would interfere trial participation at the investigator's discretion.

Treatment and study plan

B7-H3-targeting CAR-T cells

Biological

Patients will be treated with anti-B7-H3 autologous CAR-T cells that are delivered into the intracranial tumor resection cavity or ventricular system using an Ommaya device.

Primary outcomes

  1. Incidence of Dose Limiting Toxicity (DLT)

    Time frame: three months post CAR-T cells infusion

    To evaluate the DLT incidence occurred within three months after B7-H3 CAR-T cells infusion

  2. Safety:Incidence and severity of adverse events

    Time frame: three months post CAR-T cells infusion

    To evaluate the possible adverse events occurred within three months after B7-H3 CAR-T cell infusion, including the incidence and severity of symptoms such as cytokine release syndrome and neurotoxicity

Secondary outcomes

  1. Efficacy:Overall survival rate at 12 months

    Time frame: 12 months post CAR-T cells infusion

    The proportion of subjects who have survived for more than 12 months since the diagnosis of recurrent glioblastoma

  2. Efficacy:objective remission rate

    Time frame: 1, 2, 3, 4, 5, 6 months post CAR-T cells infusion

    The proportion of subjects reaching complete remission / partial remission in optimal remission

  3. pharmacokinetics:Cmax

    Time frame: Samples collected pre-injection, and 1, 2, 3, 5, 7, 9, 11,13 days post the first injection; Samples collected pre-injection, and 2, 7, 13 days post re-injections

    observed maximum plasma concentration (Cmax)

  4. pharmacokinetics:Tmax

    Time frame: Samples collected pre-injection, and 1, 2, 3, 5, 7, 9, 11,13 days post the first injection; Samples collected pre-injection, and 2, 7, 13 days post re-injections

    time to reach maximum plasma concentration (tmax)

  5. pharmacokinetics:AUC

    Time frame: Sample taken pre-injection, and 1, 2, 3, 5, 7, 9, 11,13 days post the first injection; Sample taken pre-injection, and 2,7,13 days post re-injections

    area under the plasma concentration-time curve from time zero to 28 days after dosing (AUC(0-28))

Sponsors and collaborators

Lead sponsor

Beijing Tiantan Hospital

Other

Registry information

Official study title

An Open, Single-arm, Phase 1 Study to Evaluate the Safety/Preliminary Effectiveness and Determine the Maximal Tolerated Dose of B7-H3-targeting CAR-T Cell Therapy in Treating Recurrent Glioblastomas

Important dates

Study start
2022
Primary completion
2024
Study completion
2026
First posted
Feb 15, 2022
Registry last updated
May 4, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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