CAR T-Cell Therapy for Ovarian Cancer
Trial Summary
Do I need to stop taking my current medications for the trial?
The trial protocol does not specify if you need to stop taking your current medications. However, if you are using systemic corticosteroids at doses ≥10 mg prednisone daily or its equivalent, you may not be eligible. Please discuss your current medications with the trial investigator for more details.
Will I have to stop taking my current medications?
The trial protocol does not specify if you need to stop taking your current medications. However, if you are using systemic corticosteroids at doses of 10 mg prednisone daily or more, you may not be eligible to participate.
What data supports the idea that CAR T-Cell Therapy for Ovarian Cancer is an effective treatment?
The available research shows that CAR T-Cell Therapy targeting B7-H3 can effectively control the growth of ovarian cancer in laboratory and animal studies. Specifically, the therapy was able to manage tumor growth in models that mimic human ovarian cancer without causing significant side effects. This suggests that CAR T-Cell Therapy could be a promising treatment option for ovarian cancer, potentially offering better outcomes compared to traditional methods like surgery and chemotherapy. However, it's important to note that while these findings are promising, further studies and clinical trials are needed to confirm its effectiveness and safety in humans.12345
What data supports the effectiveness of this treatment for ovarian cancer?
What safety data exists for CAR T-Cell Therapy in ovarian cancer?
CAR T-Cell Therapy for ovarian cancer, particularly targeting B7-H3, has shown promise in preclinical and early clinical trials. B7-H3-targeted CAR-T cells have demonstrated antitumor activity with minimal toxicity in some models, but there are concerns about potential 'on-target, off-tumor' toxicities. B7-H4 CAR T-cell therapy showed delayed, lethal toxicity due to expression in normal tissues. Overall, while initial trials suggest safety, long-term effects and specific toxicities need further evaluation.13467
Is CAR T-Cell Therapy for Ovarian Cancer safe?
CAR T-Cell Therapy targeting B7-H3 has shown promise in controlling tumor growth without evident toxicity in some preclinical models, but other studies have reported delayed, lethal toxicity due to off-tumor effects. Initial trials suggest B7-H3-targeted CAR-T therapies are generally safe, though their effectiveness may be limited.13467
Is the treatment CAR.B7-H3 a promising treatment for ovarian cancer?
Yes, CAR.B7-H3 is a promising treatment for ovarian cancer. It targets a specific protein, B7-H3, which is found in high amounts on cancer cells but not much on normal cells. This makes it a good target for treatment. Studies have shown that CAR.B7-H3 can effectively control tumor growth in ovarian cancer and other cancers, making it a strong candidate for future treatments.13489
What makes CAR.B7-H3 treatment unique for ovarian cancer?
CAR.B7-H3 treatment is unique because it uses specially engineered T-cells to target the B7-H3 protein, which is highly expressed in ovarian cancer cells but not in normal tissues, potentially reducing side effects. This approach is different from traditional treatments like chemotherapy and surgery, as it harnesses the body's immune system to fight cancer.13489
What is the purpose of this trial?
This is single center, open-label phase 1 dose escalation trial that uses modified 3+3 design to identify a recommended phase 2 dose (RP2D) of CAR.B7-H3 T cell product. An expansion cohort will enroll additional subjects at the RP2D for a total enrollment of up to 21 subjects on the protocol.
Research Team
Linda Van Le, MD
Principal Investigator
UNC
Eligibility Criteria
This trial is for adults over 18 with recurrent ovarian cancer that's resistant to platinum-based chemotherapy and PARP inhibitors if they have BRCA mutations. Participants must be in good enough health to undergo procedures, agree to use two forms of contraception, and not be pregnant or breastfeeding. They can't join if they have certain other cancers, brain metastases, active infections like HIV or hepatitis, or recent bowel complications.Inclusion Criteria
Exclusion Criteria
Timeline
Screening
Participants are screened for eligibility to participate in the trial
Lymphodepletion Chemotherapy
Participants receive lymphodepletion chemotherapy with cyclophosphamide and fludarabine for three consecutive days to prepare for CAR.B7-H3 T cell infusion
CAR.B7-H3 T Cell Infusion
Participants receive three weekly infusions of CAR.B7-H3 T cells through a catheter in the abdomen
Initial Follow-up
Post-infusion visits to monitor safety and effectiveness, including blood, fluid, and tumor sample collection
Long-term Follow-up
Participants are monitored every 3 months for one year, then annually for a total of 5 years to assess progression-free survival and overall survival
Treatment Details
Interventions
- CAR.B7-H3
- Cyclophosphamide
- Fludarabine
Find a Clinic Near You
Who Is Running the Clinical Trial?
UNC Lineberger Comprehensive Cancer Center
Lead Sponsor
National Institutes of Health (NIH)
Collaborator
National Cancer Institute (NCI)
Collaborator