10 Participants Needed

FSHR-Targeted T Cell Therapy for Ovarian Cancer

SS
AK
Overseen ByAshley K O'Neil
Age: 18+
Sex: Female
Trial Phase: Phase 1
Sponsor: H. Lee Moffitt Cancer Center and Research Institute
Must be taking: Platinum-based chemotherapy
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment for ovarian, fallopian tube, or primary peritoneal cancer using genetically modified T cells targeting the follicle-stimulating hormone receptor (FSHR-Targeted T Cell Therapy). The trial aims to determine the safety of the treatment when administered alone or with chemotherapy. Participants will receive varying doses of the treatment either intravenously or directly into the abdomen. The trial seeks individuals with recurrent or persistent cancer after previous treatments, for whom standard therapies are unlikely to be effective. As a Phase 1 trial, this research focuses on understanding how the treatment works in people, offering participants the opportunity to be among the first to receive this new therapy.

Do I have to stop taking my current medications for this trial?

The trial protocol does not specify if you must stop all current medications. However, hormonal therapy must be stopped at least 1 week before T-cell infusion, and no anticancer therapy is allowed in the 3 weeks before the T-cell infusion. Continuation of hormone replacement therapy is permitted.

Will I have to stop taking my current medications?

The trial protocol does not specify if you must stop all current medications, but hormonal therapy must be stopped at least 1 week before the T-cell infusion. You should also not have any anticancer therapy in the 3 weeks before the T-cell infusion.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that new treatments are being tested for safety in women with ovarian cancer. These treatments target the follicle-stimulating hormone receptor (FSHR) and use modified T cells, a type of immune cell, to locate and attack cancer cells.

Studies have found that patients generally tolerate this therapy well. Common side effects may include mild flu-like symptoms, typical for similar treatments. More serious side effects have not been widely reported, but researchers continue to monitor safety.

As this is an early-phase trial, the main goal is to assess the treatment's safety and patient tolerance. Researchers closely monitor participants for any side effects. Although this treatment is new, the careful approach aims to ensure safety for those involved.12345

Why are researchers excited about this trial's treatment?

Unlike the standard treatments for ovarian cancer, which often involve chemotherapy or surgery, FSHR-targeted T cell therapy takes a novel approach by aiming directly at the follicle-stimulating hormone receptor (FSHR) found on ovarian cancer cells. This therapy uses engineered T cells, which are a type of immune cell, to specifically recognize and attack cancer cells, potentially sparing more healthy cells compared to traditional methods. Researchers are excited about this because it could lead to more precise and less toxic cancer treatment options. Additionally, the trial explores different administration routes and doses, like intravenous and intraperitoneal infusions, which could optimize how effectively the T cells reach the cancerous areas.

What evidence suggests that this trial's treatments could be effective for ovarian cancer?

Studies have shown that specially designed T cells targeting the follicle-stimulating hormone receptor (FSHR) can effectively combat ovarian cancer. These T cells are modified to locate and attack cancer cells with FSHR. Research indicates this method is promising because FSHR primarily appears on ovarian cancer cells, enabling a focused attack. Previous findings suggest this approach is both safe and effective in shrinking tumors. In this trial, participants will receive varying doses and routes of administration of these engineered T cells, known as Follicle-Stimulating Hormone Receptor T (FSHCER T) cells. Early clinical trials reported positive results for safety and effectiveness in treating recurring ovarian cancer with these engineered T cells.25678

Who Is on the Research Team?

RM

Robert M Wenham, MD, MS, FACOG, FACS

Principal Investigator

Moffitt Cancer Center

Are You a Good Fit for This Trial?

This trial is for adults with recurrent ovarian, fallopian tube, or primary peritoneal cancer who've had at least one platinum-based and two other chemotherapy treatments. They must have a life expectancy of over 3 months, no recent anticancer therapy or immunotherapy, and agree to use contraception. The cancer must express FSHR antigen.

Inclusion Criteria

My cancer did not respond well to platinum-based treatments.
I have had 1 platinum-based and at least 2 other chemotherapy treatments for ovarian, peritoneal, or fallopian tube cancer.
Life expectancy of at least 3 months.
See 12 more

Exclusion Criteria

I have had issues like an abdominal fistula, gut perforation, or abscess.
Current lactation or pregnancy.
I do not have any serious infections, except for a simple UTI.
See 15 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive one infusion of FSHCER T cells at various dose levels, administered either intravenously or intraperitoneally

1 day
1 visit (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

Up to 15 years

What Are the Treatments Tested in This Trial?

Interventions

  • Follicle Stimulating Hormone Receptor T Cells
Trial Overview The study tests the safety of genetically modified T cells targeting the FSH receptor in patients with certain types of ovarian cancers. It explores treatment effectiveness both with and without additional chemotherapy.
How Is the Trial Designed?
10Treatment groups
Experimental Treatment
Group I: Intravenous treatment - Dose Level 5Experimental Treatment1 Intervention
Group II: Intravenous treatment - Dose Level 4Experimental Treatment1 Intervention
Group III: Intravenous treatment - Dose Level 3Experimental Treatment1 Intervention
Group IV: Intravenous treatment - Dose Level 2Experimental Treatment1 Intervention
Group V: Intravenous treatment - Dose Level 1Experimental Treatment1 Intervention
Group VI: Intraperitoneal treatment- Dose Level 5Experimental Treatment1 Intervention
Group VII: Intraperitoneal treatment- Dose Level 4Experimental Treatment1 Intervention
Group VIII: Intraperitoneal treatment- Dose Level 3Experimental Treatment1 Intervention
Group IX: Intraperitoneal treatment- Dose Level 2Experimental Treatment1 Intervention
Group X: Intraperitoneal treatment- Dose Level 1Experimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

H. Lee Moffitt Cancer Center and Research Institute

Lead Sponsor

Trials
576
Recruited
145,000+

Anixa Biosciences, Inc.

Collaborator

Trials
2
Recruited
60+

Published Research Related to This Trial

T cells engineered to target the follicle-stimulating hormone receptor (FSHR) showed significant therapeutic effects against various ovarian cancer types, leading to tumor rejection and increased survival in mouse models without causing toxicity.
FSHR is specifically expressed in ovarian cancer tissues but not in healthy non-ovarian tissues, making it a promising target for T cell therapies, which also demonstrated the ability to persist as memory cells without exhaustion during advanced disease stages.
Follicle-Stimulating Hormone Receptor Is Expressed by Most Ovarian Cancer Subtypes and Is a Safe and Effective Immunotherapeutic Target.Perales-Puchalt, A., Svoronos, N., Rutkowski, MR., et al.[2021]
Adoptive T-cell therapies, particularly CAR T-cell therapy, are gaining attention for their potential to enhance immune responses against ovarian cancer, leveraging T cells' critical role in immune surveillance.
Recent advancements, such as dual specificity CARs and affinity-tuned single-chain Fv fragments, may improve the effectiveness and safety of CAR T-cell therapies compared to traditional T cell receptor therapies in clinical settings.
Application of chimeric antigen receptor-engineered T cells in ovarian cancer therapy.Zhang, M., Zhang, DB., Shi, H.[2021]
The study developed a targeted nanoparticle (FSHP-NP) that specifically binds to the follicle-stimulating hormone receptor (FSHR), which is highly expressed in ovarian cancer, improving the delivery of the chemotherapy drug paclitaxel (PTX).
FSHP-NP-PTX demonstrated significantly enhanced anti-tumor effects in both cell cultures and animal models, leading to reduced lymph node size and weight, indicating its potential as a more effective treatment for ovarian cancer compared to traditional chemotherapy methods.
Follicle-stimulating hormone polypeptide modified nanoparticle drug delivery system in the treatment of lymphatic metastasis during ovarian carcinoma therapy.Fan, L., Chen, J., Zhang, X., et al.[2014]

Citations

NCT05316129 | Infusion of Autologous T Cells Engineered ...The purpose of this first in human study is to evaluate the safety of treatment with autologous T cells genetically modified to express a CER (chimeric ...
FOLLICLE-STIMULATING HORMONE RECEPTOR IS ...Define the safety and effectiveness of T-cells re-directed against Follicle-Stimulating Hormone Receptor (FSHR)-expressing ovarian cancer cells.
CAR T Trial for Recurrent Ovarian Cancer Advances to 4th ...Anixa Biosciences advances CAR T-cell therapy for recurrent ovarian cancer, targeting FSHR with promising safety and efficacy in ongoing clinical trials.
Follicle-Stimulating Hormone Receptor Is Expressed by Most ...Our results demonstrate that targeting FSHR with T cells expressing hormone-derived chimeric receptors is safe, specific, effective, and capable of boosting pre ...
Anixa Biosciences Wraps Up Dosing of Second Cohort in ...Our unique and highly targeted CER-T approach targets the FSHR, which is exclusively expressed on ovarian cells. A potential dual mechanism ...
Phase 1 clinical trial of autologous T-cells genetically ...We hypothesize targeting FSHR in women with FSHR+ OVCA will result in improved response rates due to engraftment, expansion, and survival.
TP014/#1586 Phase I clinical trial of autologous T-cells ...FSHR is a tissue specific antigen expressed in >55% of high-grade epithelial OVCAs with negligible FSHR expression in non-ovarian tissues.
145eTiP Phase I clinical trial of autologous T cells ...We are testing the hypothesis that targeting FSHR in women with FSHR+ OVCA will result in improved response rates due to engraftment, expansion, and survival.
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