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NK Cell Therapy

CYNK-101 + Trastuzumab + Pembrolizumab for Gastroesophageal Cancer

Phase 1 & 2
Waitlist Available
Research Sponsored by Celularity Incorporated
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Have cytologically or histologically confirmed diagnosis for the first-line treatment of patients with locally advanced unresectable or metastatic HER2-Positive Gastric or Gastroesophageal junction (G/GEJ) adenocarcinoma
Be at least 18 years of age on the day of signing informed consent
Timeline
Screening 3 weeks
Treatment Varies
Follow Up at 6 and 12 months
Awards & highlights

Study Summary

This trial will study the safety and effectiveness of a new cancer treatment that uses NK cells, which are derived from human placental CD34+ cells, to treat patients with HER2-positive gastric or gastroesophageal junction adenocarcinoma that has spread and cannot be removed with surgery.

Who is the study for?
Adults with HER2-Positive Gastric or Gastroesophageal Junction Adenocarcinoma that's advanced and can't be surgically removed. They should have completed certain treatments, confirmed HER2 positivity via biopsy, measurable disease by RECIST 1.1, good organ function, ECOG performance of 0-1, life expectancy over 6 months and agree to contraception use.Check my eligibility
What is being tested?
The trial is testing the highest dose patients can tolerate of CYNK-101 (NK cells from placental CD34+ cells) combined with Pembrolizumab and Trastuzumab following chemotherapy. It aims to see if NK cells improve treatment for unresectable/metastatic HER2-positive gastric cancers.See study design
What are the potential side effects?
Potential side effects include reactions related to immune system activation such as inflammation in various organs, infusion-related reactions, fatigue, nausea or diarrhea from chemotherapy agents used during induction therapy before administering CYNK-101.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I have HER2-positive advanced stomach or junction cancer confirmed by tests.
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I am 18 years old or older.
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My cancer shows high levels of HER2 according to specific tests.
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My cancer tests show a high level of HER2 protein or positive HER2 gene test.
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My heart is strong, with a good ejection fraction and normal QT interval.
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I am fully active or restricted in physically strenuous activity but can do light work.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~at 6 and 12 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and at 6 and 12 months for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Dose-Limiting Toxicity (DLT)
Maximum Tolerated Dose (MTD)
Overall Response Rate (ORR) as determined by the RECIST 1.1 Investigator using RECIST 1.1.
Secondary outcome measures
Duration of Response (DoR)
Incidence and Severity of adverse events (AEs) and clinically significant changes in laboratory values
Incidence of Response conversion post CYNK-101 infusion
+5 more

Trial Design

2Treatment groups
Experimental Treatment
Group I: Phase IIa ExpansionExperimental Treatment7 Interventions
Once the Maximum Tolerated Dose (MTD) or Recommended Phase 2 Dose (RP2D) is determined in Phase I, the Phase IIa portion of the study will commence.
Group II: Phase I Dose EscalationExperimental Treatment7 Interventions
Up to two dosing cohorts of CYNK-101 in combination with rhIL2 will be evaluated following an initial induction and lymphodepletion regimen.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Cyclophosphamide
1995
Completed Phase 3
~3770
Fludarabine
2012
Completed Phase 3
~1100
Trastuzumab
2014
Completed Phase 4
~5190
Pembrolizumab
2017
Completed Phase 2
~2010
Mesna
2003
Completed Phase 2
~1380

Find a Location

Who is running the clinical trial?

Celularity IncorporatedLead Sponsor
16 Previous Clinical Trials
575 Total Patients Enrolled
Mark AwadallaStudy DirectorCelularity Incorporated
3 Previous Clinical Trials
123 Total Patients Enrolled
Adrian Kilcoyne, MDStudy DirectorCelularity Incorporated
3 Previous Clinical Trials
140 Total Patients Enrolled

Media Library

CYNK-101 (NK Cell Therapy) Clinical Trial Eligibility Overview. Trial Name: NCT05207722 — Phase 1 & 2
Gastroesophageal Junction Cancer Research Study Groups: Phase IIa Expansion, Phase I Dose Escalation
Gastroesophageal Junction Cancer Clinical Trial 2023: CYNK-101 Highlights & Side Effects. Trial Name: NCT05207722 — Phase 1 & 2
CYNK-101 (NK Cell Therapy) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05207722 — Phase 1 & 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Is this clinical investigation open to participants aged 30 and above?

"The requirements to be included in this medical trial stipulate that participants must have a minimum age of 18 and cannot exceed 75 years old."

Answered by AI

What are the expected outcomes of this experimental protocol?

"The primary measure of success for this trial is Dose-Limiting Toxicity (DLT) over a period up to 12 months. Secondary parameters which need to be assessed include Incidence of Response conversion post CYNK-101 infusion, Overall Survival (OS), and incidence of Treatment Emergent adverse events (TEAE)."

Answered by AI

Are there any available vacancies in this research endeavor?

"Data hosted on clinicaltrials.gov indicates that this research endeavour is still recruiting patients, with the trial having been first put up for advertisement on April 14th 2022 and last updated September 29th of the same year."

Answered by AI

How many participants are presently involved in this experiment?

"This clinical trial necessitates 52 participants that meet the outlined criteria. Eligible patients can be recruited from centres such as Scripps Health in La Jolla, California or John Theurer Cancer Center at Hackensack University Medical Center in Hackensack, New jersey."

Answered by AI

Who qualifies to join this medical research endeavor?

"This clinical trial seeks 52 participants aged 18 to 75 who have been diagnosed with adenocarcinoma. In order for a patient's application to be accepted, they must meet the following conditions: having reached the age of majority on signing informed consent; their cancer being cytologically or histologically confirmed as unresectable/metastatic HER2-positive gastric or gastroesophageal junction (G/GEJ); and finishing adjuvant therapy more than 12 months prior to visit two. Moreover, those who had an INDUCTION regimen prior to study entry but achieved either stable disease per RECIST after 6 cycles or"

Answered by AI
~17 spots leftby Apr 2025