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Trial registered on ANZCTR
Registration number
ACTRN12616000129482
Ethics application status
Approved
Date submitted
5/01/2016
Date registered
4/02/2016
Date last updated
13/02/2017
Type of registration
Retrospectively registered
Titles & IDs
Public title
Adoptive Immunotherapy for Liver Cancer
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Scientific title
Survival after T cell receptor-redirected autologous T cell therapy against relapsed hepatitis B virus-induced hepatocellular carcinoma in a liver transplanted patient.
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Secondary ID [1]
288237
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Nil
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Universal Trial Number (UTN)
Nil
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Trial acronym
Nil
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hepatocellular carcinoma
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Hepatitis B virus
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Liver Transplant
297246
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Condition category
Condition code
Cancer
297383
297383
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0
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Liver
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
8 infusions at 7 day intervals of increasing doses of 10,000 (1 infusion), 100,000 (1 infusion), 1,000,000 (1 infusion) and 5,000,000 (5 infusions) cells /kg of autologous t cell receptor-redirected T cells that recognise a hepatitis B virus envelope peptide (FLGPLLVLQA) presented by HLA-Cw*0801. The cells will be prepared in the New Zealand Liver Transplant Research laboratory at Auckland City Hospital and administered by IV infusion by nursing staff.
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Intervention code [1]
293525
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Treatment: Other
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Survival
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Assessment method [1]
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Timepoint [1]
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1 year
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Secondary outcome [1]
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Tumor mass will be assessed after the 4th and 8th infusions by MRI and PET scan.
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Assessment method [1]
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Timepoint [1]
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Assessed after the 4th and 8th infusions.
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Eligibility
Key inclusion criteria
Relapsed post-transplant hepatocellular carcinoma
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Minimum age
21
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Significant psychiatric disease.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Nil
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Nil
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 0
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Type of endpoint/s
Safety
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Statistical methods / analysis
Nil
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
5/01/2016
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Date of last participant enrolment
Anticipated
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Actual
5/01/2016
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Date of last data collection
Anticipated
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Actual
31/10/2016
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Sample size
Target
1
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Accrual to date
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Final
1
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Recruitment outside Australia
Country [1]
7496
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New Zealand
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State/province [1]
7496
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Duke-Nus Medical School
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Address [1]
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Duke-NUS Graduate Medical School
8 College Road, Singapore 169857
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Country [1]
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Singapore
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Primary sponsor type
University
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Name
Duke-Nus Medical School
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Address
Duke-NUS Graduate Medical School
8 College Road, Singapore 169857
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Country
Singapore
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Auckland City Hospital
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Address [1]
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Private Bag 92-024, Auckland, 1142.
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Country [1]
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Central Health and Disability Ethics Committee.
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Ethics committee address [1]
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Health and Disability Ethics Committees Ministry of Health Freyberg Building 20 Aitken Street PO Box 5013 Wellington 6011
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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01/12/2015
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Approval date [1]
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18/12/2015
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Ethics approval number [1]
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15/CEN/217
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Summary
Brief summary
This protocol describes the production of autologous, ex vivo-activated, Hepatitis B Virus (HBV) envelope gene specific, T cell receptor (TCR) redirected-T lymphocytes for re-infusion into a patient with HBV-induced hepatocellular carcinoma (HCC) that has relapsed following liver transplantation. Using current protocols, this patient can now only be offered palliative therapy. An immunological therapy based on adoptive transfer of HBV-specific T cells targeting HBV expressing HCC cells can potentially kill tumor cells while sparing normal tissue. The ability of T cells to specifically recognize cancer cells expressing specific antigens has been the basis of immunlogical therapies with TCR-modified T cells that have been successful in malignancies such as B cell lymphoma (N Engl J Med 2011;365:725-733) and melanoma (Science 2015;348:62-68). Here we propose to treat a patient with a relapse of HBV-induced HCC with T cells that have been engineered to express an envelope gene-specific TCR. These TCR-redirected T cells should exclusively recognize the HCC but not normal liver hepatocytes. .
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr William Abbott
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Address
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New Zealand Liver Transplant Unit
Auckland City Hospital
Private Bag 92024
Auckland 1142
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Country
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New Zealand
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Phone
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+64275483711
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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William Abbott
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Address
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New Zealand Liver Transplant Unit
Auckland City Hospital
Private Bag 92024
Auckland 1142
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Country
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New Zealand
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Phone
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+64275483711
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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William Abbott
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Address
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New Zealand Liver Transplant Unit
Auckland City Hospital
Private Bag 92024
Auckland 1142
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Country
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New Zealand
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Phone
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+64275483711
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF