About this trial
This is a Phase I/II and multicenter study designed to evaluate the efficacy and safety of 4SCAR-T cells in participants with locally advanced or metastatic urothelial bladder cancer (UBC) who have no further treatment available.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Histologically or cytologically documented locally advanced or metastatic UBC (including renal pelvis, ureters, urinary bladder, and urethra)
Representative tumor specimens as specified by the protocol
Adequate hematologic and end organ function
Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
Disqualifiers
Any approved anti-cancer therapy within 3 weeks prior to initiation of study treatment
Treatment with any other investigational agent or participation in another clinical trial with therapeutic intent within 28 days prior to enrollment
Active or untreated central nervous system (CNS) metastases as determined by computed tomography (CT) or magnetic resonance imaging (MRI) evaluation during screening and prior radiographic assessments
Leptomeningeal disease
Trial design
Single group
Treatments tested in this trial
4SCAR-PSMA
GeneticPSMA-specific 4th Generation CART
4SCAR-FRa
GeneticFRa-specific 4th Generation CART
Treatment groups
Trial outcomes
Primary outcomes
Overall Survival rate after receiving 4SCART infusion
to determine the efficacy of 4SCAR T cells
Using CTCAE 4 standard to evaluate the level of adverse events after receiving 4SCART infusion
to evaluate the level of adverse events with CTCAE 4
Secondary outcomes
The expansion and persistence of 4SCAR T cells
The investigators will monitor the expansion and functional persistence of 4SCAR T cells in the peripheral blood of patients and the correlation with antitumor effects
Immune responses after infusions
assessment of cytokine profile
Sponsors and contacts
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