Background:
A new cancer treatment takes a person s own T cells, modifies them in a laboratory so they
can better fight cancer cells, and then gives them back to the person. Researchers want to
see if this treatment can help people with a certain type of liver cancer.
Objective:
To see if a personalized immune treatment, anti-GPC3 CAR-T cells, is safe.
Eligibility:
Adults aged 18 years and older who have Glypican-3 (GPC3) positive HCC, a type of liver
cancer.
Design:
Participants will be screened with the following:
Blood and urine tests
Medical history
Physical exam
Heart function tests
Review of their symptoms and their ability to perform their normal activities
Tumor biopsy
Imaging scan of the chest, abdomen, and pelvis
Participants will have leukapheresis. They may have an IV (intravenous catheter, a small tube
put into an arm vein) inserted into each arm or get a central line. Blood will be removed. A
machine will separate the white blood cells from their blood. The rest of their blood will be
returned to them.
Participants will be admitted to the hospital for about 2 weeks. They will get the
chemotherapy drugs fludarabine and cyclophosphamide by IV for 3 days. Then they will receive
the modified white blood cells by IV.
Participants will have frequent blood draws. They will give blood and tumor samples for
research.
Participants will have follow-up visits for the next 15 years. Then they will be contacted by
email or phone for the rest of their life. If their disease does not get worse after 5 years,
they will continue to be invited to do imaging studies every 6 months.