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OncoMatch/Clinical Trials/NCT06228404

Clinical Study of Safety and Efficacy of Enhanced PSMA CAR- T in Refractory CRPC

Is NCT06228404 recruiting? Yes, currently enrolling (May 2026). This Early Phase 1 trial studies Enhanced autologous PSMA-CAR T for metastatic castration-resistant prostate cancer.

Early Phase 1RecruitingShanghai Changzheng HospitalNCT06228404Data as of May 2026

Treatment: Enhanced autologous PSMA-CAR TThis is one center, single-arm, open-label investigator initiated trial to assess the safety and efficacy of enhanced autologous PSMA chimeric antigen receptor T cells in the treatment for patients with refractory castration resistant prostate cancer, and the sample size is set to 7-18 subjects.

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Extracted eligibility criteria

Cancer type

Prostate Cancer

Biomarker criteria

Required: FOLH1 positive expression (positive)

Disease stage

Metastatic disease required

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Min 1 prior line

Must have received: CRPC standard treatment (new endocrine therapy, chemotherapy, radium-223) — after the diagnosis of CRPC

Receiving CRPC standard treatment (such as new endocrine therapy, chemotherapy and radium-223, etc., one or more of the combination therapy) after the diagnosis of CRPC, ineffective or progressive disease

Cannot have received: CAR-T cell therapy

have received any previous treatment with CAR-T therapy

Cannot have received: PSMA-targeted therapy

have received any previous treatment that targets PSMA

Cannot have received: gene therapy

previous treatment with any gene therapy product

Lab requirements

Blood counts

hemoglobin > 100 g/L; platelet count > 100 × 10^9/L; neutrophils > 1.5 × 10^9/L; partial prothrombin time or activated partial thromboplastin time or international normalized ratio > 1.5ULN in the absence of anticoagulant therapy

Liver function

serum aspartate aminotransferase or alanine aminotransferase > 2.5ULN; CK > ULN; CK-MB > ULN; TnT > 1.5ULN; total bilirubin > 1.5ULN

Cardiac function

NYHA stage III or IV congestive heart failure; myocardial infarction ≤ 6 months prior to enrollment or coronary artery bypass graft (CABG); clinically significant ventricular arrhythmia, or history of unexplained syncope, nonvasovagal or not due to dehydration; history of severe non-ischemic cardiomyopathy; decreased left ventricular ejection fraction (LVEF < 55%) as assessed by echocardiogram or multigated acquisition (MUGA) scan, abnormal interventricular septal thickness and atrioventricular size associated with myocardial amyloidosis

hematological parameters met the following criteria: a. hemoglobin > 100 g/L; b. platelet count > 100 × 10^9/L; c. neutrophils > 1.5 × 10^9/L. organ function in the following abnormalities: a. serum aspartate aminotransferase or alanine aminotransferase > 2.5ULN; CK > ULN; CK-MB > ULN; TnT > 1.5ULN; b. total bilirubin > 1.5ULN; c. partial prothrombin time or activated partial thromboplastin time or international normalized ratio > 1.5ULN in the absence of anticoagulant therapy; cardiac: NYHA stage III or IV congestive heart failure; myocardial infarction ≤ 6 months prior to enrollment or coronary artery bypass graft (CABG); clinically significant ventricular arrhythmia, or history of unexplained syncope, nonvasovagal or not due to dehydration; history of severe non-ischemic cardiomyopathy; decreased left ventricular ejection fraction (LVEF < 55%) as assessed by echocardiogram or multigated acquisition (MUGA) scan, abnormal interventricular septal thickness and atrioventricular size associated with myocardial amyloidosis

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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