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OncoMatch/Clinical Trials/NCT06623396

A Study of Mesothelin-Targeted CAR T-Cell Therapy in People With Esophagogastric Cancer

Is NCT06623396 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies M28z1XXPD1DNR CAR for mesothelin positive.

Phase 1RecruitingMemorial Sloan Kettering Cancer CenterNCT06623396Data as of May 2026

Treatment: M28z1XXPD1DNR CARParticipants will have a sample of their white blood cells, called T cells, collected using a procedure called leukapheresis. The collected T cells will be sent to a laboratory at Memorial Sloan Kettering to be changed (modified) to become MSLN-targeted CAR T cells, the CAR T-cell therapy that participants will receive during the study. Participant study therapy will take about 3-4 weeks.

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Extracted eligibility criteria

Cancer type

Esophageal Carcinoma

Ovarian Cancer

Breast Carcinoma

Biomarker criteria

Required: MSLN overexpression (>25% of the tumor expresses MSLN by IHC analysis)

Histologic diagnosis that & >25% of the tumor expresses MSLN by IHC analysis

Allowed: HER2 (ERBB2) overexpression

Patients with Her2 positive disease must have received ≥1 line of anti-Her2 based therapy

Disease stage

Required: Stage IV

Metastatic disease required

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Min 1 prior line

Must have received: systemic therapy — metastatic

Disease progression or treatment intolerance after receiving at least 1 treatment regimen in the metastatic setting; patients with disease recurrence within 6 months of completing curative systemic therapy (chemotherapy, chemoradiation or adjuvant immunotherapy) are also eligible

Must have received: HER2-targeted therapy

Patients with Her2 positive disease must have received ≥1 line of anti-Her2 based therapy

Cannot have received: CAR-T cell therapy

Previous receipt of CAR T cell therapy or any other cellular therapy

Cannot have received: mesothelin-directed therapy

Previous mesothelin-directed therapy

Lab requirements

Blood counts

Absolute neutrophil count ≥1.0 or 1.5 K/mcL (depending on phase); Hemoglobin ≥8 or 9 gm/dL; Platelet count ≥75 K/mcL; Blood product transfusion or growth factor support cannot occur within 7 days of testing

Kidney function

Calculated clearance of ≥50 mL/min by Cockcroft-Gault equation

Liver function

Bilirubin ≤1.5× ULN; ALT/AST ≤3× ULN

Cardiac function

No NYHA stage III or IV CHF, MI ≤6 months, history of myocarditis, serious uncontrolled arrhythmia, unstable angina, LVEF ≤40%

Lab requirements (hematology): Absolute neutrophil count ≥1.0 or 1.5 K/mcL; Hemoglobin ≥8 or 9 gm/dL; Platelet count ≥75 K/mcL; Blood product transfusion or growth factor support cannot occur within 7 days of testing. Lab requirements (serum chemistry): Bilirubin ≤1.5× ULN; ALT/AST ≤3× ULN; Calculated clearance of ≥50 mL/min by Cockcroft-Gault equation. Cardiac: NYHA stage III or IV CHF, MI ≤6 months, history of myocarditis, serious uncontrolled arrhythmia, unstable angina, LVEF ≤40% [excluded]

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

US trial sites

  • Memorial Sloan Kettering Basking Ridge (Limited Protocol Activities) · Basking Ridge, New Jersey
  • Memorial Sloan Kettering Monmouth (Limited protocol activities) · Middletown, New Jersey
  • Memorial Sloan Kettering Bergen (Limited Protocol Activities) · Montvale, New Jersey
  • Memorial Sloan Kettering Suffolk - Commack (Limited Protocol Activities) · Commack, New York
  • Memorial Sloan Kettering Westchester (Limited Protocol Activities) · Harrison, New York

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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