Recruiting
Phase 1
Phase 2

ET140203

Sponsor:

Eureka Therapeutics Inc.

Code:

NCT04634357

Conditions

Hepatoblastoma

Hepatocellular Carcinoma (HCC)

Liver Neoplasms

Metastatic Liver Cancer

Liver Cancer

Eligibility Criteria

Sex: All

Age: 1 - 21

Healthy Volunteers: Not accepted

Interventions

ET140203 T Cells

Study Details

Brief summary:

Open-label, dose escalation, multi-center, Phase I/II clinical trial to assess the safety/tolerability and determine the recommended Phase II Dose (RP2D) of ET140203 T-cells in pediatric subjects who are AFP-positive/HLA-A2-positive and have relapsed/refractory HB, HCN-NOS, or HCC.

Conditions

Hepatoblastoma

Hepatocellular Carcinoma (HCC)

Liver Neoplasms

Metastatic Liver Cancer

Liver Cancer

Study ID

NCT04634357

Start date

Jul 19, 2022

Status verified date

Jul, 2026

Completion date

Jan 31, 2028

Anticipated

Primary completion date

Dec 31, 2027

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 1 - 21

Healthy Volunteers: Not accepted

Inclusion Criteria:

1. Histologically confirmed HB, HCN-NOS, or HCC with serum AFP >100ng/mL at the time of screening and following the most recent line of therapy.
2. Disease recurrence after remission following initial standard-of care (SOC) treatment (i.e., relapse) or failure of response to SOC treatment (i.e., refractory).
3. Age ≥ 1 year and ≤ 21 years.
4. Molecular Human Leukocyte Antigen (HLA) class I allele typing that confirms subject carries at least one HLA-A2 allele.
5. Life expectancy of > 4 months per the Investigator's opinion.
6. Lansky or Karnofsky Performance Scale ≥ 70.
7. For enrollment to the dose-finding cohort, subjects must have at least one (1) lesion ≥ 5 mm in diameter or two (2) or more lesions ≥ 3 mm in diameter. For the dose-expansion cohort, subjects must have measurable disease by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
8. Child-Pugh score of A6 or better.
9. Adequate organ function.

Exclusion Criteria:

1. Recurrent HB who are candidates for complete surgical resection (e.g., isolated pulmonary relapse amendable to pulmonary metastasectomy).
2. Pre-existing illness including heart failure, uncontrolled pulmonary disease not cancer-related, or psychiatric illness/social situation that would limit compliance with study requirements.
3. Active, uncontrolled systemic bacterial, fungal, or viral infection. Subjects with Human Immunodeficiency Virus (HIV), hepatitis B, or hepatitis C are eligible provided their infection is being treated and the viral load is controlled.
4. Any known active malignancy (other than HB, HCN-NOS, or HCC).
5. Pregnant or lactating women.
6. Received the following within one (1) week of leukapheresis or within two (2) weeks of conditioning chemotherapy: cytotoxic chemotherapy, radiation, other anti-cancer therapies (including immunotherapeutic agents), or immunosuppressive therapy. Systemic corticosteroids at doses greater than 5 mg/day of prednisone or equivalent doses of other corticosteroids within two (2) weeks prior to leukapheresis or conditioning chemotherapy or receipt of a T-cell engager (TCE) within two (2) months prior to leukapheresis or at any time as bridging therapy between leukapheresis and conditioning chemotherapy is exclusionary. (Note: Topical and inhaled corticosteroids in standard doses and physiological replacement doses of corticosteroids for adrenal insufficiency are allowed).
7. Concurrently receiving other investigational agents, biological, chemical, or radiation therapies, while participating in the study.
8. Contraindication for receipt of conditioning chemotherapeutic agents including Fludarabine and Cyclophosphamide.
9. Active autoimmune disease requiring systemic immunosuppressive therapy.
10. Compromised circulation in the main portal vein, hepatic vein, or vena cava due to partial or complete obstruction which, in the opinion of the Investigator, would make the subject unsuitable for the study.
11. History of organ transplant.
12. HB, HCN-NOS, or HCC involving greater than 50% of the liver (volumetric).

Study Design

Enrollment

12 participants

Anticipated

Intervention Model

Single group

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: ET140203 T Cells

ET140203 Autologous T Cells

Interventions

ET140203 T Cells

Biological/Vaccine: ET140203 autologous T-cell product

Autologous T cells transduced with lentivirus encoding an ET140203 expression construct

Primary outcome measure

  • Incidence rates of adverse events (AEs) after infusion of ET140203 T cells [ Time Frame: 28 days ]
  • Severity rates of adverse events (AEs) after infusion of ET140203 T cells [ Time Frame: 28 days ]
  • Incidence rates of dose limiting toxicities (DLTs) after infusion of ET140203 T cells [ Time Frame: 28 days ]
  • The recommended phase 2 dose (RP2D) regimen of ET140203 T cell therapy primarily based on DLT [ Time Frame: Up to 2 years ]

Central Contacts and Locations

Locations

Children's Hospital Los Angeles

Recruiting

Los Angeles, California, United States, 90027

Contacts

Silpa Sharma, MPH, CCRC

323-361-6475sisharma@chla.usc.edu

Principal Investigator:

Rachana Shah, MD, MS

Children's Hospital Orange County

Recruiting

Orange, California, United States, 92868

Contacts

Principal Investigator:

Rishikesh Chavan, MD

UCSF Benioff Children's Hospitals

Recruiting

San Francisco, California, United States, 94158

Contacts

Brian Luong, CCRP

Brian.Luong@ucsf.edu

Principal Investigator:

Arun Rangaswami, MD

Dana-Farber/Boston Children's Cancer and Blood Disorders Center

Recruiting

Boston, Massachusetts, United States, 02215

Contacts

Principal Investigator:

Allison O'Neill, MD

More Information

Sponsor

Eureka Therapeutics Inc.

Last update posted

Jul 6, 2026

Last verified

Jul, 2026

Keywords

  • Relapsed/Refractory Hepatoblastoma (HB)
  • Pediatric
  • Hepatocellular Neoplasm-Not Otherwise Specified (HCN-NOS)
  • Hepatocellular Carcinoma (HCC)
  • Liver Cancer
  • T-cell therapy
  • Metastatic Liver Cancer
  • Liver neoplasms
  • HEMNOS

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by Eureka Therapeutics Inc. on 2026-07-06.