Anti-mesothelin CAR-T Cells With Advanced Refractory Solid Tumors

Inclusion Criteria:

1. Ability to understand and the willingness to provide written informed consent.
2. Advanced pancreatic cancer, ovarian cancer, malignant mesothelioma, gastric cancer, bowel cancer, etc., diagnosed by histopathological or cytological examination, but not limited to subjects with various advanced solid tumors.
3. IHC test showed Mesothelin positive expression at least 1+ in tumor tissue
4. Age no less than 18 years.
5. Life expectancy greater than 3 months.
6. According to the RECIST (Response Evaluation Criteria in Solid Tumors) standard, there must be measurable lesions.
7. Evidence of metastatic disease and failure of at least 1 prior chemotherapy for metastatic disease. During the last treatment or after the treatment, the disease progressed and was confirmed (the investigator judged according to the RECIST 1.1 standard).
8. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 during the screening period and before apheresis.
9. Adequate liver/bone marrow function.
10. Female subjects must meet the following conditions: infertility or fertility and use high-efficiency contraceptive measures.
11. Male subjects agree to use approved contraceptive methods (e.g. birth control pills, barrier device, intrauterine device, abstinence) during the study and for 3 months following the last dose of the study cell infusion. Moreover, all men are absolutely prohibited from donating sperm within 1 year after receiving the last study treatment infusion.

Exclusion Criteria:

1. Participated in any other trial in which receipt of an investigational study drug occurred within 28 days prior to entry into the study.
2. Received any anticancer medication in the 2 weeks prior to receiving their first dose of study treatment, including but not limited to surgery, systemic chemotherapy, radiotherapy, intervention, etc.
3. Uncontrolled thyroid dysfunction (serum thyroid hormone determination TT4, TT3, FT3, FT4, and serum thyroid-stimulating hormone TSH) are not suitable for enrolling in the study;
4. Pregnant or breastfeeding female, or not willing to take contraception measures during the study.
5. Any uncontrollable active infection, including but not limited to active tuberculosis; HBV infection (including HBsAg positive, or HBcAb positive and HBV DNA positive); HIV, syphilis, hepatitis C positive or suffering from other fatal viruses, Bacterial disease
6. Administrated with steroids (5 mg/day or more dexamethasone, or equivalent hormone drugs) within the past two weeks;
7. Other uncontrolled diseases may cause abnormal death of the patient;
8. Active autoimmune disease (including but not limited to: systemic lupus erythematosus, Sjogren's syndrome, rheumatoid arthritis, psoriasis, multiple sclerosis, inflammatory bowel disease, etc.) requiring immunosuppressive therapy within the past 4 weeks.
9. Previously allergic to immunotherapy, tocilizumab, cyclophosphamide, fludarabine, and other related drugs, previous history of severe allergies, to research product excipients (such as human serum albumin, DMSO, and dextran 40 ); people who have a history of penicillin allergy and have a positive skin test at the time of screening.
10. Congestive heart failure, uncontrolled cardiac arrhythmia, etc.
11. Uncontrollable massive ascites, that cannot be drained by standard methods;
12. Intestinal obstruction or CT suggesting omental cake-like peritoneal metastasis, or repeated uncontrollable incomplete intestinal obstruction.
13. Have received any genetic engineering modified T cell therapy (including CAR T, TCR T cell).
14. Uncontrolled brain metastasis or mental illness.
15. Suffered from other uncured malignant tumors within the past 3 years or at the same time.
16. The blood oxygen saturation ≤95% at the time of screening and before apheresis.
17. Can't be followed up or obey protocol.
18. The investigator believes that it is not appropriate to participate in the trial.