决定异体 CAR T 细胞排斥与扩增的细胞和分子机制
Cellular and molecular mechanisms determining allogeneic CAR T cell rejection and expansion.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:Clinical Study of CAIX-targeted CAR-T Cells in the Treatment of Advanced Renal Cell Carcinoma
⚠ 该试验的登记信息已有 63 个月未更新, 页面上显示的「招募中」可能已经失效。联系研究中心之前,建议先到 ClinicalTrials.gov 核对登记原文的最新状态与联系方式。
这是一项 I 期注册临床试验,评估免疫治疗用于多发性骨髓瘤的安全性、可行性及初步疗效。当前状态:招募中。计划入组 20 例。试验地点:中国 · 徐州(共 1 个中心,其中中国 1 个)。登记号:NCT04969354。
不限性别 · ≥ 18 Years 且 ≤ 70 Years
纳入标准:年龄18-70岁,性别不限;ECOG≤2分;晚期或转移性肾细胞癌,既往接受过一线和二线靶向治疗、接受过≤2种PD-1/PD-L1免疫治疗方案,或不能耐受靶向治疗/免疫治疗;有可测量或可评估病灶;主要组织器官功能良好:ALT/AST<正常值上限3倍,肌酐<220 μmol/L,室内空气血氧饱和度≥95%,左心室射血分数≥40%;患者或法定监护人自愿参加并签署知情同意书。排除标准:感染性疾病(如HIV、活动性乙肝或丙肝、活动性结核等);靶淋巴细胞转染率<10%或CD3/CD28共刺激下扩增不足(<5倍);生命体征异常且不能配合检查;精神或心理疾病导致不能配合治疗和疗效评估;过敏体质或严重过敏史,尤其对IL-2过敏;需抗感染治疗的全身或严重局部感染;心、肺、脑、肝、肾等重要器官功能障碍;合并其他肿瘤;医生认为不适合治疗的其他原因。
Inclusion Criteria: 1. Male or female patients aged from 18 to 70 years old; 2. The patient's ECOG score is ≤ 2; 3. Patients with advanced or metastatic renal cell carcinoma: (1) have received first-line and second-line targeted therapy in the past; (2) Previous immunization with PD-1/L1 and ≤2 regimens; (3) Unable to tolerate targeted therapy or immunotherapy. 4.There are measurable or evaluable lesions; 5.The main tissues and organs of patients function well: 1. liver function: ALT/AST\< 3 times the upper limit of normal value (ULN); 2. Renal function: creatinine \< 220 μmol/L; 3. Lung function: indoor oxygen saturation ≥ 95%; 4. Cardiac function: Left ventricular ejection fraction (LVEF)≥40% 6.Patients or their legal guardians voluntarily participate and sign informed consent. Exclusion Criteria: 1. Infectious diseases (such as HIV, active hepatitis B or C infection, active tuberculosis, etc.); 2. Feasibility assessment and screening showed that the transfection of targeted lymphocytes was less than 10% or the amplification was insufficient (\< 5 times) under the co-stimulation of CD3/CD28. 3. The vital signs are abnormal, and those who cannot cooperate with the examination; 4. Those who have mental or psychological diseases can not cooperate with treatment and efficacy evaluation; 5. Highly allergic constitution or severe allergic history, especially those who are allergic to IL-2; 6. Subjects with systemic infection or severe local infection who need anti-infection treatment; 7. Complicated with dysfunction of heart, lung, brain, liver, kidney and other important organs; 8. Patients with other tumors; 9. Doctors believe that there are other reasons that can not be included in the treatment.
以上为辅助阅读译文。是否适合入组须由主治医生判断,最终以登记平台与研究者确认为准。
主要终点:Safety evaluation:Incidence and severity of adverse events · To evaluate the incidence and severity of possible adverse events within one month after targeted CAIX CAR-T infusion, including cytokine release syndrome and on-target toxicity. · First 1 month after CAR-T cells infusion;Effectiveness evaluation · In order to observe the efficacy of CAR-T cells after infusion, total remission rate (ORR), complete remission (CR), partial remission (PR), disease stability (SD) or progression (PD) will be used for evaluation. · 3 months after CAR-T cells infusion
次要终点:Progression-free survival (PFS);Overall survival (OS)
入组患者将接受针对CAIX抗原的新型特异性嵌合抗原受体CAR-T细胞输注治疗。
探索性研究,评估CAIX靶向CAR-T细胞治疗晚期肾癌的安全性和疗效。
This is an experimental study to evaluate the safety and efficacy of CAR T cells targeting CAIX in the treatment of advanced renal cancer.
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