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CAIX靶向CAR-T细胞治疗晚期肾细胞癌的临床研究

英文原题:Clinical Study of CAIX-targeted CAR-T Cells in the Treatment of Advanced Renal Cell Carcinoma

ClinicalTrials.gov 2021/07/20(首次登记) I 期注册临床试验 · 招募中

⚠ 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。

简要介绍

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。

入组条件决定能不能参加

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。
核对登记原文(英文)
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。

研究终点衡量什么算有效

  • 主要终点安全性评价:不良事件发生率和严重程度CAR-T细胞输注后首月。
  • 主要终点疗效评价CAR-T细胞输注后3个月。
  • 次要终点无进展生存期(PFS)
  • 次要终点总生存期(OS)
核对登记原文(英文)

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)

研究设计怎么做的

研究类型
干预性研究
入组人数
20 人(预计)
分组方式
不适用(单臂)
  • CAR-T细胞免疫治疗实验性

    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。

核对分组登记原文(英文)
  • CAR-T cell immunotherapy · EXPERIMENTAL · The registered patients will received CAR-T cell immunotherapy for the new specific chimeric antigen receptor of CAIX antigen by infusion.

关键日期

开始日期
2021-10-01
主要完成日期
2025-09-30
全部完成日期
2026-09-30
登记状态核实于
2021-07

联系与责任方

申办方
The Affiliated Hospital of Xuzhou Medical University
合作方
Xuzhou Medical University
联系邮箱
Justinlee719@163.com
联系电话
0086-17798835021

登记简述

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。

核对登记原文(英文)

This is an experimental study to evaluate the safety and efficacy of CAR T cells targeting CAIX in the treatment of advanced renal cancer.

登记原文与核验信息

试验登记号
NCT04969354
试验期别
I 期
试验状态
招募中
中国试验中心(1 个)
Affiliated Hospital of Xuzhou Medical University · 徐州 · 中国
适应症(原文)
Immunotherapy
干预方式(原文)
CAR-T cell immunotherapy