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 PSMA-targeted CAR-T Cells in the Treatment of Castration-resistant Prostate Cancer
⚠ 该试验的登记信息已有 54 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:NCT05354375。
仅男性 · ≥ 18 Years 且 ≤ 75 Years
纳入标准:男性,年龄18-75岁;ECOG评分≤2;去势抵抗期前列腺癌(可伴或不伴远处转移):既往新型内分泌治疗无效,既往多西他赛或卡巴他赛治疗无效;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/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;精神疾病导致无法配合治疗和疗效评价;过敏体质或严重过敏史,尤其是对IL-2过敏;需抗感染治疗的全身或严重局部感染;心、肺、脑、肝、肾等重要器官合并功能障碍;合并其他肿瘤;医生认为不适合治疗的其他原因。
Inclusion Criteria: 1. Male patients aged from 18 to 75 years old; 2. The patients' ECOG score ≤ 2; 3. Prostate cancer patients in castration resistance stage (with or without distant metastasis): 1. Previous new endocrine therapy is ineffective; 2. Past treatment with too much citabine or cabatase is ineffective. 4. Have measurable or evaluable lesions; 5. The patients' main tissues and organs function well: 1. Liver function: ALT/AST \< 3 times the upper limit of normal value (ULN); 2. renal function: creatinine \< 220 μ mol/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 the informed consent form. Exclusion Criteria: 1. Infectious diseases (such as HIV, active hepatitis B or C infection, active tuberculosis, etc.); 2. Feasibility evaluation screening proves that the transfection of targeted lymphocytes is less than 10% or the amplification under the co-stimulation of CD3/CD28 is insufficient (\< 5 times); 3. The vital signs are abnormal and those who cannot cooperate with the inspectors; 4. Those with mental illness or mental illness who can't cooperate with treatment and curative effect evaluation; 5. Highly allergic constitution or severe allergic history, especially those who are allergic to IL-2; 6. Subjects with systemic infection or local severe infection who need anti-infection treatment; 7. Complicated dysfunction of heart, lung, brain, liver, kidney and other important organs; 8. Patients with other tumors; 9. Doctors think that there are other reasons that can't 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 PSMA 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PSMA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PSMA靶向CAR-T细胞治疗去势抵抗性前列腺癌的安全性和有效性。
This is an experimental study to evaluate the safety and effectiveness of PSMA-targeted CAR-T cells in the treatment of castration-resistant prostate cancer.
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