下一代肿瘤不可知靶点即将出现
Next-generation tumor-agnostic targets on the horizon.
肿瘤不可知药物开发将肿瘤学重新聚焦于共享的分子依赖性而非组织来源,从而能够针对跨肿瘤的罕见可操作驱动因素进行高效开发。
英文原题:Study of NY-ESO-1 TCR-T in Advanced Soft Tissue Sarcoma
⚠ 该试验的登记信息已有 47 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。
这是一项分期未标注的注册临床试验,评估 TCR-T 细胞治疗软组织肉瘤的安全性、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 · 深圳(共 1 个中心,其中中国 1 个)。登记号:NCT05620693。
不限性别 · ≥ 18 Years 且 ≤ 70 Years
纳入标准: 1. 年龄18至70岁(≥18且≤70),性别不限。 2. 受试者自愿参加研究,且本人或法定监护人已签署知情同意书。 3. 组织病理学确诊晚期、复发或转移性软组织肉瘤;一线治疗后疾病进展。 4. 按RECIST 1.1标准至少有一个明确的可评估病灶。 5. 免疫组化证实肿瘤组织表达NY-ESO-1;HLA-A型为02/01。 6. 细胞治疗前2周内未使用抗体类药物。 7. ECOG评分0至2。 8. 无外周血采集禁忌证。 9. 预期生存期超过3个月。 排除标准: 1. 对细胞产品任一成分有过敏史。 2. 血常规符合以下任一情况:白细胞≤1×10^9/L、中性粒细胞绝对计数(ANC)≤0.5×10^9/L、淋巴细胞绝对计数(ALC)≤0.5×10^9/L或血小板≤25×10^9/L。 3. 实验室检查符合以下任一情况(包括但不限于):血清总胆红素≥1.5 mg/dL;ALT或AST>正常值上限的2.5倍;血肌酐≥2.0 mg/dL。 4. 按NYHA心功能分级为III或IV级心功能不全,或超声心动图显示LVEF<50%。 5. 肺功能异常,室内空气下血氧饱和度<92%。 6. 入组前12个月内临床发生心肌梗死、冠状动脉成形术或支架置入、不稳定型心绞痛或其他严重心脏病。 7. III级高血压且药物治疗后血压控制不佳。 8. 既往有脑外伤、意识障碍、癫痫、较严重脑缺血或脑出血病史。 9. 患有自身免疫性疾病、免疫缺陷或其他需免疫抑制治疗的情况。 10. 存在未控制的活动性感染。 11. 近3个月内使用过任何细胞治疗产品。 12. 入组前4周内接种过活疫苗。 13. HIV、HBV、HCV或TPPA/RPR阳性,或为HBV携带者。 14. 有酗酒、药物滥用或精神疾病史。 15. 入组本研究前3个月内参加过其他临床研究。 16. 女性受试者存在以下任一情况:妊娠/哺乳期;试验期间计划妊娠;有生育能力但无法采取有效避孕措施。 17. 研究者认为不适合受试者参加本研究的其他情况。
Inclusion Criteria: 1. Aged 18-70 (≥ 18, ≤ 70), regardless of gender; 2. Subjects voluntarily participate in the study, and they or their legal guardians sign the Informed Consent Form; 3. Late recurrent or metastatic soft tissue sarcoma confirmed by histopathology; Progress after receiving first-line treatment; 4. According to RECIST 1.1 standard, there are clear assessable lesions; 5. The expression of NY-ESO-1 in tumor tissue was confirmed by immunohistochemical staining; HLA-A configuration is 02/01; 6. Within 2 weeks before cell therapy, no antibody drugs were used; 7. ECOG score is 0-2; 8. The subject has no contraindication for peripheral blood collection; 9. The expected survival period is more than 3 months. Exclusion Criteria: 1. People who have a history of allergy to any component in cell products; 2. The following conditions occur in blood routine examination: WBC ≤ 1 × 109/L, absolute value of neutrophil ANC ≤ 0.5 × 109/L, absolute value of lymphocyte ALC ≤ 0.5 × 109/L , PLT≦25 × 109/L ; 3. The following conditions occur in laboratory testing: including but not limited to, total serum bilirubin ≥ 1.5mg/dl; Serum ALT or AST is more than 2.5 times of the upper limit of normal; Blood creatinine ≥ 2.0mg/dl; 4. According to the NYHA cardiac function grading standard, patients with cardiac insufficiency belong to Grade III or IV; Or left ventricular ejection fraction (LVEF)\<50% by echocardiography; 5. Pulmonary function is abnormal, and the saturation of blood oxygen under indoor air is less than 92%; 6. Myocardial infarction, cardiac angioplasty or stenting, unstable angina pectoris, or other serious heart diseases clinically within 12 months before enrollment; 7. Grade 3 hypertension and poor blood pressure control after drug treatment; 8. Have suffered from brain trauma, consciousness disorder, epilepsy, relatively serious cerebral ischemia or cerebral hemorrhage disease in the past; 9. Patients with autoimmune diseases, immunodeficiency or other patients requiring immunosuppressive treatment; 10. There is uncontrolled active infection; 11. Have used any cell therapy products in recent 3 months; 12. Live vaccine inoculation within 4 weeks before enrollment; 13. HIV, HBV, HCV and TPPA/RPR positive persons, and HBV carriers; 14. Subjects have a history of alcohol abuse, drug abuse or mental illness; 15. Subjects have participated in any other clinical research within 3 months before joining this clinical research; 16. Female subjects have any of the following conditions: a) are in pregnancy/lactation; Or b) having a pregnancy plan during the trial; Or c) is fertile and unable to take effective contraceptive measures; 17. The investigator believes that there are other circumstances that are not suitable for the subject to participate in this study.
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:AE/SAE · adverse events/ sever adverse events · from infusion to 30 days after infusion
次要终点:ORR
TCR-T治疗组。
软组织肉瘤(STS)是一类高度异质性的实体瘤,一线治疗失败患者尚无标准二线治疗方案。癌睾抗原NY-ESO-1在软组织肿瘤中高表达,是理想的治疗靶点。研究者拟验证NY-ESO-1 TCR-T细胞治疗晚期软组织肉瘤的安全性和疗效。
Soft tissue sarcoma (STS) is a kind of solid tumor with high heterogeneity. There is no standard second-line treatment plan for patients who have failed first-line treatment. NY-ESO-1, a cancer testis antigen, is highly expressed in soft tissue tumors and is an ideal therapeutic target. Investigators aim to testify the safety and efficacy of NY-ESO-1 TCR-T cell in advanced soft tissue sarcoma.
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