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NY-ESO-1 TCR-T(TCR-T 细胞)治疗软组织肉瘤:注册临床试验(分期未知)

英文原题:Study of NY-ESO-1 TCR-T in Advanced Soft Tissue Sarcoma

ClinicalTrials.gov 2022/11/17(首次登记) 注册临床试验(分期未标注) · 招募中

⚠ 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。

简要介绍

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。

入组条件决定能不能参加

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。
核对登记原文(英文)
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。

研究终点衡量什么算有效

  • 主要终点不良事件/严重不良事件(AE/SAE)从输注开始至输注后30天
  • 次要终点客观缓解率(ORR)
核对登记原文(英文)

主要终点:AE/SAE · adverse events/ sever adverse events · from infusion to 30 days after infusion
次要终点:ORR

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)
  • 治疗组试验组

    TCR-T治疗组。

核对分组登记原文(英文)
  • Treatment group · EXPERIMENTAL · TCR-T treatment group

关键日期

开始日期
2022-11-11
主要完成日期
2025-12-01
全部完成日期
2028-12-01
登记状态核实于
2022-11

联系与责任方

主要研究者
YuLi
申办方
Shenzhen University General Hospital
联系邮箱
liyu@vip.163.com
联系电话
+8675521839178

登记简述

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。

核对登记原文(英文)

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.

登记原文与核验信息

试验登记号
NCT05620693
试验期别
NA
试验状态
招募中
中国试验中心(1 个)
Li Yu · 深圳 · 中国
适应症(原文)
Advanced Soft-tissue Sarcoma
干预方式(原文)
NY-ESO-1 TCR-T