γδ T 细胞调节小细胞肺癌中的抗肿瘤免疫
γδ T cells modulate anti-tumor immunity in small cell lung cancer.
我们的发现表明,活化的γδ T细胞可能是SCLC治疗的有价值靶点。
英文原题:Safety Study for a Gamma Delta T Cell Product Used With Low Dose Radiotherapy in Patients With Locally Advanced or Metastatic NSCLC or Solid Tumors With Bone Metastases
⚠ 该试验的登记信息已有 19 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,评估细胞治疗用于非小细胞肺癌、实体瘤的安全性、可行性及初步疗效。当前状态:招募中。计划入组 48 例。试验地点:美国 · 图森、比弗利山庄、匹兹堡、泰勒(共 5 个中心)。登记号:NCT06069570。
不限性别 · ≥ 18 Years
纳入标准: • 已签署并注明日期的知情同意书。 • 男性或女性,年龄>18岁。 • 体重≥50 kg。 • ECOG体能状态0–1。 • 组织学或细胞学确诊局部晚期/转移性非小细胞肺癌(NSCLC),或局部晚期/转移性且伴骨转移的实体瘤。 • NSCLC患者既往含铂化疗和免疫检查点抑制剂等标准治疗后进展,且不适合进一步标准抗肿瘤治疗,和/或不能耐受、拒绝适用的挽救治疗,和/或拒绝治疗。若肿瘤有EGFR、ALK、ROS-1、BRAF、RET、MET、KRAS等已知可靶向基因改变,须在相应靶向治疗后进展。 • 影像学确认至少一个符合RECIST 1.1的可测量靶病灶。仅有骨转移者可入组且不要求可测量病灶。 • 既往治疗相关毒性已恢复至CTCAE≤1级,持续脱发除外。 • 造血、肝及肾功能充分。 • 同意在末次研究药物给药后最多120天内采取充分避孕措施。 • 有生育能力女性血清妊娠检测阴性。 • 所有原发和转移病灶均适合接受LDRT。 • 实体瘤伴骨转移(第2部分B队列)患者正在接受唑来膦酸治疗。 排除标准: • 研究第1天前30天内接受化疗、试验治疗和/或免疫检查点抑制剂治疗。 • 研究第1天前30天内接受重大手术;血管通路置入术除外。 • 活动性自身免疫病且需要免疫抑制治疗。 • 研究第1天前30天内发生需全身治疗的感染。 • 有腹水、心包积液或胸腔积液/胸膜结节史。 • 未控制的高血压;心律失常史(包括房颤);不稳定型心绞痛;失代偿性充血性心力衰竭;心脏射血分数≤50%;心肌梗死;或基线QT/QTc间期显著延长。 • HIV、乙肝或丙肝检测阳性。 • KB-GDT-01首次给药前30天内参加临床试验治疗阶段或完成临床试验。 • 研究者认为不适合参加研究的任何情况。 • 妊娠或哺乳期,或研究期间计划妊娠/生育。 • 对研究产品的任何成分或辅料过敏或不耐受。 • 研究第1天前30天内接种活疫苗。 • 无法自行提供知情同意的人员。 • 上腔静脉阻塞。 • 入组前30天内对拟接受LDRT的部位进行过放疗。
Inclusion Criteria: * Signed and dated informed consent form. * Male or female, \> 18 years old. * Minimum body weight of 50 kilograms (kg). * Eastern Cooperative Oncology Group (ECOG) performance status of 0-1. * Histologically or cytologically confirmed locally advanced or metastatic NSCLC or locally advanced or metastatic solid tumor with bone metastasis * Progressed on SOC therapy including platinum-based chemotherapy and immune checkpoint inhibitors (NSCLC), and are not a candidate for further standard anti-neoplastic therapy and/or have exhibited intolerance to and/or declined clinically applicable salvage therapies, and/or have declined therapy. * Genomic screening, with tumors with known actionable molecular alterations, such as EGFR, ALK, ROS-1, BRAF, RET, MET, and KRAS etc., must have progressed on appropriate target-directed molecular therapy. * At least one measurable target lesion based on RECIST v1.1 confirmed by radiological imaging. Participants with isolated bone metastases are eligible for enrollment are not required to have measurable disease * All toxicity associated with previous treatments are recovered to CTCAE grade of ≤1, except for continuing alopecia. * Adequate hematopoietic, hepatic and renal function * Agree to adequate contraception for up to 120 days after the last dose of study drug. * Negative serum pregnancy test for women of childbearing potential * All primary and metastatic disease sites are amenable to LDRT * For solid tumors with bone metastases subjects (Part 2 Cohort B): receiving zoledronic acid for solid tumors with bone metastases Exclusion Criteria: * Chemotherapy, investigational, and/or check-point inhibitor therapy within the 30 days prior to study Day 1. * Major surgery, except for vascular access placement, within the 30 days prior to study Day 1. * Active autoimmune disease requiring immunosuppressive therapy. * Infection requiring systemic treatment within 30 days prior to study Day 1. * History of peritoneal effusion (ascites), pericardial, or pleural effusions/nodules. * Uncontrolled hypertension, history of arrhythmia including atrial fibrillation, unstable angina, decompensated congestive heart failure, cardiac ejection fraction ≤ 50%, myocardial infarction, or marked baseline prolonged QT/QTc intervals. * Human immunodeficiency virus (HIV), Hepatitis B, or Hepatitis C detection. * Participation in the treatment portion of a clinical trial or completed a clinical trial within the 30 days prior to the first dose of KB-GDT-01. * Presence of any condition that may, in the opinion of the Investigator, render the patient inappropriate from participating in the study. * Breastfeeding or pregnant female, or patient is expecting to conceive or father children during the study. * Allergy or intolerance to any of the study product ingredients or excipients. * Live vaccines administered within 30 days prior to study Day 1. * Individuals lacking capacity to consent for themselves. * Superior vena cava obstruction * Prior radiation therapy to a selected LDRT treatment site \</= 30 days prior to Day 1.
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:Number of participants with Adverse Events (AE) and/or Dose Limiting Toxicities (DLT) as a Measurement of Safety and Tolerability of KB-GDT-01 in Combination with LDRT · DLT, defined as the occurrence or start of a clinically significant Grade 3 or greater AE (per CTCAE v5.0) occurring during the DLT assessment period that cannot be attributed to disease progression, intercurrent illness, or concomitant medication. · From the first infusion of study drug until Day 40 or 30 days after the last study drug infusion, whichever occurs later
次要终点:Objective Response Rate (ORR);Progression Free Survival (PFS);Overall Survival (OS);Time to Progression (TTP);Time to Treatment Response (TTR);Disease Control Rate (DCR)
剂量水平1:400×10⁶、800×10⁶或1,600×10⁶个KB-GDT-01细胞,联合放疗(每次1.0 Gy)。
本临床试验研究局部晚期或转移性非小细胞肺癌患者,或伴骨转移的实体瘤患者,在接受低剂量放射治疗(LDRT)后静脉输注异基因γδ T细胞,以评估免疫治疗联合放疗的安全性和疗效。
This is a clinical trial studying intravenous infusions of allogeneic gamma delta T cells after receiving low dose radiotherapy in participants with locally advanced or metastatic non-small cell lung cancer or solid tumors with bone metastases to evaluate the safety and efficacy of combining immunotherapy with radiation therapy.
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