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KB-GDT-01(γδ T 细胞)治疗非小细胞肺癌、实体瘤:I 期临床试验

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

ClinicalTrials.gov 2023/10/06(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 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。

简要介绍

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。

入组条件决定能不能参加

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。
核对登记原文(英文)
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。

研究终点衡量什么算有效

  • 主要终点KB-GDT-01联合LDRT治疗的安全性和耐受性:发生不良事件(AE)和/或剂量限制性毒性(DLT)的参与者人数自首次研究药物输注至第40天,或末次研究药物输注后30天(取较晚者)
  • 次要终点客观缓解率(ORR)
  • 次要终点无进展生存期(PFS)
  • 次要终点总生存期(OS)
  • 次要终点至疾病进展时间(TTP)
  • 次要终点至治疗缓解时间(TTR)
  • 次要终点疾病控制率(DCR)
核对登记原文(英文)

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)

研究设计怎么做的

研究类型
干预性研究
入组人数
48 人(预计)
分组方式
不适用(单臂)
  • KB-GDT-01细胞试验组

    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)。

核对分组登记原文(英文)
  • KB-GDT-01 cells · EXPERIMENTAL · Dose Level 1: 400 x10\^6, 800 x10\^6 or 1600 x10\^6 KB-GDT-01 cells + radiation (1.0 Gy/fraction)

关键日期

开始日期
2023-11-07
主要完成日期
2025-10
全部完成日期
2026-10
登记状态核实于
2025-03

联系与责任方

申办方
Kiromic BioPharma Inc.
合作方
Stiris Research Inc
联系邮箱
mwagener@kiromic.com
联系电话
1-844-539-2873

登记简述

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。

核对登记原文(英文)

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.

登记原文与核验信息

试验登记号
NCT06069570
试验期别
I 期
试验状态
招募中
试验中心
The University of Arizona Cancer Center · 图森 · 美国 | Beverly Hills Cancer Center · 比弗利山庄 · 美国 | UPMC Hillman Cancer Center · 匹兹堡 · 美国 | Texas Oncology - Tyler · 泰勒 · 美国 | Virginia Oncology Associates · 诺福克 · 美国
适应症(原文)
Carcinoma, Non-Small-Cell Lung Cancer; Bone Metastases From Solid Tumors
干预方式(原文)
KB-GDT-01