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肿瘤浸润淋巴细胞注射治疗转移性或复发性实体瘤

英文原题:TIL Injection for the Treatment of Metastatic or Recurrent Solid Tumors

ClinicalTrials.gov 2023/10/18(首次登记) I 期注册临床试验 · 进行中(不再招募)

简要介绍

这是一项 I 期注册临床试验,评估TIL(肿瘤浸润淋巴细胞)治疗实体瘤的安全性、可行性及初步疗效。当前状态:进行中(不再招募)。计划入组 12 例。试验地点:中国 · 徐州(共 1 个中心,其中中国 1 个)。登记号:NCT06088472。

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. 自愿参加研究,签署知情同意书,并愿意且能够遵守研究方案。
2. 确诊为恶性肿瘤,病理或细胞学类型符合要求:不可切除的复发性或转移性实体瘤。
3. 至少有一个可切除病灶(优先选择浅表转移淋巴结),该病灶未接受放疗或其他局部治疗;并可分离出体积≥0.5 cm³的组织块(可来自单个病灶或多个病灶),用于制备自体肿瘤浸润淋巴细胞。尽可能采用微创治疗。

排除标准:

1. 有症状和/或未经治疗的中枢神经系统转移(稳定脑转移除外:3个月内不需药物治疗且不依赖激素)。
2. 存在任何活动性自身免疫病、自身免疫病史,或需要全身类固醇激素治疗;或淋巴细胞清除化疗前14天内需使用免疫抑制药物(泼尼松>10 mg/日或等效激素剂量)。
3. 入组前6个月内发生动脉/静脉血栓事件,如脑血管意外、深静脉血栓或肺栓塞。
4. 存在需全身抗感染药物治疗的活动性感染(局部抗生素除外);或筛查期间出现不明原因发热>38.5℃(肿瘤热除外)。
5. 患有难治性或顽固性癫痫、腹水、活动性消化道出血或存在IL-2禁忌证。
6. 既往接受过异基因骨髓移植或器官移植。
7. 对研究药物任一成分或辅料过敏,包括自体TIL、环磷酰胺、氟达拉滨、IL-2、二甲基亚砜(DMSO)、人血清白蛋白(HSA)、右旋糖酐-40及抗生素(β-内酰胺类抗生素、庆大霉素)。
核对登记原文(英文)
Inclusion Criteria:

* 1\. Voluntarily participate in the study, sign the informed consent form, and be willing and able to follow the study protocol ;
* 2.Must have a confirmed diagnosis of malignancy of their receptive histologies or cytologies: unresectable recurrent or metastatic solid tumor;
* 3.At least one resectable lesion (preferably superficial metastatic lymph nodes) that has not been treated with radiation and has not received other local therapies, and at least tissue blocks with a volume of≥0.5 cubic centimeter (either of single lesion origin or multiple lesions combined) can be isolated for the preparation of autologous tumor-infiltrating lymphocytes. Minimally invasive treatment where possible;

Exclusion Criteria:

* 1\. Patients who have symptomatic and/or untreated CNS metastases (Except stable brain metastases, no medication required within 3 months, no hormone dependence);
* 2.The patient who has any active autoimmune disease, history of autoimmune disease, need for systemic steroid hormones or a condition requiring immunosuppressive drug therapy (\>10 mg/day of prednisone or equivalent hormone) within 14 days before lymphocyte depletion chemotherapy;
* 3\. Arterial/venous thrombotic events within 6 months prior to enrollment, such as: cerebrovascular accident, deep vein thrombosis and pulmonary embolism occurring;
* 4.Active infections requiring treatment with systemic anti-infectives (except for topical antibiotics); or those with unexplained fever \> 38.5℃ occurring during the screening period, except for tumor fever;
* 5\. Patients who have refractory or intractable epilepsy, hydrops abdominis, active gastrointestinal bleeding or IL-2 contraindications;
* 6\. Patients who have received allogeneic bone marrow transplantation or an organ allograft;
* 7.Patients who have a history of hypersensitivity to any component or excipient of study drugs: autologous tumor infiltrating lymphocytes, cyclophosphamide, fludarabine, IL-2, dimethyl sulfoxide (DMSO), human serum albumin (HSA), dextran-40 and antibiotics (beta lactam antibiotics, gentamicin);

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

  • 主要终点按CTCAE 5.0评定的不良事件发生率和严重程度TIL输注后至第24周
  • 次要终点客观缓解率(ORR)
  • 次要终点疾病控制率(DCR)
  • 次要终点无进展生存期(PFS)
  • 次要终点缓解持续时间(DoR)
  • 次要终点总生存期(OS)
核对登记原文(英文)

主要终点:Incidence and severity of adverse events per CTCAE 5.0 · To characterize the safety profile of autologous TIL injection (GT101) in patients with relapsed/metastatic advanced solid tumor as measured by the incidence and severity of adverse events per CTCAE 5.0 · From TIL infusion to the 24th week
次要终点:Objective response rate (ORR);Disease control rate (DCR);Progression-free survival (PFS);Duration of Response (DoR);Overall survival (OS)

研究设计怎么做的

研究类型
干预性研究
入组人数
12 人(预计)
分组方式
不适用(单臂)
  • TIL注射治疗组试验组
核对分组登记原文(英文)
  • TIL injection treatment group · EXPERIMENTAL

关键日期

开始日期
2021-04-21
主要完成日期
2027-12-31
全部完成日期
2027-12-31
登记状态核实于
2026-09

联系与责任方

申办方
Grit Biotechnology
合作方
The Affiliated Hospital of Xuzhou Medical University

登记简述

这是一项单中心、单臂I期临床试验。研究分为筛查期、取样和产品制备期、非清髓性淋巴细胞清除(NMA-LD)化疗期、治疗与观察期以及随访期。

核对登记原文(英文)

This is a single-center, single-arm phase I clinical trial.The study process was divided into: screening period, sampling and production period, NMA-LD chemotherapy , treatment and observation period, and follow-up period.

登记原文与核验信息

试验登记号
NCT06088472
试验期别
I 期
试验状态
进行中(不再招募)
中国试验中心(1 个)
The Affiliated Hospital of Xuzhou Medical University · 徐州 · 中国
适应症(原文)
Solid Tumors, Adult
干预方式(原文)
TIL injection