工程化益生菌用于肿瘤靶向联合化学免疫治疗
Engineered probiotics for tumor-targeted combination chemoimmunotherapy.
我们的方法将酶/前药治疗和免疫治疗整合到一个单一的细菌递送系统中,通过提供合理设计的空间控制化学免疫治疗框架,克服了传统疗法的关键局限性。
英文原题:TIL Injection for the Treatment of Metastatic or Recurrent Solid Tumors
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。
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)。
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。
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)
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。
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.
MEMBER ACCOUNT
登录成功会直接打开下一页。