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:Phase 1 Study to Investigate TCRTs KRAS Mutation in Unresectable, Advanced, and/or Metastatic Solid Tumors
这是一项 I 期注册临床试验,评估自体 T 细胞治疗非小细胞肺癌、结直肠癌、胰腺癌的安全性、可行性及初步疗效。当前状态:招募中。计划入组 108 例。试验地点:美国 · 杜阿尔特、洛杉矶、纽波特比奇、杰克逊维尔(共 18 个中心)。登记号:NCT06218914。
不限性别 · ≥ 18 Years
主要纳入标准: • 年龄≥18岁。 • 确诊非小细胞肺癌、结直肠腺癌、胰腺腺癌、子宫内膜癌或其他实体瘤。 • 肿瘤携带KRAS G12D变异,且至少一个等位基因为HLA-C*08:02阳性、HLA-A*11:01阳性或HLA-A*11:02阳性。 • 患有晚期实体癌(III期或IV期,不可切除、晚期和/或转移性),至少接受过一线获批的标准全身治疗,且无可用的根治性治疗方案。 • 至少有1个符合RECIST 1.1的可测量病灶。 • 入组时ECOG体能状态评分0–1分。 主要排除标准: • 入组前3年内患有其他原发恶性肿瘤;非黑色素瘤皮肤癌、原位癌(如宫颈、膀胱、乳腺)或低级别前列腺癌除外。 • 已知活动性原发中枢神经系统恶性肿瘤。 • 既往接受过过继细胞/基因治疗、异基因干细胞移植或实体器官移植。 • 入组前12个月内有卒中或短暂性脑缺血发作史。 • 入组前6个月内有临床显著心脏病史,或任何既往心力衰竭史。 • 入组前至少2周或3个半衰期(取较短者)内接受过全身治疗。 • 存在任何类型的原发性免疫缺陷。 • 活动性免疫介导疾病需要全身性类固醇或其他免疫抑制治疗;既往检查点抑制剂治疗相关情况除外。 • 入组时处于哺乳期或正在母乳喂养的有生育能力女性。 • 既往接受泛KRAS或KRAS G12D靶向药物治疗;除非治疗结束后再次确认存在KRAS G12D突变。
Key Inclusion Criteria: * Age ≥18 years * Diagnosed with NSCLC, Colorectal adenocarcinoma, Pancreatic adenocarcinoma, Endometrial Cancer or any other solid tumor * Tumors must harbor a KRAS G12D variant mutation and subject must be HLA-C\*08:02 positive, HLA-A\*11:01 or HLA-A\*11:02 positive in at least one allele * Subject has advanced solid cancer, defined as unresectable, advanced, and/or metastatic disease (Stage III or IV) after at least 1 line of approved systemic standard of care (SOC) treatment regimen and for which there are no available curative treatment options. * Presence of at least 1 measurable lesion per RECIST v1.1 * Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 at the time of enrollment Key Exclusion Criteria: * Any other primary malignancy within the 3 years prior to enrollment (except for non-melanoma skin cancer, carcinoma in situ (eg, cervix, bladder, breast) or low-grade prostate cancer * Known, active primary central nervous system (CNS) malignancy * History of prior adoptive cell and gene therapy, allogeneic stem cell transplant or solid organ transplantation. * History of stroke or transient ischemic attack within the 12 months prior to enrollment. * History of clinically significant cardiac disease within the 6 months prior to enrollment or heart failure at any time prior to enrollment. * Systemic therapy within at least 2 weeks or 3 half-lives, whichever is shorter, prior to enrollment. * Any form of primary immunodeficiency. * Active immune-mediated disease requiring systemic steroids or other immunosuppressive treatment (except if related to prior checkpoint inhibitor therapy) * Female of childbearing potential who is lactating or breast feeding at the time of enrollment * Prior treatment with pan-KRAS or KRAS G12D targeting agents unless presence of KRAS G12D mutation is confirmed after the completion of treatment with pan-KRAS or KRAS G12D targeting agents.
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:Part A (Dose Escalation): Evaluate the safety of KRAS TCRTs in subjects with unresectable, advanced, and/or metastatic solid tumors · Incidence of DLTs, treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs) · Through study completion, an average of 2 years;Part A (Dose Escalation): Evaluate MTD and recommended dose for expansion (RDE) · Incidence of DLTs, treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs) · 28 days after infusion;Part B (Expansion): Further evaluate the safety of KRAS TCRTs at the RDE in subjects with unresectable, advanced, and/or metastatic solid tumors · Incidence of DLTs, treatment-emergent adverse events (TEAEs), and serious adverse events (SAEs) · 28 days after infusion
次要终点:Part A (Dose Escalation): Evaluate the preliminary anti-tumor activity of KRAS TCRTs in subjects with unresectable, advanced, and/or metastatic solid tumors;Part B (Dose Expansion): Evaluate the preliminary anti-tumor activity of KRAS TCRTs at the RDE in subjects with unresectable, advanced, and/or metastatic solid tumors
NT-112剂量递增(A部分)和剂量扩展(B部分)。
AZD0240剂量递增(A部分)和剂量扩展(B部分)。
I期主方案研究,旨在评估识别KRAS突变的TCR工程化T细胞治疗不可切除、晚期和/或转移性实体瘤成人患者的效果。
Phase I Study, a master protocol to investigate TCR-Engineered T cells recognizing KRAS mutations in adult subjects with Unresectable, Advanced, and/or Metastatic Solid Tumors.
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