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:A Study of GC203 TIL in Advanced Malignant 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、恶性肿瘤、乳腺癌的安全性、可行性及初步疗效。当前状态:招募中。计划入组 18 例。试验地点:中国 · 上海(共 1 个中心,其中中国 1 个)。登记号:NCT06375187。
不限性别 · ≥ 18 Years 且 ≤ 75 Years
纳入标准: 1. 研究者认为患者能够签署知情同意书(ICF)并完成研究要求的所有流程。 2. 签署知情同意书时年龄≥18岁且≤75岁。 3. 经明确病理诊断为晚期转移性实体瘤,且标准治疗失败。标准治疗指现行指南和共识推荐的治疗,包括但不限于化疗、放疗、突变靶向治疗、免疫治疗和手术;肿瘤类型包括但不限于妇科肿瘤(卵巢癌、子宫内膜癌、宫颈癌)、乳腺癌、胃肠道癌和肺癌。 4. 有适合切除/穿刺取材以制备GC203 TIL的组织区域,组织总体积>400 mm³;病灶未接受局部治疗(如放疗、射频治疗、溶瘤病毒治疗等),或局部治疗后病情进展。 5. 预处理前至少有1个符合RECIST 1.1定义的可测量靶病灶。 6. ECOG体能状态评分0或1分。 7. 预期生存期≥3个月。 8. 血液学、凝血、肝肾功能指标符合以下要求: • 中性粒细胞绝对计数(ANC)≥1.0×10⁹/L; • 淋巴细胞绝对计数(ALC)≥0.5×10⁹/L; • 血小板≥80×10⁹/L; • 国际标准化比值(INR)≤ULN的1.5倍; • 活化部分凝血活酶时间(APTT)≤ULN的1.5倍; • 血清肌酐(Scr)≤1.5 mg/dL(或132.6 μmol/L),或肌酐清除率≥60 mL/min; • 尿液检查:尿蛋白<2+,或24小时尿蛋白<1 g; • 天冬氨酸氨基转移酶(AST/SGOT)≤ULN的3倍; • 丙氨酸氨基转移酶(ALT/SGPT)≤ULN的3倍; • 总胆红素(TBIL)≤ULN的1.5倍。 9. 有生育能力的女性(WCBP)治疗前血清妊娠试验阴性。所有有性生活的WCBP和男性受试者均须同意在研究期间使用有效避孕方法。 10. 无手术或活检禁忌证。 11. 依从性良好,能够遵守研究访视计划和其他方案要求。 排除标准: 1. 入组前4周内参加过其他药物或生物治疗临床试验。 2. 既往接受过异基因T细胞治疗,或1年内接受过基因工程化自体细胞治疗。 3. 4周内接受过全身抗肿瘤治疗。 4. 过去5年内患有其他原发恶性肿瘤。 5. 治疗开始前28天内接种过活疫苗或减毒疫苗。 6. 有对任何研究药物成分超敏反应史。 7. 妊娠或哺乳期。
Inclusion Criteria:
* 1\. In the opinion of the Investigator, patients must be able to sign the ICF and complete all study-required procedures.
2\. Patients must be ≥18 and ≤75 years of age at the time of consent. 3. Patients with advanced metastatic solid tumors with clear pathological diagnosis have failed standard therapy (standard therapy is defined as existing guidelines and consensus recommended therapy \[including but not limited to chemotherapeutic therapy, radiotherapy, mutation-targeted therapy, immunotherapy, and surgery\]) , including but not limited to gynecological tumors (ovarian cancer, endometrial cancer, cervical cancer), breast cancer, gastrointestinal Cancer, lung cancer.
4\. Patients have feasible tissue areas for tumor resection/puncture to generate GC203 TIL, the total volume of the tissue \> 400mm3, and the lesion has not received local treatment (such as radiotherapy, radiofrequency therapy, oncolytic virus, etc.) or has progressed after local treatment; 5. At least one measurable target lesion before preconditioning, as defined by RECIST1.1.
6\. Patients must have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
7\. Patients must have an estimated life expectancy of ≥3 months. 8. Patients must have the following hematologic parameters, Coagulation functions and hepatic and renal function:
* Absolute Neutrophil Count (ANC)≥1.0×10\^9/L;
* Absolute Lymphocyte Count(ALC)≥0.5×10\^9/L;
* Platelet≥80×10\^9/L;
* International Normalized Ratio(INR)≤1.5×ULN;
* Activated Partial Thromboplastin Time(APTT)≤1.5×ULN;
* Serum Creatinine (Scr)≤1.5mg/dL (or 132.6μmol/L) or Creatinine Clearance≥60mL/min
* Urinalysis: urine protein less than 2+, or 24-hour urine protein \<1g;
* Alanine aminotransferase(AST/SGOT) ≤3×ULN;
* Alanine aminotransferase (ALT/SGPT) ≤3×ULN;
* Total Bilirubin(TBIL)≤1.5×ULN; 9. Women of child-bearing potential (WCBP), must have a negative serum pregnancy test prior to treatment. All sexually active WCBP and all sexually active male subjects must agree to use effective methods of birth control throughout the study.
10\. Patients must have no contraindications for surgery or biopsy. 11. Patients have good compliance and be able to adhere to research access plans and other protocol requirements.
Exclusion Criteria:
1. Participate in clinical trials of other drugs or biologic therapies within 4 weeks before enrollment;
2. Participants who have had a history of allogeneic T cell therapy; gene engineering autologous cell therapy within 1 years.
3. Patients who have received systemic antitumor therapy within 4 weeks.
4. Patients who have had another primary malignancy within the previous 5 years
5. Patients who have received a live or attenuated vaccination within 28 days prior to the start of treatment
6. Patients with a history of hypersensitivity to any component of the study drugs
7. Patients who are pregnant or breastfeeding.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:Maximal Tolerance Dose · Up to Day 28;Dose Limiting Toxicity · Up to Day 28;Adverse Events · Maximum 360 days
次要终点:Objective Response Rate;Duration of Response;Disease Control Rate;Progression-Free Survival;Overall Survival;Quality of Life Assessment
输注工程化肿瘤浸润淋巴细胞(GC203 TIL)。
本临床试验旨在评估工程化肿瘤浸润淋巴细胞(TIL)治疗晚期恶性实体瘤的安全性和疗效。
A clinical trial to assess the safety and efficacy of engineered Tumor Infiltrating Lymphocytes (TIL) for the treatment of Advanced Malignant Solid Tumors
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