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肿瘤浸润淋巴细胞治疗实体瘤、恶性肿瘤:I 期临床试验(Shanghai Juncell)

英文原题:A Study of GC203 TIL in Advanced Malignant Solid Tumors

ClinicalTrials.gov 2024/04/19(首次登记) I 期注册临床试验 · 招募中

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、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。

入组条件决定能不能参加

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。
核对登记原文(英文)
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。

研究终点衡量什么算有效

  • 主要终点最大耐受剂量最长至第28天。
  • 主要终点剂量限制性毒性最长至第28天。
  • 主要终点不良事件最长360天。
  • 次要终点客观缓解率
  • 次要终点缓解持续时间
  • 次要终点疾病控制率
  • 次要终点无进展生存期
  • 次要终点总生存期
  • 次要终点生活质量评估
核对登记原文(英文)

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

研究设计怎么做的

研究类型
干预性研究
入组人数
18 人(预计)
分组方式
不适用(单臂)
  • 治疗组试验组

    输注工程化肿瘤浸润淋巴细胞(GC203 TIL)。

核对分组登记原文(英文)
  • Treatment Arm · EXPERIMENTAL · Engineering Tumor Infiltrating Lymphocytes Injection (GC203 TIL)

关键日期

开始日期
2024-05-29
主要完成日期
2026-11-01
全部完成日期
2027-05-01
登记状态核实于
2025-12

联系与责任方

申办方
Shanghai Juncell Therapeutics
联系邮箱
clinicaltrials@juncell.com
联系电话
+8621-69110327

登记简述

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。

核对登记原文(英文)

A clinical trial to assess the safety and efficacy of engineered Tumor Infiltrating Lymphocytes (TIL) for the treatment of Advanced Malignant Solid Tumors

登记原文与核验信息

试验登记号
NCT06375187
试验期别
I 期
试验状态
招募中
中国试验中心(1 个)
Fudan University Shanghai Cancer Center · 上海 · 中国
适应症(原文)
Solid Tumor; Gynecologic Cancer; Breast Cancer; Gastrointestinal Cancer; Lung Cancer
干预方式(原文)
Engineering Tumor Infiltrating Lymphocytes