单细胞追踪揭示黑色素瘤 TIL 治疗过程中肿瘤反应性 T 细胞的可塑性
Single-cell tracking reveals tumor-reactive T cell plasticity during melanoma TIL therapy.
TIL(肿瘤浸润淋巴细胞)过继细胞治疗可在转移性黑色素瘤中诱导持久缓解,然而在体外扩增过程中及回输后,调控肿瘤反应性T细胞命运的克隆和转录动态仍知之甚少。
英文原题:A Study of Lifileucel (Tumor-infiltrating Lymphocytes) in Adults With Advanced Endometrial Cancer.
这是一项 II 期注册临床试验,评估细胞治疗用于子宫内膜癌的安全性、可行性及初步疗效。当前状态:招募中。计划入组 60 例。试验地点:美国 · 凤凰城、洛杉矶、奥兰多、坦帕(共 12 个中心)。登记号:NCT06481592。
仅女性 · ≥ 18 Years 且 ≤ 70 Years
入选标准 1. 组织学确诊子宫内膜癌。允许所有组织学类型,包括癌肉瘤;不允许子宫肉瘤。 2. 既往接受过以下治疗: • 既往全身治疗至少1线、最多4线;任何治疗阶段接受的化疗不超过2线(包括新辅助或辅助治疗,以及复发、转移或原发不可切除疾病的治疗)。 • 已接受铂类化疗及抗PD-1/PD-L1治疗。 • 拒绝铂类化疗和/或抗PD-1/PD-L1治疗,或经研究者判断不适合接受上述治疗者,经与医学监查员讨论后可考虑入组。 • 计入治疗线数的全身治疗包括单独或联合使用的化疗、靶向治疗、免疫治疗及抗体药物偶联物。激素治疗不计为一线治疗。 • 受试者须符合以下任一项:①有影像学记录证明疾病在末线治疗期间或之后进展;②因不耐受或毒性而停止末线治疗;③经与医学监查员讨论,在疾病稳定背景下由受试者/医生决定停止治疗,且有肿瘤生长证据。 3. ECOG体能状态评分0或1,且预期寿命>6个月。 4. 用于制备肿瘤浸润淋巴细胞(TIL)的病灶切除后,至少有一个可切除病灶和一个可测量病灶。 5. 器官功能充分,包括心肺功能充分。 6. 有生育能力的受试者须同意在治疗期间及研究干预末次给药后12个月内采用批准的高效避孕方法。 7. 年龄>70岁的受试者,经研究者与医学监查员讨论后可考虑入组。 排除标准 1. 有症状且未经治疗的脑转移。 2. 既往接受过异基因器官移植,或过去20年内接受过任何形式、涉及既往预处理化疗的细胞治疗。 3. 需要全身使用泼尼松>10 mg/日或等效剂量其他类固醇治疗。 4. 存在任何原发性免疫缺陷。 5. 过去3年内患有其他原发恶性肿瘤。 6. NMALD开始前28天内已接种或计划接种活疫苗或减毒疫苗。
Inclusion Criteria: 1. Participants must have a histologically confirmed diagnosis of endometrial carcinoma. All histologies, including carcinosarcoma, will be allowed. Uterine sarcoma will not be allowed. 2. Participants who have received the following previous therapies: * At least 1 but no more than 4 lines of prior systemic therapy with no more than 2 lines of chemotherapy in any setting (ie, neoadjuvant or adjuvant setting as well as for recurrent, metastatic, or primary unresectable disease. . * Participants have received platinum-based chemotherapy and anti-PD-1/PD-L1 therapy. * Participants who declined platinum-based chemotherapy regimen and/or an anti-PD-1/PD-L1 therapy or were deemed ineligible for such therapies by the investigator may be considered after discussion with the medical monitor. * Systemic therapy counting towards lines of therapy includes chemotherapy, targeted therapy, immunotherapy, and antibody drug conjugates, given alone or in combination. Hormonal therapy does not count as a line of therapy. * Participants must have either (i) documented radiographic disease progression during or after the last line of therapy or (ii) discontinued their last line of therapy because of treatment intolerance or toxicity or (iii) with medical monitor discussion, participant/physician decision in the context of stable disease with evidence of tumor growth. 3. Participants who have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 and estimated life expectancy of \>6 months. 4. Participants having at least one resectable lesion and at least one measurable lesion, following resection of the lesion for TIL generation. 5. Participants who have adequate organ function, including adequate cardiopulmonary function. 6. Participants of childbearing potential must be willing to practice an approved method of highly effective birth control during treatment and up to 12 months after the last dose of study intervention. 7. Participants who are \>70 years of age may be allowed to enroll after the investigator discusses with the medical monitor. Exclusion Criteria: 1. Participants who have symptomatic untreated brain metastases. 2. Participants who have had a history of allogeneic organ transplant or any form of cell therapy involving prior conditioning chemotherapy within the past 20 years. 3. Participants who require systemic steroid therapy \> 10 mg/day prednisone or another steroid equivalent dose. 4. Participants who have any form of primary immunodeficiency. 5. Participants who have another primary malignancy within the previous 3 years. 6. Participants who have received or will receive a live or attenuated vaccination within 28 days prior to the start of the NMALD.
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:Objective Response Rate · To evaluate the proportion of participants who have a confirmed complete response (CR) or partial response (PR) per RECIST v1.1. · Up to 5 Years
次要终点:Complete Response Rate;Duration of Response;Disease Control Rate;Progression-Free Survival;Overall Survival;Adverse Events
本研究旨在评估利非利塞(lifileucel)治疗方案对既往接受过治疗的子宫内膜癌患者的疗效和安全性。
The purpose of this study is to investigate the efficacy and safety of the lifileucel regimen in participants with previously treated endometrial cancer.
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