帕博利珠单抗联合二甲双胍治疗转移性头颈部癌的 II 期可行性研究
A Phase II Feasibility Study Combining Pembrolizumab and Metformin in Patients with Metastatic Head and Neck Cancer.
二甲双胍联合帕博利珠单抗耐受性良好,仅出现轻度胃肠道不良事件,并展现出有前景的活性,值得在随机试验中进一步研究。
英文原题:Phase 1/2 Study of Autologous SCG142 TCR T Cells in Patients With HPV16/52-positive Carcinoma
⚠ 该试验的登记信息已有 27 个月未更新, 页面上显示的「尚未开始招募」可能已经失效。联系研究中心之前,建议先到 ClinicalTrials.gov 核对登记原文的最新状态与联系方式。
这是一项 I/II 期注册临床试验,评估细胞治疗用于头颈部肿瘤的安全性、可行性及初步疗效。当前状态:尚未开始招募。计划入组 66 例。登记号:NCT06505551。
不限性别 · ≥ 18 Years
主要纳入标准:组织学确诊鳞状细胞癌(SCC),可为宫颈、头颈、肛门、阴茎、外阴或阴道癌;肿瘤组织HPV16或HPV52阳性;晚期或转移性癌症,至少一线标准系统治疗后进展(包括但不限于联合化疗和/或联合化疗免疫治疗);HLA-A*02:01基因型;至少一个符合RECIST v1.1的可测量病灶;ECOG 0-1分;预期寿命≥3个月;血液学、肾、肝及凝血功能等实验室指标充分。主要排除标准:具有临床意义或活动性癫痫、卒中、脑血管缺血/出血、痴呆、小脑疾病,或中枢神经系统(CNS)受累的自身免疫病;活动性脑转移或软脑膜转移;筛查前2年内其他恶性肿瘤史;器官移植史;HIV阳性或已知AIDS;活动性心脏病史;活动性肺部疾病史;活动性、已知或疑似自身免疫病;缺乏外周或中心静脉通路,或任何可能妨碍试验样本采集及SCG142给药的情况;既往接受任何细胞治疗,包括但不限于NK细胞、细胞因子诱导杀伤细胞(CIK)、树突状细胞(DC)、细胞毒性T淋巴细胞(CTL)、干细胞治疗及CAR/TCR-T细胞治疗;对淋巴细胞清除化疗药物(环磷酰胺或氟达拉滨)和/或SCG142任一成分过敏;任何严重医疗状况或临床实验室异常。
Main Inclusion Criteria: 1. Histologically confirmed squamous cell carcinoma (SCC); may include any of the following tumor types: cervical, head and neck, anal, penile, vulvar, or vaginal. 2. Tumor tissue positive for HPV16 or HPV52. 3. Advanced or metastatic carcinoma with progression after at least 1 line of standard of care systemic therapies, including but not limited to combination chemotherapy and/or combination chemo-immunotherapy. 4. Human leukocyte antigen (HLA)-A\*02:01 genotype. 5. Measurable disease as defined by RECIST v1.1. 6. Eastern Cooperative Group (ECOG) Performance Status of 0 or 1. 7. Anticipated life expectancy ≥3 months. 8. Adequate laboratory parameters including hematologic, renal, hepatic and coagulation function. Main Exclusion Criteria: 1. Presence of clinically relevant or active seizure disorder, stroke, cerebrovascular ischemia/hemorrhage, dementia, cerebellar disease, or any autoimmune disease with central nervous system (CNS) involvement. 2. Active brain metastasis or leptomeningeal metastases. 3. History of other malignancy within 2 years prior to Screening. 4. History of organ transplant. 5. Positive for human immunodeficiency virus (HIV) or known acquired immunodeficiency syndrome (AIDS). 6. History of active cardiac disease. 7. History of active pulmonary disease. 8. Active, known, or suspected autoimmune disease. 9. Lack of peripheral venous or central venous access, or any condition that may prevent trial sample collection and administration of SCG142. 10. Prior exposure to any cell therapy including, but not limited to natural killer (NK) cells, cytokine-induced killer (CIK) cells, dendritic cells (DCs), cytotoxic T lymphocytes (CTLs), stem cell therapy, and CAR/TCR-T cell therapy. 11. Allergy to LD chemotherapy (cyclophosphamide or fludarabine) and/or any component of SCG142. 12. Any serious medical condition or abnormality in clinical laboratory tests.
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 of Treatment-Emergent Adverse Events (Phase 1) · Incidence of dose-limiting toxicities (DLTs) and occurrence of study related adverse events. · 2 years;Objective response rate (ORR) (Phase 2) · The proportion of patients with a complete response (CR) or partial response (PR) · 2 years
次要终点:Objective response rate (ORR) (Phase 1);Duration of objective response (DOR) (Phase 1&2);Disease control rate (DCR) (Phase 1&2);Progression-free survival (PFS) (Phase 1&2);Overall survival (OS) (Phase 1&2);Incidence of Treatment-Emergent Adverse Events (Phase 2)
单臂研究。
I/II期、开放标签、单臂、多中心研究,研究对象为HPV16或HPV52阳性的晚期或转移性癌症患者,患者在既往至少一线系统治疗(包括但不限于联合化疗和/或联合化疗免疫治疗)后发生疾病进展。
This is a phase 1/2, open-label, single arm, multicenter study in patients with advanced or metastatic HPV16- or HPV52-positive carcinomas who have progressed after at least one line of systemic therapy, including but not limited to combination chemotherapy and/or combination chemo-immunotherapy
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