为肝细胞癌武装 GPC3 CAR T 细胞:多少才足够,下一步是什么?
Armouring GPC3 CAR T cells for hepatocellular carcinoma: how much is enough and what comes next?
英文原题:A Study of SCG101 TCR-T Cell Therpay in the Treatment of Subjects With Hepatitis B Virus-Related
⚠ 该试验的登记信息已有 24 个月未更新, 页面上显示的「招募中」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 期注册临床试验,评估细胞治疗用于肝细胞癌的安全性、可行性及初步疗效。当前状态:招募中。计划入组 38 例。试验地点:中国 · 北京、广州、郑州、长春(共 7 个中心,其中中国 7 个)。登记号:NCT06617000。
不限性别 · ≥ 18 Years 且 ≤ 70 Years
纳入标准: * 经组织学或细胞学确诊为肝细胞癌(HCC)。 * HCC患者既往接受过标准全身治疗。 * HLA-A*02阳性。 * 巴塞罗那临床肝癌分期(BCLC)为B期或C期。 * Child-Pugh评分≤7分。 * 血清HBeAg阴性,血清(或肿瘤组织)HBsAg阳性,且血清HBV-DNA≤1×1000 IU/mL。 * 基线时至少有1个符合mRECIST和iRECIST标准的可测量病灶。 * 预期寿命至少3个月。 * 器官功能良好。 排除标准: * 过去5年内有其他原发性癌症病史。 * 中枢神经系统转移或有临床意义的中枢神经系统疾病。 * 既往或当前合并肝性脑病。 * 目前存在有症状的第三间隙积液。 * 研究者判断为控制不佳的高血压(即经标准治疗后仍未控制的动脉高血压)。 * 有神经系统或精神疾病史,包括癫痫或痴呆。 * 患有活动性自身免疫病,或基于病理和临床诊断存在其他显著持续性免疫排斥反应。 * 既往接受过任何细胞治疗,包括但不限于NK细胞、细胞因子诱导的杀伤(CIK)细胞、树突状细胞(DC)、细胞毒性T淋巴细胞(CTL)或干细胞治疗。 * HCV-RNA检测阳性、HAV IgM抗体阳性、HDV IgM抗体阳性,或有当前HEV感染证据。 * 对免疫治疗药物或淋巴细胞清除化疗药物(环磷酰胺和氟达拉滨)过敏。 * 研究者认为任何可能使受试者不适合参加试验的情况。
Inclusion Criteria: * Histologically or cytologically confirmed Hepatocellular carcinoma (HCC) * Subjects with HCC who have received standard systemic therapies * HLA-A \*02 * BCLC stage B or C * Child-pugh score ≤ 7 ol * Serum HBeAg negative, serum (or tumor tissue) HBsAg positive, and serum HBV-DNA must be ≤ 1 × 1000 IU/ml * Have at least one measurable leasion at baseline as per mRECIST and iRECIST * Life expectancy of 3 months or greater * The organ function is in good condition. Exclusion Criteria: * Subjects with history of another primary cancer within 5 years * Central nervous system metastasis and clinically significant central nervous system disease * Previous or current coexistence of hepatic encephalopathy * Currently present with symptomatic third space fluid accumulation * Hypertension that is poorly controlled, as determined by researchers (i.e., arterial hypertension that remains uncontrolled despite standard treatment) * Known history of neurological or mental disorder, including epilepsy or dementia * Suffering from active autoimmune diseases, or other significant ongoing immune rejection based on pathology and clinical diagnosis * Prior exposure to any cell therapy such as, but not limited to killer (NK) cells, cytokine-induced killer (CIK) cells, dendritic cells (DC), cytotoxic T lymphocytes (CTL), stem cell therapy * Positive for HCV - RNA test or positive for HAV IgM antibody or positive for HDV IgM antibody; or there is current evidence indicating the presence of HEV infection * Allergy to immunotherapy drugs and lymphodepleting chemotherapy (cyclophosphamide and fludarabine) * Any condition which, in the investigator's opinion, makes the subject unsuitable for trial participation
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 dose-limiting toxicity (DLT) and adverse events (AEs), including serious AEs (SAEs), cytokine release syndrome (CRS), and immune effector cell-associated neurotoxicity syndrome (ICANS). · Based on incidence of adverse events (AE) using NCI-CTCAE v5.0 and ASTCT criteria · Start of SCG101 infusion until disease progression or 12 months post infusion;The preliminary clinical efficacy of SCG101, including objective response rate (ORR), disease control rate (DCR), duration of response (DoR), time to response (TTR), progression-free survival (PFS), and overall survival (OS). · Per mRECIST and iRECIST · Start of SCG101 infusion until disease progression or 12 months post infusion;Change in pharmacodynamics markers (PD) before and after SCG101 infusion · Based on changes in serum liver function markers, including HBsAg, ALT, AST, and AFP · Start of SCG101 infusion until disease progression, an average of 24 months;Persistences of viral vector copy number (VCN) after SCG101 infusion · Start of SCG101 infusion until disease progression, an average of 24 months
这是一项Ⅰ期临床研究,旨在评估SCG101单药治疗乙肝病毒相关肝细胞癌(HBV-HCC)患者的安全性、耐受性和疗效。
This is a Phase I clinical study aimed to assess the safety, tolerability, and efficacy of SCG101 monotherapy for patients with HBV-HCC.
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