简要介绍
这是一项早期 I 期注册临床试验,评估通用型 NK 细胞治疗血液系统恶性肿瘤的安全性、可行性及初步疗效。当前状态:尚未开始招募。计划入组 18 例。登记号:NCT06837389。
入组条件决定能不能参加
不限性别 · ≥ 18 Years 且 ≤ 75 Years
纳入标准:
* 经临床诊断判断为复发或难治性恶性血液肿瘤;
* 经流式细胞术(FCM)或免疫组化确认肿瘤细胞CD70阳性,且阳性率>80%;
* 年龄18-75岁(含边界值);
* 自签署知情同意书之日起预期生存期超过3个月;
* KPS≥80分;
* 重要器官功能需满足以下条件:1)EF>50%,且ECG无明显异常;2)SpO2≥90%;3)Cr≤2.5ULN;4)ALT和AST≤5ULN,TBil≤3ULN;
* 有妊娠计划的受试者必须同意在研究入组前及研究持续六个月后采取避孕措施;若受试者怀孕或怀疑怀孕,应立即通知研究者;
* 受试者或监护人理解并签署知情同意书;
排除标准:
* 签署知情同意书前一年内存在纽约心脏协会(NYHA)分级≥III级的心力衰竭或心肌梗死、心脏血管成形术或支架植入术、不稳定型心绞痛或其他临床显著心脏病,或筛选期间QTc间期>480ms(QTc间期按Fridericia公式计算);
* 存在活动性GvHD,或需要使用免疫抑制剂者;
* 筛选前5年内诊断为原发肿瘤以外的其他恶性肿瘤,但已充分治疗的宫颈原位癌、基底细胞或鳞状上皮细胞皮肤癌、根治性切除后的局限性前列腺癌及根治性切除后的乳腺导管原位癌除外;
* 筛选前7天内存在需要全身治疗的活动性感染或不可控感染(轻度泌尿生殖道感染和上呼吸道感染除外);
* 过去2年内有需要全身免疫抑制/全身疾病修饰药物的自身免疫性疾病史(如类风湿关节炎、系统性红斑狼疮、克罗恩病);
* 筛选时,乙型肝炎表面抗原(HBsAg)或乙型肝炎核心抗体(HbcAb)阳性,且外周血乙型肝炎病毒(HBV)DNA水平高于检测下限者;丙型肝炎病毒(HCV)抗体阳性且外周血HCV RNA阳性者;人类免疫缺陷病毒(HIV)抗体阳性者;巨细胞病毒(CMV)DNA阳性者;EB病毒(EBV)DNA阳性者;梅毒螺旋体颗粒凝集试验(TPPA)阳性者,均应排除;
* 签署知情同意书前4周内参加过其他临床试验,或签署知情同意书之日距上一临床试验末次给药仍在其5个半衰期以内(以较长者为准)的受试者。
* 对生物制品有严重过敏史;
* 研究者判断的不稳定系统性疾疾:包括但不限于需要药物治疗的严重肝、肾或代谢性疾病;
* 妊娠或哺乳期妇女,以及计划在细胞输注后2年内怀孕的女性受试者或计划在细胞输注后2年内使其伴侣怀孕的男性受试者;
* 根据研究者的判断,可能增加受试者风险或干扰试验结果的情况。
核对登记原文(英文)
Inclusion Criteria:
* Relapsed or refractory malignant hematological tumors judged by clinical diagnosis;
* The tumor cells were confirmed positive for CD70 by flow cytometry (FCM) or immunohistochemistry, and the positivity rate was \>80%;
* Age 18-75 years (inclusive);
* The expected survival period from the signing date of the informed consent is more than 3 months;
* KPS≥80 points;
* The function of vital organs needs to meet the following conditions: 1) EF \>50%, and there is no obvious abnormality in ECG; 2)SpO2≥90%; 3) Cr≤2.5ULN;4) ALT and AST≤5ULN, TBil≤3ULN;
* Subjects with pregnancy plans must agree to use contraception prior to enrollment in the study and after six months of study duration; If the subject is pregnant or suspects pregnancy, the investigator should be notified immediately;
* The subject or guardian understands and signs the informed consent form;
Exclusion Criteria:
* Have a New York Heart Association (NYHA) classification ≥III heart failure or myocardial infarction, cardiac angioplasty or stenting, unstable angina, or other clinically prominent heart disease within one year prior to signing the informed consent form, Or QTc interval \>480ms (QTc interval is calculated by Fridericia formula) during screening;
* Those who have active GvHD, or need to use immunosuppressants;
* Have been diagnosed with malignant tumors other than primary tumors within 5 years prior to screening, except for adequately treated carcinoma in situ of the cervix, basal cell or squamous epithelial cell skin cancer, localized prostate cancer after radical resection, and ductal carcinoma in situ of the breast after radical resection;
* There are active infections or uncontrollable infections that require systemic treatment (excluding mild urinary and genital tract infections and upper respiratory tract infections) within 7 days prior to screening;
* History of autoimmune diseases (such as rheumatoid arthritis, systemic lupus erythematosus, Crohn's disease) requiring systemic immunosuppressive/systemic disease-modifying drugs within the past 2 years;
* At screening, those with positive hepatitis B surface antigen (HBsAg) or hepatitis B core antibody (HbcAb), and peripheral blood hepatitis B virus (HBV) DNA levels above the lower limit of detection; those with positive hepatitis C virus (HCV) antibody and positive peripheral blood HCV RNA; those with positive human immunodeficiency virus (HIV) antibody; those with positive cytomegalovirus (CMV) DNA; those with positive Epstein-Barr virus (EBV) DNA; and those with positive Treponema pallidum particle agglutination (TPPA) test for syphilis should all be excluded;
* Subjects who have participated in other clinical trials within 4 weeks prior to signing the informed consent form, or for whom the date of signing the informed consent form is still within 5 half-lives of the last dose of the drug from the previous clinical trial (whichever is longer).
* Have a history of severe allergy to biological products;
* Unstable systemic diseases judged by the investigator: including but not limited to severe hepatic, renal or metabolic diseases requiring drug treatment;
* Pregnant or lactating women, and female subjects who plan to become pregnant within 2 years after cell infusion or male subjects whose partners plan to become pregnant within 2 years after cell infusion;
* According to the judgment of the investigator conditions that may increase the subject's risk or interfere with the trial results.
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
- 主要终点输注后至退出或安全性随访期间发生的不良事件和不良反应的发生频率、例数、发生率和严重程度从入组至输注后一年
核对登记原文(英文)
主要终点:The occurrence frequency, number of cases, incidence rate and severity of adverse events and adverse reactions occurring after infusion and before withdrawal or the safety follow-up period · From enrollment to one year after infusion
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)
核对分组登记原文(英文)
- JY306 universal NK cell injection · EXPERIMENTAL
关键日期
- 开始日期
- 2025-02-15
- 主要完成日期
- 2026-03-01
- 全部完成日期
- 2027-03-01
- 登记状态核实于
- 2025-02
联系与责任方
- 申办方
- The First Affiliated Hospital with Nanjing Medical University
登记简述
1. 研究主要目的:评价JY306在复发或难治性CD70+恶性血液肿瘤患者中的耐受性和安全性。
2. 研究次要目的:初步评价JY306在复发或难治性CD70+恶性血液肿瘤患者中的有效性、药代动力学和药效动力学。
核对登记原文(英文)
1. Primary objectives of study:To valuate the tolerability and safety of JY306 in patients with relapsed or refractory CD70 + malignant hematological tumors.
2. Secondary objectives of study:To conduct a preliminary Evaluation of the Efficacy, Pharmacokinetics, and Pharmacodynamics of JY306 in Patients with Relapsed or Refractory CD70+ Malignant Hematological Tumors.