决定异体 CAR T 细胞排斥与扩增的细胞和分子机制
Cellular and molecular mechanisms determining allogeneic CAR T cell rejection and expansion.
英文原题:An Exploratory Clinical Study of the Efficiency and Safety of TH027 in the Treatment of Relapsed/Refractory Solid Tumors
An Exploratory Clinical Study of the Efficiency and Safety of TH027 in the Treatment of Relapsed/Refractory Solid Tumors
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⚠ 该试验的登记信息已有 17 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。
这是一项早期 I 期注册临床试验,评估细胞治疗用于实体瘤的安全性、可行性及初步疗效。当前状态:尚未开始招募。计划入组 24 例。试验地点:中国 · 上海(共 1 个中心,其中中国 1 个)。登记号:NCT06951425。
不限性别 · ≥ 18 Years 且 ≤ 75 Years
纳入标准: * 1.患者年龄18至75岁(含界值),性别不限; * 2.预期生存时间超过12周; * 3.ECOG评分为0-2分; * 4.经病理学确诊为以下肿瘤类型之一:骨肉瘤、神经母细胞瘤、胃癌或肺癌,且免疫组化检测肿瘤组织中CD276表达阳性率超过30%; * 5.标准治疗方法无效的患者(如术后复发、化疗、放疗及靶向药物进展后); * 6.根据RECIST 1.1,至少有一个可测量病灶(实体病灶最长径>=10 mm,或淋巴结病灶短径>=15 mm); * 7.主要器官功能正常(白细胞计数>=3×10^9/L,中性粒细胞计数>=1.5×10^9/L,血红蛋白>=8.5g/dl,血小板计数>=80×10^9/L,淋巴细胞计数在1×10^9/L(含)~4×10^9/L(含); * 8.肝肾功能及心肺功能符合以下要求: * 尿素和血清肌酐<=1.5×ULN; * 左心室射血分数>=50%; * 基线血氧饱和度>=94%; * 总胆红素<=1.5×ULN;ALT和AST<=2.5×ULN; * 9.患者或法定代理人能充分理解本试验的意义和风险,并已签署知情同意书。 排除标准: * 1.有免疫缺陷或自身免疫性疾病史的患者(包括但不限于类风湿关节炎、系统性红斑狼疮、血管炎、多发性硬化、胰岛素依赖型糖尿病等);有移植物抗宿主病(GVHD)或需要免疫抑制剂的患者; * 2.筛选前5年内有其他第二恶性肿瘤病史; * 3.乙肝表面抗原(HBsAg)或乙肝核心抗体(HBcAb)阳性,且外周血HBV DNA滴度不在正常参考值范围内;外周血HCV抗体和HCV RNA阳性;HIV抗体阳性患者;梅毒阳性; * 4.严重心脏病:包括但不限于不稳定型心绞痛、心肌梗死(筛选前6个月内)、充血性心力衰竭(NYHA分级>=III级)、严重心律失常; * 5.研究者判断的不稳定全身性疾病:包括但不限于需要药物治疗的严重肝脏、肾脏或代谢性疾病; * 6.筛选前7天内有需要全身治疗的活动性或不可控制的感染(轻度泌尿生殖道感染和上呼吸道感染除外); * 7.妊娠或哺乳期妇女,计划在细胞输注后一年内怀孕的女性受试者,或计划在细胞输注后一年内使其伴侣怀孕的男性受试者; * 8.筛选前接受过CAR-T 治疗或其他基因修饰细胞治疗的患者; * 9.筛选前7天内正在接受全身性类固醇治疗或需要长期全身性类固醇治疗(吸入或局部使用除外)的受试者,由研究者判定; * 10.经2周保守治疗(如利尿、限钠,不包括腹水引流)后腹水逐渐增加; * 11.根据研究者的判断,不符合细胞制备的情况; * 12.其他研究者认为不适合入选的情况。
Inclusion Criteria: * 1.The patients were aged from 18 to 75 years old (including the cut-off value), and the gender was not limited; * 2.The expected survival time was more than 12 weeks; * 3.ECOG score was 0-2; * 4.One of the following tumor types was confirmed by pathology: osteosarcoma, neuroblastoma, gastric cancer or lung cancer, and the positive rate of CD276 expression in tumor tissue was more than 30% by immunohistochemistry; * 5.Patients with ineffective standard treatment methods (such as postoperative recurrence, chemotherapy, radiotherapy, and progression after targeted drugs); * 6.According to RECIST 1.1, there was at least one measurable lesion (the longest diameter of solid lesion \>=10 mm, or the short diameter of lymph node lesion \>=15 mm); * 7.The function of main organs was normal (white blood cell count \>= 3 × 10\^9 / L, neutrophil count \>= 1.5 × 10\^9 / L, hemoglobin \>= 8.5g/dl, platelet count \>= 80 × 10\^9 / L and lymphocyte count at 1 × 10\^9 / L (including) \~ 4 × 10\^9 / L (inclusive); * 8.The liver and kidney function and cardiopulmonary function meet the following requirements: * Urea and serum creatinine \<= 1.5 × ULN; * Left ventricular ejection fraction \>= 50%; * Baseline oxygen saturation \>= 94%; * Total bilirubin \<= 1.5 × ULN; ALT and AST \<= 2.5 × ULN; * 9.The patient or legal representative can fully understand the significance and risk of this trial and has signed the informed consent. Exclusion Criteria: * 1.Patients with history of immune deficiency or autoimmune diseases (including but not limited to rheumatoid arthritis, systemic lupus erythematosus, vasculitis, multiple sclerosis, insulin-dependent diabetes, etc.); Patients with graft-versus-host disease (GVHD) or need immunosuppressive agents; * 2.There was a history of other second malignancies in 5 years before screening; * 3.Hepatitis B surface antigen (HBsAg) or hepatitis B core antibody (HBcAb) were positive, and the peripheral blood HBV DNA titer was not within the normal reference value; HCV antibody and HCV RNA in peripheral blood were positive; HIV antibody positive patients; Syphilis was positive; * 4.Severe heart disease: including but not limited to unstable angina pectoris, myocardial infarction (within 6 months before screening), congestive heart failure (NYHA classification \>= III), severe arrhythmia; * 5.Unstable systemic diseases judged by researchers: including but not limited to severe liver, kidney or metabolic diseases requiring drug treatment; * 6.Within 7 days before screening, there were active or uncontrollable infections requiring systemic treatment (except mild urogenital infection and upper respiratory tract infection); * 7.Pregnant or lactating women, female subjects who plan to conceive within one year after cell transfusion, or male subjects whose partners plan to conceive within one year after cell transfusion; * 8.Patients who had received CAR-T therapy or other gene modified cell therapy before screening; * 9.The subjects who were receiving systemic steroid treatment within 7 days before the screening or who needed long-term systemic steroid treatment (except inhalation or local use) were determined by the researchers; * 10.The ascites increased gradually after 2 weeks of conservative treatment (such as diuresis, sodium restriction, excluding ascites drainage); * 11.According to the judgment of the researcher, it does not conform to the situation of cell preparation; * 12.Other researchers think that it is not suitable for inclusion.
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:Safety:Incidence of Dose Limiting Toxicity (DLT) · Limiting toxicity type, incidence, and severity of dose limiting toxicities (DLTs) within 28 days after the first TH-CART-027 infusion · 28 days after the first TH-CART-027 infusion.;Safety:Incidence and severity of adverse events (AEs) · To evaluate possible adverse events after TH-CAPT-027 infusion, including the incidence and severity of AEs. · Six months post CAR-T cells infusion.
次要终点:Overall survival (OS);Objective response rate (ORR);Progression Free Survival (PFS);Disease Control Rate (DCR)
卵巢癌和腹膜转移瘤采用腹腔输注;其他类型实体瘤采用静脉输注
以上邮箱 / 电话是登记库里的申办方联系方式(+86,中国),通常不直达某家医院。中国中心的联系方式请以医院或登记平台最新公示为准。
这是一项I期、开放标签、剂量递增研究,旨在评估TH027 CAR-T 细胞注射液(TH-CART-027)在复发/难治性实体瘤受试者中的安全性、耐受性和抗肿瘤活性。
This is a Phase l, Open-Label, Dose-escalation Study to Evaluate the Safety, Tolerabilityand Antitumor Activity of TH027 CAR-T Cell lnjection (TH-CART-027) in Subjects With Relapsed or Refractory Solid Tumors.
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