TCR-JANUS 衔接蛋白实现双特异性靶向以克服 TCR-T 细胞治疗中的肿瘤异质性
TCR-JANUS engager proteins enable bispecific targeting to overcome tumor heterogeneity in TCR-T cell therapy.
基于 T 细胞受体(TCR)的免疫疗法受限于肿瘤抗原异质性,后者常导致复发。
英文原题:NW-301 TCR-T in Patients With Advanced Solid Tumor
⚠ 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 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 44 例。试验地点:中国 · 北京(共 2 个中心,其中中国 2 个)。登记号:NCT06956261。
不限性别 · ≥ 18 Years 且 ≤ 70 Years
纳入标准: * 年龄18至75岁,男性或女性;经病理学确诊的胰腺癌、结直肠癌和肺腺癌患者,且标准全身治疗失败或无法耐受标准全身治疗;HLA-A*11:01阳性肿瘤组织样本。样本为KRAS G12V或G12D突变阳性;预计生存期>12周;根据RECIST 1.1,至少有一个可测量肿瘤病灶;ECOG体力状况评分0~1;有足够的静脉通路进行单核细胞采集(缩写:apheresis)受试者在筛选前和治疗前(基线时)应具有足够的器官功能。 育龄女性受试者必须在筛选时和预处理前进行血清妊娠试验,结果必须为阴性,并愿意在末次研究治疗后1年内使用非常有效且可靠的避孕方法。可使用的方法有:双侧输卵管结扎/双侧输卵管切除术或双侧输卵管阻塞;或经批准的口服、注射或激素类避孕方法;或屏障避孕法:含杀精泡沫/凝胶/薄膜/乳膏/栓剂的避孕套或封闭式帽(隔膜或宫颈帽/帽);与有生育潜力女性有活跃性行为的男性,如未行输精管切除术,必须同意使用屏障避孕法,例如含杀精泡沫/凝胶/薄膜/糊剂/栓剂的避孕套,或为其配偶使用避孕方法(见纳入标准第9条)。此外,所有男性在接受末次研究治疗输注后1年内绝对禁止捐献精子;受试者自愿参加本临床试验并签署知情同意书。 排除标准: * 接受过以下治疗/疗法:白细胞分离术前1周内或淋巴细胞清除性化疗前接受过细胞毒性化疗,白细胞分离术前2周内及淋巴细胞清除性化疗前1周内接受过免疫治疗(包括单克隆抗体治疗、检查点抑制剂),白细胞分离术前2周内及淋巴细胞清除性化疗前72小时内接受过皮质类固醇,白细胞分离术前2周内及淋巴细胞清除性化疗前1周内接受过免疫抑制药物,白细胞分离术前1周内及淋巴细胞清除性化疗前1周内接受过酪氨酸激酶抑制剂(TKI)(如帕唑帕尼),在KRAS G12V突变队列中白细胞分离术和淋巴细胞清除性化疗前接受过KRAS G12V突变靶向治疗,在KRAS G12D突变队列中白细胞分离术和淋巴细胞清除性化疗前接受过KRAS G12D突变靶向治疗,白细胞分离术和淋巴细胞清除性化疗前接受过抗癌疫苗、使用整合载体的基因治疗、研究性治疗或干预性临床试验,白细胞分离术前接受过大手术,有归因于与氟达拉滨、环磷酰胺或本研究中使用的其他药物具有相似化学或生物学组成的化合物的过敏反应史。 有自身免疫性或免疫介导性疾病史,有症状性CNS转移包括软脑膜疾病。研究者认为未达到完全缓解的其他既往恶性肿瘤,临床显著的心血管疾病,未控制的并发疾病,活动性人类免疫缺陷病毒、乙型肝炎病毒、丙型肝炎病毒或人类T细胞白血病病毒感染,妊娠或哺乳期
Inclusion Criteria: * Aged 18 to 75 years, male or female; Subjects with pathologically confirmed Pancreatic Cancer and Colorectal Cancer and Lung Adenocarcinoma Cancer and have been failed to stand of care systemic treatment or have been untolerated to stand of care systemic treatment; HLA-A\*11:01 positive Tumor tissue samples. sample was positive for KRAS G12V or G12D mutation; Estimated life expectancy \> 12 weeks; According to the RECIST 1.1, there is at least one measurable tumor lesion; ECOG physical status score 0 \~ 1; Sufficient venous access for mononuclear cell collection (abbreviation: apheresis) Subjects should have adequate organ functions before screening and pre-treatment (at baseline). Female subjects of childbearing age must undergo a serum pregnancy test at screening and prior to preconditioning and the results must be negative, and are willing to use a very effective and reliable method of contraception within 1 year after the last study treatment. The methods that can be used are: bilateral tubal ligation / bilateral salpingectomy or bilateral tubal occlusion; or approved oral, injection or hormone-imparting contraceptive methods; or barrier contraceptive method: containing spermicidal foam / Gel/film/cream/suppository condom or occlusive cap (diaphragm or cervix/cap); Men who have actively sexual intercourse with women with child-bearing potential, must agree to use barrier-based contraception if they have no vasectomy, for example, a condom containing a spermicidal foam/gel/film/paste/suppository, or use a contraceptive method for their spouse (see article 9 of the inclusion criteria). Moreover, all men are absolutely forbidden to donate sperm within 1 year after receiving the last study treatment infusion; Subject participates in this clinical trial and sign Informed Consent Form voluntarily. Exclusion Criteria: * Received the following therapy/treatment : Cytotoxic chemotherapy within 1 week prior to leukapheresis or lymphodepleting chemotherapy , Immune therapy (including monoclonal antibody therapy, checkpoint inhibitors) within 2 weeks prior to leukapheresis and within 1 week prior to lymphodepleting chemotherapy Corticosteroids within 2 weeks prior to leukapheresis and within 72 hrs prior to lymphodepleting chemotherapy Immunosuppressive drugs within 2 weeks prior to leukapheresis and within 1 week prior to lymphodepleting chemotherapy Tyrosine kinase inhibitor (TKI) (e.g. pazopanib) within 1 week prior to leukapheresis and within 1 week prior to lymphodepleting chemotherapy KRAS G12V mutation targetted therapy prior to leukapheresis and lymphodepleting chemotherapy in KRAS G12V mutation cohort KRAS G12D mutation targetted therapy prior to leukapheresis and lymphodepleting chemotherapy in KRAS G12D mutation cohort Anti-cancer Vaccine, Gene therapy using an integrating vector , Investigational treatment or interventional clinical trial prior to leukapheresis and lymphodepleting chemotherapy Major surgery prior to leukapheresis History of allergic reactions attributed to compounds of similar chemical or biologic composition to fludarabine, cyclophosphamide or other agents used in the study. History of autoimmune or immune mediated disease Symptomatic CNS metastases including leptomeningeal disease. Other prior malignancy that is not considered by the Investigator to be in complete remission Clinically significant cardiovascular disease Uncontrolled intercurrent illness Active infection with human immunodeficiency virus, hepatitis B virus, hepatitis C virus, or human T cell leukemia virus Pregnant or breastfeeding
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:Dose-limiting toxicity (DLT) · safety · 28 days of single infusion
NW-301V 单药治疗 KRAS G12V 突变的实体瘤患者 Expe
NW-301D 单药治疗 KRAS G12D 突变的实体瘤患者
一项开放标签、两个队列、多剂量探索性临床研究,独立评估自体抗KRAS G12V/G12D突变T细胞受体T细胞在晚期实体瘤中的安全性、疗效和药代动力学
An open label, two cohorts, multiple dose exploratory clinical study to independently evaluate the safety, efficacy, and pharmacokinetics of autologous anti-KRAS G12V/G12D mutation T-cell Receptor T cell in advanced solid tumor
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