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:Autologous HBV-TCR T Cell Therapy (LioCyx-M) for the Treatment of Hepatocellular Carcinoma
⚠ 该试验的登记信息已有 17 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 T 细胞治疗肝细胞癌的安全性、可行性及初步疗效。当前状态:招募中。计划入组 10 例。试验地点:中国 · 北京(共 1 个中心,其中中国 1 个)。登记号:NCT06961617。
不限性别 · ≥ 18 Years 且 ≤ 70 Years
纳入标准: • 经组织学、细胞学或临床诊断为肝细胞癌(HCC)。 • HCC不适合接受根治性手术和/或局部区域治疗,或接受上述治疗后疾病进展。 • 至少接受过一线HCC全身治疗且治疗失败。 • ECOG体能状态评分≤1。 • 血清HBsAg阳性。 • Child-Pugh A级(5至7分)。 • 预期生存期至少1年。 • HLA型为HLA-A*02:01或HLA-A*24:02。 排除标准: • 存在脑转移。 • 考虑入组时存在临床可检测的第二原发恶性肿瘤;宫颈原位癌、非黑色素瘤皮肤癌、局限性前列腺癌、导管原位癌、I期子宫癌或浅表性膀胱肿瘤除外。 • 同时接受任何其他抗肿瘤治疗,包括细胞毒性化疗、TKI治疗和免疫治疗。 • 研究药物给药前28天内使用过任何试验性产品(IP)或试验性医疗器械。 • 筛查时血清HBV DNA≥200 IU/mL。 • 筛查时血清HBsAg≥10,000 IU/mL。 • 妊娠或哺乳期女性。
Inclusion Criteria: * HCC diagnosis confirmed by histology/ cytology or clinically * HCC that is not amenable to curative surgical and/or locoregional therapies, or progressive disease after surgical and /or locoregional therapies * Has failed at least one line of systemic therapy for HCC * ECOG performance status ≤1 * Serum HBsAg positivity * Child-Pugh A (5 - 7 points) * Life expectancy of at least 1 year * HLA profile: HLA-A\*02:01 or HLA-A\*24:02 Exclusion Criteria: * Brain metastasis * Second primary malignancy that is clinically detectable at the time of consideration for study enrolment, except for in situ carcinoma of the cervix, non-melanoma skin carcinoma localized prostate cancer, ductal carcinoma in situ, or Stage I uterine cancer and superficial bladder tumors * Concurrent administration of any other anti-tumour therapy, including cytotoxic chemotherapy, TKI therapy, and immunotherapy. * Use of any investigational product (IP) or investigational medical device within 28 days of study drug administration * Serum HBV DNA levels ≥ 200 IU/ml at screening * Serum HBsAg levels ≥ 10,000 IU/ml at screening * Women who are pregnant or breast-feeding
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:Assessments of adverse events/serious adverse events · To evaluate the safety of LioCyx-M · Start of treatment until 28 days post last dose;Objective Response Rate (ORR) · To evaluate the anti-tumor efficacy of LioCyx-M · Up to 2 years
次要终点:Duration of Response (DoR);Progression Free Survival (PFS);Overall Survival (OS)
每周给予LioCyx-M,即靶向HBV抗原的TCR重定向T细胞,剂量为每千克体重(BW)5–10×10^6个细胞。
这是一项单中心、开放研究,旨在评估mRNA HBV-TCR重定向T细胞用于不适合接受常规治疗或常规治疗失败的HBV相关肝细胞癌患者的安全性和疗效。
This is a single center and open-label study to determine the safety and efficacy of mRNA HBV-TCR redirected T-cells in HBV-related HCC who are not amenable to/failed conventional treatment.
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