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异体自然杀伤细胞治疗弥漫大 B 细胞淋巴瘤:I 期临床试验(Emercell SAS)

英文原题:A First-in-human Study to Assess OT-C001 (Amplified/Activated Allogenic Natural Killer Cells) in Patients With Relapsed/Refractory Diffuse Large B Cell Lymphoma

ClinicalTrials.gov 2025/06/29(首次登记) I 期注册临床试验 · 招募中

⚠ 该试验的登记信息已有 15 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。

简要介绍

这是一项 I 期注册临床试验,评估异体NK 细胞治疗弥漫大 B 细胞淋巴瘤的安全性、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:欧洲 · 蒙彼利埃(共 1 个中心)。登记号:NCT07044050。

入组条件决定能不能参加

不限性别 · ≥ 18 Years

纳入标准:

* 年龄≥18岁
* 组织学确诊为R/R DLBCL-NOS,且无进一步标准治疗方案,包括CAR T细胞治疗后复发或不适合CAR T细胞治疗者
* 具有可评估病灶
* 基线时具有足够的生物学参数
* ECOG体能状态≤1
* 研究者评估的预期寿命>3个月

排除标准:

* 同时接受任何抗肿瘤导向药物治疗
* 治疗前或治疗期间接种任何活病毒疫苗
* 具有严重特应性体质,需要单克隆抗体、过敏原免疫治疗或长期全身性皮质类固醇治疗
* 3周内接受过大手术
* 疾病快速进展,包括大量未控制的胸腔、心包或腹腔积液、肺淋巴管炎,以及肝脏受累超过50%
* 既往治疗未缓解的持续免疫相关毒性或不良事件等级>1,但白癜风、稳定至2级的神经病变、脱发以及通过替代激素治疗稳定的内分泌疾病除外
* 有记录的活动性自身免疫性疾病病史,且在过去12个月内需要全身性免疫抑制治疗
* 原发性或继发性免疫缺陷
* 需要静脉抗生素或抗病毒治疗的活动性未控制感染
* HIV、HBV或HCV血清学阳性(疫苗接种后或确诊治愈的肝炎除外)
* 临床显著的心脏疾病,包括心力衰竭、未控制的高血压、既存心律失常、未控制的心绞痛,或12个月内的心肌梗死
* 痴呆或精神状态改变,无法签署知情同意
* 过去3年内的其他恶性肿瘤,但充分治疗的非黑色素瘤皮肤癌、宫颈原位癌或骨髓增生异常综合征除外
核对登记原文(英文)
Inclusion Criteria:

* ≥18 years of age
* histologically confirmed diagnosis of R/R DLBCL-NOS without further standard treatment options including those relapsing after or ineligible for CAR T-cell therapy
* with evaluable disease
* with adequate biological parameters at baseline
* ECOG performance status ≤1
* life expectancy \>3 months as assessed by the investigator

Exclusion Criteria:

* Receive concomitantly any antitumor-directed drug therapy
* Any vaccination with live virus vaccines before or during treatment
* With severe atopic predisposition who need a treatment with monoclonal antibodies, allergen immunotherapy, or long-term systemic corticosteroids
* Major surgery within 3 weeks
* With rapidly progressing disease that includes massive uncontrolled pleural, pericardial, or peritoneal effusions, pulmonary lymphangitis, and over 50% liver involvement
* Ongoing immune-related tocivities or adverse events grade \>1 not resolved from previous therapies except vitiligo, stable neuropathy up to grade 2, hair loss, and stable endocrinopathies with substitutive hormone therapy
* Documented history of active autoimmune disorders requiring systemic immunosuppressive therapy within the last 12 months
* Primary or secondary immune deficiency
* Active and uncontrolled infections requiring intravenous antibiotic or antiviral treatment
* Seropositive (except after vaccination or confirmed cure for hepatitis) for HIV, HBV, or HCV
* Clinically significant cardiac disease including heart failure, uncontrolled hypertension, pre-existing arrhythmia, uncontrolled angina pectoris, or myocardial infarction within 12 months
* Dementia or altered mental status that would prohibit informed consent
* Other malignancy within the last 3 years except adequately treated nonmelanoma skin cancer, in situ carcinoma of the uterine cervix, or myelodysplastic syndromes

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

  • 主要终点治疗中出现的不良事件的发生率和严重程度,以及临床实验室检查、体能状态、生命体征、ECG和体格检查中具有临床意义的发现。所有评估将从首次研究治疗给药开始,直至治疗结束或提前终止访视(计划在末次给药后14天内进行)。
  • 次要终点根据Lugano标准以客观缓解率为特征评估的抗肿瘤活性。
核对登记原文(英文)

主要终点:Incidence and severity of treatment-emergent adverse events and clinically significant findings on clinical laboratory tests, performance status, vital signs, ECGs, and physical examinations. · All assessments will be conducted from first study treatment administration through the End of Treatment or Early Termination Visit (scheduled within 14 days after the last dose).
次要终点:Antitumor activity characterized by objective response rate per Lugano criteria.

研究设计怎么做的

研究类型
干预性研究
入组人数
10 人(预计)
分组方式
非随机分组
  • 队列1(剂量水平1)试验组

    OT-C001 1瓶,每周给药

  • 队列2(剂量水平2)试验组

    OT-C001 3瓶,每周给药

  • 队列-1(亚剂量水平)试验组

    OT-C001 1/3瓶(100M)

核对分组登记原文(英文)
  • Cohort 1 (Dose Level 1) · EXPERIMENTAL · OT-C001 1 vial, weekly dosing
  • Cohort 2 (Dose Level 2) · EXPERIMENTAL · OT-C001 3 vials, weekly dosing
  • Cohort -1 (Sub Dose Level) · EXPERIMENTAL · OT-C001 1/3 vial (100M)

关键日期

开始日期
2025-06-10
主要完成日期
2026-09-30
全部完成日期
2026-12-31
登记状态核实于
2025-06

联系与责任方

申办方
Emercell SAS
联系邮箱
e.wang@emercell.com
联系电话
886 921 865 855

登记简述

本临床试验的目的是了解OT-C001的安全性,并确定治疗复发或难治性弥漫性大B细胞淋巴瘤患者的良好剂量。同时还将了解OT-C001的初步活性。 参与者将: 在OT-C001治疗前接受短期化疗。在研究治疗期间,参与者将接受每周一次OT-C001给药,持续3或6周。在研究期间,参与者还将接受另外两种药物,利妥昔单抗和IL-2,以支持OT-C001治疗。 参与者需要按照研究计划前往诊所就诊或可能住院。

核对登记原文(英文)

The goal of this clinical trial is to learn the safety of OT-C001 and decide a good dose in treating relapsed or refractory diffuse large B-cell lymphoma patients. It will also learn about the preliminary activity of OT-C001. Participants will: Receive a short course of chemotherapy before OT-C001 treatment. During the study treatment, participants will recieve weekly dose of OT-C001 for 3 or 6 weeks. During the study period, participants will also receive another two drugs, rituximab and IL-2, to support OT-C001 treatment. Participants need to visit the clinic or may be hospitalized according to the study plan.

登记原文与核验信息

试验登记号
NCT07044050
试验期别
I 期
试验状态
招募中
试验中心
Saint-Eloi Hospital · 蒙彼利埃 · 法国
适应症(原文)
Diffuse Large B-cell Lymphoma With no Other Specification
干预方式(原文)
allogenic natural killer cells