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METR-NK(NK 细胞)治疗恶性肿瘤:I/II 期临床试验

英文原题:An Exploratory Study on NK Cell-assisted Prevention of Bone Marrow Suppression During Chemotherapy for Ovarian Cancer

ClinicalTrials.gov 2025/07/31(首次登记) I/II 期注册临床试验 · 进行中(不再招募)

⚠ 该试验的登记信息已有 14 个月未更新, 页面上显示的「进行中(不再招募)」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。

简要介绍

这是一项 I/II 期注册临床试验,评估 NK 细胞治疗恶性肿瘤的安全性、可行性及初步疗效。当前状态:进行中(不再招募)。计划入组 20 例。试验地点:中国 · 合肥(共 1 个中心,其中中国 1 个)。登记号:NCT07096583。

入组条件决定能不能参加

仅女性 · ≥ 18 Years 且 ≤ 70 Years

纳入标准:

* 年龄18-70岁(≥18,≤70);
* 经病理学确诊为高级别浆液性卵巢癌、高级别子宫内膜癌和/或原发性腹膜癌、输卵管癌上皮性卵巢癌;
* ECOG评分:0-1;
* 治疗前、治疗中及治疗后血液标本可获取,且受试者同意将血液样本送至中心实验室用于试验研究目的;
* 预期生存至少3个月;
* 实验室检查指标符合以下要求
* (1)肾功能:Cr≤ULN(正常值上限)×1.5,内生肌酐清除率(Ccr)≥60 ml/min;
* (2)肝功能:总胆红素≤ULN×1.5;ALT和AST≤ULN×2.5;(如存在肝内胆管癌或肝转移,总胆红素水平应低于正常值上限的3倍,转氨酶水平应低于正常值上限的5倍);中性粒细胞计数
* 育龄期女性同意在研究期间及研究结束后6个月内采取避孕措施,且为非哺乳期患者;
* 受试者能够理解研究情况并自愿签署知情同意书。无活动性消化道出血、穿孔、黄疸、胃肠道梗阻、非癌性发热>38℃等严重并发症;
* 预期依从性良好,疗效及不良反应将按计划要求进行随访

排除标准:

* 患者在筛选期前28天内曾接受其他临床试验中的药物或其他细胞免疫治疗;
* 过去五年内患有其他恶性肿瘤;
* 急性疾病持续存在,或过去2年内患有严重疾病,如活动性感染、心血管疾病或发热患者心功能(III级或IV级)、精神健康问题(如酒精、药物);
* 免疫缺陷疾病,包括HIV阳性或患有其他获得性和先天性免疫缺陷疾病;
* 器官移植、接受器官移植或器官衰竭患者正在接受免疫抑制药物治疗或长期使用免疫抑制药物的患者;
* 6个月内发生动/静脉血栓事件,如脑血管意外(包括短暂性脑缺血发作)、深静脉血栓形成和肺栓塞;
* 已知对METR NK制剂最终产品的任何成分过敏的患者,包括人血清白蛋白;
* 筛选期哺乳期女性血清或尿妊娠试验阳性;
* 患有精神疾病的受试者,包括重度抑郁、躁狂、癫痫、痴呆等;
* 研究者认为其他不符合入组条件的情况。
核对登记原文(英文)
Inclusion Criteria:

* Age 18-70 years old (≥18, ≤70);
* Confirmed by pathology of high grade serous ovarian cancer, high level of endometrial carcinoma, and/or primary peritoneal carcinoma fallopian tube carcinoma epithelial ovarian cancer;
* ECOG score: 0-1;
* before, during, and after treatment of blood specimen can obtain, and the participants agreed to expand blood samples to central laboratory for the trial research purposes.;
* Expectations alive at least 3 months;
* Laboratory examination indexes meet the following requirements
* (1) renal function: Cr ULN or less (upper limit of normal) x 1.5, endogenous creatinine clearance rate (Ccr) or 60 ml/min;
* (2) the liver function: the total bilirubin ULN x 1.5 or less; ALT and AST≤ULN×2.5; (If there is intrahepatic cholangiocarcinoma or liver metastasis, the total bilirubin level should be less than 3 times the upper limit of normal, and the aminotransferase level should be less than 5 times the upper limit of normal); The neutrophilic granulocyte count
* Women of childbearing age agreed to during the study and research within 6 months after the end of contraception, And non-lactating patients;
* Participants can understand the research situation and voluntarily signed informed consent. No serious complications such as active digestive tract hemorrhage, perforation, jaundice, gastrointestinal obstruction, non cancerous fever \> 38 ℃;
* Expected, adherence to the good curative effect and adverse reaction will be effected according to the plan calls for follow-up

Exclusion Criteria:

* Patients had received drugs that were in other clinical trials or other cellular immunotherapies within 28 days before the screening period;
* Patients with other malignant tumours in the past five years.;
* Acute illness is ongoing, or in the past 2 years with severe disease, such as active infection, cardiovascular disease or fever patients heart function (grade III or IV level), mental health problems (such as alcohol, drugs).;
* Immunodeficiency disease, including HIV positive or suffering from other acquired and congenital immunodeficiency disease;
* Organ transplantation, organ transplantation or organ failure patients undergoing immunosuppressive medication or long-term use of immunosuppressive drugs patients;
* Move/vein thrombosis incidents happened in 6 months, such as cerebrovascular accident (including transient ischemic attack), deep vein thrombosis and pulmonary embolism;
* In patients with known to METR NK preparation any component of the final product, including the human serum albumin;
* Breastfeeding during screening serum or urine pregnancy test was positive in female;
* subjects suffering from mental illness, including major depression, mania, epilepsy, dementia, etc;
* Researchers say the other condition that doesn't fit into the group.

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

  • 主要终点骨髓抑制缓解率3个月
  • 次要终点不良事件
核对登记原文(英文)

主要终点:The remission rate of bone marrow suppression · The objective of the study was to evaluate the efficacy and safety of NK cell adjuvant therapy in alleviating chemotherapy-induced myelosuppression in patients with ovarian cancer. The primary endpoints included the time to neutrophil recovery, the improvement rate of platelet count, and the incidence of infectious events · 3-month
次要终点:Adverse event

研究设计怎么做的

研究类型
干预性研究
入组人数
20 人(预计)
分组方式
不适用(单臂)
  • METR-NK细胞(代谢重塑自然杀伤细胞)试验组

    将100 mL METR-NK细胞在37℃下稀释于500 mL 0.9%氯化钠生理盐水中,METR-NK细胞的输注量不低于2×107个细胞/kg,输注1天为一个疗程,输注时间维持30分钟,在化疗前第10天进行。

核对分组登记原文(英文)
  • METR-NK cell(metabolic remodeling nature killer cells) · EXPERIMENTAL · 100 mL METR-NK cells were diluted in 500 mL 0.9% sodium chloride normal saline at 37℃, and the infusion volume of METR-NK cells was not less than 2×107 cells/kg for 1 day as a course of treatment, and the infusion time was maintained for 30 minutes on the 10th day before chemotherapy.

关键日期

开始日期
2025-07-07
主要完成日期
2026-07-30
全部完成日期
2027-07-30
登记状态核实于
2025-07

联系与责任方

主要研究者
Bai-Rong Xia
申办方
Anhui Provincial Cancer Hospital
合作方
Anhui Kecheng intelligent health technology Co., LTD

登记简述

评估静脉注射METR-NK细胞作为辅助治疗对卵巢癌患者化疗后骨髓抑制的缓解效果和安全性

核对登记原文(英文)

To evaluate the remission effect and safety of intravenous injection of METR-NK cells as adjuvant therapy on bone marrow suppression in patients with ovarian cancer after chemotherapy

登记原文与核验信息

试验登记号
NCT07096583
试验期别
I 期 / II 期
试验状态
进行中(不再招募)
中国试验中心(1 个)
Anhui Cancer Hospitail · 合肥 · 中国
适应症(原文)
Ovary Cancer
干预方式(原文)
METR-NK cell(metabolic remodeling nature killer cells)