← 返回临床试验

Lifileucel(TIL)治疗黑色素瘤:II 期临床试验

英文原题:A Study of Lifileucel (Tumor-infiltrating Lymphocytes) in Adults With Advanced Melanoma

ClinicalTrials.gov 2025/12/17(首次登记) II 期注册临床试验 · 进行中(不再招募)

简要介绍

这是一项 II 期注册临床试验,评估细胞治疗用于黑色素瘤的安全性、可行性及初步疗效。当前状态:进行中(不再招募)。计划入组 100 例。试验地点:美国 · 纳什维尔、格林斯洛普斯、多伦多、蒙特利尔(共 5 个中心)。登记号:NCT07288203。

入组条件决定能不能参加

不限性别 · ≥ 18 Years 且 ≤ 70 Years

纳入标准:

* 组织学/病理学确诊为ⅢC、ⅢD或Ⅳ期不可切除或转移性黑色素瘤;
* ECOG体能状态0或1,预期寿命>6个月;
* 晚期黑色素瘤接受一线抗PD-(L)1治疗(单药或联合)后影像学进展,和/或辅助抗PD-(L)1治疗期间或结束后≤12周内进展;BRAF V600突变阳性患者可额外接受一线BRAF抑制剂±MEK抑制剂治疗;
* 至少有一个可切除病灶(或病灶集合)用于制备Lifileucel;
* 肿瘤切除后按RECIST 1.1至少有一个可测量病灶;
* >70岁的受试者经研究者与医学监查员讨论后可考虑入组;
* 有生育能力者或其伴侣愿意采用批准的高效避孕方法;
* 器官功能充分;
* 愿意从入组至治疗后首次肿瘤评估前接受最佳支持治疗,包括重症监护。

排除标准:

* 葡萄膜/眼部来源黑色素瘤;
* 有症状且未治疗的脑转移;
* 活动性葡萄膜炎且需积极治疗;
* 研究者认为会增加参加风险的活动性疾病,如全身感染、癫痫、凝血障碍或心血管、呼吸、免疫系统其他重大活动性疾病;
* 原发性或获得性免疫缺陷(如SCID或AIDS);
* 过去3年内发生其他原发性恶性肿瘤,但无需治疗或已根治>1年且研究者认为复发风险不显著者除外;
* 异体细胞或器官移植史;
* 同时参加其他临床研究,但观察性研究或干预性研究随访期除外。其他方案规定的入排标准也可能适用。
核对登记原文(英文)
Inclusion Criteria:

* Participant has a histologically or pathologically confirmed diagnosis of Stage IIIC, IIID, or IV unresectable or metastatic melanoma.
* The participant has an ECOG performance status of 0 or 1 and an estimated life expectancy of \> 6 months.
* The participant must have experienced radiographic disease progression on: 1 prior line of an anti-PD-(L)1 treatment (as a monotherapy or as part of a combination) for advanced melanoma and/or during or within ≤ 12 weeks after adjuvant anti-PD-(L)1 treatment (as a monotherapy or as part of a combination). Participants who have BRAF V600 mutation positive melanoma may have received 1 additional prior line of treatment with a BRAF inhibitor ± a MEK inhibitor.
* Participant is assessed as having at least one resectable lesion (or aggregate lesions) for lifileucel generation.
* Participant must have at least one measurable disease as defined by RECIST 1.1 following tumor resection.
* Participants who are \> 70 years of age may be allowed to enroll after the investigator discusses with the medical monitor.
* Participants of childbearing potential or those with partners of childbearing potential must be willing to practice an approved method of highly effective birth control.
* Participants must have adequate organ function.
* Participant is willing to receive optimal supportive care, including intensive care, from enrollment until the first post-treatment tumor assessment.

Exclusion Criteria:

* Participant has melanoma of uveal/ocular origin.
* Participant has symptomatic untreated brain metastases.
* Participant has active uveitis that requires active treatment.
* Participant has an active medical illness(es) that, in the opinion of the investigator, would pose increased risks for study participation, such as systemic infections; seizure disorders; coagulation disorders; or other active major medical illnesses of the cardiovascular, respiratory, or immune systems.
* Participant has any form of primary or acquired immunodeficiency (eg, SCID or AIDS).
* Participant had another primary malignancy within the previous 3 years (except for those that do not require treatment or were curatively treated \>1 year ago, and in the judgment of the investigator do not pose a significant risk of recurrence.)
* Participant has a history of allogeneic cell or organ transplant.
* Concurrent enrollment in another clinical study, unless it is an observational (non-interventional) clinical study or during the follow-up period of an interventional study.

Other protocol defined inclusion/exclusion criteria could apply.

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

  • 主要终点客观缓解率(ORR)5年
  • 次要终点完全缓解率
  • 次要终点缓解持续时间
  • 次要终点疾病控制率
  • 次要终点无进展生存期(PFS)
  • 次要终点客观缓解率(ORR)
  • 次要终点完全缓解率
  • 次要终点缓解持续时间
  • 次要终点疾病控制率
核对登记原文(英文)

主要终点:Objective Response Rate · To evaluate the efficacy of lifileucel as measured by ORR per RECIST v1.1 as assessed by the IRC · 5 years
次要终点:Complete Response Rate;Duration of Response;Disease Control Rate;Progression-Free Survival;Objective Response Rate;Complete Response Rate;Duration of Response;Disease Control Rate

研究设计怎么做的

研究类型
干预性研究
入组人数
100 人(预计)
分组方式
不适用(单臂)
  • 单臂组试验组

    接受Lifileucel治疗。

核对分组登记原文(英文)
  • Single Arm · EXPERIMENTAL · Lifileucel

关键日期

开始日期
2025-11-28
主要完成日期
2032-12
全部完成日期
2033-12
登记状态核实于
2026-04

联系与责任方

申办方
Iovance Biotherapeutics, Inc.

登记简述

这是一项Ⅱ期、多中心、开放标签研究,评估Lifileucel(肿瘤浸润淋巴细胞,TIL)治疗既往接受过治疗的晚期黑色素瘤患者。

核对登记原文(英文)

This is a Phase 2, multicenter, open-label study of lifileucel (tumor-infiltrating lymphocytes \[TIL\]) in participants with previously treated advanced melanoma

登记原文与核验信息

试验登记号
NCT07288203
试验期别
II 期
试验状态
进行中(不再招募)
试验中心
Sarah Cannon Research Institute · 纳什维尔 · 美国 | Greenslopes Private Hospital · 格林斯洛普斯 · 澳大利亚 | Princess Margaret Cancer Centre · 多伦多 · 加拿大 | Centre Hospitalier de l'Universite de Montreal · 蒙特利尔 · 加拿大 | Royal Marsden Hospital · 伦敦 · 英国
适应症(原文)
Melanoma (Skin Cancer); Unresectable Melanoma; Metastatic Melanoma
干预方式(原文)
Lifileucel