单细胞追踪揭示黑色素瘤 TIL 治疗过程中肿瘤反应性 T 细胞的可塑性
Single-cell tracking reveals tumor-reactive T cell plasticity during melanoma TIL therapy.
TIL(肿瘤浸润淋巴细胞)过继细胞治疗可在转移性黑色素瘤中诱导持久缓解,然而在体外扩增过程中及回输后,调控肿瘤反应性T细胞命运的克隆和转录动态仍知之甚少。
英文原题:A Study of Lifileucel (Tumor-infiltrating Lymphocytes) in Adults With Advanced Melanoma
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。
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。
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。
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
接受Lifileucel治疗。
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。
This is a Phase 2, multicenter, open-label study of lifileucel (tumor-infiltrating lymphocytes \[TIL\]) in participants with previously treated advanced melanoma
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