一种用于克服非小细胞肺癌治疗中抗原异质性的多靶向 CAR-T 细胞平台
A Multi-Targeting Chimeric Antigen Receptor-T Cell Platform to Overcome Antigen Heterogeneity in the Treatment of Non-Small Cell Lung Cancer.
英文原题:NK-cell Therapy Combined With PD-1 Antibody and Platinum-Based Chemotherapy as Neoadjuvant Therapy in Resectable NSCLC
NK-cell Therapy Combined With PD-1 Antibody and Platinum-Based Chemotherapy as Neoadjuvant Therapy in Resectable NSCLC
分数与星级只用于站内排序 —— 不代表疗效、安全性或个人适用性。
这是一项 I 期注册临床试验,评估细胞治疗用于非小细胞肺癌的疗效与安全性。当前状态:尚未开始招募。计划入组 10 例。试验地点:中国 · 广州(共 1 个中心,其中中国 1 个)。登记号:NCT07318636。
不限性别 · ≥ 18 Years
纳入标准: • 能够理解并自愿签署书面知情同意书(ICF)。 • 年龄≥18岁,男女不限。 • 根据AJCC第8版,经组织学和/或细胞学确诊为可切除的ⅠB~ⅢA期非小细胞肺癌(NSCLC)。 • 初治NSCLC(既往未接受全身抗癌治疗)。 • 无致敏性EGFR突变(外显子19缺失、外显子21 L858R),且无ALK基因重排。 • 根据实体瘤疗效评价标准(RECIST)1.1版至少有1个可测量靶病灶。 • 预计生存期超过6个月。 • ECOG体能状态评分0~1分。 • 骨髓、肝、肾功能充足。 • 有生育能力的女性受试者须在开始研究治疗前妊娠试验阴性。 排除标准: • 既往接受过任何全身抗癌治疗。 • 已知存在致敏性EGFR突变或ALK基因重排。 • 患有活动性、已知或疑似自身免疫性疾病。 • 间质性肺病。 • 研究者认为可能混淆研究结果、妨碍受试者遵守研究流程或不符合受试者最佳利益的任何医疗状况、治疗或实验室异常。 • 局部晚期不可切除或转移性NSCLC。 • 开始研究治疗前3个月内发生重大心血管事件、不稳定心律失常或不稳定型心绞痛。 • 妊娠或哺乳期女性,或有生育能力但不愿在研究期间采取有效避孕措施的女性。 • 研究者判断不适合参加临床试验的其他任何情况。
Inclusion Criteria: * Able to understand and voluntarily sign the written informed consent form (ICF). * Male or female patients aged ≥18 years. * Histologically and/or cytologically confirmed resectable stage IB to IIIA non-small cell lung cancer (NSCLC) according to AJCC 8th edition. * Treatment-naïve NSCLC (no prior systemic anticancer therapy). * No sensitizing EGFR mutations (exon 19 deletion, exon 21 L858R) and no ALK gene rearrangement. * At least one measurable target lesion according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. * Estimated life expectancy of more than 6 months. * Eastern Cooperative Oncology Group (ECOG) performance status 0-1. * Adequate bone marrow, liver, and renal function. * Female participants of childbearing potential must have a negative pregnancy test prior to initiation of study treatment. Exclusion Criteria: * Prior receipt of any systemic anticancer therapy. * Known sensitizing EGFR mutations or ALK gene rearrangements. * Active, known, or suspected autoimmune disease. * Interstitial lung disease. * Any medical condition, therapy, or laboratory abnormality that, in the opinion of the investigator, could confound the study results, interfere with the participant's ability to comply with study procedures, or is not in the best interest of the participant. * Locally advanced unresectable or metastatic NSCLC. * Major cardiovascular events, unstable arrhythmia, or unstable angina within 3 months prior to study treatment initiation. * Pregnant or breastfeeding women, or women of childbearing potential who are unwilling to use effective contraception during the study. * Any other condition judged by the investigator to make the participant unsuitable for clinical trial participation.
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:Incidence of Adverse Events (AEs) and Serious Adverse Events (SAEs) · Number of subjects experiencing adverse events, and the frequency and severity of adverse events. The type, frequency, onset, and severity of treatment-emergent adverse events (TEAEs) will be assessed in accordance with the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0. · Up to 1 year after first dose of NK010;Dose Limiting Toxicities (DLTs) · Identification of DLTs to determine the maximum tolerated dose (MTD). · Up to 21 days after first dose of NK010
次要终点:Major pathological response (MPR);Pathological complete response (pCR);R0 Resection Rate;Objective Response Rate (ORR)
受试者接受共3个周期的新辅助治疗,每周期3周。NK010细胞注射联合PD-1抗体和含铂化疗给药。完成3个治疗周期后,受试者接受手术切除,随后进行病理评估,以评价主要病理缓解(MPR)、病理完全缓解(pCR)和R0切除率等结局。NK010计划评估3个剂量水平。
以上邮箱 / 电话是登记库里的申办方联系方式(中国内地座机),通常不直达某家医院。中国中心的联系方式请以医院或登记平台最新公示为准。
这是一项开放标签、单臂研究,旨在评估NK010细胞注射联合PD-1抗体和含铂化疗作为新辅助治疗用于可切除非小细胞肺癌(NSCLC)患者的安全性和初步疗效。研究将评估该联合方案的安全性、给药可行性及潜在抗肿瘤活性。
This open-label, single-arm study is designed to evaluate the safety and preliminary efficacy of NK010 cell injection combined with a PD-1 antibody and platinum-based chemotherapy as neoadjuvant therapy in patients with resectable non-small cell lung cancer (NSCLC). The study aims to assess the safety profile, feasibility of administration, and potential antitumor activity of this combination regimen.
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