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dendritic(自体树突状细胞)治疗肿瘤:注册临床试验(分期未知)

英文原题:KSD-101 in Patients With EBV-associated Hematological Malignancies

ClinicalTrials.gov 2026/04/13(首次登记) 注册临床试验(分期未标注) · 尚未开始招募

简要介绍

这是一项分期未标注的注册临床试验,评估自体树突状细胞治疗肿瘤的安全性、可行性及初步疗效。当前状态:尚未开始招募。计划入组 80 例。试验地点:中国 · 琼海(共 1 个中心,其中中国 1 个)。登记号:NCT07525024。

入组条件决定能不能参加

不限性别 · ≥ 12 Years

纳入标准:

• 患有EBV相关血液系统恶性肿瘤,并接受KSD-101疫苗治疗(非基因修饰)。
  1. 签署知情同意书当日年龄≥12岁。
  2. 确诊EBV相关血液系统恶性肿瘤,且标准治疗失败;或患者和/或其法定监护人自愿选择KSD-101作为预防/抗复发治疗。
• 受试者和/或其法定监护人自愿同意参加,并已签署知情同意书。

排除标准:

• 妊娠试验(尿液或血清)阳性的女性患者、哺乳期女性,或入组后1年内计划生育的男性/女性患者。
• 乙型肝炎表面抗原(HBsAg)或乙型肝炎核心抗体(HBcAb)阳性且外周血HBV DNA滴度高于正常值上限;抗HCV抗体阳性且外周血HCV RNA阳性;抗HIV抗体阳性;或梅毒特异性抗体阳性。
• 存在中枢神经系统(CNS)受累(如需要糖皮质激素干预的脑水肿或进展性脑转移)。
• 筛选前4周内存在未控制的感染性疾病。
• 患有严重基础疾病,包括心血管疾病、呼吸系统疾病、肾功能不全、凝血障碍、自身免疫性疾病或免疫缺陷病。
• 筛选前4周内接种过预防性活疫苗或减毒活疫苗。
• 筛选前4周内参加过其他临床研究。
• 有严重药物过敏或青霉素过敏史。
• 有药物滥用或成瘾史。
• 研究者团队认为不适合入组的任何其他情况。
核对登记原文(英文)
Inclusion Criteria:

* Patients with EBV-associated hematological malignancies who receive KSD-101 Vaccine Therapy (non-genetically modified) .

  1. Patients aged 12 years or older on the date of signing the informed consent form.
  2. Patients with a confirmed diagnosis of EBV-associated hematological malignancies who either: have failed standard treatment; or have voluntarily chosen KSD-101 as prophylactic / anti-relapse therapy by the patient and/or their legal guardian.
* The participant and/or their legal guardian voluntarily agrees to participate and has signed the informed consent form.

Exclusion Criteria:

* Female patients who are pregnant (positive urine or serum pregnancy test), breastfeeding, or male/female patients planning to conceive within 1 year after enrollment.
* Patients positive for hepatitis B surface antigen (HBsAg) or hepatitis B core antibody (HBcAb) with peripheral blood HBV DNA titer above the upper limit of normal; patients positive for anti-HCV antibody and peripheral blood HCV RNA; patients positive for anti-HIV antibody; or patients positive for syphilis-specific antibody.
* Patients with central nervous system (CNS) involvement (e.g., cerebral edema requiring steroid intervention, or progressive brain metastasis).
* Patients with uncontrolled infectious disease within 4 weeks prior to screening.
* Patients with severe underlying diseases, including cardiovascular disease, respiratory disease, renal insufficiency, coagulation disorders, autoimmune disease, or immunodeficiency disease.
* Patients who have received prophylactic live or attenuated live vaccines within 4 weeks prior to screening.
* Patients who have participated in other clinical studies within 4 weeks prior to screening.
* Patients with a history of severe drug allergy or penicillin allergy.
* Patients with a history of drug abuse or addiction.
* Any other conditions deemed inappropriate for study enrollment by the investigator team.

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

  • 主要终点总缓解率基线至注射树突状细胞疫苗后24个月。
  • 次要终点完全缓解率
  • 次要终点疾病控制率
  • 次要终点缓解持续时间
  • 次要终点无进展生存期
  • 次要终点总生存率
  • 次要终点按CTCAE 5.0版评估的治疗相关不良事件发生率
  • 次要终点EBV DNA载量、淋巴细胞及细胞因子的变化
核对登记原文(英文)

主要终点:Overall Response Rate · The proportion of patients with complete and partial response after treatment. · Baseline up to 24 months after DC vaccines injection.
次要终点:Complete Response Rate;Disease Control Rate;Duration of Response;Progression-free survival;Overall survival rate;Treatment-Related Adverse Events rate as assessed by CTCAE version 5.0;Changes of EBV DNA load, lymphocytes and cytokines

研究设计怎么做的

研究类型
观察性研究
入组人数
80 人(预计)
  • KSD-101治疗组
核对分组登记原文(英文)
  • KSD-101 therapy

关键日期

开始日期
2026-04
主要完成日期
2031-03
全部完成日期
2031-03
登记状态核实于
2026-04

联系与责任方

主要研究者
Zhao Weili
申办方
Ruijin Hospital

登记简述

EB病毒(EBV)是疱疹病毒科γ疱疹病毒亚科的一种双链DNA病毒,主要感染B细胞和咽部上皮细胞,也可感染NK细胞和T细胞。EBV与多种血液系统恶性肿瘤密切相关,包括EBV阳性弥漫性大B细胞淋巴瘤(EBV+DLBCL)、NK/T细胞淋巴瘤(NKTCL)、霍奇金淋巴瘤(HL)、伯基特淋巴瘤(BL)、EBV阳性结内滤泡辅助性T细胞淋巴瘤血管免疫母细胞型(EBV+nTFHL-AI)和原发性皮肤T细胞淋巴瘤(CTCL)。EBV阳性血液系统恶性肿瘤预后较差、治疗选择有限,目前尚无获批的EBV特异性疗法。KSD-101是一种新型树突状细胞疫苗,负载EBV相关肿瘤样复合抗原,具有较强的抗原呈递能力,可启动EBV特异性T细胞免疫。本研究旨在探讨KSD-101在真实世界中的临床疗效和安全性,为优化其临床应用提供重要参考,并为进一步开发新型治疗策略提供理论依据。

核对登记原文(英文)

Epstein-Barr virus (EBV) is a double-stranded DNA virus belonging to the Gammaherpesvirinae subfamily of Herpesviridae. It primarily infects B cells and pharyngeal epithelial cells, and can also infect NK cells and T cells. EBV is closely associated with a variety of hematological malignancies, including EBV-positive diffuse large B-cell lymphoma (EBV+DLBCL), NK/T-cell lymphoma (NKTCL), Hodgkin lymphoma (HL), Burkitt lymphoma (BL), EBV-positive nodal T-follicular helper cell lymphoma, angioimmunoblastic type (EBV+nTFHL-AI), and primary cutaneous T-cell lymphoma (CTCL). EBV-positive hematological malignancies are characterized by poor prognosis and limited therapeutic options, and there are currently no approved EBV-specific therapies. KSD-101 is a novel dendritic cell vaccine loaded with EBV-associated tumor-like composite antigens, which possesses strong antigen-presenting capacity and can initiate EBV-specific T-cell immunity. This study aims to investigate the real-world clinical efficacy and safety of KSD-101, providing an important reference for optimizing its clinical application, as well as theoretical support for the further development of novel therapeutic strategies.

登记原文与核验信息

试验登记号
NCT07525024
试验状态
尚未开始招募
中国试验中心(1 个)
Ruijin-Hainan Hospital,Shanghai Jiao Tong University School of Medicine (Hainan Boao Research Hospital) · 琼海 · 中国
适应症(原文)
EBV Associated Lymphoid Neoplasms
干预方式(原文)
Autologous dendritic cell vaccine