下一代肿瘤不可知靶点即将出现
Next-generation tumor-agnostic targets on the horizon.
肿瘤不可知药物开发将肿瘤学重新聚焦于共享的分子依赖性而非组织来源,从而能够针对跨肿瘤的罕见可操作驱动因素进行高效开发。
英文原题:A Study of Lifileucel (Tumor-infiltrating Lymphocytes) in Adults With Advanced Soft Tissue Sarcoma
这是一项 II 期注册临床试验,评估细胞治疗用于肉瘤、软组织肉瘤的安全性、可行性及初步疗效。当前状态:尚未开始招募。计划入组 80 例。登记号:NCT07741877。
不限性别 · ≥ 16 Years 且 ≤ 70 Years
纳入标准: * 受试者在签署知情同意书和同意书时必须≥ 16岁。 * 年龄> 70岁的受试者在研究者与医学监查员讨论后可能被允许入组。 * 受试者必须经组织学确诊为不可切除或转移性UPS(队列1)或DDLPS(队列2),伴或不伴高分化成分,且既往接受过≥ 1种且最多3种全身治疗,包括≥ 1种蒽环类药物方案。 * 受试者在末线治疗期间或之后出现疾病进展。 * 受试者被评估为至少有一个可切除病灶(或病灶总和),估计最小直径(短轴)为1.5 cm,用于lifileucel制备。 * 为制备lifileucel进行肿瘤切除后,受试者在基线时至少有1个可测量病灶,依据RECIST v1.1定义。 * 预期受试者能够完成研究药物或抗癌治疗的洗脱。 * 如果受试者有预先计划的手术操作,该操作应在肿瘤切除前至少14天(针对大型手术操作)进行。肿瘤切除时伤口应已愈合,所有并发症应已消退。 * 受试者既往所有抗癌治疗相关AE已恢复至≤ 1级(依据NCI-CTCAE),但周围神经病变、脱发或白癜风除外。 * 有生育能力的受试者或其有生育能力的伴侣必须愿意采用获批的高效避孕方法。 * 受试者必须具有足够的器官功能。 * 受试者愿意从入组至治疗后首次肿瘤评估期间接受最佳支持治疗,包括重症监护。 排除标准: * 受试者有症状性未治疗脑转移。 * 受试者ECOG体能状态评分≥ 2,因疾病快速进展或肿瘤占位效应需要紧急治疗,或估计预期寿命< 6个月。 * 受试者患有活动性医学疾病,研究者认为会增加研究参与的风险。 * 受试者患有任何形式的原发性免疫缺陷(例如,严重联合免疫缺陷病[SCID]或AIDS)。 * 受试者对研究干预的任何成分有超敏反应史。 * 受试者在过去3年内患有其他原发性恶性肿瘤(除不需要治疗或已在> 1年前治愈,且研究者判断复发风险不显著者外)。 其他方案定义的纳入/排除标准可能适用。
Inclusion Criteria: * Participant must be ≥ 16 years of age at the time of signing the informed consent and assent. * Participants who are \> 70 years of age may be allowed to enroll after the investigator discusses with the medical monitor. * Participant must have a confirmed diagnosis of histologically confirmed unresectable or metastatic UPS (Cohort 1) or DDLPS (Cohort 2), with or without a well-differentiated component, who have received ≥ 1 and a maximum of 3 prior systemic therapies, including ≥ 1 anthracycline-based regimen. * Participant has demonstrated progressive disease on or after the last line of therapy. * Participant is assessed as having at least one resectable lesion (or aggregate lesions) with an estimated minimum diameter of 1.5 cm (short axis) for lifileucel generation. * Following tumor resection for lifileucel generation, the participant will have at least one measurable lesion, as defined by RECIST v1.1 at Baseline. * Participant is expected to achieve washout from investigational or anticancer therapy(ies). * If the participant has preplanned surgical procedure(s), the procedure will take place at least 14 days (for major operative procedures) prior to the tumor resection. Wound healing will have occurred, and all complications will have resolved at the time of tumor resection. * Participant has recovered from all prior anticancer treatment-related AEs to Grade ≤ 1(per NCI-CTCAE), except for peripheral neuropathy, alopecia, or vitiligo. * 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 symptomatic untreated brain metastases. * The participant has an ECOG performance status of ≥ 2, a need for urgent therapy due to rapidly progressive disease or tumor mass effect, or an estimated life expectancy of\< 6 months. * Participant has an active medical illness(es) that, in the opinion of the investigator, would pose increased risks for study participation. * Participant has any form of primary immunodeficiency (eg, severe combined immunodeficiency disease \[SCID\] or AIDS). * Participant has a history of hypersensitivity to any component of the study intervention. * Participant had another primary malignancy within the previous 3 years (except for those that do not require treatment or have been curatively treated \> 1 year ago, and in the judgment of the investigator does not pose a significant risk of recurrence. 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
一项关于lifileucel(肿瘤浸润淋巴细胞)治疗成人晚期软组织肉瘤的研究(“SARATOGA”)
A study of lifileucel (tumor-infiltrating lymphocytes) in adults with advanced soft tissue sarcoma ('SARATOGA')
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