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GT201(TIL)治疗晚期实体瘤:I/II 期临床试验

英文原题:Autologous Tumor Infiltrating Lymphocyte (TIL) GT201 Infusion.

ClinicalTrials.gov 2026/08/14(首次登记) I/II 期注册临床试验 · 尚未开始招募

简要介绍

这是一项 I/II 期注册临床试验,评估细胞治疗用于晚期实体瘤的安全性、可行性及初步疗效。当前状态:尚未开始招募。计划入组 63 例。登记号:NCT07766317。

入组条件决定能不能参加

不限性别 · ≥ 18 Years 且 ≤ 70 Years

纳入标准(主要条件):

* 1. 年龄18–70岁;
* 2. 诊断为:I期部分,标准治疗均已失败、无标准治疗可用或不能耐受标准治疗的晚期实体瘤患者;IIa期部分,根据I期安全性和初步活性选定的3种扩展适应证之一的晚期或转移性实体瘤患者。患者须在标准治疗期间或之后出现进展,或无合适的标准治疗可用;
* 3. 至少有一个可切除病灶,用于制备自体肿瘤浸润淋巴细胞(TIL);
* 4. 肿瘤取样后至少有一个符合RECIST 1.1定义的可测量病灶;
* 5. ECOG体能状态评分0或1分;
* 6. 预期生存期≥12周;
* 7. 未经手术绝育的育龄女性同意在研究治疗期间及治疗结束后1年内至少采用一种医学认可的避孕方式;筛查、非清髓性淋巴清除化疗(NMA-LD)前及细胞输注前的血清妊娠检测均须阴性。

排除标准:存在以下任一情况者排除:

* 1. 脊髓压迫经手术和/或放疗后仍未缓解(如有临床证据显示手术或放疗后症状已缓解至少1周,且在手术取样前符合该条件,则可入组);
* 2. 筛查前3个月内发生出血事件;
* 3. 筛查前3个月内发生动脉或静脉血栓事件;
* 4. 筛查时存在有临床意义的间质性肺炎或活动性肺炎,或其他严重影响肺功能的呼吸系统疾病;
* 5. 左心室射血分数(LVEF)<45%,或纽约心脏协会(NYHA)心功能分级>II级;
* 6. 有≥3个未经治疗的中枢神经系统(CNS)转移灶;
* 7. 既往或目前患有需要全身性类固醇或免疫抑制治疗(泼尼松>10 mg/日或等效剂量)的自身免疫性疾病;
* 8. 过去5年内患有目标适应证以外的恶性肿瘤;
* 9. 难治性或顽固性癫痫,或大量胸腔积液、腹水、心包积液等无法用药物控制的情况,或其他IL-2使用禁忌证;
* 10. 患有感染性疾病者排除,HBV和HCV有部分例外;
* 11. 既往接受过异基因骨髓移植或实体器官移植。
核对登记原文(英文)
Inclusion Criteria:

Key eligibility criteria for inclusion in the study:

* 1 Age 18\~70 years old;
* 2 Diagnosed with: Phase 1 part: Patients with advanced solid tumors who have failed all standard therapy, have no standard therapy, or are intolerant of standard therapy Phase 2a part: Patients with an advanced or metastatic solid tumor enrolled in one of three (3) indications selected for dose expansion based on Phase 1 safety and preliminary activity. Patients must have progressed on or after standard-of-care therapy, or for whom no suitable standard therapy is available;
* 3 At least one lesion that is resectable for the preparation of autologous TIL cells;
* 4 At least one measurable lesion that meets the definition of RECIST v1.1 after tumor sampling;
* 5 Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1;
* 6 Expected survival ≥ 12 weeks;
* 7 Non-surgically sterilized women of reproductive age who agree to use at least one medically recognized method of contraception during the study treatment period and for 1 year after the end of the study treatment period; and must have a negative serum test at screening, prior NMA-LD and cell infusion.

Exclusion Criteria:

Subjects will be excluded from the study for one or more of the following conditions:

* 1 Patients with spinal cord compression that has failed to resolve after surgery and/or radiotherapy (patients with clinical evidence that symptoms have resolved after surgery or radiation therapy for ≥ 1 week prior to surgical sampling are eligible for enrollment);
* 2 Bleeding events within 3 months prior to screening
* 3 Patients with arterio-venous thrombotic events that occurred within 3 months prior to screening
* 4 Have interstitial pneumonia or active pneumonia that is clinically significant at screening, or other respiratory conditions that severely affect lung function;
* 5 Patients who have a left ventricular ejection fraction (LVEF) \< 45% or who are New York Heart Association (NYHA) Class grade \> grade 2;
* 6 Participants with ≥ 3 untreated central nervous system (CNS) metastases;
* 7 Have any historical or active autoimmune disease requiring systemic steroids, or immunosuppressive therapy (\> 10 mg/day of prednisone or equivalent);
* 8 Malignant tumors other than the target indication within 5 years;
* 9 The presence of refractory or intractable epilepsy, large amounts of pleural effusion, ascites, pericardial effusion, etc. that cannot be controlled by drugs, or other contraindications to IL-2 use;
* 10 Patients with infectious diseases, will be excluded from the study; with some exceptions for HBV and HCV.
* 11 Previous allogeneic bone marrow transplantation or solid organ transplantation;

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

  • 主要终点评估GT201治疗复发或转移性实体瘤的安全性最长2年
  • 主要终点评估GT201治疗复发或转移性实体瘤的安全性最长2年
  • 主要终点评估GT201的耐受性并确定II期推荐剂量最长2年
  • 主要终点按RECIST v1.1评估GT201输注的客观缓解率(ORR)最长2年
  • 次要终点评估GT201治疗复发或转移性实体瘤的疗效:客观缓解率(ORR)
  • 次要终点评估GT201治疗复发或转移性实体瘤的疗效:缓解持续时间(DOR)
  • 次要终点评估GT201治疗复发或转移性实体瘤的疗效:疾病控制率(DCR)
  • 次要终点评估GT201治疗复发或转移性实体瘤的疗效:无进展生存期(PFS)
  • 次要终点评估GT201治疗复发或转移性实体瘤的疗效:总生存期(OS)
核对登记原文(英文)

主要终点:To assess the safety of GT201 in the treatment of recurrent or metastatic solid tumors · Incidence and severity of AEs will be graded per NCICTCAE v5.0 (Phase 1) · Upto 2 years;To assess the safety of GT201 in the treatment of recurrent or metastatic solid tumors · Incidence and severity of CRS and ICANS AE's will be graded per the ASTCT criteria (Phase 1) · Upto 2 years;To assess the tolerance of GT201 and decide on the recommended Phase 2 dose. · The safest combination will be used to determine recommended dose for Phase 2 (RP2D) (Phase 1) · Upto 2 years;To assess the Objective Response Rate (ORR) of GT201 infusion in accordance with RECIST v1.1 · To evaluate the proportion of participants who have a confirmed complete response (CR) or partial response (PR) (Phase 2) · Upto 2 years
次要终点:To assess efficacy of GT201 in the treatment of recurrent or metastatic solid tumors: Objective response rate (ORR);To assess efficacy of GT201 in the treatment of recurrent or metastatic solid tumors: duration of response (DOR);To assess efficacy of GT201 in the treatment of recurrent or metastatic solid tumors: disease control rate (DCR);To assess efficacy of GT201 in the treatment of recurrent or metastatic solid tumors: progression free survival (PFS);To assess efficacy of GT201 in the treatment of recurrent or metastatic solid tumors: overall survival (OS)

研究设计怎么做的

研究类型
干预性研究
入组人数
63 人(预计)
分组方式
不适用(单臂)
  • 晚期实体瘤受试者组试验组
核对分组登记原文(英文)
  • Participants with advanced solid tumors · EXPERIMENTAL

关键日期

开始日期
2026-11
主要完成日期
2030-06
全部完成日期
2032-06
登记状态核实于
2026-08

联系与责任方

申办方
Gritbio Medicine, Inc.
联系邮箱
GT201.inquiries@grit-bio.com
联系电话
440-414-3338

登记简述

这是一项多中心、单臂I/II期临床试验,旨在评估GT201单药或联合抗PD-1治疗晚期实体瘤患者的安全性、耐受性及疗效。

核对登记原文(英文)

This is a multicenter, single-arm phase 1/2 clinical trial to evaluate the safety and tolerability of GT201 as a monotherapy or in combination with anti-PD-1 therapy in patients with advanced solid tumors, and to evaluate the efficacy of this therapy.

登记原文与核验信息

试验登记号
NCT07766317
试验期别
I 期 / II 期
试验状态
尚未开始招募
适应症(原文)
Advanced Solid Tumors Cancer
干预方式(原文)
GT201; IL-2 and PD-1