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:Autologous Tumor Infiltrating Lymphocyte (TIL) GT201 Infusion.
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。
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。
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。
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)
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。
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.
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