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.
这些发现支持采用多靶点CAR-T 策略来应对NSCLC及可能其他实体瘤中的抗原异质性。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Feasibility of iNKT cell and PD-1+CD8+ T cell-based immunotherapy in patients with lung adenocarcinoma: Preliminary results of a phase I/II clinical trial.
Feasibility of iNKT cell and PD-1+CD8+ T cell-based immunotherapy in patients with lung adenocarcinoma: Preliminary results of a phase I/II clinical trial.
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我们开展了一项单臂探索性临床试验,该试验正在进行中,并在ClinicalTrials.gov注册(NCT03093688)。患者每3-5周接受一次自体iNKT细胞、PD-1 + CD8+ T细胞和树突状细胞输注,视为1个周期。主要终点为安全性和客观肿瘤缓解。本文报告了前三例患者的初步结果。第一例患者接受了16个周期。计算机断层扫描(CT)检查显示,4个周期后为疾病稳定(SD)缓解,11个周期后为疾病进展(PD)缓解。第二例患者接受了10个周期,CT检查显示4个周期后为SD缓解,9个周期后为PD缓解。第三例患者接受了6个周期,CT检查显示4个周期后为SD缓解。患者仅发生1-2级不良事件。基于iNKT细胞和PD-1 + CD8+ T细胞的免疫治疗显示出可控的耐受性特征。
We performed a single-arm exploratory clinical trial that is ongoing and registered at ClinicalTrials. gov (NCT03093688). Patients were infused with autologous iNKT cells, PD-1 + CD8+ T cells, and dendritic cells every 3-5 weeks, which was considered 1 cycle. The primary endpoints were safety and objective tumor response. The preliminary results from the first three patients are reported here. The first patient received 16 cycles.
Computed tomography (CT) examination revealed a stable disease (SD) response after 4 cycles and progressive disease (PD) response after 11 cycles. For the second patient that received 10 cycles, CT examination revealed an SD response after 4 cycles and a PD response after 9 cycles. For the third patient who was treated with 6 cycles, CT examination revealed an SD response after 4 cycles. The patients suffered from only grade 1-2 adverse events. iNKT cell and PD-1 + CD8+ T cell-based immunotherapy showed a manageable tolerability profile.
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