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评估 NY-ESO-1 特异性 TCR T 细胞在 HLA-A∗02:01 晚期软组织肉瘤患者中安全性与疗效的 I 期临床试验

英文原题:Phase 1 clinical trial to assess safety and efficacy of NY-ESO-1-specific TCR T cells in HLA-A∗02:01 patients with advanced soft tissue sarcoma.

PubMed 2023/08/15(内容时间) Cell Rep Med Q1 · IF 14(JCR 2025)

研究概要

对接受该方案治疗的 12 例患者的分析显示,未发生治疗相关严重不良事件。

中文摘要

本 I 期临床试验旨在评估 NY-ESO-1 特异性 TCR-T 细胞在 HLA-A∗02:01 阳性的晚期软组织肉瘤患者中的安全性和疗效。NY-ESO-1 特异性 T 细胞受体(TCR)T 细胞疗法对表达 NY-ESO-1 的肿瘤有效,但仍需进一步完善安全且有效的 TCR-T 治疗方案。本文报告一项评估靶向 NY-ESO-1 的 TCR 亲和力增强型特异性 T 细胞疗法 TAEST16001 的 I 期新药临床试验。入组患者接受减量淋巴细胞清除方案后输注 TAEST16001 细胞:环磷酰胺 15 mg/kg/天,连续 3 天,联合氟达拉滨 20 mg/m²/天,连续 3 天;过继转移后以低剂量白细胞介素-2 注射维持 TCR-T 细胞。对接受该方案治疗的 12 例患者进行分析,未发现治疗相关严重不良事件。总缓解率为 41.7%,中位无进展生存期为 7.2 个月,中位缓解持续时间为 13.1 个月。TAEST16001 细胞治疗方案为晚期软组织肉瘤患者提供了一种安全且高效的治疗方法(ClinicalTrials.gov:NCT04318964)。

展开英文摘要原文

New York esophageal squamous cell carcinoma-1 (NY-ESO-1)-specific T cell receptor (TCR) T cell therapy is effective in tumors with NY-ESO-1 expression, but a safe and effective TCR-T cell therapeutic protocol remains to be improved. Here, we report a phase 1 investigational new drug clinical trial with TCR affinity-enhanced specific T cell therapy (TAEST16001) for targeting NY-ESO-1. Enrolled patients receive TAEST16001 cell infusion after dose-reduced lymphodepletion with cyclophosphamide (15 mg/kg/day 3 days) combined with fludarabine (20 mg/m 2 /day 3 days), and the TCR-T cells are maintained with low doses of interleukin-2 injection post-adoptive transfer. Analysis of 12 patients treated with the regimen demonstrates no treatment-related serious adverse events. The overall response rate is 41.7%. The median progression-free survival is 7.2 months, and the median duration of response is 13.1 months. The protocol of TAEST16001 cells delivers a safe and highly effective treatment for patients with advanced soft tissue sarcoma (ClinicalTrials.gov: NCT04318964).

论文信息

作者
Pan Q、Weng D、Liu J、Han Z、Ou Y、Xu B、Peng R、Que Y
第一作者单位
Melanoma and Sarcoma Medical Oncology Unit, State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou 510060, P.R. China.China
通讯作者单位
Melanoma and Sarcoma Medical Oncology Unit, State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou 510060, P.R. China. Electronic address: zhangxing@sysucc.org.cn.China
文献类型
I 期临床试验 · 非美国政府资助研究
期刊
Cell reports. Medicine2023 Aug 15
原文标识
PubMed 37586317 · DOI 10.1016/j.xcrm.2023.101133