NK-cell Therapy Combined With PD-1 Antibody and Platinum-Based Chemotherapy as Neoadjuvant Therapy in Resectable NSCLC
An Open-Label, Single-Arm Study Evaluating the Safety and Efficacy of NK010 Cell Injection Combined With PD-1 Antibody and Platinum-Based Chemotherapy as Neoadjuvant Therapy in Patients With Resectable Non-Small Cell Lung Cancer
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Participants with histologically or cytologically confirmed, resectable non-small cell lung cancer (NSCLC) will receive a neoadjuvant regimen consisting of NK010 cell injection, an anti-PD-1 antibody, and standard platinum-based doublet chemotherapy.
The primary objective of this study is to assess the safety and feasibility of this combination regimen in the preoperative setting. Secondary objectives include the exploration of potential antitumor activity. The study utilizes a sequential dose-escalation design, with NK010 administered at three planned dose levels.
Following neoadjuvant therapy and surgical resection, postoperative adjuvant therapy will be administered at the investigator's discretion in accordance with standard clinical practice.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Wenhua Liang, MD
- Phone Number: 020-83062807
- Email: liangwh@gird.cn
Study Locations
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-
Guangdong
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Guangzhou, Guangdong, China, 510000
- The First Affiliated Hospital of Guangzhou Medical University
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Principal Investigator:
- Jianxing He, MD
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Contact:
- Wenhua Liang, MD
- Phone Number: 020-83062807
- Email: liangwh@gird.cn
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Able to understand and voluntarily sign the written informed consent form (ICF).
- Male or female patients aged ≥18 years.
- Histologically and/or cytologically confirmed resectable stage IB to IIIA non-small cell lung cancer (NSCLC) according to AJCC 8th edition.
- Treatment-naïve NSCLC (no prior systemic anticancer therapy).
- No sensitizing EGFR mutations (exon 19 deletion, exon 21 L858R) and no ALK gene rearrangement.
- At least one measurable target lesion according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
- Estimated life expectancy of more than 6 months.
- Eastern Cooperative Oncology Group (ECOG) performance status 0-1.
- Adequate bone marrow, liver, and renal function.
- Female participants of childbearing potential must have a negative pregnancy test prior to initiation of study treatment.
Exclusion Criteria:
- Prior receipt of any systemic anticancer therapy.
- Known sensitizing EGFR mutations or ALK gene rearrangements.
- Active, known, or suspected autoimmune disease.
- Interstitial lung disease.
- Any medical condition, therapy, or laboratory abnormality that, in the opinion of the investigator, could confound the study results, interfere with the participant's ability to comply with study procedures, or is not in the best interest of the participant.
- Locally advanced unresectable or metastatic NSCLC.
- Major cardiovascular events, unstable arrhythmia, or unstable angina within 3 months prior to study treatment initiation.
- Pregnant or breastfeeding women, or women of childbearing potential who are unwilling to use effective contraception during the study.
- Any other condition judged by the investigator to make the participant unsuitable for clinical trial participation.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: NK010 + PD-1 Antibody + Platinum-Based Chemotherapy
Participants will receive neoadjuvant therapy for a total of 3 cycles, with each cycle lasting 3 weeks.
NK010 cell injection will be administered in combination with a PD-1 antibody and platinum-based chemotherapy.
After completing 3 cycles of treatment, participants will undergo surgical resection, followed by pathological assessment to evaluate outcomes such as major pathological response (MPR), pathological complete response (pCR), and R0 resection rate.
NK010 administration will be evaluated at three planned dose levels.
|
The PD-1 antibody will be administered intravenously in combination with NK010 cell injection and platinum-based chemotherapy during the neoadjuvant treatment phase.
NK010 is an allogeneic, off-the-shelf natural killer (NK) cell product derived from peripheral blood.
NK010 will be administered intravenously in combination with a PD-1 antibody and platinum-based chemotherapy during the neoadjuvant treatment phase.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence of Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time Frame: Up to 1 year after first dose of NK010
|
Number of subjects experiencing adverse events, and the frequency and severity of adverse events.
The type, frequency, onset, and severity of treatment-emergent adverse events (TEAEs) will be assessed in accordance with the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 5.0.
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Up to 1 year after first dose of NK010
|
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Dose Limiting Toxicities (DLTs)
Time Frame: Up to 21 days after first dose of NK010
|
Identification of DLTs to determine the maximum tolerated dose (MTD).
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Up to 21 days after first dose of NK010
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Major pathological response (MPR)
Time Frame: Within 6 weeks after completion of neoadjuvant therapy
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The MPR rate will be reported as the proportion of participants achieving MPR among all participants who undergo surgical resection.
|
Within 6 weeks after completion of neoadjuvant therapy
|
|
Pathological complete response (pCR)
Time Frame: Within 6 weeks after completion of neoadjuvant therapy
|
The pCR rate will be reported as the proportion of participants achieving pCR among all participants who undergo surgical resection.
|
Within 6 weeks after completion of neoadjuvant therapy
|
|
R0 Resection Rate
Time Frame: Within 6 weeks after completion of neoadjuvant therapy
|
The proportion of participants who achieve complete surgical tumor resection
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Within 6 weeks after completion of neoadjuvant therapy
|
|
Objective Response Rate (ORR)
Time Frame: Up to preoperative assessment (approximately 12 weeks from treatment initiation)
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ORR is defined as the proportion of participants achieving a complete response (CR) or partial response (PR) according to RECIST v1.1 criteria, as assessed by radiologic imaging after completion of neoadjuvant therapy.
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Up to preoperative assessment (approximately 12 weeks from treatment initiation)
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- NK010-IIT-NSCLC-01
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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