진행성 고형 종양 치료를 위한 GT201 주사제
진행성 고형 종양 치료를 위한 자가 종양 침윤 림프구 주사(GT201)에 대한 단일군 1상/2상 임상 연구
This is a multicenter Phase I/II clinical trial. It aims to evaluate the safety, tolerability, efficacy and pharmacokinetics (PK) of GT201 in patients with advanced solid tumors.
연구 개요
상태
상태
정황
정황
개입 / 치료
개입 / 치료
연구 유형
연구 유형
등록 (추정된)
등록
단계
단계
- 2 단계
- 1단계
연락처 및 위치
연구 연락처
연구 연락처
- 이름: Yue He, PhD
- 전화번호: +86- 13501950200
- 이메일: william5218@126.com
연구 장소
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Guangdong
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Guangzhou, Guangdong, 중국, 510060
- 모병
- Sun Yat-sen University Cancer Center
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수석 연구원:
- Zhiming Li, PhD
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연락하다:
- Zhiming Li, PHD
- 전화번호: 13719189172
- 이메일: lzmlzmlzm@yahoo.com
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Guangxi
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Nanning, Guangxi, 중국, 530021
- 모병
- Guangxi Medical University Cancer Hospital
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연락하다:
- Song Qu, PHD
- 전화번호: 13607887386
- 이메일: 13607887386@126.com
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수석 연구원:
- Song Qu, PhD
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Hunan
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Changsha, Hunan, 중국, 410013
- 모병
- Hunan Cancer Hospital, Xiangya School of Medicine, Central South University
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연락하다:
- Yaqian Han, PHD
- 전화번호: 18673176667
- 이메일: hanyaqian@hnca.org.cn
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연락하다:
- Yongchang Zhang, PHD
- 전화번호: 13873123436
- 이메일: zhanglei1152@126.com
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수석 연구원:
- Yaqian Han, PhD
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수석 연구원:
- Yongchang Zhang, PHD
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Shanghai Municipality
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Shanghai, Shanghai Municipality, 중국, 200080
- 모병
- Shanghai General Hospital
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연락하다:
- Pin Dong, PHD
- 전화번호: 13764154308
- 이메일: dongpin64@aliyun.com
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수석 연구원:
- Pin Dong, PhD
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Shanghai, Shanghai Municipality, 중국, 200000
- 모병
- Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine
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수석 연구원:
- Yue He, PhD
-
연락하다:
- Yue He, PhD
- 전화번호: +86- 13501950200
- 이메일: william5218@126.com
-
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Sichuan
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Chengdu, Sichuan, 중국, 610000
- 모병
- West China Hospital, Sichuan University
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수석 연구원:
- Lei Liu, PhD
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연락하다:
- Lei Liu, PhD
- 전화번호: +86 18980606231
- 이메일: 32498600@qq.com
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수석 연구원:
- Li Zheng, PhD
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참여기준
자격 기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
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1. Voluntarily enroll in the study, sign the informed consent form (ICF), and be willing and able to comply with the study protocol.
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2. Aged 18 to 70 years old. For subjects older than 70 years old, eligibility shall be jointly determined by the Investigator and the Sponsor's Medical Monitor.
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3. Diagnosis:
- Phase I trial: Patients with advanced solid tumors who have failed standard therapy, have no available standard therapy, or cannot tolerate standard therapy.
- Phase II trial: Patients with the target indication who have progressed or are intolerant after receiving the specified treatment outlined in the protocol, and who meet the inclusion and exclusion criteria for the target indication.
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4. At least one lesion that is resectable for the preparation of autologous TIL cells.
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5. At least one measurable lesion that meets the definition of RECIST v1.1 after tumor sampling.
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6. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
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7. Estimated survival time ≥ 12 weeks.
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8. Functions of major organs meet the requirements specified in the protocol.
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9. Female or male subjects of childbearing potential who have not undergone surgical sterilization must agree to use at least one medically acceptable contraceptive method (e.g., intrauterine device, oral contraceptives, condoms) during study treatment and for 1 year after the end of study treatment. For female subjects of childbearing potential without surgical sterilization, serum human chorionic gonadotropin (hCG) test must be negative within 7 days prior to cell infusion.
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10. Prior treatment related adverse events shall have recovered to Grade ≤ 1 per Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0 before tumor sampling, or be judged by the investigator together with the sponsor's medical monitor not to interfere with the study.
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11. For participants enrolled in this study due to disease progression, imaging documentation confirming disease progression following the prior therapy must be available before tumor sampling.
Exclusion Criteria:
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1. Patients with spinal cord compression not relieved by surgery and/or radiotherapy are excluded. (Patients may be enrolled if clinical evidence confirms symptom relief for ≥ 1 week prior to tumor harvesting.)
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2. Participants with uncontrolled tumor related pain as judged by the investigator. Participants requiring analgesic medications must have a stable analgesic regimen at study entry. Symptomatic lesions suitable for palliative radiotherapy should have completed treatment prior to study entry.
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3. Bleeding events within 3 months prior to screening.
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4. Patients with arterio-venous thrombotic events that occurred within 6 months prior to screening.
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5. Respiratory disorders that severely impair pulmonary function at screening.
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6. History of clinically significant cardiovascular disease, including but not limited to:
- Congestive heart failure (New York Heart Association [NYHA] Class >grade II);
- Unstable angina pectoris;
- Myocardial infarction within the previous 3 months;
- Any supraventricular or ventricular arrhythmia requiring treatment or intervention.
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7. Participants with ≥ 3 untreated central nervous system (CNS) metastases.
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8. Any active autoimmune disease, history of autoimmune disease, or diseases requiring systemic corticosteroids (>10 mg prednisone daily or equivalent) or immunosuppressive agents.
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9. Malignant tumors other than the target indication within 5 years.
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10. Presence of intractable epilepsy, medically uncontrolled pleural effusion, ascites, pericardial effusion, or any contraindication to IL-2 administration.
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11. Active infectious diseases within 1 year prior to screening, such as HIV infection, syphilis, active hepatitis, active pulmonary tuberculosis, active Epstein-Barr virus (EBV) and/or cytomegalovirus (CMV) infection; OR history of active pulmonary tuberculosis infection more than 1 year ago without standard treatment; active hepatitis B or hepatitis C.
- Participants positive for hepatitis B surface antigen (HBsAg) or hepatitis B core antibody (HBcAb) may enroll if HBV DNA level is below the lower limit of quantification (LLOQ) of the local study laboratory.
- Participants positive for HCV antibody may enroll if HCV RNA level is below the LLOQ of the local study laboratory.
- Participants with EBV DNA above the laboratory LLOQ may enroll if the Investigator assesses the viremia is tumor-related and the infection is non-active.
- Carriers enrolled in the study shall receive antiviral therapy at the Investigator's discretion, with regular quantitative nucleic acid testing scheduled throughout the study period.
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12. Use of anti angiogenic agents such as bevacizumab within 4 weeks before surgical sampling.
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13. Previous allogeneic bone marrow transplantation or solid organ transplantation.
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14. Receipt of systemic anti tumor therapy within 4 weeks prior to lymphodepleting chemotherapy, except for the following:
- Bridging therapy;
- If prior chemotherapy with nitrosoureas or mitomycin C was administered, an interval of no less than 6 weeks between the end of such chemotherapy and the anticipated date of lymphodepleting chemotherapy is required for enrolment;
- If prior small molecule targeted therapy was administered, an interval of no less than 5 half lives of the agent between the end of such therapy and the anticipated date of lymphodepleting chemotherapy is required for enrolment.
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15. Prior receipt of genetically modified or gene edited cell therapy products (excluding non genetically modified autologous immune cell therapy products administered more than 1 year before the date of cell infusion).
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16. History of hypersensitivity reaction to any component of investigational products to be used in the study, including but not limited to autologous TIL, cyclophosphamide, fludarabine, IL-2, dimethyl sulfoxide (DMSO), human serum albumin (HSA), dextran 40, antibiotics (β-lactam antibiotics, gentamicin).
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17. Known psychiatric illness, alcoholism, drug addiction or substance abuse.
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18. Prior immune therapy related adverse events of Grade 3 or higher that have not recovered to CTCAE Grade 1 or less within 28 days; or any other disease or medical condition (any other illness, metabolic disorder, physical finding abnormality or laboratory abnormality) that would raise reasonable concerns prohibiting the use of investigational product, confound the interpretation of study results, or place the participant at high risk of treatment related complications.
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19. Pregnant or lactating women; or women with plans for pregnancy, conception or lactation within 1 year after the end of study treatment.
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20. Receipt of other investigational medicinal products within 4 weeks prior to lymphodepleting chemotherapy, or plan to receive other investigational medicinal products during the study.
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21. Other conditions deemed ineligible for enrollment at the investigator's discretion.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 해당 없음
- 중재 모델: 단일 그룹 할당
- 마스킹: 없음(오픈 라벨)
팔의 수
무기와 개입
참가자 그룹 / 팔참가자 그룹 / 팔 |
개입 / 치료개입 / 치료 |
|---|---|
|
실험적: GT201 treatment group
The treatment groups consist of monotherapy and combination therapy with PD-1. The monotherapy treatment is lymphodepleting chemotherapy followed by infusion of GT201 injection and IL-2. The combination therapy is lymphodepleting chemotherapy followed by infusion of GT201 injection and IL-2, along with continuous administration of PD-1 inhibitor therapy. |
Infusion Injection Injection |
연구는 무엇을 측정합니까?
주요 결과 측정
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Adverse events (AEs)
기간: Up to 2 years
|
Incidence and severity of AEs, SAEs and AE leading to treatment interruption and discontinuation will be graded per NCICTCAE v5.0 (Phase 1) |
Up to 2 years
|
|
Changes in laboratory parameters
기간: Up to 2 years
|
Evaluate the safety and tolerability based on changes in laboratory parameters before and after treatment. (Phase 1) |
Up to 2 years
|
|
Objective Response Rate (ORR)
기간: Up to 2 years
|
Proportion of participants achieving a Complete Response (CR) or Partial Response (PR) per RECIST 1.1 (Phase 2). |
Up to 2 years
|
2차 결과 측정
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Objective Response Rate (ORR)
기간: Up to 2 years
|
Proportion of participants achieving a Complete Response (CR) or Partial Response (PR) per RECIST 1.1 (Phase 1). |
Up to 2 years
|
|
Disease control rate (DCR)
기간: Up to 2 years
|
Proportion of participants achieving Complete Response (CR), Partial Response (PR), or Stable Disease (SD) per RECIST 1.1 (Phase 1 and Phase 2). |
Up to 2 years
|
|
Progression free survival (PFS)
기간: Up to 2 years
|
The time from GT201 infusion to the first documentation of progressive disease (PD) per RECIST 1.1 or death from any cause, whichever occurs first (Phase 1 and Phase 2). |
Up to 2 years
|
|
Duration of Response (DOR)
기간: Up to 2 years
|
The duration from the first confirmed objective response per RECIST 1.1 to the first documentation of progressive disease (PD) or death from any cause (Phase 1 and Phase 2). |
Up to 2 years
|
|
Overall survival (OS)
기간: Up to 2 years
|
The time from GT201 infusion to death from any cause (Phase 1 and Phase 2). |
Up to 2 years
|
|
CD3+ T cell counts
기간: Up to 2 years
|
To evaluate the persistence and expansion of TILs in participants by measuring CD3+ T cell counts in peripheral blood following infusion of GT201 Injection (Phase 1 and Phase 2). |
Up to 2 years
|
|
GT201 gene copy numbers
기간: Up to 2 years
|
To evaluate the persistence and expansion of TILs in participants by measuring GT201 gene copy numbers in peripheral blood following infusion of GT201 Injection (Phase 1 and Phase 2). |
Up to 2 years
|
|
Adverse events (AEs)
기간: Up to 2 years
|
Incidence and severity of AEs, SAEs and AE leading to treatment interruption and discontinuation will be graded per NCICTCAE v5.0 (Phase 2) |
Up to 2 years
|
|
Anti-drug antibodies (ADA)
기간: Up to 2 years
|
Incidence of anti-drug antibodies (ADA) and neutralizing antibodies (Nab) (Phase 1 and Phase 2). |
Up to 2 years
|
공동 작업자 및 조사자
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
연구 시작
기본 완료 (추정된)
기본 완료
연구 완료 (추정된)
연구 완료
연구 등록 날짜
최초 제출
최초 제출
QC 기준을 충족하는 최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
처음 게시됨
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
마지막 업데이트 게시됨
QC 기준을 충족하는 마지막 업데이트 제출
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
기타 연구 ID 번호
기타 연구 ID 번호
- GT-CD-CHN-201-01
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
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