使用多能杀伤程序性细胞死亡 1 (PIK-PD-1) 细胞的免疫疗法治疗晚期肝细胞癌
使用多能杀伤性 T 细胞表达程序性死亡抗体 1 (PD-1) 的过继性细胞免疫疗法治疗晚期肝细胞癌的临床研究
目标:
本研究的目的是评估 PIK-PD-1 细胞治疗晚期肝细胞癌的安全性和有效性。
方法:
本研究设计了一种使用 PIK-PD-1 细胞的新型疗法。 将招募 40 名晚期肝细胞癌患者。 随机分为树突状细胞精准多抗原T细胞(DC-PMAT)组和PIK-PD-1细胞组。 DC-PMAT 治疗和 PIK-PD-1 细胞治疗将每 3 周进行一次,共三个周期。 邮件临床指标是无进展生存期和总生存期。
研究概览
详细说明
研究类型
注册 (预期的)
阶段
- 阶段2
- 阶段1
联系人和位置
学习地点
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Shanghai、中国、200438
- 招聘中
- Eastern Hepatobiliary Surgery Hospital
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接触:
- Huajun Jin, PHD
- 电话号码:+86-21-81875372
- 邮箱:hj-jin@hotmail.com
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首席研究员:
- Qijun Qian, PHD
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首席研究员:
- Huajun Jin, PHD
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首席研究员:
- Yao Huang, MD
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副研究员:
- Xijing Yang, MD
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副研究员:
- Saiqun Lv, PHD
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
纳入标准:
- 1、年龄20~70岁,男女不限; 2.巴塞罗那临床肝癌(BCLC)C期;无手术指征、局部治疗(经导管动脉化疗栓塞术(TACE)、经皮微波凝固治疗(PMCT)、经皮乙醇注射治疗(PEIT))和放射治疗;无法或不愿接受索拉非尼治疗; 3.Child-Pugh评分≤9; 4.东部肿瘤协作组(ECOG)评分≤2; 5.预期寿命>3个月; 6.白细胞(WBC)>3×10*9/L,中性粒细胞>1×10*9/L,淋巴细胞>1×10*9/L,血红蛋白≥8.5g/dl,血小板≥50×109/ L、凝血酶原时间(PT)不超过3秒,Cr和血尿素氮(BUN)低于正常值的3倍; 7.静脉通路充足,造血细胞无其他禁忌; 8.签署知情同意书。
排除标准:
1. 有自身免疫性疾病或器官移植史需要免疫抑制治疗; 2. HIV/梅毒感染; 3.血培养阳性或影像学证据感染; 4.1个月内使用过其他药物、基因治疗、生物、化疗或放疗。
5.细胞疗法或细胞因子过敏反应史。 6.之前使用过PD-1抗体,或因PD-1抗体药物过敏。
7.间质性肺病史。 8.食管静脉曲张破裂出血史。 9. 其他重大疾病:心、肺、肾、消化、神经、精神障碍、免疫调节疾病、代谢性疾病、感染性疾病等。
10. 孕妇、哺乳期妇女或计划在未来 2 年内怀孕。 11. 未经签署知情同意书。 12. 其他研究人员认为不适合纳入。
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
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实验性的:PIK-PD-1细胞
PIK-PD-1 细胞治疗将每 3 周进行一次,共三个周期。
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DC细胞悬液(1×10*7 DC+生理盐水 +0.25%人血清白蛋白)每次滴注1ml,每次滴注皮下注射3个周期,每个周期在第19、20天接受两次滴注; 40, 41; 61、62. PIK-PD-1细胞悬液(1-6×10*9 PIK-PD-1+生理盐水+0.25%人血清白蛋白)300ml每次滴注,IV(静脉内)每次滴注3个周期,每个周期在第 21、42、63 天接受一次输注。 |
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有源比较器:直流PMAT
DC-PMAT 细胞处理将每 3 周进行一次,总共三个时期。
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DC细胞悬液(1×10*7 DC+生理盐水 +0.25%人血清白蛋白)每次滴注1ml,每次滴注皮下注射3个周期,每个周期在第19、20天接受两次滴注; 40, 41; 61、62. PMAT细胞悬液(1-6×10*9 PMAT+生理盐水+0.25%人血清白蛋白)300ml每次滴注,IV(静脉内)每次滴注3个周期,每个周期当天输注1次21、42、63。 |
研究衡量的是什么?
主要结果指标
结果测量 |
大体时间 |
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总生存期
大体时间:2年
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2年
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
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无进展生存期
大体时间:2年
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2年
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生活质量
大体时间:2年
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将使用生活质量核心问卷。
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2年
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合作者和调查者
调查人员
- 学习椅:Qijun Qian, PHD、Eastern Hepatobiliary Surgery Hospital
出版物和有用的链接
一般刊物
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研究记录日期
研究主要日期
学习开始
初级完成 (预期的)
研究完成 (预期的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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