L-TIL Plus Tislelizumab for PD1 Antibody Resistant aNSCLC

Last updated: May 21, 2024
Sponsor: Quanli Gao
Overall Status: Active - Recruiting

Phase

2

Condition

Non-small Cell Lung Cancer

Treatment

L-TIL, Tislelizumab, Docetaxel

Clinical Study ID

NCT05878028
HenanCH L-TIL aNSCLC
  • Ages 18-75
  • All Genders

Study Summary

The goal of this observational study is to test in advanced non-small cell lung cancer patients with negative driver gene. For these patients, PD1 antibody therapy combined with chemotherapy was the preferred regimen. However, there is no standard regimen for the patients who refractory from the first-line PD1 inhibitor based therapy.

The main questions they aim to answer are: 1.The efficacy of Liquid Tumor Infiltrating Lymphocytes (L-TIL) plus Tislelizumab and Docetaxel for patients failure from first line chemotherapy and PD1 inhibitor therapy. 2. The safety of L-TIL plus Tislelizumab and Docetaxel as second line therapy.

All participants will receive four cycles of Docetaxel chemotherapy, six cycles of L-TIL cells infusion and one year of Tislelizumab treatment except for disease progression, intolerable toxicity, withdrawal informed consent, death and so on.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Non-small cell lung cancer patients diagnosed by pathological histology.

  • Imaging examination showed stage IV disease.

  • Non-squamous cancer patients shall be EGFR , ALK, ROS1, RET, MET negative.

  • Failure from anti-PD-1 antibody treatment, including treatment ineffective oreffective for a period then progress.

  • The Eastern Oncology Collaboration Group (ECOG) scores 0-1.

  • At least one imaging lesion can be measured, according to the standard forevaluating the effectiveness of solid tumors (RECIST 1.1).

  • Asymptomatic or stable symptoms after local treatment is allowed.

  • Subjects are allowed to receive palliative radiation.

  • Enough organ functions well.

  • Patients have good superficial venous blood circulation, which can meet the needs ofintravenous dripping.

  • No other serious diseases that conflict with this study regimes (e.g. autoimmunediseases, immune deficiencies, organ transplants, chronic infections).

  • For female subjects with reproductive age, the pregnancy test should be acceptedwithin 3 days prior to the first study drug administered (day 1 of cycle 1) and theresults are negative.

  • In the event of a risk of conceival, all subjects (male or female) must adoptcontraception at a rate of less than 1% annually for the entire treatment period upto 120 days after the last study of the drug was administered (or 180 days after thelast study of the drug).

  • The patient himself agrees to participate in this clinical trial, sign the InformedConsent Letter, complete the procedure, treatment, and follow-up.

Exclusion

Exclusion Criteria:

  • Small cell lung cancer (SCLC), including mixing pathology, combined with SCLC andNSCLC.

  • Accepted radiation treatment in special organ before the first drug wasadministered, eg: more than 30% bone marrow within 14 days.

  • Diagnosed with second malignant diseases within five years.

  • Participating in other clinical trial.

  • Treatment with other drugs, including thymus peptide, interferon, interleukin, andso on.

  • Active autoimmune diseases requires systemic treatment.

  • Receiving glucocorticoid therapy, excluding local glucocorticoids in nose,inhalation or other pathways, or any other form of immunosuppressive therapy.

  • Uncontrolled chest and abdominal fluid.

  • Patients have accepted organ transplantation or hematopoietic stem celltransplantation.

  • Allergic to intervention drugs, including ingredients and auxiliary components. ·Incomplete recovery from the adverse events.

  • Active hepatitis B or HCV infection.

  • Accepted active vaccines within 30 days before the first dose.

  • Women who are pregnant or breastfeeding.

  • Symptomatic CNS metastasis.

  • Uncontrolled active infections, eg. sepsis, mycemia, fungal hematoma.

  • With serious mental disorders.

  • Other conditions that the researchers believe in having potential risks which arenot suitable for this study.

Study Design

Total Participants: 33
Treatment Group(s): 1
Primary Treatment: L-TIL, Tislelizumab, Docetaxel
Phase: 2
Study Start date:
September 16, 2022
Estimated Completion Date:
September 15, 2025

Study Description

This study is one arm, single center, phase II clinical trial. The participants were diagnosed with metastatic non-small cell lung cancer but without actionable biomarkers (eg: EGFR, ALK, MET, ROS1). PD1 inhibitor and chemotherapy as first line therapy was not respond, or develop tumor progression after a response. Four cycles of Docetaxel chemotherapy, six cycles of L-TIL cells infusion and one year of Tislelizumab regimen Q3W were used. Docetacxel was dosed 75mg/m2 and Tislelizumab was dosed 200mg on day 1, L-TIL cells were dosed (3-10)x10*9/m2 on day 14. Eligible patients were no less than 18 and no more than 75 years old, with adequate organ function but without active infection and autoimmune disease.

Connect with a study center

  • No.127 Dongming Road

    Zhengzhou, Henan 450000
    China

    Active - Recruiting

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