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This prospective, unicentric, open-labe phase I study is to evaluate the safety and effect of autologous cytotoxic T lymphocyte immunotherapy combination with PD-1 inhibitor in the second-line treatment of stage IIIB/IIIC/IV non-small cell lung cancer.
In the stage IIIB/IIIC/IV NSCLC, patients received Toripalimab Injection (PD-1 inhibitor) 240mg, d1; CTL cells venous re-transfusion >=1x10^9, d14; Q3W; till disease progresion, or intolerable adverse reactions.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm: CTL plus PD-1 inhibitor | Experimental | CTL , Toripalimab Toripalimab intravenous infusion 240mg d1; CTL, 1x10^9, intravenous infusion,d14; Q3W. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CTL | Biological | CTL injection |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Objective response rate (ORR) | ORR was calculated by the percentage of patients with a confirmed complete (CR) or partial response (PR). | 2 years |
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Inclusion Criteria:
Subjects who must meet all the following criteria should be selected:
Agreeing to participate in this study and signing a written informed consent.
Male or female,from 18 to 75 years (including 18 and 75 years).
The life expectancy will be longer than 3 months and can be followed up.
Patients with stage IIIB/IIIC/IV NSCLC were confirmed by histological /cytological and imaging examinations. According to RECIST 1.1 standard, there will be at least one measurable lesion.
Initial medical treatment.Patients with adenocarcinoma need wild type of EGFR gene and ALK fusion gene negative to be included in this study.
ECOG score will be 0 or 1 within 7 days before randomization.
Within 14 days before the start of treatment, the results of laboratory test of blood routine, liver, kidney function and hormone levels must be met the following criteria:
White blood cells: more than 3.0 × 109/L; Platelets: more than 100 × 109/L; Neutrophils: more than 1.5 × 109/L; Hemoglobin: more than 80g/L; Serum glutamate pyruvate transaminase: less than 2.5 folds of the upper normal limit (ULN); Serum glutamic-oxal (o) acetic transaminase: less than 2.5 × ULN; Serum bilirubin: less than 1.25 × ULN; Serum creatinine: less than 1.25 × ULN. Cortisol and thyroid function will be in the normal range.
The toxicity and side effects of previous chemotherapy will must be alleviated to grade 1 or below (except hair loss).
Female subjects must take effective contraceptive measures throughout the study period; serum or urine pregnancy test results must be negative during screening and the whole study period.
Male subjects should take effective contraceptive measures from the beginning of treatment to within 6 months after the end of treatment.
Exclusion Criteria:
Subjects who meet any of the following criteria could not participate in this study:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xiubao Ren, M.D, Ph.D | Contact | 86-22-23340123 | 3173 | renxiubao@tjmuch.com |
| Liang Liu, M.D, Ph.D | Contact | 86-15900243633 | liangcoh@163.com |
| Name | Affiliation | Role |
|---|---|---|
| Xiubao Ren, M.D, Ph.D | Tianjin Medical University Cancer Institute and Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tianjin Medical University Cancer Institute and Hospital | Recruiting | Tianjin | Tianjin Municipality | 300060 | China |
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| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
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| ID | Term |
|---|---|
| C000656314 | toripalimab |
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| Toripalimab | Biological | Toripalimab injection |
|
| Tianjin Medical University Cancer Institute and Hospital | Recruiting | Tianjin | 300060 | China |
|
| D013899 |
| Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |