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A clinical trial to assess the safety and efficacy of engineered Tumor Infiltrating Lymphocytes (TIL) for the treatment of Advanced Malignant Solid Tumors
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment Arm | Experimental | Engineering Tumor Infiltrating Lymphocytes Injection (GC203 TIL) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Engineering Tumor Infiltrating Lymphocytes | Biological | A tumor sample is resected from each participant and cultured ex vivo to generate the engineered tumor infiltrating lymphocytes. After lymphodepletion, patients are infused GC203 TIL followed low-dose PD-1 antibody. |
| Measure | Description | Time Frame |
|---|---|---|
| Maximal Tolerance Dose | Up to Day 28 | |
| Dose Limiting Toxicity | Up to Day 28 | |
| Adverse Events | Maximum 360 days |
| Measure | Description | Time Frame |
|---|---|---|
| Objective Response Rate | Evaluate the efficacy endpoints of ORR by the investigator with RECIST v1.1 and iRECIST | Every 6 weeks for 12 months |
| Duration of Response | Evaluate the efficacy endpoints of DoR by the investigator with RECIST v1.1 and iRECIST |
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Inclusion Criteria:
1. In the opinion of the Investigator, patients must be able to sign the ICF and complete all study-required procedures.
2. Patients must be ≥18 and ≤75 years of age at the time of consent. 3. Patients with advanced metastatic solid tumors with clear pathological diagnosis have failed standard therapy (standard therapy is defined as existing guidelines and consensus recommended therapy [including but not limited to chemotherapeutic therapy, radiotherapy, mutation-targeted therapy, immunotherapy, and surgery]) , including but not limited to gynecological tumors (ovarian cancer, endometrial cancer, cervical cancer), breast cancer, gastrointestinal Cancer, lung cancer.
4. Patients have feasible tissue areas for tumor resection/puncture to generate GC203 TIL, the total volume of the tissue > 400mm3, and the lesion has not received local treatment (such as radiotherapy, radiofrequency therapy, oncolytic virus, etc.) or has progressed after local treatment; 5. At least one measurable target lesion before preconditioning, as defined by RECIST1.1.
6. Patients must have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
7. Patients must have an estimated life expectancy of ≥3 months. 8. Patients must have the following hematologic parameters, Coagulation functions and hepatic and renal function:
Absolute Neutrophil Count (ANC)≥1.0×10^9/L;
Absolute Lymphocyte Count(ALC)≥0.5×10^9/L;
Platelet≥80×10^9/L;
International Normalized Ratio(INR)≤1.5×ULN;
Activated Partial Thromboplastin Time(APTT)≤1.5×ULN;
Serum Creatinine (Scr)≤1.5mg/dL (or 132.6μmol/L) or Creatinine Clearance≥60mL/min
Urinalysis: urine protein less than 2+, or 24-hour urine protein <1g;
Alanine aminotransferase(AST/SGOT) ≤3×ULN;
Alanine aminotransferase (ALT/SGPT) ≤3×ULN;
Total Bilirubin(TBIL)≤1.5×ULN; 9. Women of child-bearing potential (WCBP), must have a negative serum pregnancy test prior to treatment. All sexually active WCBP and all sexually active male subjects must agree to use effective methods of birth control throughout the study.
10. Patients must have no contraindications for surgery or biopsy. 11. Patients have good compliance and be able to adhere to research access plans and other protocol requirements.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Huajun Jin, PhD | Contact | +8621-69110327 | clinicaltrials@juncell.com | |
| Xiaohua Wu, Phd | Contact | +862165675209 | Wu.xh@fudan.edu.cn |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fudan University Shanghai Cancer Center | Recruiting | Shanghai | 200032 | China |
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| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D008175 | Lung Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
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|
| Every 6 weeks for 12 months |
| Disease Control Rate | Evaluate the efficacy endpoints of DCR by the investigator with RECIST v1.1 and iRECIST | Every 6 weeks for 12 months |
| Progression-Free Survival | Evaluate the efficacy endpoints of PFS by the investigator with RECIST v1.1 and iRECIST | Every 6 weeks for 12 months |
| Overall Survival | Evaluate the efficacy endpoints of OS by the investigator with RECIST v1.1 and iRECIST | Every 6 weeks for 12 months |
| Quality of Life Assessment | Evaluate with EORTC QLQ-C30 | Every 6 weeks for 12 months |
| D017437 |
| Skin and Connective Tissue Diseases |
| D004067 | Digestive System Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |