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A single center, single arm, phase I trial of autologous tumor infiltrating lymphocytes (TIL) in the treatment of advanced solid tumor

A single center, single arm, phase I trial of autologous tumor infiltrating lymphocytes (TIL) in the treatment of advanced solid tumor

Status
Recruiting
Phases
Phase 1
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2100045007
Enrollment
Unknown
Registered
2021-04-03
Start date
2021-04-06
Completion date
Unknown
Last updated
2021-11-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Advanced Solid Tumor

Interventions

Sponsors

The Affiliated Hospital of Xuzhou Medical University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 70 Years

Inclusion criteria

Inclusion criteria: 1. Voluntary participation and sign informed consent; 2. Must be >= 18 and = 3 months prior to screening, and there has been demonstrated disease progression in that particular lesion. 7. ECOG=0 or 1; 8. Estimated life expectancy of >= 12 weeks; 9. Patients must have adequate organ function: (1) Hematologic parameters: Absolute neutrophil count (ANC) >= 1.5 x 10^9/L Lymphocyte counts(LC)> 0.5 x 10^9/L Platelet >=100 x 10^9/L Hemoglobin (Hb) >= 90g/L (2) Liver function test: AST, ALT and alkaline phosphatase = 45 mL/min using the Cockcroft-Gault formula, or serum creatinine in normal range; (4) Coagulation function test: APTT = 50%; (6) Pulmonary function test: FEV1 >= 60%; 10. Patients of childbearing potential or their partners of childbearing potential must be willing to take the appropriate precaution to avoid pregnancy or fathering a child for the duration of the study and practice an approved, highly effective method of birth control during treatment and for 12 months after receiving the last protocol-related therapy. Non surgically sterilized female subjects of reproductive age must be negative for serum hCG testing within 7 days prior to cell infusion; 11. Patients must have recovered from all prior therapy-related adverse events (AEs) to = Grade 2 diarrhea or colitis as a result of previous treatment with immune checkpoint inhibitor(s) must have been asymptomatic for at least 6 months and/or had a normal colonoscopy post-immune checkpoint inhibitor treatment, by visual assessment, prior to tumor resection; 12. Before resection, the imaging evidence of disease progress after prior line treatment should be documented.

Exclusion criteria

Exclusion criteria: 1. Patients with symptomatic and/or untreated CNS metastases (Patients with definitively treated brain metastases may be considered for enrollment and must be stable for >= 14 days without drug treatment, except steroid-dependent); 2. Failure of surgery and / or radiotherapy to relieve spinal cord compression; 3. Uncontrolled tumor related pain judged by the investigator. Subjects requiring pain medication must have had a stable pain medication regimen at the time of enrollment; Symptomatic lesions amenable to palliative radiotherapy should have completed treatment before enrollment; 4. Interstitial pneumonia or clinically significant active pneumonia, or other respiratory disease severely affecting lung function; 5. Any active autoimmune disease; a history of autoimmune disease or disease requiring treatment with systemic steroids or immunosuppressive drugs; 6. Patients with a history of significant cardiovascular disease, including: (1) Congestive heart failure (NYHA functional classification > Class 2); (2) Unstable angina; (3) Myocardial infarction occurred in past 3 months; (4) Any supraventricular arrhythmia or ventricular arrhythmia requiring treatment or intervention; 7. Arterial/venous thrombotic events within 5 months prior to enrollment, such as: cerebrovascular accident, deep vein thrombosis and pulmonary embolism occurring; 8. Patients with active tuberculosis infection within 1 year before enrollment, or with a history of active tuberculosis infection beyond 1 year before but without standard treatment; 9. Active infections requiring treatment with systemic anti-infectives (except for topical antibiotics); or those with unexplained fever > 38.5 degrees centigrade occurring during the screening period, except for tumor fever; 10. Patients with a history of immunodeficiency, including HIV seropositivity; 11. Patients with active hepatitis B or C. Patients with seropositive HBsAg or HBcAb can be enrolled while negative HBV DNA. Patients with seropositive HCV antibody can be enrolled while negative HCV RNA. If potential carriers enrolled, proper anti-virus treatment and regular nucleotide test should be arranged. 12. Patients with contraindications to IL-2 use, such as refractory or intractable epilepsy or active gastrointestinal bleeding; 13. Patients who have received a live or attenuated vaccination within 28 days prior to enrollment, or expected during the study; 14. Patients who have received long half-life anti angiogenic drugs within four weeks prior to enrollment, such as the VEGF bevacizumab; 15. Patients who have received an organ allograft or prior cell transfer therapy; 16. Patients who have a history of hypersensitivity to any component or excipient of GT101 or other study drugs: autologous tumor infiltrating lymphocytes, cyclophosphamide, fludarabine, IL-2, dimethyl sulfoxide (DMSO), human serum albumin (HSA), dextran-40 and antibiotics (beta lactam antibiotics, gentamicin); 17. Known psychiatric disorders, alcohol, drug or substance abuse; 18. Any disease or condition (any other condition, metabolic disorder, physical exam result, or abnormal laboratory test result) that could lead to reasonable doubt that would prohibit the use of a trial drug, or affect the interpretation of study results, or put the patient at high-risk treatment; 19. Patients who are pregnant or breastfeeding; 20. Other circumstances that investigator assessed could affect the safety of subjects.

Design outcomes

Primary

MeasureTime frame
Safety and tolerance;Objective response rate (ORR);Disease control rate (DCR);Progression free survival (PFS);Response period;Overall survival (OS);

Countries

China

Contacts

Public ContactHan Zhengxiang, Lili

Xuzhou Medical University

cnhzxyq@163.com+86 18052268612, +86 13852136325

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026