CAR-T Cell Therapy, Small Cell Lung Cancer ( SCLC )
Conditions
Keywords
Small Cell Lung Cancer ( SCLC ), CAR-T Cell Therapy, DLL3
Brief summary
This is a single-arm, open-label, dose-escalation clinical trial designed to evaluate the safety, tolerability, expansion, and persistence of TC-D101 CAR-T cells in patients with DLL3-positive Relapsed/Refractory primary small cell lung cancer(r/r SCLC) who have progressed after prior therapies. The primary objective is to determine the maximum tolerated dose (MTD), with a secondary aim to assess preliminary clinical efficacy in SCLC.
Detailed description
This study is designed as a single-arm, open-label, single-dose clinical trial to evaluate the safety and efficacy of TC-D101 CAR-T cell therapy in patients with r/r SCLC. The study protocol consists of five main stages: (1) patient screening, (2) collection of peripheral blood mononuclear cells (PBMCs), (3) lymphodepletion chemotherapy, (4) TC-D101 CAR-T cell infusion, and (5) post-infusion follow-up.
Interventions
TC-D101 CAR-T treatment follows a lymphodepletion Drug: Fludarabine and Cyclophosphamide.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Participants must voluntarily provide written informed consent. 2. Aged 18-75 years (inclusive). 3. Life expectancy ≥ 3 months. 4. ECOG performance status 0-1. 5. Failed or unsuitable for standard therapy. 6. At least one measurable lesion per RECIST 1.1. 7. DLL3-positive r/r SCLC confirmed by immunohistochemistry. 8. Adequate organ and bone marrow function. 9. Effective contraception required for participants of childbearing potential. 10. Adequate venous access for leukapheresis.
Exclusion criteria
1. Primary CNS malignancy or uncontrolled CNS metastases. 2. Other malignancies within 5 years (except adequately treated non-melanoma skin cancer or carcinoma in situ). 3. Active autoimmune disease or history of autoimmune disease. 4. Immunodeficiency, including HIV positivity. 5. Bleeding disorders (inherited or acquired). 6. Clinically significant cardiovascular disease. 7. Active infection (including tuberculosis, hepatitis B/C, syphilis). 8. Pregnant or breastfeeding women. 9. Clinically significant ascites . 10 Uncontrolled pleural effusion or pericardial effusion. 11\. Prior cell or gene therapy. 12. Severe drug hypersensitivity history. 13. Investigator-assessed unsuitability for trial participation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Safety of TC-D101 CAR-T cells | Up to 24 months | The incidence, type, and severity of all adverse events, serious adverse events, and abnormal laboratory findings. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Efficacy of TC-D101 CAR-T cells | Up to 24 months | Optimal objective response rate (ORR) |
Other
| Measure | Time frame | Description |
|---|---|---|
| To investigate the Cmax of TC-D101 CAR-T cells in the peripheral blood after infusion | Up to 24 months | — |
| To assess TC-D101 CAR-T cell trafficking into tumor tissues after infusion | Up to 24 months | To detect TC-D101 CAR-T cell number in tumor tissues after infusion |
Countries
China