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项与 Anti-EGFR/IL-13R alpha 2 CAR-T cell therapy(Tmunity Therapeutics/University of Pennsylvania) 相关的临床试验Phase Ib, Open-Label Study of CART-EGFR-IL13Rα2 Cells Administered Following Lymphodepleting Chemotherapy or Prior to Surgical Resection in Patients With EGFR-Amplified Recurrent Glioblastoma
This is an open-label, phase 1b study to evaluate different approaches for CART-EGFR-IL13Ra2 dosing and further characterize the safety, feasibility, preliminary efficacy, and pharmacokinetics of CART-EGFR-IL13Ra2 cells in patients with EGFR-amplified glioblastoma that has recurred following prior radiotherapy.
Phase 1 Open-label Study Evaluating the Safety of CART-EGFR-IL13R?2 Cells in Patients With Newly Diagnosed, EGFR-Amplified, MGMT-unmethylated Glioblastoma Following Completion of Initial Radiotherapy
This is an open-label phase 1 study to assess the safety, feasibility, pharmacokinetics and preliminary efficacy of autologous T cells co-expressing two CARs targeting the cryptic EGFR epitope 806 and IL3Ra2 (referred to as "CART-EGFR-IL13Ra2 cells"). Patients with newly diagnosed, EGFR-amplified, MGMT-unmethylated glioblastoma who have undergone maximal safe surgical resection will be approached for initial study participation. A two-step screening/eligibility process will be utilized. Following informed consent, subjects who meet Step #1 Eligibility Criteria will remain on study and complete a course of radiotherapy (60 Gy) without temozolomide as per their routine cancer care. If there is no overt evidence of disease recurrence/progression following radiotherapy, additional screening tests/procedures will be performed. Subjects who then meet Step #2 Eligibility Criteria will undergo apheresis collection to initiate cell product manufacturing and surgical placement of a CSF-Ventricular Reservoir to allow for intracerebroventricular injection of the CART-EGFR-IL13Ra2 cells. All subjects will receive a single fixed dose of CART-EGFR-IL13Ra2 cells on Day 0 via intracerebroventricular delivery.
/ Active, not recruiting临床1期IIT Phase 1, Open-label Study Evaluating the Safety and Feasibility of CART-EGFR-IL13Ra2 Cells in Patients With EGFR-Amplified Recurrent Glioblastoma
This is an open-label phase 1 study to assess the safety and feasibility of autologous T cells co-expressing two CARs targeting the cryptic EGFR epitope 806 and IL13Ra2 (referred to as "CART-EGFR-IL13Ra2 cells") in patients with EGFR-amplified glioblastoma, IDH-wildtype that has recurred following prior radiotherapy. This study will take place in two parts: an initial dose escalation phase followed by a dose exploration phase. In the dose expansion phase, the maximum tolerated dose (MTD) of CART-EGFR-IL13Ra2 cells will be determined using a standard 3+3 design. Once the MTD has been determined, the dose exploration phase will allow for further identification of a recommended dose for expansion (RDE) as well as the safety and feasibility of alternative dosing schedules.
100 项与 Anti-EGFR/IL-13R alpha 2 CAR-T cell therapy(Tmunity Therapeutics/University of Pennsylvania) 相关的临床结果
100 项与 Anti-EGFR/IL-13R alpha 2 CAR-T cell therapy(Tmunity Therapeutics/University of Pennsylvania) 相关的转化医学
100 项与 Anti-EGFR/IL-13R alpha 2 CAR-T cell therapy(Tmunity Therapeutics/University of Pennsylvania) 相关的专利(医药)
1
项与 Anti-EGFR/IL-13R alpha 2 CAR-T cell therapy(Tmunity Therapeutics/University of Pennsylvania) 相关的新闻(医药)胶质母细胞瘤(GBM)是成人最常见的原发性脑癌,患者中位总生存期(OS)仅12-15个月;对于一线放化疗后进展的复发性胶质母细胞瘤(rGBM),临床更是缺乏有效治疗手段。近年研究发现,CAR-T细胞疗法已在这一难治性疾病的治疗中展现出潜在应用价值。
2025年6月1日,宾夕法尼亚大学佩雷尔曼医学院的研究团队在全球权威期刊《Nature Medicine》上,公布了一项I期临床试验(NCT05168423)的振奋数据:针对EGFR扩增的rGBM患者,研究采用脑室内注射方式,使用靶向表皮生长因子受体(EGFR)表位806和白细胞介素13受体α2(IL-13Rα2)的二价CAR-T(CART-EGFR-IL13Rα2)细胞进行治疗,最终成功
减缓了近三分之二患者的肿瘤生长
。这一突破性进展不仅为长期陷入治疗困境的rGBM患者点亮了新生希望,更推动双靶点CAR-T疗法在脑癌领域迈出关键一步,有望改写胶质母细胞瘤的治疗格局,为更多难治性脑肿瘤患者开辟精准治疗新路径!
▲截图源自“Nature Medicine”
精准狙击复发胶质母细胞瘤!双靶点CAR-T让62%患者肿瘤消退
该研究共纳入18名复发性胶质母细胞瘤(rGBM)患者,所有患者均接受肿瘤切除手术后,通过鞘内注射将双靶点CAR-T细胞直接递送至脑脊液。
结果显示:在13名可测量疾病患者中,
62%(8例)患者治疗后出现肿瘤消退
:其中1例经神经肿瘤学改良疗效评估标准(mRANO)确认为部分缓解(PR),客观放射影像学缓解率为8%(90%Cl:0%-32%),另有1例患者病情持续稳定超16个月。患者中位无进展生存期(PFS)为1.9个月(90%Cl:1.1-3.4个月),截至数据截止时,中位总生存期尚未达到,中位随访时间为8.1个月。
▼游泳图(n=18)提示患者生存期
▲图源“Nature Medicine”,版权归原作者所有,如无意中侵犯了知识产权,请联系我们删除
▼中位无进展生存期
▲图源“Nature Medicine”,版权归原作者所有,如无意中侵犯了知识产权,请联系我们删除
值得一提的是,其中患者28的T1加权对比MRI图像尤为值得关注,其疗效已通过mRANO标准确认达到部分缓解(PR,详见下图)。
▲图源“Nature Medicine”,版权归原作者所有,如无意中侵犯了知识产权,请联系我们删除
小编寄语
十二年前,急性淋巴细胞白血病患儿Emily Whitehead在接受CAR-T细胞疗法治疗后,获得临床治愈,并存活至今的案例让CAR-T这款新型免疫细胞疗法一战成名!如今,我们很欣慰的看到,全球已有12款CAR-T产品获批上市,为无数饱受疾病折磨的血液肿瘤患者带来了新的希望与曙光!
更加欣慰的是,各国都纷纷加入CAR-T研发大军中,截至2023年,全球免疫细胞的临床研究项目已超2000项(ClinicalTrials.gov),其中仅CAR-T疗法一项就占据了近半数以上,这也彰显了CAR-T疗法在抗癌领域的广阔应用前景。而且近年来,研究人员不断更新CAR-T的新技术、发现新的靶点,尝试将其用于实体瘤治疗领域,并取得了不俗的疗效。全球肿瘤医学部小编希望CAR-T疗法可以早日突破价格和实体瘤治疗瓶颈,让越来越多的癌症患者获益,助其降低复发风险、实现长期带瘤生存的美好愿景!
参考资料
[1]Bagley S J,et al.Intracerebroventricular bivalent CAR T cells targeting EGFR and IL-13Rα2 in recurrent glioblastoma: a phase 1 trial[J]. Nature Medicine, 2025: 1-10.
https://www.nature.com/articles/s41591-025-03745-0
本文为全球肿瘤医生网原创,未经授权严禁转载
100 项与 Anti-EGFR/IL-13R alpha 2 CAR-T cell therapy(Tmunity Therapeutics/University of Pennsylvania) 相关的药物交易