Clinical trial Recruiting at 1 site Phase 1 Interventional Ages 18 to 85

Engineered TILs and CAR-TILs for treating advanced solid tumors

Official title: Engineered TILs/CAR-TILs With PD1 Knockout and Anti-PD1/CTLA4-scFv Secreting or CARs Against Various Antigens to Treat Advanced Solid Tumors

Run by Second Affiliated Hospital of Guangzhou Medical University · NCT04842812 · Data updated 2026-11-12

This study is testing a new way to treat advanced solid tumors by using specially modified immune cells from patients to see if they can better fight the cancer.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years to 85 Years
SexAll
Enrollment40 (estimated)
SponsorSecond Affiliated Hospital of Guangzhou Medical University
Academic / other
Drugs / interventionsprednisone
Locations1 site (Guangzhou)
StatusRecruiting
StartedJanuary 1, 2021
Main results expectedDecember 31, 2029
Study endsJanuary 1, 2035
Registry record updatedJune 25, 2024
Trial IDNCT04842812 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are patients with advanced cancers who have not responded to existing treatments and have a life expectancy of more than 12 weeks.

Probably not a fit

Patients with severe viral infections, those who have previously undergone gene therapy, or those with other severe health conditions may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial focuses on patients with advanced solid tumors, including liver, lung, breast, colorectal cancers, and brain tumors. Tumor-infiltrating lymphocytes (TILs) are harvested from these patients and genetically engineered using CRISPR-Cas9 to enhance their cancer-fighting capabilities by knocking out the PD1 gene and expressing specific CARs targeting various tumor antigens. The engineered TILs are then transfused back into the patients to evaluate their safety, tolerance, and preliminary clinical efficacy. The study aims to provide a novel approach to treating cancers that have not responded to existing therapies.

Why it matters

Potential benefit: If successful, this approach could offer a new, effective treatment option for patients with advanced solid tumors that have failed current therapies.

How similar studies have gone: While the use of engineered TILs and CAR-TILs is a novel approach, similar studies have shown promise in treating various cancers, indicating potential for success.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Patients with advanced cancers that failed to current available therapies;
2. Life expectancy \>12 weeks;
3. Adequate heart, lung, liver, kidney functions;
4. Available for tumor biopsy or cancerous effusions;
5. Informed consent explained to, understood by and signed by patient/guardian. Patient/guardian given copy of informed consent.

Exclusion Criteria:

1. Had accepted gene therapy before;
2. Severe virus infection such as HBV, HCV, HIV, et al; Known HIV positivity;
3. Active infectious disease related to bacteria, virus, fungi, et al;
4. Other severe diseases that the investigators consider not appropriate;
5. Pregnant or lactating women;
6. Systemic steroid treatment (greater than or equal to 0.5 mg prednisone equivalent/kg/day);
7. Other conditions that the investigators consider not appropriate.

Where it's running

  • Second Affiliated Hospital of Guangzhou Medical University
    Guangzhou, China
    Recruiting

Study contacts

  • Principal investigator: Zhenfeng Zhang, MD, PhD — Second Affiliated Hospital of Guangzhou Medical University
  • Study coordinator: Zhenfeng Zhang, MD, PhD
  • Email: zhangzhf@gzhmu.edu.cn
  • Phone: +862039195966

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.