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
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 85 Years |
| Sex | All |
| Enrollment | 40 (estimated) |
| Sponsor | Second Affiliated Hospital of Guangzhou Medical University Academic / other |
| Drugs / interventions | prednisone |
| Locations | 1 site (Guangzhou) |
| Status | Recruiting |
| Started | January 1, 2021 |
| Main results expected | December 31, 2029 |
| Study ends | January 1, 2035 |
| Registry record updated | June 25, 2024 |
| Trial ID | NCT04842812 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.
-
Using brodalumab to treat immune-related side effects from cancer therapy
This study is testing if brodalumab can help cancer patients who are having immune-related side effects from their immunotherapy treatment feel better.
-
Evaluating the impact of MR-guided radiation therapy on cancer treatment outcomes
This study is testing how using a special type of radiation therapy with real-time imaging can improve treatment results and quality of life for adults with cancer.
-
Precision navigation to boost cancer screening participation in high-risk communities
This study tests whether a personalized navigation program helps adults aged 45–74 in Chinese communities who are at high risk for several cancers to complete recommended free cancer screenings.
-
AI language tools to help tumor care teams write MDT reports
We will test whether AI language tools can help junior cancer doctors write MDT diagnosis and treatment reports more accurately and faster.
-
Riluzole to prevent thinking and memory problems during chemotherapy
This pilot trial tests whether riluzole can prevent thinking and memory problems in adults with cancer receiving anthracycline- or platinum-based chemotherapy.
-
Collecting blood and leftover tumor tissue to test molecular residual disease (MRD) detection
This project will test whether blood and leftover tumor tissue from adults with certain solid tumors can be used with Natera's MRD blood tests to find tiny amounts of cancer (ctDNA) after treatment.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.