Clinical trial Recruiting at 1 site Early Phase 1 Interventional Ages 18 to 75

TC-D101 CAR-T therapy for DLL3-positive small cell lung cancer

Official title: A Preliminary Exploratory Clinical Study of TC-D101 in the Treatment of DLL3-Positive Relapsed/Refractory Primary Small Cell Lung Cancer

Run by TCRCure Biopharma Ltd. · NCT07246304 · Data updated 2026-11-12

This trial will try a single infusion of TC-D101 CAR-T cells in adults with DLL3-positive relapsed or refractory small cell lung cancer who have progressed after prior treatments.

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Quick facts

PhaseEarly Phase 1
Study typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment24 (estimated)
SponsorTCRCure Biopharma Ltd.
Industry-sponsored
Drugs / interventionsCAR-T, chemotherapy
Locations1 site (Nanjing, Jiangsu)
StatusRecruiting
StartedJune 10, 2026
Main results expectedNovember 30, 2027
Study endsNovember 30, 2028
Registry record updatedOctober 26, 2026
Trial IDNCT07246304 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18–75 with DLL3-positive relapsed or refractory SCLC, ECOG 0–1, adequate organ and marrow function, measurable disease, and who have failed or are unsuitable for standard therapies and can undergo leukapheresis.

Probably not a fit

Patients who are DLL3-negative, have uncontrolled CNS metastases, active infections, significant autoimmune disease, serious cardiac conditions, or poor performance status are unlikely to benefit from this trial.

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

What this trial studies

This single-arm, open-label, early phase 1 dose-escalation trial gives a single infusion of TC-D101 CAR-T cells to adults with DLL3-positive relapsed or refractory SCLC to determine safety and the maximum tolerated dose. The protocol includes screening, leukapheresis to collect peripheral blood mononuclear cells, lymphodepletion chemotherapy, TC-D101 infusion, and scheduled post-infusion follow-up. Investigators will monitor CAR-T cell expansion and persistence, record adverse events, and measure tumor response by RECIST 1.1. Secondary goals include preliminary signs of clinical activity and durability of any responses.

Why it matters

Potential benefit: If successful, this targeted CAR-T approach could produce meaningful tumor shrinkage or disease control in patients with DLL3-positive r/r SCLC who have limited treatment options.

How similar studies have gone: CAR-T therapies have had limited success in solid tumors and DLL3-directed approaches remain experimental with only early-phase data and no established proof of clinical benefit for SCLC.

Who can join: the full rules

Show full inclusion / exclusion criteria
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.

Where it's running

  • The Jinling Hospital
    Nanjing, Jiangsu, China
    Recruiting

Study contacts

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.