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.
Quick facts
| Phase | Early Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 24 (estimated) |
| Sponsor | TCRCure Biopharma Ltd. Industry-sponsored |
| Drugs / interventions | CAR-T, chemotherapy |
| Locations | 1 site (Nanjing, Jiangsu) |
| Status | Recruiting |
| Started | June 10, 2026 |
| Main results expected | November 30, 2027 |
| Study ends | November 30, 2028 |
| Registry record updated | October 26, 2026 |
| Trial ID | NCT07246304 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
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The Jinling Hospital
Nanjing, Jiangsu, China Recruiting
Study contacts
- Study coordinator: Tangfeng LV
- Email: njzyjg80863256@163.com
- Phone: +862580863234
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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.