Clinical trial Recruiting at 1 site Phase 1 Interventional Ages 18 to 70

Treatment for relapsed small cell lung cancer using CAR-T therapy

Official title: Phase I Clinical Study on Safety and Feasibility of DLL3 Targeted α-PD-L1/4-1BB Modifying Chimeric Antigen Receptor T-cells in Patients With Relapsed or Refractory Small Cell Lung Cancer (SCLC)

Run by Sichuan University · NCT06348797 · Data updated 2026-11-12

This study is testing a new CAR-T therapy for people with relapsed small cell lung cancer to see if it can help them after other treatments have failed.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years to 70 Years
SexAll
Enrollment30 (estimated)
SponsorSichuan University
Academic / other
Drugs / interventionsCAR-T, radiation, Chimeric Antigen Receptor, chemotherapy
Locations1 site (Chengdu, Sichuan)
StatusRecruiting
StartedApril 3, 2025
Main results expectedDecember 30, 2026
Study endsDecember 31, 2026
Registry record updatedJuly 21, 2026
Trial IDNCT06348797 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18-70 with recurrent or refractory small cell lung cancer who have progressed after platinum-based chemotherapy.

Probably not a fit

Patients with small cell lung cancer who have not received prior platinum-based chemotherapy or those with significant comorbidities 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 phase I clinical study evaluates the safety and feasibility of α-PD-L1/4-1BB DLL3 CAR-T (BHP01) in patients with relapsed or refractory small cell lung cancer (SCLC) who have progressed after at least one platinum-based chemotherapy regimen. The study employs a 3+3 dose escalation design to determine the appropriate CAR-T cell dose, followed by a dose expansion phase where patients are assigned to groups with or without bridge radiotherapy. The study aims to enroll 12-21 patients initially, with an additional 16 patients in the expansion phase, focusing on the therapeutic potential of targeting DLL3, which is expressed on a majority of SCLC cells.

Why it matters

Potential benefit: If successful, this treatment could provide a new therapeutic option for patients with relapsed small cell lung cancer, potentially improving survival outcomes.

How similar studies have gone: While CAR-T therapies have shown promise in other cancers, this specific approach targeting DLL3 in SCLC is novel and has not been extensively tested in prior studies.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients with recurrent or refractory small cell lung cancer (SCLC) confirmed by histology or cytology who have relapsed or progressed after treatment with one previous platinum-based regimen;
* Patients can provide sufficient tumor tissue (fresh or paraffin sections, etc.);
* Age 18 \~70 (including boundary), for both men and women;
* Eastern Cooperative Oncology Group (ECOG) performance status of 0-1;
* Life expectancy ≥3 months;
* At least one extracranial measurable lesion (RECIST v1.1) exists;for lesion after radiotherapy, must be confirmed that the lesion has progressed ;
* Patients in limited-stage at the initial diagnosis must undergo radical thoracic radiotherapy and the time of tumor progression is not less than 1 months from the end of radiotherapy, or radical thoracic dose radiotherapy cannot be performed for specific reasons; The time elapsed since the completion of radiotherapy for brain metastases shall be no less than 1 months;
* The test results of human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), hepatitis C and syphilis were negative at screening (If hepatitis B core antibody (HBcAb) is positive, additional HBV DNA testing is required, and subjects whose test result is less than the reference value can be included in the study) ;
* Female patients or male reproductive age patients and their partners should agree to effective contraception from sighing Informed Consent Form (ICF) to 6 months after the last BHP01 infusion.

Exclusion Criteria:

* Patients with known primary Central Nervous System (CNS) tumor, or meningeal metastasis, or patients with unstable CNS metastasis (symptomatic, requiring hormonal therapy within 4 weeks before investigational treatment, or no radiographic evidence of stabilization of the lesion for more than 4 weeks);
* Received major surgical procedures (except for diagnosis) within 4 weeks before PBMCs collection, or are expected to require major surgical procedures during the study;
* Received Chinese herbal medicine or Chinese patent medicine for anti-tumor indications within 7 days before Peripheral Blood Mononuclear Cells (PBMCs) collection;
* Patients with a history of idiopathic pulmonary fibrosis, mechanical pneumonia (such as bronchiolitis obliterans), drug-induced pneumonia or idiopathic pneumonia, or evidence of active pneumonia by chest computer tomography (CT) at screening \[a history of radiation pneumonia (fibrosis) in the irradiated field may participate in this study\];
* Poorly controlled pleural effusion, pericardial effusion, or ascites requiring repeated drainage procedures (once a month or more frequently);
* Poorly controlled or symptomatic hypercalcemia (ionic calcium\> 1.5 mmol/L, calcium\> 12 mg/dL or corrected calcium\> ULN);
* Presence of active or previous autoimmune diseases or immunodeficiencies, including but not limited to myasthenia gravis, myositis, autoimmune hepatitis, systemic lupus erythematosus, rheumatoid arthritis, etc.;
* Severe infection within 4 weeks before the start of PBMCs collection, including but not limited to hospitalization due to infection, bacteremia, severe pneumonia, or any active infection that may affect the patient's safety;
* Serious cardiovascular and cerebrovascular diseases (such as heart disease ≥New York Heart Association class II, myocardial infarction or cerebrovascular accident), unstable arrhythmia or unstable angina pectoris within 3 months before PBMCs collection;
* Previous treatment with DLL 3 target drugs or CAR-T or other gene-modified T cells;
* Received any other Investigational drug within 28 days prior to PBMCs collection;
* A history of mental illness;
* Incapacitated persons or persons with limited capacity;
* pregnant or lactating females; Males or females who are unwilling to use adequate contraception; Females of childbearing potential are required to undergo a pregnancy study during the screening period;

Where it's running

  • West China Hospital Sichuan University
    Chengdu, Sichuan, 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.