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
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 70 Years |
| Sex | All |
| Enrollment | 30 (estimated) |
| Sponsor | Sichuan University Academic / other |
| Drugs / interventions | CAR-T, radiation, Chimeric Antigen Receptor, chemotherapy |
| Locations | 1 site (Chengdu, Sichuan) |
| Status | Recruiting |
| Started | April 3, 2025 |
| Main results expected | December 30, 2026 |
| Study ends | December 31, 2026 |
| Registry record updated | July 21, 2026 |
| Trial ID | NCT06348797 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
- Principal investigator: You Lu, MD — West China Hospital
- Study coordinator: Jianxin Xue, MD
- Email: killercell@163.com
- Phone: 18982251798
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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.