This is an open-label, single-arm, non-randomized, single-center, prospective phase 1 clinical trial. The study will evaluate the safety, tolerability, and preliminary antitumor activity of IMP3-saRNA (YMN-136) vaccine in patients with advanced non-small cell lung cancer. IMP3-saRNA (YMN-136) is a vaccine product prepared from IMP3 self-amplifying RNA and lipid nanoparticles. The study will enroll patients with histologically or cytologically confirmed non-small cell lung cancer who have failed standard treatment, are intolerant to standard treatment, or have refused standard treatment, and whose tumor tissue is positive for IMP3 expression. A total of 9 participants are planned to be enrolled. Participants will enter one of three dose groups sequentially: 50 micrograms, 100 micrograms, or 200 micrograms. Each dose group will include 3 participants. The study will use a 3+3 dose-escalation design. The vaccine will be administered by intramuscular injection. The immunization schedule includes 4 doses, with each dose given 3 weeks apart. The main purpose of the study is to assess safety and tolerability. Dose-limiting toxicity will be assessed from the first vaccination until 14 days after the third vaccination. Safety assessments will include adverse events, serious adverse events, physical examinations, vital signs, ECOG performance status, laboratory tests, 12-lead electrocardiogram, and echocardiography. The study will also preliminarily assess antitumor activity using RECIST version 1.1. Imaging assessments may include CT or MRI and whole-body bone scan. Additional exploratory evaluations may include blood and tumor tissue biomarker analyses, such as ctDNA, tumor markers, immune cell subsets, dendritic cell maturation, antigen-specific cytotoxic T cells, T-cell activation, antibody titers, PD-L1 expression, gene mutation analysis, and other immune-related tests.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
9
IMP3-saRNA (YMN-136) vaccine is a biological vaccine product prepared from IMP3 self-amplifying RNA and lipid nanoparticles. The vaccine will be administered by intramuscular injection. Participants will be enrolled sequentially into dose groups of 50 micrograms, 100 micrograms, and 200 micrograms using a 3+3 dose-escalation design. The basic immunization schedule includes 4 doses, with each dose given 3 weeks apart. Dose-limiting toxicity will be assessed from the first vaccination until 14 days after the third vaccination.
West China Hospital, Sichuan University, Chengdu, Sichuan
Chengdu, Sichuan, China
RECRUITINGObjective Response Rate (ORR)
Objective response rate is defined as the proportion of participants with a best overall response of complete response (CR) or partial response (PR), as assessed by the investigator according to RECIST version 1.1.
Time frame: 1 years
Progression-Free Survival (PFS)
Progression-free survival is defined as the time from the first dose of study vaccine to the first documented disease progression or death from any cause, whichever occurs first.
Time frame: 1 years
Overall Survival (OS)
Overall survival is defined as the time from the first dose of study vaccine to death from any cause.
Time frame: 1 years
Disease Control Rate (DCR)
Disease control rate is defined as the proportion of participants with a best overall response of complete response (CR), partial response (PR), or stable disease (SD), as assessed by the investigator according to RECIST version 1.1.
Time frame: 1 years
Time to Response (TTR)
Time to response is defined as the time from the first dose of study vaccine to the first documented objective tumor response of complete response (CR) or partial response (PR), as assessed by the investigator according to RECIST version 1.1.
Time frame: 1 years
Time to Progression (TTP)
Time to progression is defined as the time from the first dose of study vaccine to the first documented disease progression, as assessed by the investigator according to RECIST version 1.1.
Time frame: 1 years
Durable Response Rate (DRR)
Durable response rate is defined as the proportion of participants with an objective response, including complete response (CR) or partial response (PR), lasting for at least 6 months within 12 months after the first dose of study vaccine, as assessed by the investigator according to RECIST version 1.1.
Time frame: 1 years
Duration of Response (DOR)
Duration of response is defined as the time from the first documented complete response (CR) or partial response (PR) to the first documented disease progression or death. Responders without documented disease progression or death will be censored at the date of the last tumor assessment showing stable disease (SD) or better.
Time frame: 1 years
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.