This is an open-label, single-arm, phase 1 dose-escalation study to evaluate the safety, tolerability, pharmacokinetics, and preliminary efficacy of CIB in vivo CAR-T lentiviral injection in patients with advanced malignant tumors. The study will enroll patients with histologically or cytologically confirmed advanced solid tumors that have progressed on or are intolerant to standard therapies. A "3+3" dose-escalation design will be used, with planned dose levels including 1×10⁵ TU/kg, 3×10⁵ TU/kg, 1×10⁶ TU/kg, 3×10⁶ TU/kg, 1×10⁷ TU/kg, and 3×10⁷ TU/kg. The primary objective is to determine the maximum tolerated dose (MTD) or recommended phase 2 dose (RP2D) based on dose-limiting toxicities (DLTs) observed within 28 days after administration. Secondary objectives include evaluating adverse events, objective response rate (ORR), disease control rate (DCR), progression-free survival (PFS), overall survival (OS), and pharmacokinetic parameters of the study drug.
This is a single-center, open-label, phase 1 dose-escalation study. Eligible patients will receive CIB in vivo CAR-T lentiviral injection at escalating dose levels. Safety assessments include adverse events, laboratory tests, vital signs, and physical examinations. Efficacy assessments include tumor response evaluation according to RECIST v1.1. Pharmacokinetic and immunogenicity assessments will also be performed.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
91
CIB in vivo CAR-T lentiviral vector administered via intravenous infusion at escalating dose levels.
National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences
Beijing, Beijing Municipality, China
Incidence of Dose-Limiting Toxicities (DLTs) and Determination of Maximum Tolerated Dose (MTD)
To evaluate the incidence of dose-limiting toxicities (DLTs) within 28 days after administration, and to determine the maximum tolerated dose (MTD) or recommended Phase 2 dose (RP2D) of CIB in vivo CAR-T lentiviral injection.
Time frame: 28 days after administration
Incidence and Frequency of Adverse Events (AEs) and Serious Adverse Events (SAEs)
To evaluate the incidence, frequency, and severity of all adverse events (AEs) and serious adverse events (SAEs) throughout the study period.
Time frame: From administration up to 24 months
Objective Response Rate (ORR)
Percentage of patients with confirmed complete response (CR) or partial response (PR) according to RECIST v1.1.
Time frame: Every 6 weeks after administration, up to 12 months
Disease Control Rate (DCR)
Description: Percentage of patients with confirmed CR, PR, or stable disease (SD) according to RECIST v1.1.
Time frame: Every 6 weeks after administration, up to 12 months
Duration of Response (DoR)
Time from the first documented response (CR or PR) to disease progression or death.
Time frame: Up to 24 months after administration
Progression-Free Survival (PFS)
Time from administration to the first documented disease progression or death due to any cause.
Time frame: Up to 24 months after administration
Dynamic Changes in Peripheral Blood CAR-Positive T Cell Proportion
Serial changes in the proportion of CAR-positive T cells in peripheral blood.
Time frame: Pre-dose, Days 7, 14, 28, 60, 90, and 180 after administration
Dynamic Changes in Peripheral Blood Lentiviral Vector Copy Number
Serial changes in the lentiviral vector copy number in peripheral blood.
Time frame: Pre-dose, Days 7, 14, 28, 60, 90, and 180 after administration
Changes in Plasma Cytokine Levels
Changes in plasma core cytokines including IFN-γ, IL-1β, IL-2, IL-4, IL-6, IL-8, IL-10, IL-12p70, IL-13, and TNF-α from baseline.
Time frame: Within 2 hours pre-dose, Days 2, 8, 14, and 28 after administration
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