Advancement Opportunities and Endeavor of Innovative Targeted Therapies for Small Cell Lung Cancer.
Wei Ouyang, Ziyao Xu, Shaoyu Guan...
https://pubmed.ncbi.nlm.nih.gov/39897044/Actively Recruiting
Led by UNC Lineberger Comprehensive Cancer Center · Updated on 2026-02-05
24
Participants Needed
1
Research Sites
100 weeks
Total Duration
Researchers are evaluating the safety of an experimental treatment called iC9-GD2.CAR.IL-15 T cells in adults with extensive stage lung cancer or stage IV non-small cell lung cancer that is platinum-refractory and who have received PD-1 andor PD-L1 therapy. This phase 1, single-center, open-label study focuses on determining the safe dose and maximum tolerated dose of this new treatment. The therapy combines modified T cells and antibodies to target cancer cells more effectively than either alone. The treatment involves two main steps. First, blood is collected from each subject to isolate and modify their T cells to create iC9-GD2.CAR.IL-15 T cells. Next, these modified cells are given back to the subject through an intravenous infusion over 5 to 10 minutes. This therapy includes a safety switch called inducible caspase 9 iC9 and targets the GD2 antigen on cancer cells, with the goal of improving immune response against lung cancer. Participants will be monitored closely for up to four weeks to assess any side effects such as adverse events, cytokine release syndrome, and neurotoxicity. Researchers will also evaluate the recommended dose for future studies, overall response rate, progression-free survival, overall survival, and duration of response over a two-year period. Additional assessments include GD2 expression on tumor cells and its correlation with treatment response. The entire study duration and follow-up extend up to two years from treatment administration.
CONDITIONS
Autologous CAR T-Cells Targeting the GD2 Antigen for Lung Cancer
C
Catherine Cheng
C
Caroline Babinec
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UNC Lineberger Comprehensive Cancer Center
Lead Sponsor
Bellicum Pharmaceuticals
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | CAR T-Cell Therapy | Current Guideline-Based Therapy |
|---|---|---|
| What it is | Personalized T-cells are genetically modified to target GD2 antigen on lung cancer cells and infused intravenously. | Guideline-recommended options include additional lines of chemotherapy, immunotherapy agents, and targeted therapies tailored to prior treatment history and tumor characteristics. |
| Primary use | Investigational treatment aimed at controlling platinum-refractory lung cancer after prior chemotherapy and immunotherapy. | Current therapies are used to slow disease progression and improve symptoms in patients unresponsive to platinum-based chemotherapy. |
| How it is given or performed | iC9-GD2.CAR.IL-15 T-cells are infused intravenously over 5 to 10 minutes after cell procurement and manufacturing. | Chemotherapy, immunotherapy, or targeted agents are administered intravenously, orally, or subcutaneously, depending on the chosen regimen, typically at periodic intervals. |
| Evidence status / evidence maturity | Clinical evidence is limited; no published results for this trial are available yet. | Published clinical trials and reviews establish efficacy and safety for these therapies in platinum-refractory lung cancer. |
| Important limitations | The study is early-phase with a small sample size and lacks published clinical results; safety and efficacy remain unestablished for this approach. | Even guideline-based therapies often show limited effectiveness and significant toxicity in platinum-refractory lung cancer, and few options lead to durable response. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Up to 4 weeks
Participants receive an infusion of iC9.GD2.CAR.IL-15 T cells via intravenous injection over 5 to 10 minutes.
1 treatment visit and weekly visits for up to 4 weeks
Duration - Up to 2 years
Participants are monitored for safety, response, and survival outcomes after treatment.
Regular visits for follow-up assessments up to 2 years
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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Wei Ouyang, Ziyao Xu, Shaoyu Guan...
https://pubmed.ncbi.nlm.nih.gov/39897044/UNC Lineberger Comprehensive Cancer Center
Lead Sponsor
Bellicum Pharmaceuticals
Collaborating Sponsor