Phase I Clinical Study of α-PD-L1/DLL3 CAR-T in Patients With R/R SCLC

Last updated: May 13, 2025
Sponsor: Sichuan University
Overall Status: Active - Recruiting

Phase

1

Condition

Small Cell Lung Cancer

Treatment

α-PD-L1/4-1BB DLL3 CAR-T (BHP01)

Clinical Study ID

NCT06348797
BHP01-01
  • Ages 18-70
  • All Genders

Study Summary

A study to evaluate the safety and feasibility of α-PD-L1/4-1BB DLL3 Chimeric Antigen Receptor (CAR)-T (BHP01) in patients with Relapsed/Refractory Small Cell Lung Cancer (SCLC) and determine the appropriate CAR-T cell dose. Next, In dose expansion phase, patients were assign two groups with/without bridge radiotherapy.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Patients with recurrent or refractory small cell lung cancer (SCLC) confirmed byhistology or cytology who have relapsed or progressed after treatment with oneprevious 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 afterradiotherapy, must be confirmed that the lesion has progressed ;

  • Patients in limited-stage at the initial diagnosis must undergo radical thoracicradiotherapy and the time of tumor progression is not less than 3 months from theend of radiotherapy, or radical thoracic dose radiotherapy cannot be performed forspecific reasons;

  • The test results of human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), hepatitis C and syphilis were negative at screening;

  • Female patients or male reproductive age patients and their partners should agree toeffective contraception from sighing Informed Consent Form (ICF) to 6 months afterthe last BHP01 infusion.

Exclusion

Exclusion Criteria:

  • Patients with known primary Central Nervous System (CNS) tumor, or meningealmetastasis, or patients with unstable CNS metastasis (symptomatic, requiringhormonal therapy within 4 weeks before investigational treatment, or no radiographicevidence of stabilization of the lesion for more than 4 weeks);

  • Received major surgical procedures (except for diagnosis) within 4 weeks beforePBMCs collection, or are expected to require major surgical procedures during thestudy;

  • Received Chinese herbal medicine or Chinese patent medicine for anti-tumorindications within 7 days before Peripheral Blood Mononuclear Cells (PBMCs)collection;

  • Patients with a history of idiopathic pulmonary fibrosis, mechanical pneumonia (suchas bronchiolitis obliterans), drug-induced pneumonia or idiopathic pneumonia, orevidence of active pneumonia by chest computer tomography (CT) at screening [ahistory of radiation pneumonia (fibrosis) in the irradiated field may participate inthis study];

  • Poorly controlled pleural effusion, pericardial effusion, or ascites requiringrepeated 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, includingbut not limited to myasthenia gravis, myositis, autoimmune hepatitis, systemic lupuserythematosus, rheumatoid arthritis, etc.;

  • Severe infection within 4 weeks before the start of PBMCs collection, including butnot limited to hospitalization due to infection, bacteremia, severe pneumonia, orany active infection that may affect the patient's safety;

  • Serious cardiovascular and cerebrovascular diseases (such as heart disease ≥New YorkHeart Association class II, myocardial infarction or cerebrovascular accident),unstable arrhythmia or unstable angina pectoris within 3 months before PBMCscollection;

  • 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 adequatecontraception; Females of childbearing potential are required to undergo a pregnancystudy during the screening period;

Study Design

Total Participants: 28
Treatment Group(s): 1
Primary Treatment: α-PD-L1/4-1BB DLL3 CAR-T (BHP01)
Phase: 1
Study Start date:
April 03, 2025
Estimated Completion Date:
December 31, 2026

Study Description

Small cell lung cancer (SCLC) accounts for about 15% of lung cancers, and two-thirds of cases are metastatic at the time of diagnosis. The inhibitory notch ligand delta-like ligand 3 (DLL3) is aberrantly expressed on the surface of up to 85% of SCLC cells and minimally expressed in normal tissues, making it a compelling therapeutic target. This is a phase I, first-in-human, 3+3 dose escalation study to evaluate the safety and feasibility of BHP01 in patents with relapsed/refractory SCLC who progressed after at least 1 platinum based chemotherapy regimen.This is a dose escalation and dose expansion study. 12-21 patients with relapsed/refractory SCLC are planned to be enrolled (Group Pre-A/A/B/C). After the Dose-limiting toxicity (DLT) observation period of the related dose group finished.16 patients are planned to enroll in dose expansion phase who was assign two groups with/without bridge radiotherapy.

Connect with a study center

  • West China Hospital Sichuan University

    Chengdu, Sichuan 610041
    China

    Active - Recruiting

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