Abstract 81P
Background
Limited infiltration and exhaustion of transferred T cells are key factors impeding the development of adoptive cell immunotherapy in solid tumors. Efficient infiltration of activated T cells into tumors plays an important role in the therapeutic effect of adoptive cell immunotherapy. A tumor-penetrating peptide iRGD modified T cells (SmarT cells) were established to promote tumor-specific lymphocyte infiltration and enhanced the antitumor efficacy of PD-1 blocking strategy.
Methods
Here we report the interim analysis results of an ongoing phase 1/2 dose-escalation clinical trial of SmarT plus PD-1 mAb in patients with previously treated solid cancers (ChiCTR2200061306). The primary objective was safety for the combination of SmarT cells, low dose radiation and PD-1 mAb; secondary objectives included efficacy and dose-finding of SmarT cells.
Results
We treated 10 patients with three SmarT doses: 1.0 × 109, 5.0 × 109 or 10 × 109 cells. The low dose radiation (1Gy) was carried out 24 hours before SmarT injection. Three patients experienced a grade 2 fever. Two patients experienced a grade anemia. No cytokine release syndrome (CRS) occurred. No grade 3 or higher treatment-related adverse events or deaths were reported. A total of three patients had stable disease (SD) and seven patients had a progressive disease (PD). The disease control rate (DCR) reached 30.0%. The median progressive free survival time (mPFS) was 71 days and the median overall survival time (mOS) was 201 days.
Conclusions
These initial results suggest that SmarT cells has promising efficacy with an acceptable safety profile in patients with heavily pretreated solid cancers.
Clinical trial identification
Editorial acknowledgement
Legal entity responsible for the study
The legal committee of Nanjing Drumtower Hospital.
Funding
The funds for Clinical Trials from the Affiliated Drum Tower Hospital, Medical School of Nanjing University (No. 2022-LCYJ-ZD-05, B.L.).
Disclosure
All authors have declared no conflicts of interest.
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