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RecruitingNCT03093688Updated Jul 2, 2025

Clinical Safty and Efficacy Study of Infusion of iNKT Cells and CD8+T Cells in Patients With Advanced Solid Tumor

A Phase 1/2 interventional study of Infusion of iNKT cells and CD8+T cells in Non-small Cell Lung Cancer, Small Cell Lung Cancer and Pancreas Cancer, sponsored by Shanghai Public Health Clinical Center. Recruiting at 1 site in China. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2025-07-02.

Sponsored by Shanghai Public Health Clinical Center · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2017; still recruiting 9 years 7 months later.
Phase
Phase 1/2
Study type
Interventional
Enrollment
40
Allocation
Not applicable
Ages
18 Years to 70 Years
Sex
All
01

Study summary

Invariant Natural killer T (iNKT) cells are a unique subset of lymphocytes that express homogeneous TCR recognizing KRN7000 which was up-regulated by many kinds of cancer cells. PD-1+CD8+T cells of patients with advanced tumor are most likely tumor-specified. Our hypothesis is that immunotherapy strategy of infusion of iNKT cells and PD-1+CD8+T cells may decrease the tumor burden and improve overall survival. The purpose of this study is to assess the safety and efficacy of treatment of patients with advanced solid tumor by infusing of iNKT cells and PD-1+CD8+T cells.

Read the detailed description

Treatment of patients with advance solid tumor is great unsolved challenge to the physicians. Efficacy of conventional treatment, such as surgery, radiotherapy and chemotherapy is limited. AS novel therapy, immunotherapy shows great prospects.

Human iNKT cells can directly lysis tumor cells by a perforin-dependent mechanism,and intracellular granzyme B expression may also potentiate cell killing. Tumor cells expressing CD1d may be especially susceptible to direct NKT cell lysis. iNKT cells play important role in immune regulation by secreting various cytokines. PD-1+CD8+T cells are most likely tumor-specific in patient with advanced tumor. Expansion method of iNKT cells and PD-1+CD8+T cells in vitro is developed as published in our patent. Infusions of iNKT cells and CD8+T cell have been proved safe in mice.

In this clinical trial, the safety and efficacy of the immunotherapy of infusion of iNKT cells and CD8+T cells are assessed.

02

Conditions studied

  • Non-small Cell Lung Cancer
  • Small Cell Lung Cancer
  • Pancreas Cancer
  • Hepatocellular Carcinoma
  • Gastric Cancer
  • Renal Cell Carcinoma
03

In context

Carcinoma, Non-Small-Cell Lung

6,488 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,632 are open to participants now.

This study's planned enrollment of 40 is below the median of 62 across 5,213 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.

Browse Carcinoma, Non-Small-Cell Lung studies →

Lead sponsor

Shanghai Public Health Clinical Center is the lead sponsor of 37 studies on the registry; 11 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Histological or cytologically diagnosis of advanced lung cancer, or advanced gastric cancer, or advanced pancrease cancer, or hepatocellular carcinoma, or advanced colorectal cancer
  • Patients' tumor tissue (formalin-fixed, paraffin-embedded) must be sufficient for diagnosis of cancer by a certified Laboratory of Pathology
  • Laboratory values within the following ranges prior to receiving treatment of study agent: Hemoglobin≧8.0 g/dL, Neutrophils count≧1E9/L, Lymphocytes count≧lower limit of institutional normal, Platelet count≧50E9/L, Serum creatinine≦2.0 mg/dL, Serum bilirubin≦2 x upper limit of institutional normal, AST/ALT≦2 x upper limit of institutional normal
  • No dyspnea at rest. Oxygen saturation ≥90% on room air
  • No genetic disease
  • Fertile females/males must consent to use contraceptives during participation of the trial. Women of child bearing potential must have a negative pregnancy test prior to receiving treatment of study agent within 7 days
  • Patients must have a Karnofsky performance status greater than or equal to 80%
  • Able and willing to give witnessed, written informed consent form prior to receiving any study related procedure
  • Agrees to participate in long-term follow-up for up to 1 years, if received NKT infusion

Exclusion criteria

Exclusion Criteria:

  • Organ dysfunction,such as significant cardiovascular disease, myocardial infarction within the past six months, unstable angina, coronary angioplasty within the past six months, uncontrolled atrial or ventricular cardiac arrhythmias; Child-Pugh C; Renal function failure or uremia; Respiratory failure; Disturbance of consciousness; Renal failure.
  • Suffering from lymphoma or leukemia
  • Serious infections requiring antibiotics, bleeding disorders
  • Patients with myelodysplastic syndrome (MDS)
  • History of immunodeficiency disease or autoimmune disease
  • Positive HIV antigen and antibody, Hepatitis B surface antigen and Hepatitis C PCR within 21 days prior to enrollment
  • Within concurrent chemotherapy
  • Concurrent other medical condition that would prevent the patient from undergoing protocol-based therapy
  • Participation in any other clinical trial involving another investigational agent within 4 weeks prior to first dose of study agent
  • Pregnant or breast-feeding patients
  • Can't give informed consent
  • Lack of availability for follow-up assessment
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    treatment

    The eligible patient receive the experimental infusion of iNKT cells and CD8+T cells .

    Biological: Infusion of iNKT cells and CD8+T cells

Interventions

  • BiologicalInfusion of iNKT cells and CD8+T cells

    The eligible patients receive twice infusions of iNKT cells(1E8\~1E10) and CD8+T cells(1E7\~1E9) in one course of treatment.

06

What researchers measure

Primary outcomes

  1. Incidence of adverse events related to the infusion of cells

    The incidence of adverse events following infusion of iNKT cells and CD8+T cells

    Time frame: 28 days post-infusion

  2. Objective Response Rate (ORR)

    Change of target focus confirmed by CT or MRI

    Time frame: up to 4 months post-infection

Secondary outcomes

  1. Hematologic analysis

    Hematologic analysis is used to assess the impact of infusion to the cells in blood, including erythrocytes, leukocytes, platelets, T lymphocytes , B lymphocytes, Natural killer cell, NKT, CD4/CD8, and Treg lymphocytes.

    Time frame: Base line, the day before the first infusion in each course of treatment and up to 12 weeks after the treatment

  2. Liver biochemical examination

    Liver Biochemical examination is a serological analysis about the metabolites related to the function of liver , such as immunoglobulins, Albumin (ALB), Alanine aminotransferase (ALT), Aspartate Aminotransferase (AST), Prealbumin (PA), total bilirubin (TB), and direct bilirubin (DB).

    Time frame: Base line, the day before the first infusion in each course of treatment and up to 12 weeks after the treatment

  3. Kidney biochemical examination

    Kidney Biochemical examination is a serological analysis about the metabolites related to the function of liver, such as Blood urea nitrogen (BUN), Urea (UA), and Crea (Cr).

    Time frame: Base line, the day before the first infusion in each course of treatment and up to 12 weeks after the treatment

  4. Tumor Marker

    Tumor Marker

    Time frame: Base line, the day before the first infusion in each course of treatment and up to 12 weeks after the treatment

Other outcomes

  1. Progression-Free Survival (PFS)

    Progression-Free Survival (PFS)

    Time frame: Approximately 1 years after the treatment

07

Study locations

1 of 1 sites recruiting
  • Shanghai Public Health Clinical Center
    Shanghai, Shanghai Municipality 201508, China
    Recruiting
08

References and documents

Publications

  • Wang J, Cheng X, Jin Y, Xia B, Qin R, Zhang W, Hu H, Mao X, Zhou L, Yan J, Zhang X, Xu J. Safety and Clinical Response to Combined Immunotherapy with Autologous iNKT Cells and PD-1+CD8+ T Cells in Patients Failing First-line Chemotherapy in Stage IV Pancreatic Cancer. Cancer Res Commun. 2023 Jun 7;3(6):991-1003. doi: 10.1158/2767-9764.CRC-23-0137. eCollection 2023 Jun. PubMed 37377605 ↗
  • Cheng X, Wang J, Qiu C, Jin Y, Xia B, Qin R, Hu H, Yan J, Zhang X, Xu J. Feasibility of iNKT cell and PD-1+CD8+ T cell-based immunotherapy in patients with lung adenocarcinoma: Preliminary results of a phase I/II clinical trial. Clin Immunol. 2022 May;238:108992. doi: 10.1016/j.clim.2022.108992. Epub 2022 Mar 30. PubMed 35367396 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 2, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03093688
Lead sponsor
Shanghai Public Health Clinical Center
Responsible party
Xiaoyan Zhang (Director of Shanghai Emerging and Re-emerging Infectious Diseases Institute, Shanghai Public Health Clinical Center) — Principal investigator
First posted
Mar 28, 2017
Start date
Mar 1, 2017
Primary completion
Dec 31, 2030 (estimated)
Completion
Dec 31, 2030 (estimated)
Last update
Jul 2, 2025

Study contacts

Yan X Zhang, M.D.
Contact
zhangxiaoyan@shaphc.org
0086-021-37990333 ext. 7310
Recruiting
Contact
Qing J Xu, M.D. Ph.D
study chair · Shanghai Public Health Clinical Center

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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