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Not yet recruitingNCT05152797Updated Dec 10, 2021

Efficacy and Safety of TILs in Treatment of Patients With Advanced or Metastatic Refractory Gynecological Cancer

A Phase 1/2 interventional study of Autologous tumor-infiltrating lymphocytes in Tumor Infiltrating Lymphocytes, sponsored by Women's Hospital School Of Medicine Zhejiang University. Not yet recruiting. Open to female participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2021-12-10.

Sponsored by Women's Hospital School Of Medicine Zhejiang University · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jan 2024, 2 years 9 months ago, but the record still lists the study as not yet recruiting.
Phase
Phase 1/2
Study type
Interventional
Enrollment
91
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
Female
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Study summary

Prospective, multicenter, single-arm, open label, interventional basket trial to evaluate autologous tumor-infiltrating lymphocytes (TILs) infusion followed by IL-2 after a non-myeloablative (NMA) lymphodepletion preparation for the treatment of patients with advanced or metastatic refractory gynecological cancer including cervical, ovarian, endometrial and breast carcinoma.

Read the detailed description

Autologous tumor-infiltrating lymphocytes (TILs) infusion is highly personalized cancer immunotherapy with strong anti-tumor efficacy and tumor specificity. TILs were extracted from autologous fresh tumor tissues, and after ex vivo stimulation, activation and extensive expansion, are reinfused to patients. TIL-based therapies have only been offered in small phase I/II studies in a few centers and revealed a high objective response rate (ORR) in the treatment of metastatic, recurrent or advanced melanoma, non-small cell long carcinoma and cervical carcinoma. However, the efficacy of TIL-based therapies still needs more clinical trials to prove. In this proposal, a one-arm, open, multicenter, phaseⅠ/Ⅱ trial was designed to evaluate the efficacy and safety of autologous tumor-infiltrating lymphocytes in treatment of patients with advanced or metastatic refractory gynecological cancer including cervical, ovarian, endometrial and breast carcinoma.

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Conditions studied

  • Tumor Infiltrating Lymphocytes
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In context

Lead sponsor

Women's Hospital School Of Medicine Zhejiang University is the lead sponsor of 74 studies on the registry; 44 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

Participants eligible for inclusion in this study must meet all of the following criteria: Signed informed consent must be obtained prior to participation in the study.

  • Aged 18-75 years old at the time of consent
  • Participants are diagnosed with advanced or metastatic cervical cancer, ovarian cancer, endometrial cancer or breast cancer with radiology and pathology confirmation.
  • Failure of two or more Lines of Chemotherapy, or not amenable to curative treatment.
  • At least one resectable lesion (or aggregate of lesions resected) of a minimum 1.5 cm in diameter post-resection to extract TIL
  • At least one measurable target lesion, that can be accurately measured in at least one dimension with longest diameter ≥20 mm, as defined by RECIST v1.1
  • All the chemotherapy or radiotherapy targeting the malignant tumors must be discontinued at least 28 days prior to the tumor resection.
  • No serious abnormality of complete blood count and Cardiac, Liver, and Kidney function

Exclusion criteria

Exclusion Criteria:

  • Participants who have received organ transplantation or prior cell transfer therapy
  • Any active autoimmune disease or history of autoimmune disease, or history of primary immunodeficiency.
  • Patients who are taking systemic steroid therapy
  • Patients with confirmed HIV infection, or other uncontrolled active viral infections, or serious system infections
  • Patients with serious complications of heart, lung, liver, kidney, not suitable for enrollment.
  • Patients with suspicious or confirmed brain metastases of any size and any number.
  • Suffered from any other malignancy within 5 years (except for fully treated in situ malignant such as breast cancer, bladder cancer, cutaneous basal cell carcinoma or squamous cell carcinoma)
  • Patients who are pregnant or breastfeeding
  • Any other conditions judged by the researcher will significantly increase the risk of participation.
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Study design

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

Study arms

  • Experimental
    TILs infusion

    Enrolled patients will be infused with their autologous TILs followed by IL-2 administration after post- NMA lymphodepletion

    Biological: Autologous tumor-infiltrating lymphocytes

Interventions

  • BiologicalAutologous tumor-infiltrating lymphocytes

    Fresh tumor samples will be resected from enrolled patients. Autologous TILs will be extracted and reinfused to corresponding patients after ex vivo stimulation, activation and extensive expansion.

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What researchers measure

Primary outcomes

  1. Objective Response Rate

    To evaluate the efficacy of TILs in patients with advanced or metastatic refractory malignant gynecological cancer including cervical, ovarian, endometrial and breast carcinoma based on the objective response rate (ORR) as assessed by the Independent Review Committee (IRC) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1

    Time frame: Up to 6 months

Secondary outcomes

  1. Disease Control Rate

    To evaluate the efficacy of TILs in patients with advanced or metastatic refractory gynecological cancer including cervical, ovarian, endometrial and breast carcinoma based on the disease control rate (DCR) as assessed by the IRC per RECIST v1.1

    Time frame: Up to 60 months

  2. Progression-Free Survival

    To evaluate the efficacy of TILs in patients with advanced or metastatic refractory gynecological cancer including cervical, ovarian, endometrial and breast carcinoma based on the progression-free survival (PFS) as assessed by the IRC per RECIST v1.1

    Time frame: Up to 60 months

  3. Overall Survival

    To evaluate overall survival (OS) in patients with advanced or metastatic refractory gynecological cancer including cervical, ovarian, endometrial and breast carcinoma

    Time frame: Up to 60 months

  4. Adverse Events

    To characterize the safety profile of TILs in patients with advanced or metastatic refractory gynecological cancer including cervical, ovarian, endometrial and breast carcinoma as assessed by incidence of adverse events

    Time frame: Up to 60 months

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Study locations

No study locations are listed for this record.

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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 10, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05152797
Lead sponsor
Women's Hospital School Of Medicine Zhejiang University
Collaborators
Tongji Hospital, Qilu Hospital of Shandong University, Sun Yat-sen University
Responsible party
Sponsor
First posted
Dec 10, 2021
Start date
Jan 1, 2022 (estimated)
Primary completion
Jan 1, 2024 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Dec 10, 2021

Study contacts

Songfa Zhang, MD
Contact
zhangsongfa@zju.edu.cn
+86(571)89992145
Hui Wang, MD
principal investigator · Women's Hospital School Of Medicine Zhejiang University

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Nov 2021. You cannot join it, but the record below documents what was studied.

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