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RecruitingNCT05878028Updated May 23, 2024

L-TIL Plus Tislelizumab for PD1 Antibody Resistant aNSCLC

A Phase 2 interventional study of L-TIL, Tislelizumab, Docetaxel in Non-small Cell Lung Cancer, sponsored by Quanli Gao. Recruiting at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2024-05-23.

Sponsored by Quanli Gao · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Sep 2025, 1 year ago, but the record still lists the study as recruiting.
  • Registered 7 months after the study started (first participant enrolled Sep 2022, registered May 2023).
  • Started Sep 2022; still recruiting 4 years later.
Phase
Phase 2
Study type
Interventional
Enrollment
33
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The goal of this observational study is to test in advanced non-small cell lung cancer patients with negative driver gene. For these patients, PD1 antibody therapy combined with chemotherapy was the preferred regimen. However, there is no standard regimen for the patients who refractory from the first-line PD1 inhibitor based therapy.

The main questions they aim to answer are: 1.The efficacy of Liquid Tumor Infiltrating Lymphocytes (L-TIL) plus Tislelizumab and Docetaxel for patients failure from first line chemotherapy and PD1 inhibitor therapy. 2. The safety of L-TIL plus Tislelizumab and Docetaxel as second line therapy.

All participants will receive four cycles of Docetaxel chemotherapy, six cycles of L-TIL cells infusion and one year of Tislelizumab treatment except for disease progression, intolerable toxicity, withdrawal informed consent, death and so on.

Read the detailed description

This study is one arm, single center, phase II clinical trial. The participants were diagnosed with metastatic non-small cell lung cancer but without actionable biomarkers (eg: EGFR, ALK, MET, ROS1). PD1 inhibitor and chemotherapy as first line therapy was not respond, or develop tumor progression after a response. Four cycles of Docetaxel chemotherapy, six cycles of L-TIL cells infusion and one year of Tislelizumab regimen Q3W were used. Docetacxel was dosed 75mg/m2 and Tislelizumab was dosed 200mg on day 1, L-TIL cells were dosed (3-10)x10*9/m2 on day 14. Eligible patients were no less than 18 and no more than 75 years old, with adequate organ function but without active infection and autoimmune disease.

02

Conditions studied

  • Non-small Cell Lung Cancer

Keywords

  • L-TIL
  • PD1 antibody resistance
  • Tislizumab
  • Chemotherapy
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 33 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

Quanli Gao is the lead sponsor of 3 studies on the registry; 2 are open to participants now.

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

04

Who can participate

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

Inclusion criteria

  • Non-small cell lung cancer patients diagnosed by pathological histology.
  • Imaging examination showed stage IV disease.
  • Non-squamous cancer patients shall be EGFR , ALK, ROS1, RET, MET negative.
  • Failure from anti-PD-1 antibody treatment, including treatment ineffective or effective for a period then progress.
  • The Eastern Oncology Collaboration Group (ECOG) scores 0-1.
  • At least one imaging lesion can be measured, according to the standard for evaluating the effectiveness of solid tumors (RECIST 1.1).
  • Asymptomatic or stable symptoms after local treatment is allowed.
  • Subjects are allowed to receive palliative radiation.
  • Enough organ functions well.
  • Patients have good superficial venous blood circulation, which can meet the needs of intravenous dripping.
  • No other serious diseases that conflict with this study regimes (e.g. autoimmune diseases, immune deficiencies, organ transplants, chronic infections).
  • For female subjects with reproductive age, the pregnancy test should be accepted within 3 days prior to the first study drug administered (day 1 of cycle 1) and the results are negative.
  • In the event of a risk of conceival, all subjects (male or female) must adopt contraception at a rate of less than 1% annually for the entire treatment period up to 120 days after the last study of the drug was administered (or 180 days after the last study of the drug).
  • The patient himself agrees to participate in this clinical trial, sign the Informed Consent Letter, complete the procedure, treatment, and follow-up.

Exclusion criteria

Exclusion Criteria:

  • Small cell lung cancer (SCLC), including mixing pathology, combined with SCLC and NSCLC.
  • Accepted radiation treatment in special organ before the first drug was administered, eg: more than 30% bone marrow within 14 days.
  • Diagnosed with second malignant diseases within five years.
  • Participating in other clinical trial.
  • Treatment with other drugs, including thymus peptide, interferon, interleukin, and so on.
  • Active autoimmune diseases requires systemic treatment.
  • Receiving glucocorticoid therapy, excluding local glucocorticoids in nose, inhalation or other pathways, or any other form of immunosuppressive therapy.
  • Uncontrolled chest and abdominal fluid.
  • Patients have accepted organ transplantation or hematopoietic stem cell transplantation.
  • Allergic to intervention drugs, including ingredients and auxiliary components. ·Incomplete recovery from the adverse events.
  • Active hepatitis B or HCV infection.
  • Accepted active vaccines within 30 days before the first dose.
  • Women who are pregnant or breastfeeding.
  • Symptomatic CNS metastasis.
  • Uncontrolled active infections, eg. sepsis, mycemia, fungal hematoma.
  • With serious mental disorders.
  • Other conditions that the researchers believe in having potential risks which are not suitable for this study.
05

Study design

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

Study arms

  • Experimental
    L-TIL plus Tislelizumab and Docetaxel

    Tislelizumab, 200mg, ivgtt, d1, Q3W for one year L-TIL cells, (3-10)x10\^9/m2, ivgtt, d14, Q3W for 4 or 6 cycles Docetacel, 75mg/m2, ivgtt, d1, Q3W for 4 cycles

    Combination Product: L-TIL, Tislelizumab, Docetaxel

Interventions

  • Combination productL-TIL, Tislelizumab, Docetaxel

    PD1 positive lymphocytes were collect, isolated, and expanded from peripheral blood, then infused back into the patient's body. Besides this, Tislelizumab and Docetaxel were used as combination therapy.

    Also known as: Liquid Tumor Infiltrating Lymphocytes

06

What researchers measure

Primary outcomes

  1. ORR

    overall response rate (including complete response and partial response)

    Time frame: 3 months

Secondary outcomes

  1. PFS

    duration of disease stable or better

    Time frame: 6 months and 12 months

  2. DCR

    disease control rate (including patients who achieved complete response, partial response and stable disease)

    Time frame: 3 months

  3. DOR

    duration of response

    Time frame: 6 months and 12 months

07

Study locations

1 of 1 sites recruiting
  • No.127 Dongming Road
    Zhengzhou, Henan 450000, China
    Recruiting
08

References and documents

Study documents

  • Protocol and statistical analysis plan · Mar 22, 2022

Documents are hosted by the registry — open the source record to download them.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 23, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05878028
Lead sponsor
Quanli Gao
Responsible party
Quanli Gao (Head of Immunotherapy department, Henan Cancer Hospital) — Sponsor-investigator
First posted
May 26, 2023
Start date
Sep 16, 2022
Primary completion
Sep 15, 2025 (estimated)
Completion
Sep 15, 2025 (estimated)
Last update
May 23, 2024

Study contacts

Quanli NA Gao, PhD
Contact
zlyygql@zzu.edu.cn
86-0371-65587951
Xiaomin NA Fu, PhD
Contact
fuxiaomin0880@126.com
86-0371-65587483
YanYan NA Liu, phD
study chair · Henan Cancer Hospital

Oversight

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

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