About this trial
This is an open-label, single-arm, dose-escalation Phase I clinical study designed to evaluate the safety, tolerability, pharmacokinetic profile, and preliminary efficacy of NK Cell Injection in patients with advanced solid tumors.
Eligible participants who have signed written informed consent will be screened and, if qualified, assigned a enrollment number and sequentially assigned to the designated dose group.
The study employs a traditional "3+3" dose-escalation design. Each dose group enrolls at least 3 participants, with each participant receiving only one corresponding dose level, until the MTD or RP2D is determined.
The study consists of four periods: Screening Period, Treatment Period (including lymphodepleting chemotherapy), Safety Follow-up Period, and Survival Follow-up Period.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18 to 75 years (inclusive), regardless of sex;
Histologically or cytologically confirmed advanced solid tumor;
Failed standard treatment, or no standard treatment available, or standard treatment not currently applicable;
At least one measurable lesion per RECIST 1.1 (non-lymph node lesion >= 1.0 cm in long diameter, or lymph node lesion >= 1.5 cm in short diameter); lesions previously treated with local therapy (e.g., radiotherapy or interventional therapy) cannot be considered target lesions unless there is imaging evidence of definitive progression;
Disqualifiers
Other malignancies within 5 years prior to screening (except completely resolved carcinoma in situ and malignancies judged by the investigator to be slow-progressing);
History of leptomeningeal metastasis or CNS metastasis, or definite CNS underlying disease with significant residual symptoms within 6 months prior to cell infusion (asymptomatic brain metastasis or stable symptoms after treatment without corticosteroid use may be allowed);
Clinically symptomatic moderate to severe third-space effusion requiring therapeutic drainage (except for minimal effusion on imaging without clinical symptoms);
Severe cardiovascular disease history, including but not limited to: severe arrhythmia or conduction abnormalities requiring clinical intervention; QTcF > 450 ms (male) or > 470 ms (female); acute coronary syndrome, congestive heart failure, aortic dissection, stroke, or other >= Grade 3 cardiovascular events within 6 months prior to screening; NYHA functional classification >= II or LVEF < 50%; uncontrolled hypertension (SBP >= 160 mmHg and/or DBP >= 100 mmHg);
Trial design
Single group
Treatments tested in this trial
NK CELLS
Biological/VaccineAllogeneic natural killer (NK) cell therapy (non-genetically modified)
Treatment groups
Trial outcomes
Primary outcomes
Dose-limiting toxicity (DLT)
Incidence of DLT assessed during the single-infusion DLT observation period (14 days post single infusion) and the multiple-infusion DLT observation period (first cycle, 21 days). DLT is defined per the protocol-specified DLT criteria.
Maximum tolerated dose (MTD) and recommended Phase II dose (RP2D)
MTD defined as the highest dose level at which ≤33% of DLT-evaluable participants experience DLT, per protocol-specified dose-escalation rules. RP2D determined based on safety, PK, and preliminary activity across completed dose levels.
Incidence and severity of adverse events (AEs) and serious adverse events (SAEs)
All-cause AEs and SAEs, including clinically significant laboratory abnormalities, graded per NCI-CTCAE v6.0. Severity classified by CTCAE grade; relationship to study treatment assessed by investigator.
Secondary outcomes
Objective Response Rate
Proportion of participants with complete response (CR) or partial response (PR) as best overall response per RECIST 1.1. Responses confirmed by repeat imaging ≥ 4 weeks after first documentation.
Progression-Free Survival (PFS)
Time from first dose to date of first documented disease progression per RECIST 1.1 or death from any cause, whichever occurs first.
Duration of Response
Time from first documented CR or PR until the date of first documented progression or death from any cause, whichever occurs first, among responders.
Disease Control Rate
Proportion of participants with CR, PR, or stable disease (SD) lasting ≥ 8 weeks per RECIST 1.1.
Other outcomes
Pharmacokinetic Parameters-Maximum Plasma Concentration (Cmax)
Maximum observed plasma concentration of NK
Immunogenicity
Anti-HLA antibodies
Time to Maximum Plasma Concentration (Tmax)
Time to reach maximum observed plasma concentration of NK
Locations
Sponsors and contacts
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