RecruitingPhase 1Phase 2NCT07467863

Dual-Target CAR-NK Cells Directed Against MSLN, EGFR, or HER2 in Advanced NSCLC

A Phase 1/2, Open-label, Biomarker-guided Study of Dual-target Chimeric Antigen Receptor Natural Killer (CAR-NK) Cells Targeting Mesothelin (MSLN) With EGFR or HER2/ERBB2, or EGFR With HER2/ERBB2, in Participants With Advanced/Metastatic Non-small Cell Lung Cancer (NSCLC)


Sponsor

Beijing Biotech

Enrollment

48 participants

Start Date

Feb 2, 2026

Study Type

INTERVENTIONAL

Summary

This is a two-part, biomarker-guided Phase 1/2 study evaluating the safety, feasibility, and preliminary anti-tumor activity of off-the-shelf dual-target CAR-NK cells in participants with advanced or metastatic NSCLC whose tumors co-express at least two of the following antigens: Mesothelin (MSLN), EGFR, and HER2/ERBB2. Participants will receive lymphodepleting chemotherapy followed by infusion of the CAR-NK product matched to their tumor antigen profile. A data-driven interim assessment will be used to select the most suitable construct for expansion.


Eligibility

Min Age: 18 YearsMax Age: 75 Years

Plain Language Summary

Simplified for easier understanding

This study is testing a new type of immune cell therapy — called CAR-NK cells — that is engineered to attack lung cancer cells with two specific proteins (MSLN and either EGFR or HER2) for patients with advanced non-small cell lung cancer (NSCLC) who have already tried standard treatments. **You may be eligible if...** - You have advanced non-small cell lung cancer (stage IIIB/IIIC or stage IV) that has progressed after standard chemotherapy and/or immunotherapy - Your tumor tests positive for at least two of these proteins: MSLN, EGFR, or HER2 - You have at least one measurable tumor on scans - You have good overall function (ECOG 0-1) and adequate organ function - Your life expectancy is at least 12 weeks **You may NOT be eligible if...** - You have uncontrolled cancer spread to the brain or spinal fluid - You have received gene-modified cell therapy (like CAR-T cells) within the past 3 months - You have previously had severe reactions to similar cell therapies - You have significant lung disease requiring steroids that could interfere with monitoring Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BIOLOGICALDual-target CAR-NK cells

Allogeneic cord-blood-derived NK cells engineered to express a dual-target CAR (tandem OR-gate) and IL-15 for enhanced persistence; includes an inducible safety switch (e.g., iCasp9). Infused intravenously on Day 0 (with optional repeat infusion on Day 7 in expansion, per protocol).

DRUGLymphodepleting chemotherapy

Fludarabine + Cyclophosphamide administered on Days -5, -4, and -3 prior to CAR-NK infusion

OTHERSupportive Care

Premedication and management per institutional guidelines (e.g., acetaminophen/antihistamine pre-infusion; tocilizumab and corticosteroids per CRS/ICANS management algorithm)


Locations(1)

Peking University Shenzhen Hospital

Shenzhen, Guangdong, China

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NCT07467863