Biomarker-Guided Allogeneic Single-Target or Dual-Target CAR-NK Cell Therapy for Advanced Solid Tumors
SELECT-CAR-NK
A Phase 1/2, Open-Label, Biomarker-Driven Study of Allogeneic Donor-Derived CAR-NK Cells With Antigen Selection by Tissue Biopsy and/or Liquid Biopsy Profiling in Participants With Relapsed/Refractory Advanced Solid Tumors (Single-Target vs Dual-Target Strategy)
1 other identifier
interventional
85
1 country
1
Brief Summary
This Phase 1/2 study evaluates the safety, feasibility, and preliminary anti-tumor activity of allogeneic donor-derived CAR-NK cells in participants with advanced solid tumors. The CAR target antigen is selected for each participant after tumor profiling using a tissue biopsy and/or liquid biopsy. Participants will receive either a single-target or dual-target CAR-NK product based on the antigen profile.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1 cancer
Started Feb 2026
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2026
CompletedFirst Submitted
Initial submission to the registry
February 8, 2026
CompletedFirst Posted
Study publicly available on registry
February 13, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 28, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 28, 2028
February 18, 2026
February 1, 2026
1.9 years
February 8, 2026
February 14, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Incidence, type, and severity of adverse events (AEs), graded by CTCAE v5.0
28 DAYS
Incidence of Dose-Limiting Toxicities (DLTs)
28 DAYS
Secondary Outcomes (2)
Objective Response Rate (ORR) (RECIST 1.1)
12 months
Disease Control Rate (DCR)
12 months
Study Arms (2)
Single-Target Antigen-Selected CAR-NK
EXPERIMENTALParticipants whose profiling identifies one dominant actionable antigen.
Dual-Target Antigen-Selected CAR-NK
EXPERIMENTALParticipants whose profiling identifies two actionable antigens, or strong evidence of antigen heterogeneity.
Interventions
Donor-derived CAR-NK cells expressing a single CAR selected from the target menu. WITH Fludarabine (IV) + Cyclophosphamide (IV), administered prior to CAR-NK infusion. Similar conditioning drugs are used in CAR-NK solid tumor trials.
Participants whose profiling identifies two actionable antigens, or strong evidence of antigen heterogeneity. WITH Fludarabine (IV) + Cyclophosphamide (IV), administered prior to CAR-NK infusion . Similar conditioning drugs are used in CAR-NK solid tumor trials.
Eligibility Criteria
You may qualify if:
- Age 18-75 years.
- Histologically or cytologically confirmed advanced/unresectable or metastatic solid tumor that is relapsed/refractory after standard therapy, or no standard therapy available.
- Targetable antigen positivity from the protocol target menu based on:
- tissue biopsy and/or liquid biopsy platform (as defined in the lab manual).
- Arm assignment rules :
- Arm A: ≥1 antigen meets "positive" threshold
- Arm B: ≥2 antigens meet "positive" threshold
- ECOG performance status 0-1 (or 0-2 ).
- At least one measurable lesion by RECIST 1.1.
- Adequate organ function (hematologic, renal, hepatic, cardiac) within protocol-defined limits.
- Willingness to undergo blood draws and required biopsies (when medically feasible).
- Negative pregnancy test for participants of childbearing potential; agreement to effective contraception during and after study treatment.
You may not qualify if:
- Prior treatment with gene-modified cellular therapy (e.g., CAR-T, CAR-NK) within a defined washout period .
- Active, uncontrolled infection requiring IV antibiotics; known uncontrolled HIV; active HBV/HCV with detectable viral load (per local policy).
- Active CNS metastases requiring escalating steroids or urgent intervention (stable treated CNS disease may be allowed ).
- Active autoimmune disease requiring systemic immunosuppression, or chronic systemic steroids above protocol threshold.
- Clinically significant cardiovascular disease (e.g., recent MI, unstable arrhythmia), uncontrolled pulmonary disease, or other serious comorbidity that increases risk.
- Major surgery or anticancer therapy too close to lymphodepletion (protocol-defined washout).
- Pregnant or breastfeeding.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Essen Biotechlead
Study Sites (1)
District One Hospital
Beijing, Beijing Municipality, 086-373, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Masking Details
- Open-label due to the nature of personalized antigen assignment and cell product differences
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 8, 2026
First Posted
February 13, 2026
Study Start
February 1, 2026
Primary Completion (Estimated)
December 28, 2027
Study Completion (Estimated)
December 28, 2028
Last Updated
February 18, 2026
Record last verified: 2026-02
Data Sharing
- IPD Sharing
- Will not share