| Eligibility |
Inclusion Criteria:
1. Aged 18 to 75 years;
2. Subjects with a histologically or cytologically confirmed diagnosis of a locally
advanced or metastatic solid tumor or lymphoma that is not amenable to surgical
treatment at the time of screening and that has failed after standard treatment as
recommended by existing clinical standards of care or guidelines or that is not
refractory to standard treatment and/or for which there is no currently effective
standard of care.
The current open indication population is patients with soft tissue sarcoma, with the
following specific requirements:
Histologically/cytologically confirmed diagnosis of unresectable or metastatic soft
tissue sarcoma with failure of existing standard therapy or lack of effective
treatment, as follows: 1) For pathological subtypes other than adenovascular soft
tissue sarcoma and epithelioid sarcoma, failure of, or intolerance to, at least
standard chemotherapy regimens of adriamycin or adriamycin in combination with
isocyclophosphamide; and 2) For adenovascular soft tissue sarcoma and epithelioid
sarcoma. Prior treatment failure or intolerance to a targeted agent [anti-angiogenic
class such as amlotinib, pezopanib, etc.] is required; Note: Disease progression <6
months after the end of treatment in neoadjuvant or adjuvant patients is considered
first-line treatment;
3. At least one measurable tumor lesion based on RECIST V1.1 criteria;
4. ECOG PS =1;
5. Expected survival =12 weeks;
6. Adequate organ function;
7. Patients who have received any chemotherapy or anti-tumor monoclonal antibody drugs
within 4 weeks prior to the first dose of study drug (excluding mitomycin and
nitrosoureas within 6 weeks prior to the first dose of study drug); small molecule
targeted drugs within 2 weeks prior to the first dose of study drug; Chinese medicine
therapy (Chinese medicine therapy with clear anti-tumor indications in the package
insert )within 4 weeks prior to the first dose of study drug;
8. Patients, both females and males, of reproductive potential must agree to use adequate
contraception during and for 6 months after the last infusion of LTC004.
9. Understands and provides written informed consent and willing to follow the
requirements specified in protocol.
Exclusion Criteria:
1. History of severe hypersensitivity reactions to other mAbs.
2. Untreated, unstable or uncontrolled central nervous system (CNS) metastases with
following exceptions:A. Clinically stable MRI scans and no progressive or uncontrolled
neurologic symptoms or signs for at least 4 weeks prior to the first study treatment;
3. Patients with uncontrolled pleural effusion, pericardial effusion or abdominal
effusion as judged by the investigator at screening;
4. Patients with untreated or clinically symptomatic spinal cord compression that has not
been controlled.
5. Previous immunotherapy, including IL-2, IL-15, PD-1/L1 inhibitors, NK, and TCR-T cell
therapy;
6. =2 malignant tumors within 5 years prior to first dose of drug;
7. Moderate to severe dyspnea at rest, severe primary lung disease, current need for
continuous oxygen therapy, or clinically active interstitial lung disease (ILD) or
pneumonia due to advanced cancer or its complications; Grade =3 interstitial pneumonia
during prior antineoplastic therapy;
8. Persons with active tuberculosis infection within 1 year prior to enrollment by
history or screening, or persons with a history of active tuberculosis infection more
than 1 year ago without regular treatment;
9. Presence of severe infection within 4 weeks prior to first dose of medication,Presence
of active infection requiring systemic antibiotic therapy with CTCAE grade =2 within 2
weeks prior to first dose
10. History of serious cardiovascular disease;
11. Active hepatitis B (hepatitis B virus titer > lower limit of detection) or hepatitis C
at the time of screening;
12. Syphilis-positive patients at screening;
13. Active, or previous autoimmune disease with potential for recurrence at the time of
screening;
14. Immunodeficiency diseases or history of such diseases, including a positive serologic
test for human immunodeficiency virus (HIV);
15. Those who have experienced clinically significant bleeding symptoms within 3 months
prior to the first dose of the drug;
16. Those who have received systemic immunosuppressive therapy (including but not limited
to glucocorticoids, cyclophosphamide, azathioprine, methotrexate, thalidomide, etc.)
within 2 weeks prior to the first dose;
17. Immunomodulatory medications within 2 weeks prior to first dose;
18. Those who received radical radiation therapy within 4 weeks prior to the first dose
and those who received palliative radiation within 14 days prior to the first dose;
19. Tumor invasion into peripheral vital organs (e.g., aorta and trachea) or risk of
esophageal-tracheal fistula or esophageal-pleural fistula; history of gastrointestinal
perforation and/or fistula within 6 months prior to the first dose of the drug;
20. Received other unlisted clinical investigational drug or treatment within 4 weeks
prior to first dose;
21. Use of live or attenuated vaccines within 4 weeks prior to the first dose, or
anticipated need for live or attenuated vaccines during the study period;
22. Major surgery (other than surgery for diagnostic purposes) within 4 weeks prior to the
first dose, anticipation of major surgery (other than surgery for diagnostic purposes)
during the study period, or diagnostic or low-invasive surgery within 7 days prior to
the first dose (excluded for puncture biopsies).
23. Adverse effects of prior antitumor therapy have not recovered to CTCAE version 5.0
grade rating =1;
24. Patients who have received a previous allogeneic bone marrow/hematopoietic stem cell
transplant or solid organ transplant;
25. Pregnant and lactating women;
26. Subjects who in the judgment of the investigator, have a history of other serious
systemic disease or are unfit to participate in this trial for any other reason (the
presence of psychiatric disorders in the patient that may affect compliance with the
trial, alcohol, drug or substance abuse, etc.)
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