OncoMatch/Clinical Trials/NCT07467863
Dual-Target CAR-NK Cells Directed Against MSLN, EGFR, or HER2 in Advanced NSCLC
Is NCT07467863 recruiting? Yes, currently enrolling (May 2026). This Phase 1/2 trial studies multiple treatments including Dual-target CAR-NK cells and Lymphodepleting chemotherapy for non-small cell lung cancer.
Treatment: Dual-target CAR-NK cells · Lymphodepleting chemotherapy — 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.
Check if I qualifyExtracted eligibility criteria
Cancer type
Non-Small Cell Lung Carcinoma
Biomarker criteria
Required: MSLN overexpression (IHC ≥2+ in ≥50% of tumor cells (or equivalent RNA threshold))
Tumor co-expression of at least two of the following antigens at screening: MSLN, EGFR, HER2/ERBB2. Example thresholds: IHC ≥2+ in ≥50% of tumor cells for each required antigen (or an equivalent RNA expression threshold).
Required: EGFR overexpression (IHC ≥2+ in ≥50% of tumor cells (or equivalent RNA threshold))
Tumor co-expression of at least two of the following antigens at screening: MSLN, EGFR, HER2/ERBB2. Example thresholds: IHC ≥2+ in ≥50% of tumor cells for each required antigen (or an equivalent RNA expression threshold).
Required: HER2 (ERBB2) overexpression (IHC ≥2+ in ≥50% of tumor cells (or equivalent RNA threshold))
Tumor co-expression of at least two of the following antigens at screening: MSLN, EGFR, HER2/ERBB2. Example thresholds: IHC ≥2+ in ≥50% of tumor cells for each required antigen (or an equivalent RNA expression threshold).
Disease stage
Required: Stage IIIB, IIIC, IV
Performance status
ECOG 0–1(Restricted strenuous activity)
Prior therapy
Must have received: platinum-based chemotherapy
radiographic progression on or after standard-of-care therapy (including platinum-based chemotherapy and immune checkpoint inhibitor when appropriate)
Must have received: immune checkpoint inhibitor — when appropriate
radiographic progression on or after standard-of-care therapy (including platinum-based chemotherapy and immune checkpoint inhibitor when appropriate)
Cannot have received: gene-modified cellular therapy (CAR-T, CAR-NK, TCR-T)
Exception: within 3 months
Prior gene-modified cellular therapy (e.g., CAR-T, CAR-NK, TCR-T) within 3 months
Lab requirements
Blood counts
as defined by protocol laboratory limits
Kidney function
as defined by protocol laboratory limits
Liver function
as defined by protocol laboratory limits
Structured fields extracted by AI. May contain errors — verify against the official protocol.
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