Clinical Study of ET019002-T Cell Therapy for Refractory/Relapsed B-Cell Malignancies
The Clinical Study of Structurally Optimized ET019002-T Cell Therapy for Refractory/Relapsed B-Cell Malignancies
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Early Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: He Peng cheng, Doctor
- Phone Number: He Pengcheng 0086-18991232609
- Email: hepc@163.com
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Diagnosed B cell malignancies including: B-cell Acute Lymphoblastic Leukemia (B-ALL) and B cell lymphomas (DLBCL、FL、MZL、LPL、HCL、CLL、BL、MCL)
- Refractory/Relapsed B cell malignancies:
- Age 6-80 years, male or female
- Nidus could be evaluated: minimum diameter of single nidus ≥10mm, and/or tumor cells in bone marrow ≥ 5%
- ECOG≤2 points
- Function of main organs or tissues were functional: Liver - ALT/AST≤3 normal upper limit, Serum total bilirubin (TBIL) ≤2 normal upper limit; Kidney - glomerular filtration rate (GFR) > 60 mL/min/1.73 m2 or serum creatinine in normal range; Lunge - carbon monoxide diffusion capacity (DLCO) or forced expiratory volume in 1s (FEV) >45% estimate; Heart - left ventricular ejection fraction (LVEF) ≥50%
- Expecting life span ≥3 months
- No chemotherapy, radiation therapy or immunotherapy in 2 weeks before enrollment
- Fertile females/males consented to use contraceptives during participation of the trial
- Patient or his/her custodia could understand and is willing to sign the written consent
Exclusion Criteria:
- Pregnancy or lactation
- Couldn't use contraceptives during participation of the trial
- Couldn't collect enough monocyte
- Active and/or severe infection
- HIV infection, active Hepatitis B or Hepatitis C infection
- Had active autoimmune disease
- Had non-melanoma skin carcinoma (NMSC) or Carcinoma in situ (e.g. cervix, bladder, galactophore)
- Obvious clinical encephalopathy or novel neuron function damage
- Organ failure: Heart - upper than NYHA level III or had uncontrolled malignant arrhythmia; Liver - upper than level III of Wuhan conference classification; Kidney - kidney failure stage3 or worse
- Using immunosuppressive drugs or adreno-cortical hormone (ACH) within two weeks of enrollment
- Insufficient T cell number or T cell transfection rate
- Needed urgent disease controlling due to tumor load
- Patients had biological treatment, immunotherapy or radiation therapy within 6 weeks prior to enrollment or are currently under these treatment
- Substance abuse or drug addiction
- lack of compliance, communication deficit or other unaccommodated situations
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: The low dose group
|
ET019002- T Cells are autologous T cells transduced expressing a novel anti-CD19 (ET019002) chimeric antigen receptor,and are administered by intravenous infusion with the dose of 0.75×10*6/kg.
|
|
Experimental: The middle dose group
|
ET019002- T Cells are autologous T cells transduced expressing a novel anti-CD19 (ET019002) chimeric antigen receptor,and are administered by intravenous infusion with the dose of 1.5×10*6/kg.
|
|
Experimental: The high dose group
|
ET019002- T Cells are autologous T cells transduced expressing a novel anti-CD19 (ET019002) chimeric antigen receptor,and are administered by intravenous infusion with the dose of 3.0×10*6/kg.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Maximum Tolerated Dose
Time Frame: Up to 12 weeks.
|
A dose limiting toxicity is defined as any toxicity that is considered to be primarily related to the ET019002T-cells,which is irreversible or life threatening or CTCAE Grade 3-5.
|
Up to 12 weeks.
|
|
Tmax of serum cytokine levels
Time Frame: Up to 12 weeks.
|
Cytokins as measured by CBA-Bioplex Multiplex Immunoassays will be presented as time to peak level.
|
Up to 12 weeks.
|
|
Time to baseline for serum cytokine levels
Time Frame: Up to 12 weeks.
|
Inceases or decreases in the amout of cytokine produced compared to baseline at time points measured up to 24 weeks since dosing.
|
Up to 12 weeks.
|
|
Toxicity profile of ET019002T-cell treatment
Time Frame: Up to 2 years.
|
Frequency of treatment-related adverse events that occurred at any time from the first day of infusion that are "possibly", "likely", or "definitely" related to the study, including infusion related toxicity and ET019002 T cell related toxicity.
Include but not limited to: Fever, chills, nausea, vomiting, jaundice and other gastrointestinal symptoms; Fatigue, hypotension, respiratory distress; Tumor lysis syndrome; Cytokine release syndrome; Neutropenia, thrombocytopenia; Liver and kidney dysfunction.
Assessed at all visits.
|
Up to 2 years.
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Rate of disease response
Time Frame: Up to 12 weeks.
|
Rate of disease response assessed by lugano cliassification.Response rates will be estimated as CR,PR,SD,PD.
|
Up to 12 weeks.
|
|
Progression free survival(PFS)
Time Frame: Up to 2 years.
|
Progression free survival(PFS) denotes the chances of staying free of disease progression for patients after treatment.
|
Up to 2 years.
|
|
Time to baseline for B cell level
Time Frame: Up to 2 years.
|
B cell level as measured by Bio-Plex Multiplex Immunoassays will be presented.
|
Up to 2 years.
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: He Peng cheng, Doctor, First Affiliated Hospital of Xian JiaotongUniversity
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Anticipated)
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- XJTU1AF2018LSL-C003
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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