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

This study is to determine the safety, including potential dose limiting toxicities, and efficiency of ET019002-T cells and the duration of in vivo survival of ET019002-T cells in patients with relapsed/refractory B-Cell Malignancies.

Study Overview

Status

Unknown

Conditions

Intervention / Treatment

Detailed Description

ET019002-T cell therapy is a novel chimeric T-cell therapy platform that in preclinical studies, functionally matches the efficacy of CAR-T cells, but dramatically reduces the release of cytokines upon killing of target-positive tumors.The arm of the study is experimental i.v. arm:ET019002-T cells administered by intravenous (IV) infusion.The intervention is ET019002-T cells(Autologous T cells transduced with lentivirus encoding an anti-CD19 (ET019002)-expression construct).

Study Type

Interventional

Enrollment (Anticipated)

18

Phase

  • Early Phase 1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

  • Name: He Peng cheng, Doctor
  • Phone Number: He Pengcheng 0086-18991232609
  • Email: hepc@163.com

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

6 years to 80 years (Child, Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

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

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Non-Randomized
  • Interventional Model: Sequential Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / 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

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

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

This is where you will find people and organizations involved with this study.

Sponsor

Collaborators

Investigators

  • Principal Investigator: He Peng cheng, Doctor, First Affiliated Hospital of Xian JiaotongUniversity

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Anticipated)

August 19, 2018

Primary Completion (Anticipated)

August 19, 2020

Study Completion (Anticipated)

September 20, 2020

Study Registration Dates

First Submitted

August 13, 2018

First Submitted That Met QC Criteria

August 20, 2018

First Posted (Actual)

August 22, 2018

Study Record Updates

Last Update Posted (Actual)

August 23, 2018

Last Update Submitted That Met QC Criteria

August 22, 2018

Last Verified

July 1, 2018

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • XJTU1AF2018LSL-C003

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

No

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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