A Study of BCMA-directed CAR-T Cells Treatment in Subjects With r/r Multiple Myeloma
A Phase Ⅰ Study Evaluating Safety and Efficacy of C-CAR088 Treatment in Subjects With Relapsed or Refractory Multiple Myeloma
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Gang An, PhD&MD
- Phone Number: 008613502181109
- Email: angang@ihcams.ac.cn
Study Locations
-
-
-
Tianjin, China, 300000
- InstituteHBDH
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age 18-75 years old, male or female;
- The patient volunteered to participate in the study, and he or his legal guardian signed the Informed Consent;
- Meet the internationally accepted Criteria for the diagnosis of multiple myeloma (IMWG diagnostic criteria 2014);
- Patients with a clear diagnosis of relapsed or refractory multiple myeloma;
The patient have one or more measurable multiple myeloma lesion, must include one of the following conditions:
- Serum M protein≥1.0 g/dL(10g/L)
- Urine M protein≥200 mg/24h
- Serum free light chain(sFLC): κ/λ FLC ratio is abnormal and affected FLC ≥10mg / dL
- Bone marrow sample is confirmed as BCMA-positive by flow cytometry or pathological examination;
- ECOG scores 0 - 1;
- Echocardiography showed normal diastolic function, left ventricular ejection fraction (LVEF) ≥50%, and no severe arrhythmia;
- No active pulmonary infections, normal pulmonary function and oxygen saturation ≥ 92% on room air.
- Absolute neutrophil count ≥1.0 × 109 / L, platelet count ≥50 × 109 / L; total serum bilirubin ≤1.5mg / dl; serum ALT or AST less than 2.5 times the upper limit of normal; serum creatinine ≤2.0mg / dl;
- No contraindications of peripheral blood apheresis;
- Expected survival time > 12 weeks;.
- Female subjects of childbearing age must have a negative urine / blood pregnancy test within 7 days before cell therapy and not be in lactation; female or male subjects of childbearing age need to take effective contraception throughout the study.
Exclusion Criteria:
- Have a history of allergy to cellular products;
- Presence of clinically significant cardiovascular disease;
- A history of craniocerebral trauma, consciousness disorder, epilepsy, severe cerebral ischemia or hemorrhagic disease;
- Need to use any anticoagulant (except aspirin);
- Patients requiring urgent treatment due to tumor progression or spinal cord compression;
- Patients with CNS metastasis or symptoms of CNS involvement;
- After allogeneic hematopoietic stem cell transplantation;
- Plasma cell leukemia;
- Received systemic anti-tumor treatment within 2 weeks before apheresis, and within 1 week before apheresis, prednisone (or equivalent amount of other corticosteroids) was applied in excess of 5 mg/d ;
- Patients with autoimmune diseases, immunodeficiency, or other immunosuppressive agents;
- Uncontrolled active infection;
- Have used any CAR T cell products or other genetically modified T cell therapy before;
- Hepatitis B or hepatitis C virus infection (including carriers), syphilis, as well as acquired, congenital immune deficiency diseases, including but not limited to HIV infected persons;
- Have a history of alcoholism, drug addiction and mental illness;
- Participated in any other clinical trial within 1 months;
- The investigators believe that there are other circumstances that are not suitable for the trial.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: C-CAR088
Lymphocytes will be transduced with lentiviral vector containing CAR-BCMA gene.
|
Autologous BCMA-directed CAR-T cells, single infusion intravenously at a target dose of 1.0-9.0 x 10^6 anti-BCMA CAR+T cells/kg. Other Name: CBM.BCMA Chimeric Antigen Receptor T cell. |
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Safety: The incidence of treatment-emergent adverse events (TEAEs)
Time Frame: 30 days
|
The incidence of treatment-emergent adverse events (TEAEs)
|
30 days
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The CART cell duration in vivo
Time Frame: 12 months
|
The copys of BCMA-CART DNA in peripheral blood with qPCR method
|
12 months
|
|
The soluble BCMA changes in peripheral blood
Time Frame: 12 months
|
The amount of soluble BCMA in peripheral blood with ELISA method
|
12 months
|
|
Overall response rate (ORR)
Time Frame: 12 months
|
ORR(including sCR / CR / VGPR / PR, based on IMWG 2016 efficacy evaluation criteria)
|
12 months
|
|
Progression free survival (PFS)
Time Frame: 6 months、12 months
|
PFS(based on IMWG 2016 efficacy evaluation criteria)
|
6 months、12 months
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
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
Keywords
Additional Relevant MeSH Terms
- Vascular Diseases
- Cardiovascular Diseases
- Neoplasms
- Immune System Diseases
- Neoplasms by Histologic Type
- Hematologic Diseases
- Lymphoproliferative Disorders
- Immunoproliferative Disorders
- Neoplasms, Plasma Cell
- Hemostatic Disorders
- Paraproteinemias
- Blood Protein Disorders
- Hemorrhagic Disorders
- Hemic and Lymphatic Diseases
- Multiple Myeloma
Other Study ID Numbers
Other Study ID Numbers
- QT2019007
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
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