A Study of C-CAR039 in Subjects With Relapsed and/or Refractory B Cell Non-Hodgkin's Lymphoma
A Phase 1 Study of CD19 and CD20 Targeted Chimeric Antigen Receptor T Cells Therapy (C-CAR039) in Subjects With Relapsed and/or Refractory B Cell Non-Hodgkin's Lymphoma
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: Yuqin Song, PhD&MD
- Phone Number: 010- 88196118
- Email: SongYQ_VIP@163.com
Study Locations
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-
-
Beijing, China
- Peking University Cancer Hospital
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- The patient volunteered to participate in the study and signed the Informed Consent;
- Age, 18-70 years (include 18 and 70), male or female;
- Expected survival ≥ 12 weeks
- Eastern Cooperative Oncology Group score 0-2
- CD19 or CD20 positive B-Non-Hodgkin's lymphoma confirmed by cytology or histology according to World Health Organization 2016 criteria;
Patients with a clear diagnosis of relapsed and/or refractory B-Non-Hodgkin's lymphoma, including Diffuse Large B Cell Lymphoma, Follicular Lymphoma and Mantle Cell Lymphoma. Diffuse Large B Cell Lymphoma includes the following types:
- Diffuse Large B Cell Lymphoma, Non Specifically
- Primary Mediastinal B-cell Lymphoma
- Transformed Follicular Lymphoma
- High Grade B-Cell Lymphoma With MYC and BCL2 and/or BCL6
- High Grade B-Cell Lymphoma, Non Specifically
- For CD20-positive subjects, they should have received at least one regimen containing anti-CD20-targeted therapy (such as rituximab). If they do not complete the regimen due to intolerance, the cause of intolerance should be recorded;
- No contraindications of apheresis.
- At least one measurable lesion according to Lugano 2014 criteria;
Adequate organ function and adequate bone marrow reserve
- Hemoglobin≥80 g/L
- Absolute neutrophil count≥1.0×109/L
- Platelet≥50×109/L,
- Creatinine≤1.5×upper limit of the normal range (ULN)
- Cardiac ejection fraction≥50%
- Saturation of Pulse Oxygen>92%
- Total bilirubin≤1.5×ULN
- Alanine Aminotransferase/Aspartate Aminotransferase≤3×ULN
Exclusion Criteria:
- Malignant tumors other than B-Non-Hodgkin's lymphoma within 5 years prior to screening, except cervical carcinoma in situ, basal cell or squamous cell skin cancer, local prostate cancer after radical surgery, and breast ductal carcinoma in situ after radical surgery;
- Human Immunodeficiency Virus, Hepatitis B Virus, Hepatitis C Virus or treponema pallidum infection ;
- Any instability of systemic disease, including but not limited to active infection (except local infection), severe cardiac, liver, kidney, or metabolic disease need treatment;
- Female subjects who have been pregnant or breastfeeding, or who plan to conceive during or within 1 year after treatment, or male subjects' partner plans to conceive within 1 year after their cell transfusion;
- Active or uncontrolled infections requiring systemic treatment within 14 days before enrollment;
- Patients who have been previously infected with tuberculosis;
- Administered Corticosteroids and/or other immunosuppressants within 7 days before apheresis. and 5 days before the infusion of C-CAR039;
- Patients with central nervous system involvement;
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-CAR039
Autologous C-CAR039 administered by intravenous (IV) infusion
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Autologous 2nd generation CD19/CD20-directed Chimeric Antigen Receptor T Cells, single infusion intravenously
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Safety Observation
Time Frame: up to 24 Months. Incidence and severity of adverse events after C-CAR039 infusion according to National Cancer Institute Common Terminology Criteria for Adverse Events v5.0 criteria, including dose-limiting toxicity (DLT) and laboratory abnormalities.
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Incidence of adverse events after C-CAR039 infusion.
Incidence and severity of adverse events according to NCI-CTCAE v5.0 criteria, including Dose Limited Toxicity
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up to 24 Months. Incidence and severity of adverse events after C-CAR039 infusion according to National Cancer Institute Common Terminology Criteria for Adverse Events v5.0 criteria, including dose-limiting toxicity (DLT) and laboratory abnormalities.
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Maximum concentration (Cmax) of C-CAR039 in the peripheral blood.
Time Frame: Baseline, Days 4, 7, 10 and weeks 2, 3, 4, 8, 12 and month 6, 9, 12, 15, 18, 21, 24
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Detect Chimeric Antigen Receptor-T copies number by quantitative polymerase chain reaction(qPCR).
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Baseline, Days 4, 7, 10 and weeks 2, 3, 4, 8, 12 and month 6, 9, 12, 15, 18, 21, 24
|
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Time to maximum concentration (Tmax) of C-CAR039 in the peripheral blood.
Time Frame: Baseline, Days 4, 7, 10 and weeks 2, 3, 4, 8, 12 and month 6, 9, 12, 15, 18, 21, 24
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Detect Chimeric Antigen Receptor-T copies number by qPCR.
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Baseline, Days 4, 7, 10 and weeks 2, 3, 4, 8, 12 and month 6, 9, 12, 15, 18, 21, 24
|
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Peripheral blood duration of C-CAR039 in the peripheral blood after infusion.
Time Frame: Baseline, Days 4, 7, 10 and weeks 2, 3, 4, 8, 12 and month 6, 9, 12, 15, 18, 21, 24
|
Detect Chimeric Antigen Receptor-T copies number by qPCR.
|
Baseline, Days 4, 7, 10 and weeks 2, 3, 4, 8, 12 and month 6, 9, 12, 15, 18, 21, 24
|
|
Area under the curve 0h-28d of C-CAR039 in the peripheral blood.
Time Frame: Baseline, Days 4, 7, 10 and weeks 2, 3, 4
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Detect Chimeric Antigen Receptor-T copies number by qPCR.
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Baseline, Days 4, 7, 10 and weeks 2, 3, 4
|
|
Overall response rate (ORR)
Time Frame: 4 weeks, 12 weeks, 6 months, 9 months, 12 months, 15 months, 18 months, 21 months, 24 months
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Complete response (CR) rate plus partial response (PR) rate by Lugano 2014 criteria.
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4 weeks, 12 weeks, 6 months, 9 months, 12 months, 15 months, 18 months, 21 months, 24 months
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Duration of response (DOR)
Time Frame: up to 24 months
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The time from the date of first response (PR or better) to the date of disease progression or death after C-CAR039 infusion.
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up to 24 months
|
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Progression-free survival (PFS)
Time Frame: 4 weeks, 12 weeks, 6 months, 9 months, 12 months, 15 months, 18 months, 21 months, 24 months
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The time from C-CAR039 infusion to the date of progression as assessed by Lugano 2014 criteria or death.
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4 weeks, 12 weeks, 6 months, 9 months, 12 months, 15 months, 18 months, 21 months, 24 months
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Overall survival (OS)
Time Frame: up to 24 months
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The time from C-CAR039 infusion to the date of death.
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up to 24 months
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
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
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 0702-022
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
product manufactured in and exported from the U.S.
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