BCMA-targeted LCAR-BCDR Cells in Patients With Relapsed/Refractory Multiple Myeloma
A Phase I Clinical Study to Evaluate the Safety, Tolerability, and Efficacy of BCMA-targeted LCAR-BCDR Cells Product in Patients With Relapsed/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 Locations
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Shanghai, China
- Shanghai Changzheng Hospital
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Shanghai, China
- Shanghai Fourth People's Hospital Affiliated to Tongji University
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Tianjin, China
- Institute of Hematology & Blood Diseases Hospital
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Wenzhou, China
- The First Affiliated Hospital of Wenzhou Medical University
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Beijing Municipality
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Beijing, Beijing Municipality, China
- Beijing Boren Hospital
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Zhejiang
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Hangzhou, Zhejiang, China
- Zhejiang Provincial People's Hospital
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- The subject voluntarily participates in the clinical study; Fully understand and be Informed of the study and sign the Informed consent (Informed Consent Form, ICF); Willing to follow and able to complete all test procedures; Informed consent must be obtained before initiating any tests or procedures related to the study that are not part of the standard treatment of the subject's disease;
- Subjects ≥ 18 years of age.
- Documented initial diagnosis of MM according to IMWG diagnostic criteria.
- Presence of measurable disease at screening.
- Received a PI and an IMiD (except thalidomide).
- Received at least 3 prior lines of therapy for multiple myeloma, undergone at least 1 complete cycle of treatment for each line, unless progressive disease (PD) was documented by IMWG criteria as the best response to the regimen. Also, subjects refractory or intolerant to any PI and any IMiD in their previous treatment afterwards are eligible.
- Expected survival ≥ 3 months.
- Clinical laboratory values meet screening visit criteria
- Fertile women must be negative using a highly sensitive serum pregnancy test (β human chorionic gonadotropin [β -HCG]) at screening time and before initial treatment with cyclophosphamide and fludarabine;
Exclusion Criteria:
- No response to prior BCMA-targeted CAR-T therapy (except in subjects who relapsed after CR to prior CAR-T treatment).
- Prior treatment with any antibody targeting BCMA.
- Diagnosed or pretreated for an invasive malignancy other than multiple myeloma.
- Prior anti-tumor treatment (before pretreatment) with insufficient washout period.
- Known active, or prior history of central nervous system (CNS) involvement, or clinical signs of membrane/spinal membrane involvement of multiple myeloma.
- Positive of any hepatitis B surface antigen (HBsAg), hepatitis B virus deoxyribonucleic acid (HBV DNA), hepatitis C antibody (HCV-Ab), hepatitis C virus ribonucleic acid (HCV RNA), human immunodeficiency virus antibody (HIV-Ab) at the time of screening.
- Serious underlying medical conditions
- Male subjects who have a birth plan during the study period or within 1 year after the study treatment.
- Female subjects who are pregnant, breast-feeding, or plan to become pregnant during the study period or within 1 year after the study treatment.
- The investigator considered that the subjects were not suitable for any conditions of participation in the study.
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: LCAR-BCDR cells product
Each subject will receive LCAR-BCDR cells
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Before treatment with LCAR-BCDR cells, subjects will receive a conditioning regimen
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence, severity, and type of treatment-emergent adverse events (TEAEs)
Time Frame: Minimum 2 years after LCAR-BCDR infusion (Day 1)
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An adverse event refers to any untoward medical occurrence in a clinical investigation subject administered a pharmaceutical product (investigational or non-investigational), which does not necessarily have a causal relationship with the treatment.
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Minimum 2 years after LCAR-BCDR infusion (Day 1)
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Recommended Phase 2 dose (RP2D) finding
Time Frame: 30 days after LCAR-BCDR infusion (Day 1)
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RP2D established through ATD+BOIN design
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30 days after LCAR-BCDR infusion (Day 1)
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|
CAR positive T cells in peripheral blood and bone marrow
Time Frame: Minimum 2 years after LCAR-BCDR infusion (Day 1)
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CAR positive T cells in peripheral blood and bone marrow after LCAR-BCDR infusion
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Minimum 2 years after LCAR-BCDR infusion (Day 1)
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CAR transgene levels in peripheral blood and bone marrow
Time Frame: Minimum 2 years after LCAR-BCDR infusion (Day 1)
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CAR transgene levels in peripheral blood and bone marrow after LCAR-BCDR infusion
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Minimum 2 years after LCAR-BCDR infusion (Day 1)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Overall Response Rate (ORR)
Time Frame: Minimum 2 years after LCAR-BCDR infusion (Day 1)
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The ORR is defined as the percentage of participants who achieve partial response (PR) or better according to international myeloma working group (IMWG) criteria.
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Minimum 2 years after LCAR-BCDR infusion (Day 1)
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Progression-free survival (PFS)
Time Frame: Minimum 2 years after LCAR-BCDR infusion (Day 1)
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Progression Free Survival (PFS) is defined as the time from the date of first infusion of the LCAR-BCDR to the first documented disease progression (according to IMWG criteria) or death (due to any cause), whichever occurs first
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Minimum 2 years after LCAR-BCDR infusion (Day 1)
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Overall Survival (OS)
Time Frame: Minimum 2 years after LCAR-BCDR infusion (Day 1)
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Overall Survival (OS) is defined as the time from the date of first infusion of LCAR-AIO to death of the subject
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Minimum 2 years after LCAR-BCDR infusion (Day 1)
|
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Incidence of anti-LCAR-BCDR antibody
Time Frame: Minimum 2 years after LCAR-BCDR infusion (Day 1)
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Venous blood samples will be collected to measure LCAR-BCDR positive cell concentrations and the transgenic level of LCAR-BCDR, at the time points when anti-LCAR-BCDR antibody serum samples are evaluated
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Minimum 2 years after LCAR-BCDR infusion (Day 1)
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Weijun Fu, PhD, Shanghai Changzheng Hospital
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
- 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
- BM2L202103
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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