The Safety and Efficay Investigation of CAR-T Cell Therapy for Patients With Hematological Malignancies
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Main research purposes:
To evaluate the tolerability and safety of CAR-T technology in patients with relapsed or refractory hematolymphoid malignancies.
Secondary research purposes:
Objective Evaluation of Cytodynamic Characteristics of CAR-T in Different Types of Hematological Malignancies
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Weiwei w Tian, MD
- Phone Number: 008613485304136
- Email: tianweiwei@yeah.net
Study Contact Backup
- Name: Na Kuang, MD
- Phone Number: 008618630160116
- Email: kuangna@senlangbio.com
Study Locations
-
-
Shanxi
-
Taiyuan, Shanxi, China
- Recruiting
- Shanxi Bethune Hospital
-
Contact:
- Weiwei Tian, MD
- Phone Number: 008613485304136
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Sign the informed consent and be willing and able to comply with the visit, treatment protocol, laboratory examination, and other requirements of the study as specified in the study procedure sheet;
- Diagnosed as recurrent or refractory lymphoma, leukemia or myeloma;
- Tumor cells express targets for CAR-T cell therapy (results: flow cytometry or Immunohistochemical test confirmation);
- Age 14-75 (including threshold), gender unlimited;
- Eastern Cooperative Oncology Group (ECOG) score ≤2;
- HGB ≥ 70g/L (blood transfusion allowed);
Liver and kidney functions, heart and lung functions meet the following requirements:
- Creatinine ≤ 1.5 × ULN;
- Left ventricular ejection fraction ≥ 50%;
- Blood oxygen saturation>90%;
- Total bilirubin ≤ 1.5 × ULN; ALT and AST ≤ 2.5 × ULN;
- For T cell tumor patients, if tumor cells are detected in peripheral blood during screening, flow cytometry should be used to detect that the tumor cell surface immunophenotype is CD4 and CD8 double negative. If the immunophenotype of peripheral blood tumor cells is not double negative for CD4 and CD8, the condition that the proportion of peripheral blood tumor cells is ≤ 1% shall be met;
- Subjects with pregnancy plans must agree to use contraception before entering the study and after the study lasts for six months; If the subject is pregnant or suspected of being pregnant, the investigator shall be informed immediately;
- The subject or guardian understands and signs the informed consent form;
- Expected survival longer than 3 months.
Exclusion Criteria:
- Severe cardiac insufficiency;
- Have a history of severe lung impairment;
- Complicated with other advanced malignant tumors;
- Complicated with severe or persistent infection that cannot be effectively controlled;
- Complicated with severe autoimmune diseases or congenital immune deficiency;
- Active hepatitis (HBV DNA or HCV RNA positive);
- Human immunodeficiency virus (HIV) infection or syphilis infection;
- Have a history of severe allergy to biological products (including antibiotics);
- If there is a history of hematopoietic stem cell transplantation, it should be no more than 6 months before the patient receives allogeneic hematopoietic stem cell transplantation;
- Subjects who received CAR-T therapy or other gene modified cell therapy before screening;
- Conditions that the investigator believes may increase the risk to the subject or interfere with the outcome of 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: CAR-T Autologous T cell injection
Patients will be treated with CAR-T cells
|
Biological: CAR-T; Drug: Cyclophosphamide,Fludarabine;Procedure: Leukapheresis
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Safety: Incidence and severity of adverse events
Time Frame: First 1 month post CAR-T cells infusion
|
To evaluate the possible adverse events occurred within first one month after CAR-T infusion, including the incidence and severity of symptoms such as cytokine release syndrome and neurotoxicity
|
First 1 month post CAR-T cells infusion
|
|
Efficacy: Remission Rate
Time Frame: 3 months post CAR-T cells infusion
|
Complete remission (CR) Complete remission with incomplete recovery of blood cells (CRI), positive minimal residual tumor (MRD+) or negative tumor (MRD -) CR/CRI, disease recurrence or progression (PD) were evaluated, and the overall remission rate was ORR=CR+CRI; For drenching Complete remission (CR), partial remission (PR), disease stability (SD) Disease recurrence or progression (PD) was evaluated, and the overall remission rate was ORR=CR+PR; For multiple myeloma Complete remission (CR), partial remission (VGPR, PR), disease stability (SD), disease recurrence or progression (PD) were adopted, Overall remission rate ORR=CR+VGPR+PR;
|
3 months post CAR-T cells infusion
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
progression-free survival (PFS)
Time Frame: 24 months post CAR-T cells infusion
|
progression-free survival (PFS) time
|
24 months post CAR-T cells infusion
|
|
CAR-T proliferation
Time Frame: 3 months post CAR-T cells infusion
|
the copy number of Senl CAR- T cells in the genomes of PBMC by qPCR method
|
3 months post CAR-T cells infusion
|
|
Cytokine release
Time Frame: 1 month post CAR-T cells infusion
|
Cytokine( IL-6,IL-10,IFN-γ,TNF-α ) concentration (pg/mL) by flow cytometry method
|
1 month post CAR-T cells infusion
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Weiwei w Tian, MD, Shanxi Bethune Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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 by Site
- Neoplasms
- Immune System Diseases
- Neoplasms by Histologic Type
- Hematologic Diseases
- Lymphatic Diseases
- Lymphoproliferative Disorders
- Immunoproliferative Disorders
- Neoplasms, Plasma Cell
- Hemostatic Disorders
- Paraproteinemias
- Blood Protein Disorders
- Hemorrhagic Disorders
- Leukemia, Lymphoid
- Leukemia
- Hematologic Neoplasms
- Precursor Cell Lymphoblastic Leukemia-Lymphoma
- Multiple Myeloma
Other Study ID Numbers
Other Study ID Numbers
- 20221019
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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