CD7 CAR-T Cell Therapy Targeting CD7-positive Relapsed/Refractory T Cell Lymphoma/Acute Leukemia
Clinical Study on the Efficacy and Safety of CD7 CAR-T Cell Therapy Targeting CD7-positive Relapsed/Refractory T Cell Lymphoma/Acute Leukemia
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Subjects must meet all of the following criteria to be enrolled:
Subjects diagnosed with relapsed/refractory lymphoma/leukemia:
- Relapsed/refractory T-cell malignant lymphoma: patients who have not remission and recurrence after at least 2 courses of standardized second-line or above treatment (including hematopoietic stem cell transplantation).
- Relapsed/refractory T-cell acute lymphocytic or myeloid leukemia meeting any of the following criteria:
i) Relapse: After achieving complete remission with a standard treatment regimen (including hematopoietic stem cell transplantation), blasts appear in peripheral blood or bone marrow (proportion>5%), or extramedullary diseases occur; ii) Refractory: No complete remission after at least two courses of standard induction therapy.
- Bone marrow flow cytometry detected tumor cells as CD7 and/or extramedullary lesions with a clear diagnosis of CD7 by pathological immunohistochemistry at the time of enrollment screening;
- If tumor cells are detected in peripheral blood during enrollment screening, flow cytometry must be used to detect that the immunophenotype of tumor cells on the surface of tumor cells is both negative for CD4 and CD8. If the immunophenotype on the surface of peripheral blood tumor cells is not CD4 and CD8 negative, the proportion of peripheral blood tumor cells must be ≤1%;
- Expected survival greater than 3 months from the date of signing the informed consent form;
- Subjects with a performance status of 0~2 in the Eastern Cooperative Oncology Group (ECOG) score;
- 14 years old≤ age ≤ 75 years old, male or female;
- HGB at least ≥70g/L, blood transfusion is available;
Liver and kidney function, heart and lung function meet the following requirements:
- creatinine ≤1.5×ULN;
- left ventricular ejection fraction ≥50%;
- Oxygen saturation >90%;
- Total bilirubin ≤1.5×ULN; ALT and AST ≤2.5×ULN;
- Subject or guardian understands and signs the informed consent form.
Exclusion Criteria:
- One of the following cardiac criteria occurs: atrial fibrillation; Myocardial infarction within the past 12 months; Prolonged QT syndrome or secondary QT Extension, to be determined by the researcher. Echocardiography with LVSF<30% or LVEF<50%; Clinically significant pericardial effusion; Heart function Incomplete NYHA III or IV (confirmed by echocardiography within 12 months after treatment);
- Active GVHD;
- Have a history of severe pulmonary dysfunction;
- Merge other advanced malignant tumors;
- Combination of severe or persistent infections that cannot be effectively controlled;
- Combination of severe autoimmune diseases or congenital immunodeficiency;
- Active hepatitis (hepatitis B virus deoxyribonucleic acid [HBV-DNA ≥ 500 IU/ml and abnormal liver function] or anti hepatitis C virus Positive for HCV Ab, HCV-RNA above the detection limit of the analytical method, and abnormal liver function;
- Human immunodeficiency virus (HIV) infection or syphilis infection;
- Have a history of severe allergies to biological products (including antibiotics);
- There are central nervous system disorders, such as uncontrolled epilepsy, cerebral ischemia/hemorrhage, dementia, cerebellar diseases, etc;
- Female patients who are pregnant or breastfeeding, or have a pregnancy plan within 12 months;
- The researcher believes that there may be situations that increase the risk to the subjects or interfere with the test results.
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: CD7 CAR-T
For intravenous infusion
|
For intravenous infusion
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Evaluate the safety of CD7 CAR-T cell therapy in relapsed/refractory malignant lymphoma/acute leukemia
Time Frame: up to one month after the CAR-T infusion
|
the incidence and severity of immune therapy related toxic reactions (irAEs)
|
up to one month after the CAR-T infusion
|
|
Evaluate the effcacy of CD7 CAR-T cell therapy in relapsed/refractory malignant lymphoma/acute leukemia
Time Frame: one month and three month after the CAR-T infusion
|
CR rate on M1 and M3
|
one month and three month after the CAR-T infusion
|
|
Evaluate the effcacy of CD7 CAR-T cell therapy in relapsed/refractory malignant lymphoma/acute leukemia
Time Frame: one month and three month after the CAR-T infusion
|
ORR(CR and PR) on M1 and M3
|
one month and three month after the CAR-T infusion
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
long-term efficacy
Time Frame: up to one year after the CAR-T infusion
|
DOR
|
up to one year after the CAR-T infusion
|
|
long-term efficacy
Time Frame: up to one year after the CAR-T infusion
|
PFS
|
up to one year after the CAR-T infusion
|
|
long-term efficacy
Time Frame: up to one year after the CAR-T infusion
|
OS
|
up to one year after the CAR-T infusion
|
|
Cell pharmacokinetics Dynamic indicators
Time Frame: Day7, Day10, Day14, Day28 after the CAR-T infusion
|
CAR-T/T% by flow cytometry
|
Day7, Day10, Day14, Day28 after the CAR-T infusion
|
|
Cell pharmacokinetics Dynamic indicators
Time Frame: Day7, Day10, Day14, Day28 after the CAR-T infusion
|
CARgene copy numbers by qPCR
|
Day7, Day10, Day14, Day28 after the CAR-T infusion
|
|
Cell pharmacokinetics Dynamic indicators
Time Frame: up to one month after the CAR-T infusion
|
Area under the plasma concentration versus time curve(AUC)
|
up to one month after the CAR-T infusion
|
|
Cell pharmacokinetics Dynamic indicators
Time Frame: up to one mpnth after the CAR-T infusion
|
Peak Plasma Concentration (Cmax)
|
up to one mpnth after the CAR-T infusion
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Estimated)
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
Other Study ID Numbers
Other Study ID Numbers
- XB-20240912-1
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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