Clinical Study of CLL-1 CAR-T in the Treatment of Children With R/R AML
A Single-Center Clinical Study Evaluating the Safety and Preliminary Efficacy of CLL-1 CAR-T in the Treatment of Children With Relapsed/Refractory Acute Myeloid Leukemia
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Phase
Phase
- Early Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Yunyan He, PhD
- Phone Number: +86 13607868275
- Email: yunyanhe@aliyun.com
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Voluntarily sign the ICF and are expected to complete the study's follow-up examinations and procedures.
- Aged 3 to 18 years (inclusive), and body weight ≥10 kg.
- Diagnosis of AML according to the 2016 WHO classification, meeting the diagnostic criteria for relapse and refractoriness as per the "Chinese Guidelines for Diagnosis and Treatment of Relapsed/Refractory Acute Myeloid Leukemia (2017 Edition)", and currently having no clinically relevant treatment options or suitable registered clinical trials available.
- Confirmation of CLL-1 expression ≥50% on AML blasts by flow cytometry.
- Recovery from toxicities of prior therapies.
- Karnofsky score (for age ≥16 years) ≥70 or Lansky score (for age <16 years) ≥50 at screening, and an expected survival >3 months.
- Suitable function of the liver, kidneys, hematological system, lungs and heart is required.
- Females subjects of childbearing potential must have a negative blood pregnancy test at screening and agree to use effective contraception during the study and within 1 year after the last dose of study drug.
- Male subjects with reproductive potential must agree to use barrier contraception or practice complete abstinence until 1 year after the last study treatment.
- Eligible blood cell specimen can be provided.
Exclusion Criteria:
- Diagnosis of APL.
- History of other malignancies within 3 years prior to screening, except for adequately treated carcinoma in situ of the cervix, papillary thyroid carcinoma, basal cell or squamous cell skin cancer, localized prostate cancer treated with radical surgery, and ductal carcinoma in situ treated with radical surgery.
- Evidence of CNS involvement or cranial nerve pathology.
- Subjects with active infections such as hepatitis B, hepatitis C, etc., are to be excluded.
- Subjects with a history of severe allergies or known allergy to any drug component included in this study are to be excluded.
- Subjects with severe cardiac diseases, refractory hypertension, active neurological autoimmune or inflammatory diseases, clinically significant active cerebrovascular disease, oncologic emergencies requiring urgent intervention, acute or chronic GVHD, or any uncontrolled infections requiring antibiotic therapy, etc., are unsuitable for enrollment.
- Previous organ transplant or planned organ transplant (except for hematopoietic stem cell transplantation).
- Received allo-HSCT within 6 weeks prior to screening.
- Subjects who have recently undergone major surgery or plan to undergo major surgery, excluding diagnostic procedures and biopsies.
- Subjects with severe mental disorders, alcoholism, or drug abuse.
- Subjects who, in the judgment of the investigator, have other conditions that make them unsuitable for enrollment.
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
CAR-T therapy
|
A infusion of CLL-1 CAR-T cells following a lymphodepleting chemotherapy regimen.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence of Treatment-Related Adverse Events
Time Frame: Up to 2 years.
|
Proportion of subjects experiencing all kinds of treatment-related AEs.
|
Up to 2 years.
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Overall Response Rate
Time Frame: Up to 2 years.
|
Proportion of subjects achieving CR, CRi, morphologic leukemia-free state (MLFS), or PR.
|
Up to 2 years.
|
|
Duration of Response
Time Frame: Up to 2 years.
|
Time from first assessment of CR, CRi, MLFS, or PR to first assessment of disease recurrence/progression or death from any cause.
|
Up to 2 years.
|
|
Relapse-Free Survival
Time Frame: Up to 2 years.
|
For subjects achieving CR, CRi, or CR MRD-only.
Time from achievement of response to relapse or death (any cause).
|
Up to 2 years.
|
|
Event-Free Survival
Time Frame: Up to 2 years.
|
For all subjects.
Time from cell infusion to treatment failure, relapse, or death (any cause).
|
Up to 2 years.
|
|
Overall Survival
Time Frame: Up to 2 years.
|
For all subjects.
Time from cell infusion to death from any cause.
|
Up to 2 years.
|
|
Proportion of CLL-1-Positive Tumor Cells
Time Frame: Up to 2 years.
|
Changes in the proportion of CLL-1-positive tumor cells after CLL-1 CAR-T infusion.
|
Up to 2 years.
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Yunyan He, PhD, First Affiliated Hospital of Guangxi Medical University
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
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- BG-CT-25-012
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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