- ICH GCP
- Rejestr badań klinicznych w USA
- Badanie kliniczne NCT07932496
A Modular, Phase I/II Study to Evaluate CT204V-CD19 x CD20 in Participants With Relapsed or Refractory B-Cell Malignancies. (CT204V)
A Modular, Phase I/II, Open-label, Single-arm, Multicenter, Dose Escalation and Dose Expansion Study to Evaluate the Safety, Tolerability, Cellular Kinetics, Pharmacodynamics, and Efficacy of CT204V-CD19 × CD20, an In Vivo Lentiviral Vector Gene Therapy Generating Dual Targeting Anti-CD19/CD20 Chimeric Antigen Receptor (CAR)-T Cells in Participants With Relapsed or Refractory B-Cell Malignancies
The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics and efficacy of CT204V-CD19 × CD20, a dual targeting in vivo gene therapy generating anti-CD19/CD20 CAR-T cells in participants with R/R B-cell malignancies.
Przegląd badań
Status
Interwencja / Leczenie
Typ studiów
Zapisy (Szacowany)
Faza
- Faza 2
- Faza 1
Kontakty i lokalizacje
Kontakt w sprawie studiów
- Nazwa: Study Information Center
- Numer telefonu: +1877-240-9479
- E-mail: information.center@astrazeneca.com
Kryteria uczestnictwa
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
Inclusion Criteria:
- * Participants must be at least 18 years of age.
- * Confirmed expression of CD19 and/or CD20.
- * Histologically confirmed and measurable disease for all disease subtypes.
- * ECOG performance status 0 or 1.
- * Adequate organ and bone marrow function.
- * Body weight of at least 45 kg.
- * Contraceptive/barrier requirement consistent with local regulations.
- * Capable of giving signed informed consent.
Exclusion Criteria:
- * History of malignancy unless disease-free for ≥ 3 years, with exceptions.
- * Active CNS involvement by malignancy.
- * History of cardiac lymphoma involvement.
- * Richter's transformation of CLL.
- * Ongoing or impending oncologic emergency.
- * Active uncontrolled bacterial, viral, or fungal infection.
- * Active hepatitis B or C.
- * Positive HIV test.
- * Positive HTLV-1/2 antibody test.
- * Ongoing non-hematologic toxicities from prior therapy.
- * History of any grade IEC-HS, Grade ≥ 3 CRS, or Grade ≥ 2 NT during prior CAR-T cell therapy.
- * History of allogeneic stem cell or solid organ transplantation.
- * Primary immunodeficiency disorder.
- * History of specific autoimmune diseases.
- * Significant neurological or psychiatric conditions.
- * Receipt of prior treatment containing VSV-G.
- * Receipt of certain therapies within specified washout periods.
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Nie dotyczy
- Model interwencyjny: Zadanie dla jednej grupy
- Maskowanie: Brak (otwarta etykieta)
Broń i interwencje
Grupa uczestników / Arm |
Interwencja / Leczenie |
|---|---|
|
Eksperymentalny: CT204V-CD19 × CD20
Participants will receive CT204V-CD19 × CD20, an In Vivo Lentiviral Vector Gene Therapy, generating dual targeting anti-CD19/CD20 Chimeric Antigen Receptor (CAR)-T cells. |
Experimental
Inne nazwy:
|
Co mierzy badanie?
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Number of Adverse Events(AEs)/Serious Adverse Events (SAEs), Phase 1 of the study.
Ramy czasowe: Up to 15 years
|
Incidence and severity of Adverse Events(AEs)/Serious Adverse Events (SAEs), Phase 1 of the study. |
Up to 15 years
|
|
Number of Dose-Limiting Toxicities (DLTs) events during dose escalation, Phase 1 of the study.
Ramy czasowe: Up to 28 days.
|
Incidence of Dose-Limiting Toxicities (DLTs) during dose escalation, Phase 1 of the study. |
Up to 28 days.
|
|
Number of AEs leading to dose reduction, withdrawal, interruption, Phase 1 of the study.
Ramy czasowe: Up to 1 year.
|
Incidence of AEs leading to dose reduction, withdrawal, interruption, Phase 1 of the study. |
Up to 1 year.
|
|
Number of AEs leading to death, Phase 1 of the study.
Ramy czasowe: Up to 15 years
|
Incidence of AEs leading to death, Phase 1 of the study. |
Up to 15 years
|
|
Number of AESI (adverse events of special interest), Phase 1 of the study.
Ramy czasowe: Up to 15 years
|
Incidence of AESI (adverse events of special interest), Phase 1 of the study. |
Up to 15 years
|
|
Objective Response Rate (Complete Response+Partial Response) per Lugano Classification, Phase 2 of the study.
Ramy czasowe: Up to 24 months.
|
To assess the efficacy based on ORR (CR+PR) events. |
Up to 24 months.
|
|
Complete Response (CR) rate, Phase 2 of the study.
Ramy czasowe: Up to 24 months.
|
To assess the efficacy based on CR rate. |
Up to 24 months.
|
|
Best Overall Response (BOR), Phase 2 of the study.
Ramy czasowe: Up to 24 months.
|
To assess the efficacy based on BOR rate. |
Up to 24 months.
|
|
Duration of Response (DoR), Phase 2 of the study.
Ramy czasowe: Up to 24 months.
|
To assess the efficacy based on DoR rate. |
Up to 24 months.
|
|
Duration of Complete Response (DoCR), Phase 2 of the study.
Ramy czasowe: Up to 24 months.
|
To assess the efficacy based on DoCR rate. |
Up to 24 months.
|
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Objective Response Rate (Complete Response+Partial Response) per Lugano Classification, Phase 1 of the study.
Ramy czasowe: Up to 24 months post-infusion.
|
To evaluate the preliminary antitumor activity of CT204V. ORR (CR+PR) per Lugano Classification based on ORR, as assessed by the investigator. |
Up to 24 months post-infusion.
|
|
Viral vector PK parameter AUClast, Phase 1 of the study.
Ramy czasowe: Up to 24 months post-infusion.
|
Quantification of CT204V viral vector genomes (viral titer) in peripheral blood per PK parameter AUClast, as assessed by the investigator. |
Up to 24 months post-infusion.
|
|
Cellular Kinetics (CK) of CT204V CAR transgene parameter AUC0-28/AUClast, Phase 1 of the study.
Ramy czasowe: Up to 24 months post-infusion.
|
Quantification of CT204V CAR transgene levels in peripheral blood per CAR transgene PK parameter AUC0-28/AUClast, as assessed by the investigator. |
Up to 24 months post-infusion.
|
|
Incidence of Anti-Drug Antibodies (ADA), Phase 1 of the study.
Ramy czasowe: Up to 24 months post-infusion.
|
To evaluate the humoral immunogenicity of CT204V and its vector components based on incidence of humoral immunogenicity (ADA) against CT204V and/or vector components, as assessed by the investigator. |
Up to 24 months post-infusion.
|
|
Frequency and severity of AEs/SAEs
Ramy czasowe: Up to 15 years
|
To further characterize the safety of CT204V with selected prophylaxis regimen. |
Up to 15 years
|
|
Complete Response (CR) rate, Phase 1 of the study.
Ramy czasowe: Up to 24 months post-infusion.
|
To evaluate the preliminary antitumor activity of CT204V per CR rate, as assessed by the investigator. |
Up to 24 months post-infusion.
|
|
Best Overall Response (BOR), Phase 1 of the study.
Ramy czasowe: Up to 24 months post-infusion.
|
To evaluate the preliminary antitumor activity of CT204V based on BOR, as assessed by the investigator. |
Up to 24 months post-infusion.
|
|
Duration of Response (DoR), Phase 1 of the study.
Ramy czasowe: Up to 24 months post-infusion.
|
To evaluate the preliminary antitumor activity of CT204V based on DoR. as assessed by the investigator. |
Up to 24 months post-infusion.
|
|
Duration of Complete Response (DoCR), Phase 1 of the study.
Ramy czasowe: Up to 24 months post-infusion.
|
To evaluate the preliminary antitumor activity ofCT204V based on DoCR, as assessed by the investigator. |
Up to 24 months post-infusion.
|
|
Viral vector PK parameter Cmax/Clast, Phase 1 of the study.
Ramy czasowe: Up to 24 months post-infusion.
|
Quantification of CT204V viral vector genomes (viral titer) in peripheral blood per PK parameter Cmax/Clast, as assessed by the investigator. |
Up to 24 months post-infusion.
|
|
Viral vector PK parameter Tmax/Tlast, Phase 1 of the study.
Ramy czasowe: Up to 24 months post-infusion.
|
Quantification of CT204V viral vector genomes (viral titer) in peripheral blood per PK parameter Tmax/Tlast, as assessed by the investigator. |
Up to 24 months post-infusion.
|
|
Cellular Kinetics (CK) of CT204V CAR transgene parameter Cmax/Clast, Phase 1 of the study.
Ramy czasowe: Up to 24 months post-infusion.
|
Quantification of CT204V CAR transgene levels in peripheral blood per CAR transgene PK parameter Cmax/Clast, as assessed by the investigator. |
Up to 24 months post-infusion.
|
|
Cellular Kinetics (CK) of CT204V CAR transgene parameter Tmax/Tlast, Phase 1 of the study.
Ramy czasowe: Up to 24 months post-infusion.
|
Quantification of CT204V CAR transgene levels in peripheral blood per CAR transgene PK parameter Tmax/Tlast. |
Up to 24 months post-infusion.
|
|
Quantification of CT204V viral vector genomes (viral titer) in peripheral blood, Phase 2 of the study.
Ramy czasowe: Up to 24 months post-infusion.
|
Quantification of CT204V viral vector genomes (viral titer) in peripheral blood, central read, central read. |
Up to 24 months post-infusion.
|
|
Quantification of CT204V CAR transgene levels (copies/μg gDNA) in peripheral blood, Phase 1 of the study.
Ramy czasowe: Up to 24 months post-infusion.
|
Quantification of CT204V CAR transgene levels (copies/μg gDNA) in peripheral blood, as assessed by the investigator. |
Up to 24 months post-infusion.
|
|
Cellular Kinetics (CK) of CT204V CAR transgene parameter AUC0-28/AUClast, Phase 2 of the study.
Ramy czasowe: Up to 24 months post-infusion.
|
Quantification of CT204V CAR transgene levels in peripheral blood per CAR transgene PK parameter AUC0-28/AUClast, central read. |
Up to 24 months post-infusion.
|
|
Incidence of Anti-Drug Antibodies (ADA), Phase 2 of the study.
Ramy czasowe: Up to 24 months post-infusion.
|
To evaluate the humoral immunogenicity of CT204V and its vector components based on incidence of humoral immunogenicity (ADA) against CT204V and/or vector components, central read. |
Up to 24 months post-infusion.
|
|
Complete Response (CR) rate, Phase 2 of the study.
Ramy czasowe: Up to 24 months post-infusion.
|
To evaluate the preliminary antitumor activity of CT204V per CR rate, central read. |
Up to 24 months post-infusion.
|
|
Best Overall Response (BOR), Phase 2 of the study.
Ramy czasowe: Up to 24 months post-infusion.
|
To evaluate the preliminary antitumor activity of CT204V based on BOR, central read. |
Up to 24 months post-infusion.
|
|
Duration of Response (DoR), Phase 2 of the study.
Ramy czasowe: Up to 24 months post-infusion.
|
To evaluate the preliminary antitumor activity of CT204V based on DoR, central read. |
Up to 24 months post-infusion.
|
|
Duration of Complete Response (DoCR), Phase 2 of the study.
Ramy czasowe: Up to 24 months post-infusion.
|
To evaluate the preliminary antitumor activity ofCT204V based on DoCR, central read. |
Up to 24 months post-infusion.
|
|
Viral vector PK parameter Cmax/Clast, Phase 2 of the study.
Ramy czasowe: Up to 24 months post-infusion.
|
Quantification of CT204V viral vector genomes (viral titer) in peripheral blood per PK parameter Cmax/Clast, central read. |
Up to 24 months post-infusion.
|
|
Viral vector PK parameter Tmax/Tlast, Phase 2 of the study.
Ramy czasowe: Up to 24 months post-infusion.
|
Quantification of CT204V viral vector genomes (viral titer) in peripheral blood per PK parameter Tmax/Tlast, central read. |
Up to 24 months post-infusion.
|
|
Cellular Kinetics (CK) of CT204V CAR transgene parameter Cmax/Clast, Phase 2 of the study.
Ramy czasowe: Up to 24 months post-infusion.
|
Quantification of CT204V CAR transgene levels in peripheral blood per CAR, transgene PK parameter Cmax/Clast, central read |
Up to 24 months post-infusion.
|
|
Cellular Kinetics (CK) of CT204V CAR transgene parameter Tmax/Tlast, Phase 2 of the study.
Ramy czasowe: Up to 24 months post-infusion.
|
Quantification of CT204V viral vector genomes (viral titer) in peripheral blood, central read, central read. |
Up to 24 months post-infusion.
|
|
Viral vector PK parameter AUClast, Phase 2 of the study.
Ramy czasowe: Up to 24 months post-infusion.
|
Quantification of CT204V viral vector genomes (viral titer) in peripheral blood per PK parameter AUClast, central read. |
Up to 24 months post-infusion.
|
|
Objective Response Rate (Complete Response+Partial Response) per Lugano Classification, Phase 2 of the study.
Ramy czasowe: Up to 24 months post-infusion.
|
To evaluate the preliminary antitumor activity of CT204V. ORR (CR+PR) per Lugano Classification based on ORR, central read. |
Up to 24 months post-infusion.
|
|
Quantification of CT204V CAR transgene levels (copies/μg gDNA) in peripheral blood, Phase 2 of the study.
Ramy czasowe: Up to 24 months post-infusion.
|
Quantification of CT204V CAR transgene levels (copies/μg gDNA) in peripheral blood, central read. |
Up to 24 months post-infusion.
|
|
Quantification of CT204V viral vector genomes (viral titer) in peripheral blood, Phase 1 of the study.
Ramy czasowe: Up to 24 months post-infusion.
|
Quantification of CT204V viral vector genomes (viral titer) in peripheral blood, central read, as assessed by the investigator. |
Up to 24 months post-infusion.
|
Współpracownicy i badacze
Sponsor
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Szacowany)
Zakończenie podstawowe (Szacowany)
Ukończenie studiów (Szacowany)
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Dodatkowe istotne warunki MeSH
Inne numery identyfikacyjne badania
- R1055C00001
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Opis planu IPD
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
Ramy czasowe udostępniania IPD
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA PhRMA Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
Kryteria dostępu do udostępniania IPD
When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org. Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.
Typ informacji pomocniczych dotyczących udostępniania IPD
- PROTOKÓŁ BADANIA
- SOK ROŚLINNY
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
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