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A Study of C-CAR039 in Subjects With Relapsed and/or Refractory B Cell Non-Hodgkin's Lymphoma

24 november 2021 uppdaterad av: Jun Zhu, Peking University

A Phase 1 Study of CD19 and CD20 Targeted Chimeric Antigen Receptor T Cells Therapy (C-CAR039) in Subjects With Relapsed and/or Refractory B Cell Non-Hodgkin's Lymphoma

This is a single-center, open-label study to evaluate the safety and efficacy of C-CAR039 in relapsed and/or refractory B cell Non-Hodgkin's Lymphoma patients.

Studieöversikt

Detaljerad beskrivning

The study includes the following sequential phases: Screening, Apheresis and C-CAR039 manufacturing, Baseline testing, Lymphodepletion, C-CAR039 infusion, Dose-limiting toxicity observation and Follow-up Visit.

Studietyp

Interventionell

Inskrivning (Förväntat)

18

Fas

  • Fas 1

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

Studieorter

      • Beijing, Kina
        • Rekrytering
        • Peking university cancer hospital
        • Kontakt:
        • Huvudutredare:
          • Yuqin Song, PhD&MD
        • Underutredare:
          • Zhitao Ying
        • Underutredare:
          • Yongjing Tang

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år till 70 år (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Beskrivning

Inclusion Criteria:

  1. The patient volunteered to participate in the study and signed the Informed Consent;
  2. Age, 18-70 years (include 18 and 70), male or female;
  3. Expected survival ≥ 12 weeks
  4. Eastern Cooperative Oncology Group score 0-2
  5. CD19 or CD20 positive B-Non-Hodgkin's lymphoma confirmed by cytology or histology according to World Health Organization 2016 criteria;
  6. Patients with a clear diagnosis of relapsed and/or refractory B-Non-Hodgkin's lymphoma, including Diffuse Large B Cell Lymphoma, Follicular Lymphoma and Mantle Cell Lymphoma. Diffuse Large B Cell Lymphoma includes the following types:

    1. Diffuse Large B Cell Lymphoma, Non Specifically
    2. Primary Mediastinal B-cell Lymphoma
    3. Transformed Follicular Lymphoma
    4. High Grade B-Cell Lymphoma With MYC and BCL2 and/or BCL6
    5. High Grade B-Cell Lymphoma, Non Specifically
  7. For CD20-positive subjects, they should have received at least one regimen containing anti-CD20-targeted therapy (such as rituximab). If they do not complete the regimen due to intolerance, the cause of intolerance should be recorded;
  8. No contraindications of apheresis.
  9. At least one measurable lesion according to Lugano 2014 criteria;
  10. Adequate organ function and adequate bone marrow reserve

    1. Hemoglobin≥80 g/L
    2. Absolute neutrophil count≥1.0×109/L
    3. Platelet≥50×109/L,
    4. Creatinine≤1.5×upper limit of the normal range (ULN)
    5. Cardiac ejection fraction≥50%
    6. Saturation of Pulse Oxygen>92%
    7. Total bilirubin≤1.5×ULN
    8. Alanine Aminotransferase/Aspartate Aminotransferase≤3×ULN

Exclusion Criteria:

  1. Malignant tumors other than B-Non-Hodgkin's lymphoma within 5 years prior to screening, except cervical carcinoma in situ, basal cell or squamous cell skin cancer, local prostate cancer after radical surgery, and breast ductal carcinoma in situ after radical surgery;
  2. Human Immunodeficiency Virus, Hepatitis B Virus, Hepatitis C Virus or treponema pallidum infection ;
  3. Any instability of systemic disease, including but not limited to active infection (except local infection), severe cardiac, liver, kidney, or metabolic disease need treatment;
  4. Female subjects who have been pregnant or breastfeeding, or who plan to conceive during or within 1 year after treatment, or male subjects' partner plans to conceive within 1 year after their cell transfusion;
  5. Active or uncontrolled infections requiring systemic treatment within 14 days before enrollment;
  6. Patients who have been previously infected with tuberculosis;
  7. Administered Corticosteroids and/or other immunosuppressants within 7 days before apheresis. and 5 days before the infusion of C-CAR039;
  8. Patients with central nervous system involvement;

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: N/A
  • Interventionsmodell: Enskild gruppuppgift
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: C-CAR039
Autolog C-CAR039 administrerad genom intravenös (IV) infusion
Autologous 2nd generation CD19/CD20-directed Chimeric Antigen Receptor T Cells, single infusion intravenously
Andra namn:
  • C-CAR039

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Safety Observation
Tidsram: up to 24 Months. Incidence and severity of adverse events after C-CAR039 infusion according to National Cancer Institute Common Terminology Criteria for Adverse Events v5.0 criteria, including dose-limiting toxicity (DLT) and laboratory abnormalities.
Incidence of adverse events after C-CAR039 infusion. Incidence and severity of adverse events according to NCI-CTCAE v5.0 criteria, including Dose Limited Toxicity
up to 24 Months. Incidence and severity of adverse events after C-CAR039 infusion according to National Cancer Institute Common Terminology Criteria for Adverse Events v5.0 criteria, including dose-limiting toxicity (DLT) and laboratory abnormalities.

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Maximum concentration (Cmax) of C-CAR039 in the peripheral blood.
Tidsram: Baseline, Days 4, 7, 10 and weeks 2, 3, 4, 8, 12 and month 6, 9, 12, 15, 18, 21, 24
Detect Chimeric Antigen Receptor-T copies number by quantitative polymerase chain reaction(qPCR).
Baseline, Days 4, 7, 10 and weeks 2, 3, 4, 8, 12 and month 6, 9, 12, 15, 18, 21, 24
Time to maximum concentration (Tmax) of C-CAR039 in the peripheral blood.
Tidsram: Baseline, Days 4, 7, 10 and weeks 2, 3, 4, 8, 12 and month 6, 9, 12, 15, 18, 21, 24
Detect Chimeric Antigen Receptor-T copies number by qPCR.
Baseline, Days 4, 7, 10 and weeks 2, 3, 4, 8, 12 and month 6, 9, 12, 15, 18, 21, 24
Peripheral blood duration of C-CAR039 in the peripheral blood after infusion.
Tidsram: Baseline, Days 4, 7, 10 and weeks 2, 3, 4, 8, 12 and month 6, 9, 12, 15, 18, 21, 24
Detect Chimeric Antigen Receptor-T copies number by qPCR.
Baseline, Days 4, 7, 10 and weeks 2, 3, 4, 8, 12 and month 6, 9, 12, 15, 18, 21, 24
Area under the curve 0h-28d of C-CAR039 in the peripheral blood.
Tidsram: Baseline, Days 4, 7, 10 and weeks 2, 3, 4
Detect Chimeric Antigen Receptor-T copies number by qPCR.
Baseline, Days 4, 7, 10 and weeks 2, 3, 4
Overall response rate (ORR)
Tidsram: 4 weeks, 12 weeks, 6 months, 9 months, 12 months, 15 months, 18 months, 21 months, 24 months
Complete response (CR) rate plus partial response (PR) rate by Lugano 2014 criteria.
4 weeks, 12 weeks, 6 months, 9 months, 12 months, 15 months, 18 months, 21 months, 24 months
Duration of response (DOR)
Tidsram: up to 24 months
The time from the date of first response (PR or better) to the date of disease progression or death after C-CAR039 infusion.
up to 24 months
Progression-free survival (PFS)
Tidsram: 4 weeks, 12 weeks, 6 months, 9 months, 12 months, 15 months, 18 months, 21 months, 24 months
The time from C-CAR039 infusion to the date of progression as assessed by Lugano 2014 criteria or death.
4 weeks, 12 weeks, 6 months, 9 months, 12 months, 15 months, 18 months, 21 months, 24 months
Overall survival (OS)
Tidsram: up to 24 months
The time from C-CAR039 infusion to the date of death.
up to 24 months

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

20 juli 2021

Primärt slutförande (Förväntat)

1 juli 2024

Avslutad studie (Förväntat)

1 oktober 2024

Studieregistreringsdatum

Först inskickad

9 november 2021

Först inskickad som uppfyllde QC-kriterierna

24 november 2021

Första postat (Faktisk)

8 december 2021

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

8 december 2021

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

24 november 2021

Senast verifierad

1 november 2021

Mer information

Termer relaterade till denna studie

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Läkemedels- och apparatinformation, studiedokument

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