Clinical Study to Evaluate the Safety and Feasibility of Targeting CD269 Chimeric Antigen Receptor Engineered T Cell (spCART-269) Injection in the Treatment of CD269-positive Multiple Myeloma
Overview
- Phase
- Phase 1
- Intervention
- Not specified
- Conditions
- Multiple Myeloma
- Sponsor
- Shanghai Tongji Hospital, Tongji University School of Medicine
- Enrollment
- 10
- Locations
- 1
- Primary Endpoint
- Occurrence of study related adverse events
- Last Updated
- 5 years ago
Overview
Brief Summary
The trial is a single arm, single-center, non-randomized phase I clinical trial which is designed to evaluate the safety and efficacy of spCART-269 in treatment of relapsed or refractory multiple myeloma patients.
Detailed Description
This study plans to enroll 10 patients to assess the safety and efficacy of spCART-269. Subjects who meet the eligibility criteria will receive a single dose of spCART-269 injection. The study will include the following sequential phases: Screening, Pre-treatment (Cell product preparation; Lymphodepleting Chemotherapy), Treatment and follow-up.
Investigators
Aibin Liang,MD,Ph.D.
Vice President of Tongji Hospital
Shanghai Tongji Hospital, Tongji University School of Medicine
Eligibility Criteria
Inclusion Criteria
- •The patient was diagnosed as active MM according to the diagnostic criteria of the International Myeloma Working Group (IMWG)
- •The patient meets any of the following:
- •Have received at least 3 treatment options in the past and include alkylating agents, proteasome inhibitors and immunomodulators;
- •If the patient has received a regimen containing proteasome inhibitor and immunomodulator for at least 2 courses, and the effect is not good (such as disease progression within 60 days of treatment)
- •Voluntary participation in clinical research and signing informed consent
- •Age 18-65, regardless of gender
- •Expected survival time is greater than 12 weeks
- •If the patient has received autologous hematopoietic stem cell transplantation in the past, a 90-day interval is required
- •Normal bone marrow hematopoietic function, blood routine: hemoglobin ≥ 100 g/L; absolute neutrophil ≥ 1.5×10\^9/L; platelet count ≥ 100×10\^9/L
- •Liver function: serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 2.5 (ULN) times the upper limit of normal value (if abnormal liver function is mainly caused by tumor infiltration, it can be ≤ 5 times the upper limit of normal value (ULN) )), bilirubin \<2.0 mg/dL
Exclusion Criteria
- •ECOG score ≥ 3 points
- •Female patients during pregnancy or lactation
- •Pathological examination revealed malignant tumor cells with T cell origin
- •Organ failure: Heart failure grade Ⅲ and Ⅳ; liver reaches Child-Turcotte liver function grade C; renal failure and uremia; respiratory failure; consciousness disorder
- •Patients with acute or chronic GVHD after allogeneic hematopoietic transplantation, or using hormones or immunosuppressants within 30 days
- •Patients with HIV infection or active hepatitis
- •There are other uncontrolled active infections
- •Those who may be allergic to cytokines
- •Those who have used any gene therapy products
- •Those who participated in other clinical studies 4 weeks before enrollment (except those who did not receive treatment in clinical studies)
Outcomes
Primary Outcomes
Occurrence of study related adverse events
Time Frame: 12 weeks
Incidence and severity of Treatment emergent adverse events
Secondary Outcomes
- Overall response rate (ORR)(12 months)
- Overall survival (OS)(12 weeks, 6 months, 12 months)
- Duration of remission (DOR)(12 months)
- Progression free survival (PFS)(12 months)