Prospective, Multicenter, Open, One-arm Clinical Study of Safety and Efficacy of Autologous Stem Cell Transplantation + Anti-CD19 CAR T Cells for B-cell Lymphoma
试验速览
- 阶段
- 2 期
- 状态
- 招募中
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Complete response rate
研究概览
简要总结
To evaluate the CR rate of B-NHL subjects who achieved PR at intermediate assessment after first-line chemotherapy treated with autologous stem cell transplantation + Anti-CD19 CAR T cells.
详细描述
At present, the incidence of malignant hematological diseases represented by leukemia, lymphoma and multiple myeloma is increasing year by year, ranking in the top ten of tumor incidence and mortality, which greatly endangers people's health and social development . B-cell non-Hodgkin's lymphoma (NHL) is a common aggressive malignant lymphoma. Poor response of some patients to traditional first-line chemotherapy is one of the major problems facing this disease. As a result, researchers are using emerging tools such as high-throughput sequencing to further understand the nature of the disease, refine the classification of the disease, and on this basis develop personalized treatments to improve the prognosis of the disease.
Lymphoma has a complex immunosuppressive microenvironment that may prevent CAR T from achieving sustained precision tumor killing. As a revolutionary immunotherapy strategy, CAR-T therapy is currently faced with some bottleneck problems such as post-treatment relapse (including antigen loss relapse and antigen positive relapse), CAR-T consumption, off-target effect and so on.
At present, autologous stem cell transplantation still plays a pivotal role in high-risk B-NHL. But at the same time, autologous stem cell transplantation is also faced with the age of patients, the influence of minimal residual disease (MRD) status before transplantation, chemotherapy dependence sensitivity, post-transplantation recurrence, post-transplantation granulosis infection and other problems.
In this study, we explored the efficacy and safety of autologous stem cell transplantation combined with Anti-CD19 CAR-T cells in the treatment of B-cell NHL in patients with B-NHL who achieved partial response (PR) in the interim assessment after 3-4 courses of first-line therapy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients or their legal guardians voluntarily participate and sign the informed consent;
- •Male or female patients aged 18-70 years (including 18 and 70 years);
- •CD19+ B-NH was confirmed by pathology and histology, and the patient achieved a partial response (PR) by interim assessment after 3-4 courses of first-line chemotherapy;
- •B-cell non-Hodgkin lymphoma mainly includes the following two types:
- •(1) Diffuse large B-cell lymphoma (DLBCL); Mantle cell lymphoma (MCL);
- •Measurable or evaluable lesions;
- •The patient's main tissues and organs function well:
- •Liver function: ALT/AST < 3 times the upper limit of normal (ULN) and total bilirubin ≤34.2μmol/L;
- •Renal function: creatinine < 220μmol/L;
- •Lung function: indoor oxygen saturation ≥95%;
- •Cardiac function: left ventricular ejection fraction (LVEF) ≥40%.
- •The patient's peripheral shallow venous blood flow is smooth, which can meet the needs of intravenous infusion;
- •Patients with ECOG score ≤2 and expected survival time ≥3 months.
排除标准
- •Women who are pregnant (urine/blood pregnancy test positive) or breastfeeding;
- •Men or women who have planned to become pregnant within the last 1 year;
- •The patients were not guaranteed to take effective contraceptive measures (condoms or contraceptives, etc.) within 1 year after enrollment;
- •Patients had uncontrollable infectious diseases within 4 weeks prior to enrollment;
- •Active hepatitis B/C virus;
- •Hiv-infected patients;
- •Suffering from a serious autoimmune disease or immunodeficiency disease;
- •The patient is allergic to antibodies, cytokines and other macromolecular biological drugs;
- •The patient had participated in other clinical trials within 6 weeks prior to enrollment;
- •Systemic use of hormones within 4 weeks prior to enrollment (except for inhaled hormones);
- •Suffers from mental illness;
- •The patient has substance abuse/addiction;
- •According to the researchers' judgment, the patient had other conditions that were not suitable for inclusion.
结局指标
主要结局
Complete response rate
时间窗: From 3 months to 1 year.
Proportion of enrolled patients who achieved complete response after treatment
次要结局
- Progression-free survival(From 3 months to 1 year.)
- overall survival(From 3 months to 1 year.)