Autologous CD19-targeting CAR T Cells for Refractory B Cell Malignancy
Overview
- Phase
- Phase 1
- Intervention
- Not specified
- Conditions
- B-Cell Leukemia
- Sponsor
- Hebei Senlang Biotechnology Inc., Ltd.
- Enrollment
- 10
- Locations
- 1
- Primary Endpoint
- Tumor load
- Last Updated
- 9 years ago
Overview
Brief Summary
Chimeric antigen receptor (CAR) T cells targeting CD19 will be evaluated for safety and efficacy in patients with B cell malignancy including lymphoma or leukemia.
Detailed Description
The CAR consists of a CD19 targeting antibody scFv with three intracellular signaling domains derived from CD3 zeta, CD28 and 4-1BB. Autologous T cells will be gene engineered with the CAR gene using a lentivirus vector. Prior to T cell infusion, the patients will be subjected to preconditioning treatment. After T cell infusion, the patients will be evaluated for 24 months for adverse reactions, persistence of CAR T cells and efficacy.
Investigators
Eligibility Criteria
Inclusion Criteria
- •The treat history meeting the following criteria:
- •Recurrence of lymphoma patients with imaging (CT/MRI/PET-CT) detection and pathological diagnosis, or recurrence including bone marrow morphology relapse and the MRD recurrence of myeloma patients or leukemia patients, after chemotherapy or stem cell transplantation;
- •Can't get complete remission (including MRD positive) after more than twice repeated chemotherapy of incipient lymphoma, myeloma or leukemia patients;
- •One or twice chemotherapy cannot get remission again (including MRD positive), but not suitable for chemotherapy of incipient lymphoma, myeloma or leukemia patients.
- •There is a measurable lesions before treatment at least;
- •ECOG score≤2;
- •To be aged 1 to 70 years;
- •More than a month lifetime from the consent signing date
Exclusion Criteria
- •Serious cardiac insufficiency, left ventricular ejection fraction\<50;
- •Has a history of severe pulmonary function damaging;
- •Merging other malignant tumor;
- •Merging uncontrolled infection;
- •Merging the metabolic diseases (except diabetes);
- •Merging severe autoimmune diseases or immunodeficiency disease;
- •patients with active hepatitis B or hepatitis C;
- •patients with HIV infection;
- •Has a history of serious allergies on Biological products (including antibiotics);
- •Happened in 3 \~ 4 acute GvHD after allogeneic hematopoietic stem cell transplantation on recurring patients Pregnancy or lactation women; Any situation that would increase dangerousness of subjects or disturb the outcome of the clinical study according to the researcher's evaluation.
Outcomes
Primary Outcomes
Tumor load
Time Frame: Up to 24 months
Tumor load will be quantified with radiology, bone marrow and/or blood samples dependent on diagnosis.
Secondary Outcomes
- CAR T cell persistence(Up to 24 months)