An Exploratory Clinical Study of the Safety and Efficacy of Anti-CD19 Chimeric Antigen Receptor NK Cell Injections (KN5501) in the Treatment of Relapsed/Refractory Immune Nephropathy
Overview
- Phase
- Early Phase 1
- Intervention
- anti-CD19 CAR NK cells
- Conditions
- Nephropathy
- Sponsor
- Changhai Hospital
- Enrollment
- 36
- Locations
- 1
- Primary Endpoint
- Incidence of Dose-Limiting Toxicity (DLT)
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
A single arm, open-label pilot study is designed to determine the safety and effectiveness of anti-CD19 CAR NK cell injection (KN5501) in patients with immune nephropathy. 36 patients are planned to be enrolled in the dose-escalation trial. The primary endpoints are DLT and TEAEs. The secondary endpoints are the overall response rates (ORR) and disease control rate (DCR)
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age: ≥ 18 years old and ≤ 70 years old, male or female;
- •Positive CD19 expression in peripheral blood B cells as determined by flow cytometry;
- •The functions of important organs meet the following requirements:
- •Bone marrow hematopoietic function: a. White blood cell count ≥ 3 x 10\^9/L b. Neutrophil count ≥ 1 x 10\^9/L (no colony-stimulating factor treatment within 2 weeks before examination); c. Hemoglobin ≥60g/L.
- •Liver function: ALT ≤ 3 x ULN,AST≤3 x ULN, TBIL≤1.5 x ULN(excluding Gilbert syndrome, total bilirubin ≤ 3.0 x ULN)
- •Coagulation function: International standardized ratio (INR) ≤ 1.5 x ULN, prothrombin time (PT) ≤1.5 x ULN.
- •Cardiac function: good hemodynamic stability, left ventricular ejection fraction (LVEF) ≥55%.
- •Female subjects of childbearing potential and male subjects whose partner is a female of childbearing potential are required to use medically approved contraception or abstain from sex for at least 6 months during and at least 6 months after the end of the study treatment period; female subjects of childbearing potential have had a negative serum HCG test within 7 days prior to study enrollment and are not lactating;
- •Voluntarily participate in this clinical study, sign an informed consent form, have good compliance, and cooperate with follow-up.
- •Criteria for Recurrent/refractory primary membranous nephropathy
Exclusion Criteria
- Not provided
Arms & Interventions
KN5501
Intervention: anti-CD19 CAR NK cells
Outcomes
Primary Outcomes
Incidence of Dose-Limiting Toxicity (DLT)
Time Frame: up to 48 weeks after infusion
To characterize the safety of anti-CD19 CAR NK Cells (KN5501) for Relapsed/Refractory Immune Nephropathy
Incidence of Treatment Emergent Adverse Events (TEAEs)
Time Frame: up to 48 weeks after infusion
To characterize the safety of anti-CD19 CAR NK Cells (KN5501) for Relapsed/Refractory Immune Nephropathy
Secondary Outcomes
- The overall response rate (ORR)(1, 3, 6, 12 and 12 months after infusion)
- Disease control rate (DCR)(1, 3, 6, 12 and 12 months after infusion)
- B cell depletion rate(1, 3, 6, 12 and 12 months after infusion)
- B cell reconstitution(1, 3, 6, 12 and 12 months after infusion)