Adoptive Immunotherapy for Refractory/Relapsed Non-Hodgkin Lymphoma With CD19-TriCART Cells
Trial Snapshot
- Phase
- Phase 1
- Sponsor
- Enrollment
- 6
- Locations
- 1
- Primary Endpoint
- safety (Incidence of treatment-related adverse events as assessed by CTCAE v4.03)
Study Overview
Brief Summary
This is a single arm, open-label, phase Ⅰ study, to determine the safety and efficacy of CD19-TriCAR-T, an autologous tri-functional anti- CD19 chimeric antigen receptor (CAR)-positive T cell therapy, in Refractory/ Relapsed CD19 Positive Non-Hodgkin Lymphoma (NHL).
Detailed Description
The tri-functional anti-CD19 chimeric antigen receptor contains an anti-CD19 scFv, a PD-L1 blocker, and a cytokine complex, enabling the CD19-TriCAR-T to simultaneously targeting the CD19 positive NHL cells,blocking the inhibitory PD-L1 signal and stimulating T/NK cell activation and expansion.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 69 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •All subjects must personally sign and date the consent form before initiating any study specific procedures or activities;
- •All subjects must be able to comply with all the scheduled procedures in the study;
- •Histologically or cytologically confirmed CD19 positive non-Hodgkin lymphoma;
- •At least one measurable lesion per revised IWG Response Criteria;
- •Aged 18 to 69 years;
- •Expected survival ≥12 weeks;
- •Eastern cooperative oncology group (ECOG) performance status of ≤2;
- •Systematic usage of immunosuppressive drug or corticosteroid must have been stopped for more than 4 weeks;
- •All other treatment induced adverse events must have been resolved to
- •Laboratory tests must fulfill the following criteria: ANC ≥ 1000/uL, HGB >70g/L, Platelet count ≥ 50,000/uL, Creatinine clearance ≤1.5 ULN, Serum ALT/AST ≤2.5 ULN, Total bilirubin ≤1.5 ULN (except in subjects with Gilbert's syndrome);
Exclusion Criteria
- •Presence of fungal, bacterial, viral, or other infection that is uncontrolled or requiring IV antimicrobials for management. Simple UTI and uncomplicated bacterial pharyngitis are permitted if responding to active treatment;
- •Patients with symptomatic central nervous system metastasis, intracranial metastasis, and cancer cells found in cerebrospinal fluid are not recommended to participate in this study. Symptom free or post-treatment stable disease or disappearance of lesions should not be excluded. The specific selection is ultimately determined by the investigator;
- •Lactating women;
- •Active infection with hepatitis B (HBsAG positive) or hepatitis C virus (anti-HCV positive);
- •Known history of infection with HIV;
- •Subjects need systematic usage of corticosteroid;
- •Subjects need systematic usage of immunosuppressive drug;
- •Planed operation, history of other related disease, or any other related laboratory tests restrict patients for the study;
- •Other reasons the investigator think the patient may not be suitable for the study.
Outcomes
Primary Outcomes
safety (Incidence of treatment-related adverse events as assessed by CTCAE v4.03)
Time Frame: 24 months
Incidence of treatment-related adverse events as assessed by CTCAE v4.03
Secondary Outcomes
- Partial response rate [PR] (Partial response rate per the revised International Working Group (IWG) Response Criteria)(24 months)
- Duration of Response (The time from response to relapse or progression)(24 months)
- Overall Survival (The number of patient alive, with or without signs of cancer)(24 months)
- Complete response rate[CR] (Complete response rate per the revised International Working Group (IWG) Response Criteria for Malignant Lymphoma)(24 months)
- Progression Free Survival (The time from the first day of treatment to the date on which disease progresses)(24 months)
