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临床试验/NCT04718883
NCT04718883进行中(未招募)2 期

A Phase II Open-Label, Single-Arm, Multicenter Study of JWCAR029, CD19-targeted Chimeric Antigen Receptor (CAR) T Cells for Relapsed and Refractory (R/R) Mantle Cell Lymphoma

Shanghai Ming Ju Biotechnology Co., Ltd.12 个研究点 分布在 1 个国家目标入组 59 人开始时间: 2021年1月13日最近更新:
适应症

试验速览

阶段
2 期
状态
进行中(未招募)
发起方
入组人数
59
试验地点
12
主要终点
Objective response rate (ORR)

研究概览

简要总结

This is a phase II, open-label, single-arm, multicenter study to assess the efficacy and safety of JWCAR029 in adult R/R Mantle Cell Lymphoma subjects in China.

详细描述

This is a phase II, open-label, single-arm, multicenter study conducted in adult subjects with relapsed and refractory (R/R) mantle cell lymphoma (MCL) in China to evaluate the safety, efficacy, pharmacokinetics(PK), pharmacodynamics(PD) of JWCAR029 and immune response after JWCAR029 treatment.

R/R MCL patients will be enrolled in dose level of 1.0 x 10^8 CAR+ T cells. All subjects will be followed for 5 years following JWCAR029 infusion.

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 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • ≥ 18 years old;
  • Sign on the informed consent;
  • Subject must have histologically confirmed mantle cell lymphoma;
  • Relapsed/refractory patients;
  • Subjects have accessible PET-positive lesion and have measurable CT-positive lesion according to Lugano Classification;
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1;
  • Expected survival is greater than 12 weeks;
  • Adequate organ function;
  • Adequate vascular access for leukapheresis procedure;
  • Subjects who have previously received CD19 targeted therapy must confirm that lymphoma lesions still express CD19;
  • Women of childbearing potential must agree to use highly effective methods of contraception for 1 year after the last dose of JWCAR029;
  • Males who have partners of childbearing potential must agree to use an effective barrier contraceptive method for 1 year after the last dose of JWCAR029.

排除标准

  • Central nervous system (CNS) only involvement by malignancy or primary CNS lymphoma;
  • History of another primary malignancy that has not been in remission for at least 2 years;
  • Subjects has HBV, HCV, HIV or syphilis infection at the time of screening;
  • Deep venous thrombosis (DVT)/Pulmonary embolism (PE), or DVT/PE requires anti-coagulation within 3 months prior to signing the ICF;
  • Subjects with uncontrolled systemic fungal, bacterial, viral or other infection;
  • Presence of acute or chronic graft-versus-host disease (GVHD);
  • History of any serious cardiovascular disease or presence of clinically relevant CNS pathology;
  • Pregnant or nursing women;
  • Subjects using of any chemotherapy, corticosteriod, experiment agents, GVHD therapies, radiation or any other therapies for lymphoma must go through a specific wash-out period before leukapheresis;
  • Received allo-hematopoietic stem cell transplantation therapy previously.
  • Uncontrolled conditions or unwillingness or inability to follow the procedures required in the protocol;
  • Received CAR T-cell or other genetically-modified T-cell therapy previously.

结局指标

主要结局

Objective response rate (ORR)

时间窗: 3 months

Objective response rate (ORR) in 3 month in relapsed and refractory (R/R) mantle cell lymphoma (MCL) subjects

次要结局

  • Cmax of JWCAR029(Up to 1 year after JWCAR029 infusion)
  • Type of adverse events (AEs)(Up to 24 months after JWCAR029 infusion)
  • Duration of complete remission (DoCR)(Up to 24 months after JWCAR029 infusion)
  • Changes of serum cytokines(Up to 2 year after JWCAR029 infusion)
  • The best objective response rate(3 months)
  • Duration of partial remission (DoPR)(Up to 24 months after JWCAR029 infusion)
  • Time to complete response (TTCR)(Up to 24 months after JWCAR029 infusion)
  • Overall survival (OS)(Up to 5 year after JWCAR029 infusion)
  • The best complete response rate(3 months)
  • Severity of adverse events(AEs)(Up to 24 months after JWCAR029 infusion)
  • Severity of laboratory abnormalities(Up to 24 months after JWCAR029 infusion)
  • Time to response (TTR)(Up to 24 months after JWCAR029 infusion)
  • Progression-free survival (PFS)(Up to 2 year after JWCAR029 infusion)
  • CD19 expression in tumor biopsy samples(Up to 2 year after JWCAR029 infusion)
  • Number of participants with adverse events (AEs)(Up to 24 months after JWCAR029 infusion)
  • Type of laboratory abnormalities(Up to 24 months after JWCAR029 infusion)
  • Duration of response (DOR)(Up to 24 months after JWCAR029 infusion)
  • Tmax of JWCAR029:(Up to 1 year after JWCAR029 infusion)
  • AUC of JWCAR029:(Up to 1 year after JWCAR029 infusion)
  • Changes of Subgroups of T cell(Up to 2 year after JWCAR029 infusion)
  • Complete response rate (CRR)(3 months)
  • Number of participants with laboratory abnormalities(Up to 24 months after JWCAR029 infusion)
  • Anti-therapeutic JWCAR029 antibody(Up to 2 year after JWCAR029 infusion)
  • Changes of T cell counts(Up to 2 year after JWCAR029 infusion)
  • Changes in inflammatory biomarkers such as CRP(Up to 2 year after JWCAR029 infusion)
  • Changes in inflammatory biomarkers such as ferritin(Up to 2 year after JWCAR029 infusion)

研究者

发起方
Shanghai Ming Ju Biotechnology Co., Ltd.
申办方类型
Industry
责任方
Sponsor

研究点 (12)

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