Immunotherapy With CD19 CAR T-cells for B-Cell Lymphoma, ALL and CLL

NCT ID: NCT02546739

Last Updated: 2021-01-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE1

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-01

Study Completion Date

2023-03-01

Brief Summary

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This study aims to evaluate the safety, efficacy and duration of response of CD19 Chimeric Antigen Receptor (CAR) redirected autologous T-cells in patients with high risk, relapsed CD19+ haematological malignancies.

Detailed Description

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This is a multi-centre, non-randomised, open label Phase I clinical trial of an Advanced Therapy Investigational Medicinal Product named CD19 Chimeric Antigen Receptor (CAR) T-cells (CD19 CAR T-cells) in patients with high risk, relapsed CD19+ haematological malignancies (Leukemia and lymphoma). Following informed consent and registration to the trial, patients will undergo an unstimulated leukapheresis for the generation of the CD19 CAR T-cells. Patients will receive the CD19CAR T-cells following lymphodepleting chemotherapy. The study will evaluate the safety, efficacy and duration of response of the CD19 CAR T-cells in patients with high risk relapsed CD19+ malignancies.

Conditions

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Leukemia Lymphoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Experimental: 1

Acute lymphoblastic leukemia treated with chimeric antigen receptor modified T cells(Anti-CD19-CAR) targeting CD19.

Group Type EXPERIMENTAL

Anti-CD19-CAR

Intervention Type BIOLOGICAL

Cells extracted, followed by induction chemotherapy before CD19-CAR infusion (dose escalation.)

Experimental: 2

Chronic lymphoblastic leukemia with chimeric antigen receptor modified T cells(Anti-CD19-CAR) targeting CD19.

Group Type EXPERIMENTAL

Anti-CD19-CAR

Intervention Type BIOLOGICAL

Cells extracted, followed by induction chemotherapy before CD19-CAR infusion (dose escalation.)

Experimental: 3

Non-hodgkin lymphoma treated with chimeric antigen receptor modified T cells(Anti-CD19-CAR) targeting CD19.

Group Type EXPERIMENTAL

Anti-CD19-CAR

Intervention Type BIOLOGICAL

Cells extracted, followed by induction chemotherapy before CD19-CAR infusion (dose escalation.)

Interventions

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Anti-CD19-CAR

Cells extracted, followed by induction chemotherapy before CD19-CAR infusion (dose escalation.)

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

1. Relapsed or refractory B cell derived acute lymphoblastic leukemia(ALL), chronic lymphoblastic leukemia(CLL) and non-hodgkin lymphoma.
2. KPS\>60.
3. Life expectancy\>3 months.
4. Gender unlimited, age from 18 years to 70 years.
5. CD19 expression must be detected on greater than 15% of the malignant cells by immunohistochemistry or greater than 30% by flow cytometry.
6. Patients who have failed at least one line of a standard treatment.
7. No serious mental disorder.
8. Patients must have adequate cardiac function(no cardiac disease, LVEF≥40% ), adequate pulmonary function as indicated by room air oxygen saturation of \>94%, and adequate renal function(Cr≤133umol/L).
9. No other serious diseases(autoimmune disease, immunodeficiency etc.).
10. No other tumors.
11. Patients volunteer to participate in the research.
12. Patients with history of allogeneic stem cell transplantation are eligible if at least 100 days post-transplant, if there is no evidence of active GVHD and no longer taking immunosuppressive agents for at least 30 days prior to trial.

Exclusion Criteria

1. KPS\<50.
2. Patients are allergic to cytokines.
3. Central nervous system leukemia within 28 days.
4. Uncontrolled active infection.
5. Acute or chronic GVHD.
6. Treated with T cell inhibitor.
7. Pregnancy and nursing females.
8. HIV/HBV/HCV Infection.
9. Other situations we think improper for the research.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The First Hospital of Jilin University

OTHER

Sponsor Role collaborator

Hebei Yanda Ludaopei Hospital

OTHER

Sponsor Role collaborator

Beijing Doing Biomedical Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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li gangyi, master

Role: STUDY_CHAIR

Beijing Doing Biomedical Co., Ltd.

Locations

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Beijing Cancer Hospital

Beijing, Beijing Municipality, China

Site Status

The First Affiliated Hospital of Guangzhou Medical University

Guangzhou, Guangdong, China

Site Status

Hebei Yanda Ludaopei Hospital

Sanhe, Hebei, China

Site Status

First Affiliated Hospital of Henan University of Science and Technology

Luoyang, Henan, China

Site Status

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, China

Site Status

Huai'An First People'S Hospital

Huaian, Jiangsu, China

Site Status

Nanjing Drum Tower Hospital

Nanjing, Jiangsu, China

Site Status

First Hospital of Jilin University

Changchun, Jilin, China

Site Status

Shanxi Dayi Hospital

Taiyuan, Shanxi, China

Site Status

Tianjin people's hospital

Tianjin, Tianjin Municipality, China

Site Status

Hangzhou Cancer Hospital

Hangzhou, Zhejiang, China

Site Status

Beijing DOING Biomedical Co., Ltd

Beijing, , China

Site Status

Countries

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China

Central Contacts

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gai liyun, doctor

Role: CONTACT

086-13269099630

li gangyi

Role: CONTACT

086-13901106501

Facility Contacts

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Gai liyun, Doctor

Role: primary

086-13269099630

Li gangyi, Master

Role: primary

13601204100

Other Identifiers

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Doing-002

Identifier Type: -

Identifier Source: org_study_id

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