CAR-pNK Cell Immunotherapy in CD7 Positive Leukemia and Lymphoma

NCT ID: NCT02742727

Last Updated: 2016-12-06

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/PHASE2

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-03-31

Study Completion Date

2018-03-31

Brief Summary

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The purpose of this study is to evaluate the safety and effectiveness of CAR-pNK cell immunotherapy in patients with CD7 positive relapsed or refractory Leukemia and Lymphoma.

Detailed Description

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Conditions

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Acute Myeloid Leukemia Precursor T-Cell Lymphoblastic Leukemia-Lymphoma T-cell Prolymphocytic Leukemia T-cell Large Granular Lymphocytic Leukemia Peripheral T-cell Lymphoma, NOS Angioimmunoblastic T-cell Lymphoma Extranodal NK/T-cell Lymphoma, Nasal Type Enteropathy-type Intestinal T-cell Lymphoma Hepatosplenic T-cell Lymphoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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CAR-pNK Cell immunotherapy

Enrolled patients will receive CAR-pNK cell immunotherapy with a novel specific chimeric antigen receptor targeting CD7 antigen by infusion.

Group Type EXPERIMENTAL

anti-CD7 CAR-pNK cells

Intervention Type BIOLOGICAL

The allogeneic NK cells (NK-92 cell line for clinical use) are engineered to contain anti-CD7 attached to TCRzeta, CD28 and 4-1BB signaling domains. These modified cells are called chimeric antigen receptor NK cells with specificity for CD7.

Interventions

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anti-CD7 CAR-pNK cells

The allogeneic NK cells (NK-92 cell line for clinical use) are engineered to contain anti-CD7 attached to TCRzeta, CD28 and 4-1BB signaling domains. These modified cells are called chimeric antigen receptor NK cells with specificity for CD7.

Intervention Type BIOLOGICAL

Other Intervention Names

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chimeric antigen receptor NK cells with specificity for CD7

Eligibility Criteria

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Inclusion Criteria

Male and female subjects with CD7+ malignancies in patients with no available curative treatment options who have limited prognosis (several months to \< 2 year survival) with currently available therapies will be enrolled:

1. Eligible diseases: CD7 positive relapsed or refractory Leukemia and Lymphoma. ᅳ Acute myeloid leukemia, previously identified as CD7+ ᅳ Precursor T lymphoblast leukemia/lymphoma ᅳ T-cell prolymphocytic leukemia ᅳ T-cell large granular lymphocytic leukemia ᅳ Peripheral T-cell lymphoma, NOS ᅳ Angioimmunoblastic T-cell lymphoma ᅳ Extranodal NK/T-cell lymphoma, nasal type ᅳ Enteropathy-type intestinal T-cell lymphoma ᅳ Hepatosplenic T-cell lymphoma
2. Patients 18 years of age or older, and must have a life expectancy \> 12 weeks.
3. CD7 is expressed in malignancy tissues by immuno-histochemical (IHC) or Flow cytometry.
4. Assessable disease as measured by laboratory and bone marrow examinations.
5. Eastern cooperative oncology group (ECOG) performance status of 0-2 or karnofsky performance status (KPS) score is higher than 60.
6. Females of child-bearing potential must have a negative pregnancy test and all subjects must agree to use an effective method of contraception for up to two weeks after the last infusion of CAR-pNK cells.
7. Adequate bone marrow, liver and renal function as assessed by the following laboratory requirements: serum creatinine ≤ 2.5mg/dL, aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 5×upper limit of normal, serum total bilirubin ≤ 2.0mg/dL. These tests must be conducted within 7 days prior to registration.
8. Ability to give informed consent.

Exclusion Criteria

1. Patients with symptomatic central nervous system (CNS) involvement.
2. Pregnant or nursing women may not participate.
3. Known HIV, hepatitis B virus (HBV) or hepatitis C virus (HCV) infection.
4. Serious illness or medical condition which would not permit the patient to be managed according to the protocol, including active uncontrolled infection, major cardiovascular, coagulation disorders, respiratory or immune system, myocardial infarction, cardiac arrhythmias, obstructive/restrictive pulmonary disease, or psychiatric or emotional disorders.
5. Concurrent use of systemic steroids. Recent or current use of inhaled steroids is not exclusionary.
6. Previously treatment with any gene therapy products.
7. The existence of unstable or active ulcers or gastrointestinal bleeding.
8. Patients with a history of organ transplantation or are waiting for organ transplantation.
9. Patients need anticoagulant therapy (such as warfarin or heparin).
10. Patients need long-term antiplatelet therapy (aspirin at a dose \> 300mg/d; clopidogrel at a dose \> 75mg/d).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The First People's Hospital of Hefei

OTHER

Sponsor Role collaborator

Hefei Binhu Hospital

OTHER

Sponsor Role collaborator

PersonGen BioTherapeutics (Suzhou) Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lin Yang, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

PersonGen BioTherapeutics (Suzhou) Co., Ltd.

Locations

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PersonGen BioTherapeutics (Suzhou) Co., Ltd.

Suzhou, Jiangsu, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Lin Yang, Ph.D.

Role: CONTACT

Phone: 86-512-65922190

Email: [email protected]

Facility Contacts

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Lin Yang, Ph.D.

Role: primary

References

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Del Zotto G, Marcenaro E, Vacca P, Sivori S, Pende D, Della Chiesa M, Moretta F, Ingegnere T, Mingari MC, Moretta A, Moretta L. Markers and function of human NK cells in normal and pathological conditions. Cytometry B Clin Cytom. 2017 Mar;92(2):100-114. doi: 10.1002/cyto.b.21508. Epub 2017 Feb 12.

Reference Type DERIVED
PMID: 28054442 (View on PubMed)

Other Identifiers

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PG-107-002

Identifier Type: -

Identifier Source: org_study_id