A Study of LCAR-B38M CAR-T Cells, a Chimeric Antigen Receptor T-cell (CAR-T) Therapy Directed Against B-cell Maturation Antigen (BCMA) in Chinese Participants With Relapsed or Refractory Multiple Myeloma

NCT ID: NCT03758417

Last Updated: 2025-12-17

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

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

123 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-01-23

Study Completion Date

2025-10-20

Brief Summary

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The purpose of this study is to evaluate the efficacy and safety of LCAR-B38M chimeric antigen receptor T (CAR-T) cells.

Detailed Description

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Conditions

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Multiple Myeloma

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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LCAR-B38M Chimeric Antigen Receptor T Cell

Participants will receive LCAR-B38M CAR-T cells as a single infusion which consists of autologous T lymphocytes transduced with LCAR-B38M, a lentiviral vector to express a chimeric antigen receptor targeting the human B cell maturation antigen (anti-BCMA CAR).

In addition, participants will enroll in additional cohort to further characterize the safety profile and accumulate efficacy data of LCAR-B38M CAR-T cells.

Group Type EXPERIMENTAL

LCAR-B38M CAR-T Cell

Intervention Type BIOLOGICAL

Participants will receive LCAR-B38M CAR-T cells as a single infusion which consists of autologous T lymphocytes transduced with LCAR-B38M, a lentiviral vector to express a chimeric antigen receptor targeting the human B cell maturation antigen (anti-BCMA CAR).

Interventions

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LCAR-B38M CAR-T Cell

Participants will receive LCAR-B38M CAR-T cells as a single infusion which consists of autologous T lymphocytes transduced with LCAR-B38M, a lentiviral vector to express a chimeric antigen receptor targeting the human B cell maturation antigen (anti-BCMA CAR).

Intervention Type BIOLOGICAL

Other Intervention Names

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Ciltacabtagene autoleucel

Eligibility Criteria

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Inclusion Criteria

* Documented initial diagnosis of multiple myeloma according to International Myeloma Working Group (IMWG) diagnostic criteria
* Measurable disease at Screening
* Received at least 3 prior lines of treatment for multiple myeloma

a) Undergone at least 1 complete cycle of treatment for each line, unless progressive disease (PD) was documented by IMWG criteria as the best response to the regimen
* Received a proteasome inhibitor (PI) and an immunomodulatory drug (IMiD)
* Participant must have documented evidence of progressive disease based on investigator's determination of response consistent with IMWG criteria on or within 12 months of their last regimen. Non-responsive disease is defined as either failure to achieve minimal response or development of progressive disease (PD) while on therapy. Also, participants with documented evidence of PD disease (as above) within the previous 6 months and who are refractory or non-responsive to their most recent line of treatment afterwards are eligible
* Eastern Cooperative Oncology Group (ECOG) Performance Status grade of 0 or 1

Exclusion Criteria

* Prior treatment with chimeric antigen receptor T (cells) CAR-T therapy directed at any target
* Any therapy that is targeted to B-cell maturation antigen (BCMA)
* The following cardiac conditions: a) New York Heart Association (NYHA) stage III or IV congestive heart failure b) Myocardial infarction or coronary artery bypass graft (CABG) 6 months prior to enrollment c) History of clinically significant ventricular arrhythmia or unexplained syncope, not believed to be vasovagal in nature or due to dehydration d) History of severe non-ischemic cardiomyopathy e) Impaired cardiac function (left ventricular ejection fraction \[LVEF\] less than \[\<\]45%) as assessed by echocardiogram or multiple-gated acquisition (MUGA) scan (performed less than or equal to (\<=) 8 weeks of apheresis)
* Have received a cumulative dose of corticosteroids equivalent to greater than or equal to(\>=)70 milligram (mg) of prednisone within 7 days prior to apheresis
* Diagnosed or treated for invasive malignancy other than multiple myeloma, except:

1. Malignancy treated with curative intent and with no known active disease present for greater than or equal to (\>=) 2 years before enrollment; or
2. Adequately treated non-melanoma skin cancer without evidence of disease
* Prior antitumor therapy with insufficient washout period
* Toxicity from previous anticancer therapy must resolve to baseline levels or to Grade 1 or less except for alopecia or peripheral neuropathy
* Received either of the following:

1. An allogeneic stem cell transplant for multiple myeloma
2. An autologous stem cell transplant less than or equal to (\<=) 12 weeks before apheresis
* Known active, or prior history of, central nervous system (CNS) involvement or exhibits clinical signs of meningeal involvement of multiple myeloma
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen Research & Development, LLC

INDUSTRY

Sponsor Role collaborator

Nanjing Legend Biotech Co.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janssen Research&Development,LLC Clinical Trail

Role: STUDY_DIRECTOR

Janssen Research & Development, LLC

Locations

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Peking University Third Hospital

Beijing, Beijing Municipality, China

Site Status

Fujian Medical University Union hospital

Fuzhou, Fujian, China

Site Status

Sun Yat -Sen University Cancer Center

Guandong, Guangzhou, China

Site Status

Nanjing Drum Tower Hospital

Nanjing, Jiangsu, China

Site Status

Jiangsu Province Hospital

Nanjing, Jiangsu, China

Site Status

Shanghai Changzheng Hospital

Shanghai, Shanghai Municipality, China

Site Status

Ruijin Hospital, Shanghai Jiao Tong University

Shanghai, Shanghai Municipality, China

Site Status

Shanghai Fourth People Hospital

Shanghai, Shanghai Municipality, China

Site Status

The Second Affiliated Hospital of Xi'an Jiaotong University

Xi’an, Shanxi, China

Site Status

West China Hospital, Sichuan University

Chengdu, Sichuan, China

Site Status

The First Affiliated Hospital, Medical School of Zhejiang University

Hangzhou, Zhejiang, China

Site Status

Countries

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China

References

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Mi JQ, Zhao W, Jing H, Fu W, Hu J, Chen L, Zhang Y, Yao D, Chen D, Schecter JM, Yang F, Tian X, Sun H, Zhuang SH, Ren J, Fan X, Jin J, Niu T, Chen SJ. Phase II, Open-Label Study of Ciltacabtagene Autoleucel, an Anti-B-Cell Maturation Antigen Chimeric Antigen Receptor-T-Cell Therapy, in Chinese Patients With Relapsed/Refractory Multiple Myeloma (CARTIFAN-1). J Clin Oncol. 2023 Feb 20;41(6):1275-1284. doi: 10.1200/JCO.22.00690. Epub 2022 Oct 21.

Reference Type DERIVED
PMID: 36269898 (View on PubMed)

Other Identifiers

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68284528MMY2002

Identifier Type: OTHER

Identifier Source: secondary_id

CR108494

Identifier Type: -

Identifier Source: org_study_id