BCMA Chimeric Antigen Receptor Expressing T Cells Therapy for Relapsed/Refractory Multiple Myeloma

NCT ID: NCT03943472

Last Updated: 2021-08-31

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

EARLY_PHASE1

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-07-08

Study Completion Date

2022-05-31

Brief Summary

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The goal of this clinical trial is to study the feasibility and efficacy of anti-B-Cell Maturation Antigen (BCMA) expressing T cells in treating patients with multiple myeloma.

Detailed Description

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Participants with BCMA-positive relapsed/refractory multiple myeloma can participate if all eligibility criteria are met. Tests required to determine eligibility include disease assessments, a physical exam, Electrocardiograph, CT/MRI/PET, and blood draws. Participants receive chemotherapy prior to the infusion of BCMA CAR+ T cells. After the infusion, participants will be followed for side effects and effect of BCMA CAR+ T cells. Study procedures may be performed while hospitalized.

Conditions

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Multiple Myeloma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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anti-BCMA CAR-T

Administration of anti-BCMA CAR-T cells to patients with multiple myeloma

Group Type EXPERIMENTAL

Anti-BCMA CAR-T cells

Intervention Type BIOLOGICAL

Retroviral vector-transduced autologous T cells to express anti-BCMA CAR

Fludarabine

Intervention Type DRUG

30mg/m2/d

Cyclophosphamide

Intervention Type DRUG

300mg/m2/d

anti-BCMA CAR-T+ Immune inhibitors

Administration of anti-BCMA CAR-T cells + Immune inhibitors to patients with multiple myeloma

Group Type EXPERIMENTAL

Anti-BCMA CAR-T cells

Intervention Type BIOLOGICAL

Retroviral vector-transduced autologous T cells to express anti-BCMA CAR

Fludarabine

Intervention Type DRUG

30mg/m2/d

Cyclophosphamide

Intervention Type DRUG

300mg/m2/d

Immune inhibitors

Intervention Type DRUG

Immune inhibitors

Interventions

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Anti-BCMA CAR-T cells

Retroviral vector-transduced autologous T cells to express anti-BCMA CAR

Intervention Type BIOLOGICAL

Fludarabine

30mg/m2/d

Intervention Type DRUG

Cyclophosphamide

300mg/m2/d

Intervention Type DRUG

Immune inhibitors

Immune inhibitors

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Expected survival \> 12 weeks
* Diagnosis of Multiple Myeloma by MWG criteria 20
* Patients previously received at least 3 different prior treatment regimens for multiple myeloma, including alkylating agent, protein inhibitors, and immunomodulator, and have disease progression in the past 60 days
* Important organs function enough to tolerate this therapy
* At least 90 days after stem cell transplantation
* Accessible to intravenous injection, and no white blood cell collection contraindications
* Sexually active patients must be willing to utilize one of the more effective birth control methods for 30 days after the CTL infusion. Male partner should use a condom
* Able to understand and sign the Informed Consent Document.

Exclusion Criteria

* Patients with symptoms of central nervous system
* Patients with second malignancies in addition to multiple myeloma
* Active hepatitis B or C, HIV infections
* Any other active diseases could affect the enrollment of this trial
* Suffering severe cardiovascular or respiratory disease
* Poorly controlled hypertension
* Long term use of immunosuppressive agents after organ transplantation, except currently receiving or recently received glucocorticoid treatment
* A history of mental illness and poorly controlled
* Screening showing target cell transduction efficacy is lower than 30%, or T cell proliferation is not enough for infusion (less than 5 fold)
* Occurrence of unstable pulmonary embolism, deep vein thrombosis, or other major arterial/venous thromboembolic events 30 days prior to assignment
* Women of child-bearing potential who are pregnant or breastfeeding during therapy, or have a planned pregnancy with 2 months after therapy
* Women of child-bearing potential who are not willing to practice birth control from the time of enrollment on this study and for 2 months after receiving the preparative regimen. Women of child bearing potential must have a negative serum or urine pregnancy test performed within 48 hours before infusion
* Active systemic infections or uncontrolled infection within 14 days prior enrollment
* Subjects suffering disease affects the understanding of informed consent or complying with study protocol.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Changzheng Hospital

OTHER

Sponsor Role collaborator

Hrain Biotechnology Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Shanghai Changzheng Hospital

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Xuedong Sun

Role: CONTACT

021-58552006

Weijun Fu

Role: CONTACT

021-81885423

Facility Contacts

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Wei J Fu, Professor

Role: primary

021-81885423

Other Identifiers

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anti-BCMA CART

Identifier Type: -

Identifier Source: org_study_id

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