γδT Cells Immunotherapy in Patients With Relapsed or Refractory Non-Hodgkin's Lymphoma (NHL)

NCT ID: NCT04028440

Last Updated: 2019-09-26

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

EARLY_PHASE1

Total Enrollment

6 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-10-31

Study Completion Date

2022-03-31

Brief Summary

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This study aims to evaluate the safety and efficacy of autologous γδT cells in patients with relapsed or refractory B cell non-Hodgkin's lymphoma (B-NHL), chronic lymphoblastic leukemia (CLL) and peripheral T cell lymphoma (PTCL) expect for γδT lymphoma.

Detailed Description

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This is a single-centre, non-randomised, open label, no control, prospective clinical trial. The study will include the following sequential phases: sign informed consent, γδT cells pre-culture, screening and registration to the trial, apheresis, γδT cells preparation, pre-treatment for lymphodepleting chemotherapy (selectable plan), treatment and follow-up. The study will evaluate the safety and efficacy of the autologous γδT cells in patients with relapsed or refractory B cell non-Hodgkin's lymphoma (B-NHL), chronic lymphoblastic leukemia (CLL) and peripheral T cell lymphoma (PTCL) expect for γδT lymphoma.

Conditions

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Non-Hodgkin's Lymphoma Relapsed or Refractory B Cell Non-Hodgkin's Lymphoma Chronic Lymphoblastic Leukemia Peripheral T Cell Lymphoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Biological: Autologous γδT cells Cells will be extracted by apheresis, followed by expanding and activating. The autologous γδT cells product will be adoptive transferred.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Autologous γδT cells

Subjects will receive 3 cycles of γδT cells treatments, at four-week intervals, each cycle has 2 infusions, single infusion intravenously at a target dose of 1\~2×10e9 γδT cells (constant dose).

Group Type EXPERIMENTAL

Autologous γδT cells

Intervention Type BIOLOGICAL

Cells will be extracted by apheresis, followed by expanding and activating. The autologous γδT cells product will be adoptive transferred.

Interventions

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Autologous γδT cells

Cells will be extracted by apheresis, followed by expanding and activating. The autologous γδT cells product will be adoptive transferred.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

1. Patients should sign informed consent form voluntarily.
2. Gender unlimited, age ≥ 18 years old.
3. Patients with relapsed or refractory B cell non-Hodgkin's lymphoma (B-NHL), chronic lymphoblastic leukemia (CLL) and peripheral T cell lymphoma(PTCL) expect for γδT lymphoma.
4. Patients had an evaluable imaging lesion of at least greater than 1.5 cm (except CLL).
5. Eastern Cooperative Oncology Group (ECOG) Performance status 0-2.
6. Adequate bone marrow function as defined by:Absolute neutrophil count (ANC) \>1000/mm3;Absolute lymphocyte count (ALC) ≥300/mm3;Platelet ≥50000/mm3;Hemoglobin \>8.0g/dl.
7. Adequate end organ function as defined by: Total bilirubin ≤ 2 x upper limit of normal(ULN); Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 5 x ULN; Creatinine ≤ 1.5 x ULN or any serum creatinine level associated with a measured or calculated creatinine clearance of ≥ 60ml/min.
8. Male and female of reproductive potential must agree to use birth control during the study and for at least 6 weeks post study.

Exclusion Criteria

1. Patients with history of allogeneic hematopoietic stem cell transplantation (Allo-HSCT).
2. Active central nervous system (CNS) lymphoma; Patients with symptoms of CNS disease must undergo lumbar puncture and brain nuclear magnetic resonance to exclude CNS lymphoma.
3. Patients receiving chemotherapy within 2 weeks prior to γδT cell infusion, with the following exceptions:

* Pretreatment chemotherapy prescribed by the protocol
* In order to prevent CNS intrathecal chemotherapy (should be stopped 1 week before γδT cell therapy)
* Other exploratory combined medications
4. Patients with systemic vasculitis, or with active or uncontrolled autoimmune diseases, as well as primary or secondary immunodeficiency diseases.
5. Active chronic hepatitis B or hepatitis C virus infection, active cytomegalovirus (CMV), EBV infection.
6. Major surgery that was evaluated by the investigator as unsuitable for inclusion within 4 weeks prior to screening.
7. History of other malignant tumors, with the following exceptions

* Excisional non-melanoma (e.g. cutaneous basal cell carcinoma)
* Cured situ carcinoma (e.g. cervical carcinoma)
* Localized prostate cancer with radiotherapy or surgery
* Patients with a history of malignant tumors, but the disease has been cured for ≥2 years
8. Patient's cardiac function meets any of the following conditions

* Left ventricular ejection fraction (LVEF) ≤45%
* Class III or IV heart failure according to the NYHA Heart Failure Classifications
* QTcB\>450 msec
* Other cardiac disease that investigators judge is not suitable for enrollment
9. History of epilepsy or other active central nervous system disorders.
10. Inoculated live vaccine within 6 weeks before screening.
11. Uncontrolled serious active infection (such as sepsis, bacteremia and fungemia).
12. Patients are allergic to cytokines.
13. Expected survival \< 12 weeks.
14. Participated in any other interventional clinical trial within three months.
15. Any situation that investigators believe the risk of the subjects is increased or results of the trial are disturbed.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Beijing GD Initiative Cell Therapy Technology Co., Ltd.

INDUSTRY

Sponsor Role collaborator

Chinese Academy of Medical Sciences

OTHER

Sponsor Role collaborator

Institute of Hematology & Blood Diseases Hospital, China

OTHER

Sponsor Role lead

Responsible Party

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Zou Dehui

Chief physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dehui Zou, Dr.

Role: PRINCIPAL_INVESTIGATOR

Institute of Hematology & Blood Disease Hospital

Locations

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Institute of Hematology & Blood Diseases Hospital

Tianjin, Tianjin Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Dehui Zou, Dr.

Role: CONTACT

86-022-23909283

Shuhua Yi, Dr.

Role: CONTACT

86-022-23909106

Facility Contacts

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Dehui Zou, Dr.

Role: primary

86-022-23909283

Shuhua Yi, Dr.

Role: backup

86-022-23909106

Other Identifiers

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QT2019001-EC-2

Identifier Type: -

Identifier Source: org_study_id

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