CAR-T CD19 for Acute Myelogenous Leukemia With t 8:21 and CD19 Expression

NCT ID: NCT04257175

Last Updated: 2023-11-28

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

RECRUITING

Clinical Phase

PHASE2/PHASE3

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-02-18

Study Completion Date

2024-12-01

Brief Summary

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Chimeric antigen receptor (CAR-T) engineered T cells against the CD19 protein have been shown to be effective against acute lymphoma and lymphocytic leukemia and are approved by the US (FDA), European (EMA) and Health Basel.

However, little information exists on using CD19CAR for treatment of recurrent or irresponsible to previous treatment acute myeloid leukemia.

The proposed study will include patients with recurrent disease or those with disease irresponsible to common treatments and they will be treated with CAR-T CD19.

Detailed Description

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Conditions

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Acute Myeloid Leukemia

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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Cyclophosphamide, Flodarabine,CAR-T cells

The appropriate participants will undergo lymhopheresis to collect lymphocytes from PBMC peripheral blood. CAR T CD19 cells will be produced. The participants will receive cyclophosphamide 300 mg / m² and flodarabine 30 mg / m² lymphodeplition intravenously daily for 3 days.

The CAR-T CD19 cells will be given on the 5 to 7 day post lymphodeplition .

Group Type EXPERIMENTAL

CAR-T CD19

Intervention Type BIOLOGICAL

The CAR-T infusion will be given in IV infusion. The target dose is 1 X 106 positive CAR / kg T cells (range: 0.5-1.5X 106 CAR / kg positive T cells).

Interventions

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CAR-T CD19

The CAR-T infusion will be given in IV infusion. The target dose is 1 X 106 positive CAR / kg T cells (range: 0.5-1.5X 106 CAR / kg positive T cells).

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Patients with recurrent acute myeloid leukemia (AML) including those after bone marrow transplantation or not responding to previous therapy, who have exhausted other approved relevant therapies such as chemotherapy protocols that are ineffective and with high toxicity, or FLT3 inhibitors in patients with FLT3 .

Exclusion Criteria

* Heart disease including severe heart failure (NYHA III-IV), recent MI or CABG surgery (in previous six months), severe ventricular rhythm abnormalities, non ischemic heart disease, LVEF less than 45%
* Active involvement of CNS
* Active infection
* Pregnancy or lactation
* Graft versus host disease III-IV grade - Stroke or seizure in the last six months before treatment
* A positive result for the HIV infection (serum)
* Active hepatitis infection
* Life-threatening allergies to cyclophosphamide or fludarabine
* No informed consent signed by candidate
* Candidate enrolled in other study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sheba Medical Center

OTHER_GOV

Sponsor Role lead

Responsible Party

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Prof Arnon Nagler

M.D., M.Sc, Professor of Medicine Tel Aviv University, Director Hematology Division, Chaim Sheba Medical Center

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Chaim Sheba Medical Center

Ramat Gan, , Israel

Site Status RECRUITING

Countries

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Israel

Central Contacts

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Arnon Nagler, MD

Role: CONTACT

+972-3-530 5830

Facility Contacts

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Arnon Nagler, M.D.

Role: primary

M.D.

Role: backup

Other Identifiers

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6482-19-SMC

Identifier Type: -

Identifier Source: org_study_id