Clinical Trial of CAR-T in the Treatment of Relapsed and Refractory Hematopoietic and Lymphoid Tissue Tumors in Children

NCT ID: NCT04610125

Last Updated: 2020-10-30

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

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-06-23

Study Completion Date

2025-06-22

Brief Summary

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This is an open, single-arm, prospective,clinical study to evaluate efficacy and safety of Auto CAR-T cell injection in the treatment of recurrent or refractory Hematopoietic and Lymphoid Tissue Tumors in Children

Detailed Description

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A single car consists of scFv, hinge region, transmembrane region, costimulatory domain and zeta subunit of CD3.Prior to CAR-T cell infusion, the patients will be subjected to preconditioning treatment. After CAR-T cell infusion, the patients will be evaluated for adverse reactions and efficacy.

Conditions

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Leukemia 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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Auto CAR-T

Patients will be treated with Auto CAR-T cells

Group Type EXPERIMENTAL

Auto CAR-T

Intervention Type BIOLOGICAL

Biological: Auto CAR-T

Cyclophosphamide,Fludarabine

Intervention Type DRUG

Drug: Cyclophosphamide,Fludarabine

Leukapheresis

Intervention Type PROCEDURE

Leukapheresis

Interventions

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Auto CAR-T

Biological: Auto CAR-T

Intervention Type BIOLOGICAL

Cyclophosphamide,Fludarabine

Drug: Cyclophosphamide,Fludarabine

Intervention Type DRUG

Leukapheresis

Leukapheresis

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Sign the informed consent and be willing and able to comply with the visit, treatment regimen, laboratory examination and other requirements of the study as stipulated in the trial flow chart;
2. Patients with relapsed and refractory hematopoiesis and lymphoid tissue tumors confirmed by clinical diagnosis;
3. Age: 1-18 years (including boundary value), both male and female;
4. Subjects with Lansky score ≥ 50;
5. The results of treatment-related antigens were positive;
6. The expected survival time is more than 3 months from the date of signing the informed consent.

Exclusion Criteria

1. Severe cardiac insufficiency and left ventricular ejection fraction \< 50%;
2. He had a history of severe lung function damage;
3. Combined with other advanced malignant tumors;
4. Severe infection was found and could not be effectively controlled;
5. With metabolic diseases (except diabetes mellitus);
6. Combined with severe autoimmune disease or congenital immunodeficiency;
7. Untreated active hepatitis (hepatitis B, defined as positive HBsAg, HBV-DNA ≥ 500 IU / ml and abnormal liver function; hepatitis C, defined as hepatitis C antibody \[HCV AB\] positive, HCV-RNA higher than the detection limit of the analysis method and abnormal liver function) or combined with hepatitis B and hepatitis C co infection;
8. Human immunodeficiency virus (HIV) infection or known acquired immunodeficiency syndrome (AIDS), or syphilis infection;
9. Severe allergy history of biological products (including antibiotics);
10. Patients with acute graft-versus-host reaction (GVHD) after one month of discontinuation of immunosuppressants were still present;
11. The presence of other serious physical or mental illness or laboratory abnormalities that may increase the risk of participating in the study, or interfere with the results of the study, and patients considered unsuitable for the study by the investigator.
Minimum Eligible Age

1 Year

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hebei Medical University Fourth Hospital

OTHER

Sponsor Role collaborator

Hebei Senlang Biotechnology Inc., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lian Jiang, MD

Role: PRINCIPAL_INVESTIGATOR

Hebei Medical University Fourth Hospital

Locations

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Pediatric hematology, Hebei Medical University Fourth Hospital

Shijiazhuang, Hebei, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Jianqiang Li, PhD&MD

Role: CONTACT

Phone: 008615511369555

Email: [email protected]

Facility Contacts

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Lian Jiang, MD

Role: primary

Other Identifiers

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Children CAR-T

Identifier Type: -

Identifier Source: org_study_id