CAR-T for Children With Relapsed and Refractory Acute Lymphoblastic Leukemia

NCT ID: NCT04626765

Last Updated: 2020-11-13

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

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-04-01

Study Completion Date

2023-05-30

Brief Summary

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In this study, CAR-T will be administered to children with acute lymphoblastic leukemia to explore the effect of CAR-T intervention time on the duration of complete remission and further verify the long-term safety and efficacy of CAR-T treatment.

Detailed Description

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After clinician evaluation, if the child meets the study criteria and after adequate communication, the parent or legal guardian voluntarily joins the clinical study, CAR-T technique can be used for related treatment, and the long-term therapeutic effect can be observed. In this trial, 50 children were publicly enrolled and treated with CAR-T. Patients participating in the clinical trial will be tested and assessed in terms of treatment safety, efficacy, and duration of response.

Conditions

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Childhood Acute Lymphoblastic 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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volunteer

The child's parents or legal guardians voluntarily signed the informed consent form, and the child himself/herself met the enter criteria for the diagnosis of patients with acute B-lymphoblastic leukemia (B-ALL) expressing specific target antigens

Group Type EXPERIMENTAL

CD19 CAR-T

Intervention Type DRUG

CD19 CAR-T infusion for pediatric patients with CD19 positive tumor cells

CD22 CAR-T

Intervention Type DRUG

CD22 CAR-T infusion for pediatric patients with CD22 positive tumor cells

CD 19+22

Intervention Type DRUG

CD19+22 CAR-T infusion for pediatric patients with CD19 positive and CD22 positive tumor cells

Fludarabine

Intervention Type DRUG

25mg/㎡ for D-4、D-3 and D-2

Cyclophosphamide

Intervention Type DRUG

500mg/㎡ for D-3 and D-2

Interventions

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CD19 CAR-T

CD19 CAR-T infusion for pediatric patients with CD19 positive tumor cells

Intervention Type DRUG

CD22 CAR-T

CD22 CAR-T infusion for pediatric patients with CD22 positive tumor cells

Intervention Type DRUG

CD 19+22

CD19+22 CAR-T infusion for pediatric patients with CD19 positive and CD22 positive tumor cells

Intervention Type DRUG

Fludarabine

25mg/㎡ for D-4、D-3 and D-2

Intervention Type DRUG

Cyclophosphamide

500mg/㎡ for D-3 and D-2

Intervention Type DRUG

Other Intervention Names

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Senl_19 Senl_22 Senl_19+22 flu ctx

Eligibility Criteria

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Inclusion Criteria

1. The treat history meeting the following criteria:

Recurrence of lymphoma patients with imaging (CT/MRI/PET-CT) detection and pathological diagnosis, or recurrence including bone marrow morphology relapse and the MRD recurrence of myeloma patients or leukemia patients, after chemotherapy or stem cell transplantation; Can't get complete remission (including MRD positive) after more than twice repeated chemotherapy of incipient lymphoma, myeloma or leukemia patients; One or twice chemotherapy cannot get remission again (including MRD positive), but not suitable for chemotherapy of incipient lymphoma, myeloma or leukemia patients.
2. There is a measurable lesions before treatment at least;
3. ECOG score≤2;
4. To be aged 1 to 18 years;
5. More than a month lifetime from the consent signing date

Exclusion Criteria

1. Serious cardiac insufficiency, left ventricular ejection fraction\<50%;
2. Has a history of severe pulmonary function damaging;
3. Merging other progressing malignant tumor;
4. Merging uncontrolled infection;
5. Merging the metabolic diseases (except diabetes);
6. Merging severe autoimmune diseases or immunodeficiency disease;
7. Patients with active hepatitis B or hepatitis C;
8. Patients with HIV infection;
9. Has a history of serious allergies on Biological products (including antibiotics);
10. Has acute GvHD on allogeneic hematopoietic stem cell transplantation patients after stopping immunosuppressants a month;
11. Any situation that would increase dangerousness of subjects or disturb the outcome of the clinical study according to the researcher's evaluation.
Minimum Eligible Age

1 Year

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Second Hospital of Hebei Medical University

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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Jianmin Luo, PhD&MD

Role: PRINCIPAL_INVESTIGATOR

The Second Hospital of Hebei Medical University

Locations

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No.2 Hospital of Hebei Medical University

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: +8631189928689

Email: [email protected]

Facility Contacts

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Jianqiang Li, PhD & MD

Role: primary

Jianmin Luo, PhD & MD

Role: backup

Other Identifiers

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CAR-T for Childhood B-ALL

Identifier Type: -

Identifier Source: org_study_id