CD19 CAR-T Therapy for Patients With B-cell Non-Hodgkin's Lymphoma

NCT ID: NCT04661020

Last Updated: 2023-12-18

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

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-12-03

Study Completion Date

2026-12-20

Brief Summary

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A Study of CD19 CAR-T Therapy for Patients With B-cell Non-Hodgkin's Lymphoma.

Detailed Description

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This is a single arm, open-label, single-center study. This study is indicated for patients with CD19+ non-Hodgkin's lymphoma. The selections of dose levels and the number of subjects are based on clinical trials of similar foreign products. 36 patients will be enrolled. Primary objective is to explore the safety, main consideration is dose-related safety.

Conditions

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Non-hodgkin Lymphoma,B Cell

Keywords

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Non Hodgkin Lymphoma CAR T-cell therapy CD19

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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Administration of CD19 CAR T-cells

Group Type EXPERIMENTAL

CD19 CAR-T cells

Intervention Type DRUG

Each subject receive CD19 CAR T-cells by intravenous infusion

Interventions

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CD19 CAR-T cells

Each subject receive CD19 CAR T-cells by intravenous infusion

Intervention Type DRUG

Other Intervention Names

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CD19 CAR-T cells injection

Eligibility Criteria

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Inclusion Criteria

1. Age no less than 18, no gender limit;
2. Histologically confirmed diagnosis of HGBCL(HGBCL-NOS、HGBCL involving combined rearrangements of MYC, bcl-2 and bcl-6)DLBCL、not otherwise specified and IPI≥3;
3. Newly diagnosed B-NHL, unwilling to receive RCHOP first- or second-line chemotherapy, but willing to receive targeted drugs (such as a regimen consisting of CD20 monoclonal antibody,lenalidomide and Brutons tyrosine kinase inhibitor for two courses) as preconditioning regimens for CAR-T cell therapy;
4. Patients with PR or SD efficacy evaluated by PET-CT after two courses of tumor reduction therapy;
5. Total bilirubin ≤ 51 umol/L, ALT and AST ≤ 3 times of upper limit of normal, creatinine ≤ 176.8 umol/L;
6. Echocardiogram shows left ventricular ejection fraction (LVEF) ≥50%;
7. No active infection in the lungs, blood oxygen saturation in indoor air is ≥ 92%;
8. Estimated survival time ≥ 3 months;
9. ECOG performance status 0 to 2;
10. Patients or their legal guardians volunteer to participate in the study and sign the informed consent.

Exclusion Criteria

1. History of craniocerebral trauma, conscious disturbance, epilepsy, cerebrovascular ischemia, and cerebrovascular, hemorrhagic diseases;
2. Electrocardiogram shows prolonged QT interval, severe heart diseases such as severe arrhythmia in the past;
3. Patients with severe active infections (excluding simple urinary tract infection and bacterial pharyngitis);
4. Active infection of hepatitis B virus or hepatitis C virus;
5. Previously treated with any CAR-T cell product or other genetically modified T cell therapies;
6. Insufficient amplification capacity in response to CD3 / CD28 co-stimulus signal (\<5 times) ;
7. Creatinine\>2.5mg/dl, or ALT / AST \> 3 times of normal amounts, or bilirubin\>2.0 mg/dl;
8. Other uncontrolled diseases that were not suitable for this trial;
9. Patients with HIV infection;
10. Any situations that the investigator believes may increase the risk of patients or interfere with the results of study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Yake Biotechnology Ltd.

INDUSTRY

Sponsor Role collaborator

Zhejiang University

OTHER

Sponsor Role lead

Responsible Party

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He Huang

Clinical Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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The First Affiliated Hospital,College of Medicine, Zhejiang University

Hangzhou, Zhejiang, China

Site Status RECRUITING

Countries

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China

Central Contacts

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He Huang, PhD

Role: CONTACT

Phone: 86-13605714822

Email: [email protected]

Yongxian Hu, PhD

Role: CONTACT

Phone: 86-15957162012

Email: [email protected]

Facility Contacts

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He Huang, PhD

Role: primary

Other Identifiers

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CD19-003

Identifier Type: -

Identifier Source: org_study_id