Phase I Study of pCAR-19B in the Treatment of Adult CD19-positive Relapsed/Refractory B-ALL

NCT ID: NCT04888442

Last Updated: 2021-05-17

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: PHASE1
• Total Enrollment: 18 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2020-10-26
• Study Completion Date: 2022-03-28

Brief Summary

This is a phase I clinical study to evaluate the safety and tolerability of pCAR-19B in adults with relapsed or refractory B-ALL, and to obtain the maximum tolerated dose of pCAR-19B and phase II Recommended dose.

Detailed Description

This is a single-center, single-arm, open-label study. The study plans to set up 3 dose groups, adopting a dose-escalating 3+3 design, and plan to recruit about 9-18 adults with relapsed or refractory B-ALL.pCAR-19B will be infused to the subject by intravenous infusion.

Conditions

Acute Lymphoblastic Leukemia, in Relapse; Refractory Acute Lymphoblastic Leukemia

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

pCAR-19B cells

Infusion of pCAR-19B cells by dose-escalating

Group Type: EXPERIMENTAL

pCAR-19B cells

Intervention Type: BIOLOGICAL

Drug: pCAR-19B cells； Administration method: intravenous infusion； Subjects will be treated with Fludarabine and Cyclophosphamide before cell infusion.

Interventions

pCAR-19B cells

Drug: pCAR-19B cells； Administration method: intravenous infusion； Subjects will be treated with Fludarabine and Cyclophosphamide before cell infusion.

Intervention Type: BIOLOGICAL

Eligibility Criteria

Inclusion Criteria

1. Diagnosed with B-ALL，and meet one of the following conditions:

1. First-line or multiple-line salvage chemotherapy did not achieve complete remission；

2. Early relapse after complete remission (<12 months), or late relapse after complete remission (≥12 months) and complete remission has not been achieved after 1 course of treatment；

3. Relapse after autologous or allogeneic hematopoietic stem cell transplantation;

2. Ph+ALL patients should also receive at least two TKI treatments；

3. For allogeneic hematopoietic stem cell transplant subjects, the following conditions must be met：

1. Allo-HSCT takes ≥6 months before pCAR-19B infusion；

2. No GVHD of grade 2 or above occurred within 2 weeks before PBMC collection;

4. Express CD19;

5. 22~70 years old, no gender limit;

6. The expected survival time is more than 12 weeks;

7. KPS>60;

8. No serious mental disorders;

9. The function of important organs is basically normal:

1. Heart function: echocardiography indicates that the cardiac ejection fraction is ≥50%, and the electrocardiogram has no obvious abnormalities;

2. Renal function: serum creatinine≤2.0×ULN;

3. Liver function: ALT and AST ≤3.0×ULN;

4. Total bilirubin and alkaline phosphatase≤2.0×ULN (Gilbert syndrome ≤ 3.0×ULN);

5. Blood oxygen saturation>92%.

10. Have standards for apheresis or venous blood collection, and no other cell collection contraindications;

11. The patient himself or his guardian agrees to participate in the clinical trial and signs the ICF, indicating that he understands the purpose and procedures of the clinical trial and is willing to participate in the research.

Exclusion Criteria

1. With central nervous system disease at the time of screening;

2. Have received CAR-T therapy or other genetically modified cell therapy;

3. Participated in other clinical studies within 1 month before screening;

4. Have received the following anti-tumor treatments before screening: received chemotherapy, targeted therapy or other experimental drug treatments within 14 days or at least 5 half-lives (whichever is shorter);

5. Have received a live attenuated vaccine within 4 weeks before screening;

6. Cerebrovascular accident or seizure occurred within 6 months before signing the ICF;

7. Suffered from any of the following heart diseases:

1. NYHA stage III or IV congestive heart failure;

2. Myocardial infarction or CABG occurred ≤6 months before enrollment;

3. Clinically significant ventricular arrhythmia, or history of unexplained syncope (except for cases caused by vasovagal or dehydration);

4. History of severe non-ischemic cardiomyopathy.

8. Uncontrollable infection in the 2 weeks before screening；

9. Active autoimmune diseases；

10. Patients with malignant tumors other than acute lymphoblastic leukemia within 5 years before screening, except for fully treated cervical carcinoma in situ, basal cell or squamous cell skin cancer, local prostate cancer after radical resection, and duct in situ after radical resection cancer；

11. HBsAg or HBcAb positive and HBV DNA is greater than the normal range; HCV antibody is positive and HCV RNA greater than the normal range; HIV antibody positive; syphilis positive; CMV DNA positive;

12. Women who are pregnant or breastfeeding, and male or female subjects who plan to have children within 1 year after receiving pCAR-19B cell reinfusion;

13. Other situations considered by the researcher to be unsuitable to participate in the study.

• Minimum Eligible Age: 22 Years
• Maximum Eligible Age: 70 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Chongqing Precision Biotech Co., Ltd

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Jianfeng Zhou, M.D. Ph.D

Role: PRINCIPAL_INVESTIGATOR

Tongji Hospital, Affiliated to Tongji Medical College of Huazhong University of Science and Technology

Locations

Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology

Wuhan, Hubei, China

Site Status: RECRUITING

Countries

China

Central Contacts

Xiaoxi zhou, M.D

Role: CONTACT

cello316@163.com

86-27-83665027

Liang Huang, M.D

Role: CONTACT

lhuang@tjh.tjmu.edu.cn

86-27-63639810

Facility Contacts

Xiaoxi Zhou, M.D

Role: primary

86-27-83665027

Liang Huang, M.D

Role: backup

lhuang@tjh.tjmu.edu.cn

86-27-63639810

References

Li H, Ge T, Huang M, Zhang W, Li Z, Xiao M, Gao L. Application of metagenomic next-generation sequencing in bloodstream infection regarding immunosuppression. J Infect. 2023 May;86(5):508-512. doi: 10.1016/j.jinf.2023.02.008. Epub 2023 Feb 10. No abstract available.

Reference Type: DERIVED

PMID: 36775248 (View on PubMed)

Other Identifiers

PB02

Identifier Type: -

Identifier Source: org_study_id