Safety, Efficacy and Pharmacokinetics of ThisCART19A in Patients With Refractory or Relapsed B Cell Lymphoma
NCT ID: NCT05776407
Last Updated: 2023-03-20
Study Results
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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UNKNOWN
PHASE1/PHASE2
12 participants
INTERVENTIONAL
2023-05-31
2024-11-30
Brief Summary
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Detailed Description
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Before initiating ThisCART19A infusion, subjects will be administered lymphodepletion chemotherapy composed of fludarabine、cyclophosphamide and VP-16. At Day 0 of the Treatment Period, subjects will receive an intravenous (IV) infusion of ThisCART19A. All subjects are monitored during the treatment period through Day 42. All subjects who receive a dose of ThisCART19A will be followed up to 2 years.
Conditions
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Study Design
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NA
SINGLE_GROUP
TREATMENT
NONE
Study Groups
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ThisCART19A cells infusion
In this study, allogeneic anti-CD19 CAR T cells (ThisCART19A) infusion is used to treat patients with r/r B cell Lymphoma.
ThisCART19A
Single dose of Allogeneic Anti-CD19 CAR T cells (ThisCART19A) will be infused after the lymphodepletion conditioning of Fludarabine, Cyclophosphamide and Etoposide.
Fludarabine
Fludarabine is used for lymphodepletion.
Cyclophosphamide
Cyclophosphamide is used for lymphodepletion.
Etoposide
Etoposide is used for lymphodepletion.
Interventions
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ThisCART19A
Single dose of Allogeneic Anti-CD19 CAR T cells (ThisCART19A) will be infused after the lymphodepletion conditioning of Fludarabine, Cyclophosphamide and Etoposide.
Fludarabine
Fludarabine is used for lymphodepletion.
Cyclophosphamide
Cyclophosphamide is used for lymphodepletion.
Etoposide
Etoposide is used for lymphodepletion.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
2. Voluntarily sign a documented IRB-approved ICF prior to any screening procedure.
3. Patients with histologically confirmed B-cell NHL defined by the World Health Organization (WHO) 2016, including but not limited to diffuse large B-cell lymphoma (DLBCL), follicular lymphoma transferring to DLBCL, mantle cell lymphoma (MCL), follicular lymphoma 3B (FL-3B), original Mediastinal (thymus) large B-cell lymphoma, high-grade B-cell lymphoma and AIDS-associated B-cell lymphoma.
4. Prior therapy must have included: Anti-CD20 monoclonal antibody and Anthracycline containing chemotherapy regimen.
5. Had available evaluation lesion.
6. ECOG(Eastern Cooperative Oncology Group) ≤ 2 or Karnofsky ≥ 60%.
7. Serum creatinine≤1.5×ULN or creatinine clearance\>30 mL/min/1.73 m2.
8. Alanine aminotransferase(ALT)≤5×ULN(Upper limit of normal) and total bilirubin(TBIL)\<2.0 mg/dL(for patients with Gilbert heald diseases, live involvement and taking atazanavir or indinavir, TBIL\<3.0 mg/dL can be enrolled.)
9. Left ventricular ejection fraction(LVEF)≥40%
10. Absolute neutrophile counts≥1000/mm3
11. Thrombocyte≥30000/mm3
12. Total bilirubin(TBIL) ≤ 2.0 mg/dL
13. Confirmed Cluster of differentiation(CD)19 positive by biopsy for the patients who received CD19 target therapy before.
14. Pregnancy tests for women of childbearing age shall be negative; Both men and women agreed to use effective contraception during treatment and during the subsequent 1 year.
15. AIDS Related B Cell Lymphoma :HIV virus loading \< 200 copy/ml and CD4+T cell counts \>200 cells/mm3 within 4 weeks before screening.
16. Patients with TBIL≤ 1.5 mg/dL, Aspartate aminotransferase(AST) and ALT ≤ 3×ULN, and hepatitis B virus(HBV) DNA \<2000 IU/ml can be enrolled for HBV positive patients(defined as hepatitis B virus surface antigen(HBsAg) positive and hepatitis B core(HBc)-total positive ) and hepatitis C virus(HCV) positive patients(defined as HCV antibody positive) . Patients with cirrhosis are excluded.
17. Hepatitis B core antibody(HBcAb) positive patients enrolled in this trial have to taking anti-HBV drugs during the whole research.
Exclusion Criteria
2. Uncontrollable bacterial, fungal, viral infection before enrollment.
3. Patients with pulmonary embolism within 3 months prior enrollment.
4. Intolerable serious cardiovascular and cerebrovascular diseases and hereditary diseases.
5. Imaging confirmed the presence of central nervous system involvement(including primary and secondary) and rapid progressing diseases.
6. Receive allogeneic hematopoietic stem cell transplantation less than 100 days.
7. Systemic steroid use (e.g., prednisone ≥20mg) within 3 days prior to screening. iIntermittent use of topical, inhaled or intranasal steroids recently or currently. Or systemic disease requiring long-term use of immunosuppression drugs.
8. Excluded the patients received Influenza vaccinations within 2 weeks prior to lymphodepletion (Received Severe Acute Respiratory Syndrome-Corona virus disease(SARS-COV)19 vaccines could be included. Received inactivated, live/non-live adjuvant vaccines could be enrolled).
9. Excluded women who are in pregnant or lactating, and female subjects or partners who plan to be pregnant within 1 year after infusion. Male subjects planning pregnancy within 1 year after infusion should be excluded.
18 Years
65 Years
ALL
No
Sponsors
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Fundamenta Therapeutics, Ltd.
INDUSTRY
Chongqing University Cancer Hospital
OTHER
Responsible Party
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Locations
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Chongqing University Cancer Hospital
Chongqing, Chongqing Municipality, China
Countries
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Central Contacts
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Other Identifiers
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FT400-006-2
Identifier Type: -
Identifier Source: org_study_id
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