BCMA Chimeric Antigen Receptor Expressing T Cells Therapy for Relapsed/Refractory Multiple Myeloma
Primary Purpose
Multiple Myeloma
Status
Unknown status
Phase
Early Phase 1
Locations
China
Study Type
Interventional
Intervention
Anti-BCMA CAR-T cells
Fludarabine
Cyclophosphamide
Immune inhibitors
Sponsored by
About this trial
This is an interventional treatment trial for Multiple Myeloma focused on measuring BCMA, CAR-T, multiple myeloma, Relapsed /Refractory
Eligibility Criteria
Inclusion Criteria:
- Expected survival > 12 weeks
- Diagnosis of Multiple Myeloma by MWG criteria 20
- Patients previously received at least 3 different prior treatment regimens for multiple myeloma, including alkylating agent, protein inhibitors, and immunomodulator, and have disease progression in the past 60 days
- Important organs function enough to tolerate this therapy
- At least 90 days after stem cell transplantation
- Accessible to intravenous injection, and no white blood cell collection contraindications
- Sexually active patients must be willing to utilize one of the more effective birth control methods for 30 days after the CTL infusion. Male partner should use a condom
- Able to understand and sign the Informed Consent Document.
Exclusion Criteria:
- Patients with symptoms of central nervous system
- Patients with second malignancies in addition to multiple myeloma
- Active hepatitis B or C, HIV infections
- Any other active diseases could affect the enrollment of this trial
- Suffering severe cardiovascular or respiratory disease
- Poorly controlled hypertension
- Long term use of immunosuppressive agents after organ transplantation, except currently receiving or recently received glucocorticoid treatment
- A history of mental illness and poorly controlled
- Screening showing target cell transduction efficacy is lower than 30%, or T cell proliferation is not enough for infusion (less than 5 fold)
- Occurrence of unstable pulmonary embolism, deep vein thrombosis, or other major arterial/venous thromboembolic events 30 days prior to assignment
- Women of child-bearing potential who are pregnant or breastfeeding during therapy, or have a planned pregnancy with 2 months after therapy
- Women of child-bearing potential who are not willing to practice birth control from the time of enrollment on this study and for 2 months after receiving the preparative regimen. Women of child bearing potential must have a negative serum or urine pregnancy test performed within 48 hours before infusion
- Active systemic infections or uncontrolled infection within 14 days prior enrollment
- Subjects suffering disease affects the understanding of informed consent or complying with study protocol.
Sites / Locations
- Shanghai Changzheng HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
anti-BCMA CAR-T
anti-BCMA CAR-T+ Immune inhibitors
Arm Description
Administration of anti-BCMA CAR-T cells to patients with multiple myeloma
Administration of anti-BCMA CAR-T cells + Immune inhibitors to patients with multiple myeloma
Outcomes
Primary Outcome Measures
Safety measured by occurrence of study related adverse effects defined by NCI CTCAE 5.0
Safety measured by occurrence of study related adverse effects defined by NCI CTCAE 5.0
Secondary Outcome Measures
Overall complete remission rate defined by the standard response criteria for malignant lymphoma for each arm
Overall complete remission rate defined by the standard response criteria for malignant lymphoma for each arm
Duration of CAR-positive T cells in circulation
Duration of CAR-positive T cells in circulation
Full Information
NCT ID
NCT03943472
First Posted
May 7, 2019
Last Updated
August 29, 2021
Sponsor
Hrain Biotechnology Co., Ltd.
Collaborators
Shanghai Changzheng Hospital
1. Study Identification
Unique Protocol Identification Number
NCT03943472
Brief Title
BCMA Chimeric Antigen Receptor Expressing T Cells Therapy for Relapsed/Refractory Multiple Myeloma
Official Title
A Phase I Clinical Trial of T-Cells Targeting B-Cell Maturation Antigen for Subjects With Relapsed/Refractory Multiple Myeloma
Study Type
Interventional
2. Study Status
Record Verification Date
August 2021
Overall Recruitment Status
Unknown status
Study Start Date
July 8, 2019 (Actual)
Primary Completion Date
November 2021 (Anticipated)
Study Completion Date
May 2022 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hrain Biotechnology Co., Ltd.
Collaborators
Shanghai Changzheng Hospital
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The goal of this clinical trial is to study the feasibility and efficacy of anti-B-Cell Maturation Antigen (BCMA) expressing T cells in treating patients with multiple myeloma.
Detailed Description
Participants with BCMA-positive relapsed/refractory multiple myeloma can participate if all eligibility criteria are met. Tests required to determine eligibility include disease assessments, a physical exam, Electrocardiograph, CT/MRI/PET, and blood draws. Participants receive chemotherapy prior to the infusion of BCMA CAR+ T cells. After the infusion, participants will be followed for side effects and effect of BCMA CAR+ T cells. Study procedures may be performed while hospitalized.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Myeloma
Keywords
BCMA, CAR-T, multiple myeloma, Relapsed /Refractory
7. Study Design
Primary Purpose
Treatment
Study Phase
Early Phase 1
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
10 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
anti-BCMA CAR-T
Arm Type
Experimental
Arm Description
Administration of anti-BCMA CAR-T cells to patients with multiple myeloma
Arm Title
anti-BCMA CAR-T+ Immune inhibitors
Arm Type
Experimental
Arm Description
Administration of anti-BCMA CAR-T cells + Immune inhibitors to patients with multiple myeloma
Intervention Type
Biological
Intervention Name(s)
Anti-BCMA CAR-T cells
Intervention Description
Retroviral vector-transduced autologous T cells to express anti-BCMA CAR
Intervention Type
Drug
Intervention Name(s)
Fludarabine
Intervention Description
30mg/m2/d
Intervention Type
Drug
Intervention Name(s)
Cyclophosphamide
Intervention Description
300mg/m2/d
Intervention Type
Drug
Intervention Name(s)
Immune inhibitors
Intervention Description
Immune inhibitors
Primary Outcome Measure Information:
Title
Safety measured by occurrence of study related adverse effects defined by NCI CTCAE 5.0
Description
Safety measured by occurrence of study related adverse effects defined by NCI CTCAE 5.0
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Overall complete remission rate defined by the standard response criteria for malignant lymphoma for each arm
Description
Overall complete remission rate defined by the standard response criteria for malignant lymphoma for each arm
Time Frame
8 weeks
Title
Duration of CAR-positive T cells in circulation
Description
Duration of CAR-positive T cells in circulation
Time Frame
6 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Expected survival > 12 weeks
Diagnosis of Multiple Myeloma by MWG criteria 20
Patients previously received at least 3 different prior treatment regimens for multiple myeloma, including alkylating agent, protein inhibitors, and immunomodulator, and have disease progression in the past 60 days
Important organs function enough to tolerate this therapy
At least 90 days after stem cell transplantation
Accessible to intravenous injection, and no white blood cell collection contraindications
Sexually active patients must be willing to utilize one of the more effective birth control methods for 30 days after the CTL infusion. Male partner should use a condom
Able to understand and sign the Informed Consent Document.
Exclusion Criteria:
Patients with symptoms of central nervous system
Patients with second malignancies in addition to multiple myeloma
Active hepatitis B or C, HIV infections
Any other active diseases could affect the enrollment of this trial
Suffering severe cardiovascular or respiratory disease
Poorly controlled hypertension
Long term use of immunosuppressive agents after organ transplantation, except currently receiving or recently received glucocorticoid treatment
A history of mental illness and poorly controlled
Screening showing target cell transduction efficacy is lower than 30%, or T cell proliferation is not enough for infusion (less than 5 fold)
Occurrence of unstable pulmonary embolism, deep vein thrombosis, or other major arterial/venous thromboembolic events 30 days prior to assignment
Women of child-bearing potential who are pregnant or breastfeeding during therapy, or have a planned pregnancy with 2 months after therapy
Women of child-bearing potential who are not willing to practice birth control from the time of enrollment on this study and for 2 months after receiving the preparative regimen. Women of child bearing potential must have a negative serum or urine pregnancy test performed within 48 hours before infusion
Active systemic infections or uncontrolled infection within 14 days prior enrollment
Subjects suffering disease affects the understanding of informed consent or complying with study protocol.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Xuedong Sun
Phone
021-58552006
Email
sunxuedong@dashengbio.com
First Name & Middle Initial & Last Name or Official Title & Degree
Weijun Fu
Phone
021-81885423
Email
fuweijun2010@hotmail.com
Facility Information:
Facility Name
Shanghai Changzheng Hospital
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200003
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Wei J Fu, Professor
Phone
021-81885423
Email
fuweijun2010@hotmail.com
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
BCMA Chimeric Antigen Receptor Expressing T Cells Therapy for Relapsed/Refractory Multiple Myeloma
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