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Anti-CD30 CAR-T Therapy in Patients With Refractory/Relapsed Lymphocyte Malignancies

Primary Purpose

Adult T-Cell Lymphoma/Leukaemia, Anaplastic Large Cell Lymphoma, Angioimmunoblastic T-cell Lymphoma

Status
Unknown status
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
Anti-CD30 CAR T cells
Sponsored by
Wuhan Union Hospital, China
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Adult T-Cell Lymphoma/Leukaemia focused on measuring CD-30 CART, Refractory/Relapsed, lymphocyte malignancies

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Patient or his or her legal guardian voluntarily participates in and signs an informed consent form.
  2. Male or female patients aged 18 to 70 years (including 18 and 70 years old).
  3. Pathological and histological examination confirmed CD30+ lymphocyte malignancies, and patients currently have no effective treatment options, such as chemotherapy or recurrence after hematopoietic stem cell transplantation; or patients voluntarily choose Anti-CD30 CAR-T as rescue treatment.
  4. CD30+ lymphocyte malignancies:

    1. Adult T-cell leukemia/lymphoma
    2. Anaplastic large cell lymphoma (ALCL);
    3. Angioimmunoblastic T-cell Lymphoma (AITL);
    4. NK/T-cell lymphoma;
    5. Peripheral T-cell lymphoma (PTCL);
    6. Hodgkin lymphoma;
  5. Subjects:

    1. There are still residual lesions after major treatment, and they are not suitable for HSCT (auto/allo-HSCT);
    2. Recurrence occurs after CR1, and HSCT (auto/allo-HSCT) is not selected or suitable because of self-willingness;
    3. After hematopoietic stem cell transplantation or cellular immunotherapy, the patient suffered relapse or did not remission.
  6. Having a measurable or evaluable lesion.
  7. Patient's main organs function well:

    1. Liver function: ALT/AST < 3 times the upper limit of normal (ULN) and
    2. total bilirubin≤34.2μmol/L
    3. Renal function: Creatinine < 220μmol/L.
    4. Pulmonary function: Indoor oxygen saturation≥95%.
    5. Cardiac Function: Left ventricular ejection fraction (LVEF) ≥40%.
  8. The patients did not receive any anticancer treatments such as chemotherapy, radiotherapy and immunotherapy (such as immunosuppressive drugs) within 4 weeks before admission, and the toxicity related to previous treatments had returned to < 1 level at admission (except for low toxicity such as alopecia).
  9. The patient's peripheral superficial venous blood flow smoothly, which can meet the needs of intravenous drip.
  10. Patient ECOG score≤2, Estimated survival time≥3 months.

Exclusion Criteria:

  1. Women who are pregnant (urine/blood pregnancy test positive) or lactating.
  2. Male or female with a conception plan in the past 1 years.
  3. Patients cannot guarantee effective contraception (condom or contraceptives, etc.) within 1 years after enrollment.
  4. Uncontrolled infectious disease within 4 weeks prior to enrollment.
  5. Active hepatitis B/C virus.
  6. HIV infected patients.
  7. Suffering from a serious autoimmune disease or immunodeficiency disease.
  8. The patient is allergic and is allergic to macromolecular biopharmaceuticals such as antibodies or cytokines.
  9. The patient participated in other clinical trials within 6 weeks prior to enrollment.
  10. Systemic use of hormones within 4 weeks prior to enrollment (except for patients with inhaled corticosteroids).
  11. Have a history of epilepsy or other central nervous system diseases.
  12. Having drug abuse/addiction.
  13. According to the researcher's judgment, the patient has other unsuitable grouping conditions.

Sites / Locations

  • Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Anti-CD30 CAR T cells

Arm Description

Patients receive CD30 CAR-T cells transduced with a lentiviral vector on day 0 in the absence of disease progression or unacceptable toxicity. Autologous 3th generation anti-CD30 CAR T cells.

Outcomes

Primary Outcome Measures

Number of participants with adverse events
Therapy-related adverse events were recorded and assessed according to the National Cancer Institute's Common Terminology Criteria for Adverse Events (CTCAE, Version 4.0).

Secondary Outcome Measures

One-month remission rate
Response to CAR-T therapy was assessed on day 30 (±2), against the National Comprehensive Cancer Network (NCCN, Version 1.2015).
Overall survival
OS was calculated from the first CAR-T cell infusion to death or last follow-up (censored).
Event-free survival
EFS was calculated from the first CAR-T cell infusion to death, progression of the disease, relapse or gene recurrence, whichever came first, or last visit (censored).
Relapse-free survival
RFS was calculated from the first CAR-T cell infusion to relapse or last visit (censored).
Quantity of anti-CD30 CAR-T cells in bone marrow cells and peripheral blood cells
In vivo (bone marrow and peripheral blood) quantity of CAR-T cells were determined by means of flow cytometry.
Quantity of anti-CD30 CAR copies in bone marrow cells and peripheral blood cells
In vivo (bone marrow and peripheral blood) quantity of anti-CD30 CAR copies were determined by means of qPCR.

Full Information

First Posted
July 2, 2019
Last Updated
August 5, 2019
Sponsor
Wuhan Union Hospital, China
Collaborators
Wuhan Bio-Raid Biotechnology Co, Ltd. China
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1. Study Identification

Unique Protocol Identification Number
NCT04008394
Brief Title
Anti-CD30 CAR-T Therapy in Patients With Refractory/Relapsed Lymphocyte Malignancies
Official Title
Efficacy and Safety of Anti-CD30 CAR-T Therapy in Patients With Refractory/Relapsed Lymphocyte Malignancies:a Single-center, Open, Single-arm Clinical Study.
Study Type
Interventional

2. Study Status

Record Verification Date
August 2019
Overall Recruitment Status
Unknown status
Study Start Date
July 3, 2019 (Actual)
Primary Completion Date
July 1, 2022 (Anticipated)
Study Completion Date
January 1, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Wuhan Union Hospital, China
Collaborators
Wuhan Bio-Raid Biotechnology Co, Ltd. China

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No

5. Study Description

Brief Summary
The overall purpose of this study is to explore the safety and therapeutic effect of CD30-targeted chimeric antigen receptor T(CAR-T) cells in the treatment of Refractory/Relapsed lymphocyte malignancies.
Detailed Description
Chimeric antigen receptor (CAR)-modified T cells (CAR-T cells) have the capabilities to recognize tumor associated antigen and kill tumor cells specifically. CD30 is originally described as a marker of Hodgkin's and R-S cells in Hodgkin's lymphoma. CD30 antibody has been applied to treat lymphocyte derived malignancies. To explore the potency of CD30 in CAR-T therapy, this trial is designed and conducted to test the safety and efficacy of CD30-targeted CAR-T in Refractory/Relapsed lymphocyte malignancies.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Adult T-Cell Lymphoma/Leukaemia, Anaplastic Large Cell Lymphoma, Angioimmunoblastic T-cell Lymphoma, NK/T-cell Lymphoma, Peripheral T Cell Lymphoma, Hodgkin Lymphoma
Keywords
CD-30 CART, Refractory/Relapsed, lymphocyte malignancies

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Model Description
Single-center,Open,One-arm Clinical Study
Masking
None (Open Label)
Allocation
N/A
Enrollment
50 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Anti-CD30 CAR T cells
Arm Type
Experimental
Arm Description
Patients receive CD30 CAR-T cells transduced with a lentiviral vector on day 0 in the absence of disease progression or unacceptable toxicity. Autologous 3th generation anti-CD30 CAR T cells.
Intervention Type
Genetic
Intervention Name(s)
Anti-CD30 CAR T cells
Intervention Description
Patients receive CD30 CAR-T cells transduced with a lentiviral vector on day 0 in the absence of disease progression or unacceptable toxicity. Autologous 3th generation anti-CD30 CAR T cells.
Primary Outcome Measure Information:
Title
Number of participants with adverse events
Description
Therapy-related adverse events were recorded and assessed according to the National Cancer Institute's Common Terminology Criteria for Adverse Events (CTCAE, Version 4.0).
Time Frame
3 years
Secondary Outcome Measure Information:
Title
One-month remission rate
Description
Response to CAR-T therapy was assessed on day 30 (±2), against the National Comprehensive Cancer Network (NCCN, Version 1.2015).
Time Frame
1 month
Title
Overall survival
Description
OS was calculated from the first CAR-T cell infusion to death or last follow-up (censored).
Time Frame
3 years
Title
Event-free survival
Description
EFS was calculated from the first CAR-T cell infusion to death, progression of the disease, relapse or gene recurrence, whichever came first, or last visit (censored).
Time Frame
3 years
Title
Relapse-free survival
Description
RFS was calculated from the first CAR-T cell infusion to relapse or last visit (censored).
Time Frame
3 years
Title
Quantity of anti-CD30 CAR-T cells in bone marrow cells and peripheral blood cells
Description
In vivo (bone marrow and peripheral blood) quantity of CAR-T cells were determined by means of flow cytometry.
Time Frame
3 years
Title
Quantity of anti-CD30 CAR copies in bone marrow cells and peripheral blood cells
Description
In vivo (bone marrow and peripheral blood) quantity of anti-CD30 CAR copies were determined by means of qPCR.
Time Frame
3 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patient or his or her legal guardian voluntarily participates in and signs an informed consent form. Male or female patients aged 18 to 70 years (including 18 and 70 years old). Pathological and histological examination confirmed CD30+ lymphocyte malignancies, and patients currently have no effective treatment options, such as chemotherapy or recurrence after hematopoietic stem cell transplantation; or patients voluntarily choose Anti-CD30 CAR-T as rescue treatment. CD30+ lymphocyte malignancies: Adult T-cell leukemia/lymphoma Anaplastic large cell lymphoma (ALCL); Angioimmunoblastic T-cell Lymphoma (AITL); NK/T-cell lymphoma; Peripheral T-cell lymphoma (PTCL); Hodgkin lymphoma; Subjects: There are still residual lesions after major treatment, and they are not suitable for HSCT (auto/allo-HSCT); Recurrence occurs after CR1, and HSCT (auto/allo-HSCT) is not selected or suitable because of self-willingness; After hematopoietic stem cell transplantation or cellular immunotherapy, the patient suffered relapse or did not remission. Having a measurable or evaluable lesion. Patient's main organs function well: Liver function: ALT/AST < 3 times the upper limit of normal (ULN) and total bilirubin≤34.2μmol/L Renal function: Creatinine < 220μmol/L. Pulmonary function: Indoor oxygen saturation≥95%. Cardiac Function: Left ventricular ejection fraction (LVEF) ≥40%. The patients did not receive any anticancer treatments such as chemotherapy, radiotherapy and immunotherapy (such as immunosuppressive drugs) within 4 weeks before admission, and the toxicity related to previous treatments had returned to < 1 level at admission (except for low toxicity such as alopecia). The patient's peripheral superficial venous blood flow smoothly, which can meet the needs of intravenous drip. Patient ECOG score≤2, Estimated survival time≥3 months. Exclusion Criteria: Women who are pregnant (urine/blood pregnancy test positive) or lactating. Male or female with a conception plan in the past 1 years. Patients cannot guarantee effective contraception (condom or contraceptives, etc.) within 1 years after enrollment. Uncontrolled infectious disease within 4 weeks prior to enrollment. Active hepatitis B/C virus. HIV infected patients. Suffering from a serious autoimmune disease or immunodeficiency disease. The patient is allergic and is allergic to macromolecular biopharmaceuticals such as antibodies or cytokines. The patient participated in other clinical trials within 6 weeks prior to enrollment. Systemic use of hormones within 4 weeks prior to enrollment (except for patients with inhaled corticosteroids). Have a history of epilepsy or other central nervous system diseases. Having drug abuse/addiction. According to the researcher's judgment, the patient has other unsuitable grouping conditions.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Yu Hu, M.D. Ph.D
Phone
86-13986183871
Email
dr_huyu@126.com
First Name & Middle Initial & Last Name or Official Title & Degree
Heng Mei, M.D. Ph.D
Phone
86-13886160811
Email
hmei@hust.edu.cn
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Heng Mei, M.D. Ph.D
Organizational Affiliation
Wuhan Union Hospital, China
Official's Role
Principal Investigator
Facility Information:
Facility Name
Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
City
Wuhan
State/Province
Hubei
ZIP/Postal Code
430022
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yu Hu, M.D., Ph.D
Phone
86-13986183871
Email
dr_huyu@126.com
First Name & Middle Initial & Last Name & Degree
Heng Mei, M.D., Ph.D
Phone
86-13886160811
Email
hmei@hust.edu.cn

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Anti-CD30 CAR-T Therapy in Patients With Refractory/Relapsed Lymphocyte Malignancies

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