A Study of C-CAR066 in Subjects With r/r B Cell Lymphoma Who Received CD19 CAR-T Therapy
Primary Purpose
B Cell Lymphoma
Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
CD20-directed CAR-T cells
Sponsored by
About this trial
This is an interventional treatment trial for B Cell Lymphoma focused on measuring B cell lymphoma received prior CD19 CAR-T therapy
Eligibility Criteria
Inclusion Criteria:
- Volunteered to participate in this study and signed informed consent
- Age 14-70 years old, male or female
- Patients with CD20+ DLBCL(including PMBL and according to the NCCN. non Hodgkin's lymphoma Guidelines(2019 version1.0) , at least one measurable lesion(LDi≥ 1.5 cm);
- r/r patients who received prior CD19 CAR-T therapy;
- At least one week from the end of treatment regimen (radiation, chemotherapy, mAb, etc) to apheresis;
- No immunosuppressive therapy was used within 1 week before infusion, including but not limited to systemic therapy;
- No mAb treatment within 2 weeks before infusion
- LVEF≥ 50% (UCG)
- No active pulmonary infections, normal pulmonary function and SpO2≥92%
- No contraindications of apheresis;
- Expected survival ≥ 3months
- ECOG score 0 or 1
- The apheresis was received by laboratory and met the requirements for manufacturing CAR-T cell
Exclusion Criteria:
- Have a history of allergy to cellular products
- Laboratory criteria: Serum total bilirubin ≥2mg/dl, albumin≤35g/L, AST and ALT ≥5 x ULN, Creatinine≥2.0mg/dl, ANC≤750/uL, Platelets≤ 50x10^9/L
- Have a hereditary syndrome such as Fanconi anemia, Kostmann syndrome, Shwachman syndrome ,etc;
- According to the NYHA cardiac function grading standards, patients with grade III or IV cardiac dysfunction;
- A history of QT prolongation
- Patients with central nervous system involvement
- Severe active infections (except for simple urinary tract infections, bacterial pharyngitis), or currently undergoing intravenous infusion of antibiotics, or intravenous infusion of antibiotics within 1 week prior to cell infusion. However, prophylactic antibiotic, antiviral and antifungal infection treatments are permissible;
- People infected with HIV, HBV, HCV and TPPA/RPR, and carriers with HBV;
Subjects who are not sterilized have any of the following conditions:
- are pregnant/lactating; or
- planned pregnancy during the trial; or
- being fertile and unable to use effective contraception;
- The investigators consider that the subject has other conditions that are not suitable for this trial.
Sites / Locations
- Shanghai Tongji Hospital, Tongji University School of Medicine
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
C-CAR066
Arm Description
Autologous C-CAR066 (CD20-directed CAR T-cell) administered by intravenous (IV) infusion
Outcomes
Primary Outcome Measures
Incidence of adverse events
The incidence of treatment-emergent adverse events (TEAEs)
Secondary Outcome Measures
Objective response rate (ORR)
The percentage of subjects who achieved complete response and partial response
Complete response rate (CRR)
The percentage of subjects who achieved complete response
Duration of response (DOR)
The time from the date of first response (PR or CR) to the date of disease progression or death after C-CAR066 infusion
Progression free survival (PFS)
The time from C-CAR066 infusion to the date of progression as assessed by Lugano 2014 criteria or death
Overall survival (OS)
Time from C-CAR066 infusion to death from any cause
Full Information
NCT ID
NCT04036019
First Posted
July 8, 2019
Last Updated
July 17, 2023
Sponsor
Shanghai Tongji Hospital, Tongji University School of Medicine
Collaborators
Cellular Biomedicine Group Ltd.
1. Study Identification
Unique Protocol Identification Number
NCT04036019
Brief Title
A Study of C-CAR066 in Subjects With r/r B Cell Lymphoma Who Received CD19 CAR-T Therapy
Official Title
A Study Evaluating Safety and Efficacy of CBM.CD20 CAR-T(C-CAR066) in Subjects With r/r B Cell Lymphoma Who Received CD19 CAR-T Therapy
Study Type
Interventional
2. Study Status
Record Verification Date
July 2019
Overall Recruitment Status
Completed
Study Start Date
May 28, 2019 (Actual)
Primary Completion Date
June 20, 2022 (Actual)
Study Completion Date
June 20, 2022 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Shanghai Tongji Hospital, Tongji University School of Medicine
Collaborators
Cellular Biomedicine Group Ltd.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
This is a single-center, non-randomized clinical study to evaluate the safety and efficacy of C-CAR066 in treatment of r/r B cell lymphoma who received CD19 CAR-T therapy.
Detailed Description
This study plans to enroll 10 patients to assess the safety and efficacy of C-CAR066. Subjects who meet the eligibility criteria will receive a single dose of C-CAR066 injection.
The study will include the following sequential phases: Screening, Pre- Treatment (Cell Product Preparation, Lymphodepleting Chemotherapy), C-CAR066 infusion and Follow-up Visit.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
B Cell Lymphoma
Keywords
B cell lymphoma received prior CD19 CAR-T therapy
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
14 (Actual)
8. Arms, Groups, and Interventions
Arm Title
C-CAR066
Arm Type
Experimental
Arm Description
Autologous C-CAR066 (CD20-directed CAR T-cell) administered by intravenous (IV) infusion
Intervention Type
Biological
Intervention Name(s)
CD20-directed CAR-T cells
Other Intervention Name(s)
C-CAR066
Intervention Description
Autologous 2nd generation CD20-directed CAR-T cells, single infusion intravenously
Primary Outcome Measure Information:
Title
Incidence of adverse events
Description
The incidence of treatment-emergent adverse events (TEAEs)
Time Frame
Up to 12 weeks after C-CAR066 infusion
Secondary Outcome Measure Information:
Title
Objective response rate (ORR)
Description
The percentage of subjects who achieved complete response and partial response
Time Frame
Up to 24 months after C-CAR066 infusion
Title
Complete response rate (CRR)
Description
The percentage of subjects who achieved complete response
Time Frame
Up to 24 months after C-CAR066 infusion
Title
Duration of response (DOR)
Description
The time from the date of first response (PR or CR) to the date of disease progression or death after C-CAR066 infusion
Time Frame
Up to 24 months after C-CAR066 infusion
Title
Progression free survival (PFS)
Description
The time from C-CAR066 infusion to the date of progression as assessed by Lugano 2014 criteria or death
Time Frame
Up to 24 months after C-CAR066 infusion
Title
Overall survival (OS)
Description
Time from C-CAR066 infusion to death from any cause
Time Frame
Up to 24 months after C-CAR066 infusion
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:
The patient volunteered to participate in the study, and signed the Informed Consent
Age 18-70 years old, male or female
Patients with CD20+ DLBCL (including PMBCL and tFL), FL and MCL, at least one measurable lesion (LDi≥ 1.5 cm)
r/r lymphoma patients who received prior CD19 CAR-T therapy
At least one week from last treatment (radiation, chemotherapy, mAb, etc) to apheresis
No immunosuppressive therapy was used within 1 week before C-CAR066 infusion
No mAb treatment within 2 weeks before C-CAR066 infusion
Adequate organ and bone marrow function
No contraindications of apheresis
Expected survival time > 3 months
ECOG scores 0-1
Exclusion Criteria:
Have a history of allergy to cellular products
Patients with cardiac insufficiency classified as Class III or IV according to the New York Heart Association (NYHA) Heart Function Classification Standard
A history of craniocerebral trauma, consciousness disorder, epilepsy, cerebral ischemia or hemorrhagic cerebrovascular disease
Patients with active CNS involvement
Patients with autoimmune disease, immunodeficiency, or other treatment requiring immunosuppressor
Severe active infection (except simple urinary tract, bacterial pharyngitis), or currently receiving intravenous antibiotics. However, prophylactic antibiotics, antiviral and antifungal treatments are allowed
Live vaccination within 4 weeks before apheresis
HIV, HBV, HCV and TPPA / RPR infections, and HBV carriers
Have a history of alcoholism, drug addiction and mental illness
Non-sterile subjects had any of the following: a) being pregnant / lactating; or b) having a pregnancy plan during the trial; or c) having fertility without taking effective contraception
Patients with severe fludarabine or cyclophosphamide hypersensitivity
The patient has a history of other primary cancers, except for the following:
Non-melanoma such as skin basal cell carcinoma cured by resection
Cured carcinoma in situ such as cervical, bladder or breast cancer
The investigators believe that there are other circumstances that are not suitable for the trial
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Aibin Liang, MD,Ph.D.
Organizational Affiliation
Shanghai Tongji Hospital, Tongji University School of Medicine
Official's Role
Principal Investigator
Facility Information:
Facility Name
Shanghai Tongji Hospital, Tongji University School of Medicine
City
Shanghai
ZIP/Postal Code
200065
Country
China
12. IPD Sharing Statement
Learn more about this trial
A Study of C-CAR066 in Subjects With r/r B Cell Lymphoma Who Received CD19 CAR-T Therapy
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