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Immunotherapy With CD19 CAR T-cells for B-Cell Leukemia

Primary Purpose

Leukemia

Status
Not yet recruiting
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Anti-CD19-CAR
Sponsored by
Kecellitics Biotech Company Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Leukemia focused on measuring CAR-T, Leukemia

Eligibility Criteria

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

Inclusion Criteria:

  1. Relapsed or refractory B cell non-hodgkin lymphoma.
  2. KPS>60.
  3. Life expectancy>3 months.
  4. Gender unlimited, age from 2 years to 70 years.
  5. CD19 expression must be detected on greater than 15% of the malignant cells by immunohistochemistry or greater than 30% by flow cytometry.
  6. Patients who have failed at least one line of a standard treatment.
  7. No serious mental disorder.
  8. Patients must have adequate cardiac function(no cardiac disease, LVEF≥40% ), adequate pulmonary function as indicated by room air oxygen saturation of >94%, and adequate renal function(Cr≤133umol/L).
  9. No other serious diseases(autoimmune disease, immunodeficiency etc.).
  10. No other tumors.
  11. Patients volunteer to participate in the research.
  12. Patients with history of allogeneic stem cell transplantation are eligible if at least 100 days post-transplant, if there is no evidence of active GVHD and no longer taking immunosuppressive agents for at least 30 days prior to trial

Exclusion Criteria:

  1. KPS<50.
  2. Patients are allergic to cytokines.
  3. Uncontrolled active infection.
  4. Acute or chronic GVHD.
  5. Treated with T cell inhibitor.
  6. Pregnancy and nursing females.
  7. HIV/HBV/HCV Infection.
  8. Other situations we think improper for the research.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    experimental:3

    Arm Description

    Leukemia treated with chimeric antigen receptor modified T cells(Anti-CD19-CAR) targeting CD19.

    Outcomes

    Primary Outcome Measures

    Adverse events of each patient
    Determine the toxicity profile of the CD19 targeted CAR T cells with Common Toxicity Criteria for Adverse Effects (CTCAE) version 4.0.
    Survival time of Anti-CD19 CAR T cells in vivo
    To evaluate the presence of circulating CAR T cells with flow cytometry and real time PCR in patient blood.
    Antitumor Effects
    Tumor load will be quantified with radiology, bone marrow and/or blood samples dependent on diagnosis.
    Maximum tolerated dose (MTD) of CD19 targeted CAR T cells.
    Maximum tolerated dose (MTD) of CD19 targeted CAR T cells.

    Secondary Outcome Measures

    Full Information

    First Posted
    September 18, 2019
    Last Updated
    November 26, 2022
    Sponsor
    Kecellitics Biotech Company Ltd
    Collaborators
    Hebei Yanda Ludaopei Hospital
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04100187
    Brief Title
    Immunotherapy With CD19 CAR T-cells for B-Cell Leukemia
    Official Title
    Phase I Study of T Cells Expressing an Anti-CD19 Chimeric Receptor in Children and Young Adults With B Cell Leukemia
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    February 1, 2023 (Anticipated)
    Primary Completion Date
    August 1, 2023 (Anticipated)
    Study Completion Date
    August 1, 2024 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Kecellitics Biotech Company Ltd
    Collaborators
    Hebei Yanda Ludaopei Hospital

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This study aims to evaluate the safety, efficacy and duration of response of CD19 Chimeric Antigen Receptor (CAR) redirected autologous T-cells in patients with high risk, relapsed CD19+ haematological malignancies.
    Detailed Description
    This is a multi-centre, non-randomised, open label Phase I clinical trial of an Advanced Therapy Investigational Medicinal Product named CD19 Chimeric Antigen Receptor (CAR) T-cells (CD19 CAR T-cells) in patients with high risk, relapsed CD19+ Leukemia. Following informed consent and registration to the trial, patients will undergo an unstimulated leukapheresis for the generation of the CD19 CAR Tcells. Patients will receive the CD19CAR T-cells following lymphodepleting chemotherapy. The study will evaluate the safety, efficacy and duration of response of the CD19 CAR T-cells in patients with high risk relapsed CD19+ Leukemia

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Leukemia
    Keywords
    CAR-T, Leukemia

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    100 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    experimental:3
    Arm Type
    Experimental
    Arm Description
    Leukemia treated with chimeric antigen receptor modified T cells(Anti-CD19-CAR) targeting CD19.
    Intervention Type
    Biological
    Intervention Name(s)
    Anti-CD19-CAR
    Intervention Description
    Cells extracted, followed by induction chemotherapy before CD19-CAR infusion (dose escalation.)
    Primary Outcome Measure Information:
    Title
    Adverse events of each patient
    Description
    Determine the toxicity profile of the CD19 targeted CAR T cells with Common Toxicity Criteria for Adverse Effects (CTCAE) version 4.0.
    Time Frame
    3 years
    Title
    Survival time of Anti-CD19 CAR T cells in vivo
    Description
    To evaluate the presence of circulating CAR T cells with flow cytometry and real time PCR in patient blood.
    Time Frame
    3 years
    Title
    Antitumor Effects
    Description
    Tumor load will be quantified with radiology, bone marrow and/or blood samples dependent on diagnosis.
    Time Frame
    Every 3 months post treatment up to 24 months
    Title
    Maximum tolerated dose (MTD) of CD19 targeted CAR T cells.
    Description
    Maximum tolerated dose (MTD) of CD19 targeted CAR T cells.
    Time Frame
    4 weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    2 Years
    Maximum Age & Unit of Time
    70 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Relapsed or refractory B cell Leukemia. KPS>60. Life expectancy>3 months. Gender unlimited, age from 2 years to 70 years. CD19 expression must be detected on greater than 15% of the malignant cells by immunohistochemistry or greater than 30% by flow cytometry. Patients who have failed at least one line of a standard treatment. No serious mental disorder. Patients must have adequate cardiac function(no cardiac disease, LVEF≥40% ), adequate pulmonary function as indicated by room air oxygen saturation of >94%, and adequate renal function(Cr≤133umol/L). No other serious diseases(autoimmune disease, immunodeficiency etc.). No other tumors. Patients volunteer to participate in the research. Patients with history of allogeneic stem cell transplantation are eligible if at least 100 days post-transplant, if there is no evidence of active GVHD and no longer taking immunosuppressive agents for at least 30 days prior to trial Exclusion Criteria: KPS<50. Patients are allergic to cytokines. Uncontrolled active infection. Acute or chronic GVHD. Treated with T cell inhibitor. Pregnancy and nursing females. HIV/HBV/HCV Infection. Other situations we think improper for the research.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Li xiangqun, DOCTOR
    Phone
    086-15712867910
    Email
    xiangqun_li@doingtimes.com
    First Name & Middle Initial & Last Name or Official Title & Degree
    Li xiangqun
    Phone
    086-15712867910
    Email
    xiangqun_li@doingtimes.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Li xiangqun
    Organizational Affiliation
    Kecellitics Biotech Company Ltd
    Official's Role
    Study Chair

    12. IPD Sharing Statement

    Learn more about this trial

    Immunotherapy With CD19 CAR T-cells for B-Cell Leukemia

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