TAA05 Cell Injection in the Treatment of Recurrent / Refractory Acute Myeloid Leukemia
Primary Purpose
CAR, Acute Myeloid Leukemia
Status
Recruiting
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
TAA05 cell injection
Sponsored by
About this trial
This is an interventional treatment trial for CAR
Eligibility Criteria
Inclusion Criteria:
- Age 18 ~ 70 years old (including boundary value), regardless of gender;
- Acute myeloid leukemia with FLT3 positive (positive rate ≥ 30%) verified by flow cytometry or immunohistochemistry;
- The expected survival time was more than 12 weeks;
- ECoG score 0-2;
- Refractory or relapse after standardized treatment;
Liver and kidney function and cardiopulmonary function meet the following requirements:
- Creatinine ≤ 1.5 ULN;
- Left ventricular ejection fraction ≥ 45%;
- Blood oxygen saturation > 91%;
- Total bilirubin ≤ 1.5 × ULN; ALT and AST ≤ 2.5 × ULN;
- Understand the test and have signed the informed consent form.
Exclusion Criteria:
- Patients with graft-versus-host disease (GVHD) or requiring immunosuppressive agents;
- Malignant tumors other than acute myeloid leukemia within 5 years before screening, except fully treated cervical carcinoma in situ, basal cell or squamous cell skin cancer, local prostate cancer after radical operation, and breast ductal carcinoma in situ after radical operation;
- hepatitis B surface antigen (HBsAg) or hepatitis B core antibody (HBcAb) positive and peripheral blood hepatitis B virus (HBV) DNA titer detection is not within the normal reference range; Hepatitis C virus (HCV) antibody positive and hepatitis C virus (HCV) RNA positive in peripheral blood; Human immunodeficiency virus (HIV) antibody positive; Cytomegalovirus (CMV) DNA positive; Syphilis test positive;
- Severe heart disease: including but not limited to unstable angina pectoris, myocardial infarction (within 6 months before screening), congestive heart failure (New York Heart Association [NYHA] classification ≥ grade III), severe arrhythmia;
- Unstable systemic diseases judged by the researcher: including but not limited to severe liver, kidney or metabolic diseases requiring drug treatment;
- Within 7 days before screening, there were active or uncontrollable infections requiring systemic treatment (except mild urogenital infection and upper respiratory tract infection);
- Pregnant or lactating women, female subjects who planned pregnancy within 1 year after cell reinfusion, or male subjects whose partners planned pregnancy within 1 year after cell reinfusion;
- Those who had received car-t therapy or other gene modified cell therapy before screening;
- Subjects who were receiving systemic steroid treatment within 7 days before screening or who were determined by the investigator to need long-term systemic steroid treatment during treatment (except inhalation or local use);
- Participated in other clinical studies within 3 months before screening;
- There was evidence of central nervous system invasion during subject screening;
- According to the judgment of the researcher, it does not conform to the situation of cell preparation;
- Other researchers believe that it is not suitable for inclusion.
Sites / Locations
- Anhui Provincial HospitalRecruiting
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
TAA05 cell injection
Arm Description
TAA6 cell injection#Targeting FLT3 autologous chimeric antigen receptor T cells#
Outcomes
Primary Outcome Measures
ORR 3 ORR 3
3-month objective response rate
Secondary Outcome Measures
Full Information
NCT ID
NCT05017883
First Posted
August 17, 2021
Last Updated
November 3, 2021
Sponsor
PersonGen BioTherapeutics (Suzhou) Co., Ltd.
Collaborators
Anhui Provincial Hospital
1. Study Identification
Unique Protocol Identification Number
NCT05017883
Brief Title
TAA05 Cell Injection in the Treatment of Recurrent / Refractory Acute Myeloid Leukemia
Official Title
TAA05 Cell Injection in the Treatment of Recurrent / Refractory Acute Myeloid Leukemia
Study Type
Interventional
2. Study Status
Record Verification Date
August 2021
Overall Recruitment Status
Recruiting
Study Start Date
July 1, 2021 (Actual)
Primary Completion Date
October 2023 (Anticipated)
Study Completion Date
October 2025 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
PersonGen BioTherapeutics (Suzhou) Co., Ltd.
Collaborators
Anhui Provincial Hospital
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 clinical study of ytaa05 cell injection in the treatment of patients with recurrent / refractory acute myeloid leukemia.The purpose is to evaluate the safety and preliminary efficacy of FLT3 car-t cells in patients with recurrent / refractory FLT3 positive acute myeloid leukemia.#TAA05 cell injection is a T cell targeting FLT3 chimeric antigen receptor#
Detailed Description
Acute myeloid leukemia (AML) is a hematological malignancy caused by abnormal differentiation and uncontrolled proliferation of hematopoietic progenitor cells. If AML is not given active treatment within one year after diagnosis, it will cause fatal infection, bleeding and organ infiltration due to abnormal proliferation of tumor cells. AML is one of the most common leukemia. About 3.8 patients in every 100000 people are in the higher incidence rate among people aged 65 and over, and 17.9 patients in every 100000 people. The cure rate of AML is about 35-40% in patients ≤ 60 years old and only 5-15% in patients over 60 years old. The survival of elderly patients who can not tolerate chemotherapy is frustrating, and the median survival time is only 5-10 months. In the past 20 to 30 years, the treatment of acute myeloid leukemia (AML) has made significant progress, so that about 80% of adult patients under the age of 55 can achieve complete remission. However, more than half of Cr patients will relapse, and the long-term survival rate is about 40%. Until the 1970s, diagnosis was only based on pathological and cytological examination of bone marrow and blood. The five-year survival rate was less than 15%.
CAR-T cells can recognize specific antigens in a non restricted manner of HLA and continuously activate T cells. FLT3 is a potential target of AML. Therefore, the construction of car-t cells that recognize human FLT3 molecule has high clinical value in the treatment of AML.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
CAR, Acute Myeloid Leukemia
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
5 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
TAA05 cell injection
Arm Type
Experimental
Arm Description
TAA6 cell injection#Targeting FLT3 autologous chimeric antigen receptor T cells#
Intervention Type
Drug
Intervention Name(s)
TAA05 cell injection
Intervention Description
Chimeric antigen receptor T cells (car-t)
Chimeric antigen receptor T cells (car-t) is one of the most effective therapies for malignant tumors (especially hematological tumors). Like other immunotherapies, the basic principle is to use the patient's own immune cells to clear cancer cells. Chimeric antigen receptor (car) is the core component of car-t, which endows T cells with the ability to recognize tumor antigens in an independent manner,which enables car modified T cells to recognize a wider range of targets than natural T cell surface receptors (TCR). The basic design of car includes a tumor associated antigen binding region (usually derived from scFv segment of monoclonal antibody antigen binding region), transmembrane region and intracellular signal region. The selection of target antigen is a key determinant for the specificity and effectiveness of car and the safety of genetically modified T cells.
Primary Outcome Measure Information:
Title
ORR 3 ORR 3
Description
3-month objective response rate
Time Frame
three months after CAR-T cells 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:
Age 18 ~ 70 years old (including boundary value), regardless of gender;
Acute myeloid leukemia with FLT3 positive (positive rate ≥ 30%) verified by flow cytometry or immunohistochemistry;
The expected survival time was more than 12 weeks;
ECoG score 0-2;
Refractory or relapse after standardized treatment;
Liver and kidney function and cardiopulmonary function meet the following requirements:
Creatinine ≤ 1.5 ULN;
Left ventricular ejection fraction ≥ 45%;
Blood oxygen saturation > 91%;
Total bilirubin ≤ 1.5 × ULN; ALT and AST ≤ 2.5 × ULN;
Understand the test and have signed the informed consent form.
Exclusion Criteria:
Patients with graft-versus-host disease (GVHD) or requiring immunosuppressive agents;
Malignant tumors other than acute myeloid leukemia within 5 years before screening, except fully treated cervical carcinoma in situ, basal cell or squamous cell skin cancer, local prostate cancer after radical operation, and breast ductal carcinoma in situ after radical operation;
hepatitis B surface antigen (HBsAg) or hepatitis B core antibody (HBcAb) positive and peripheral blood hepatitis B virus (HBV) DNA titer detection is not within the normal reference range; Hepatitis C virus (HCV) antibody positive and hepatitis C virus (HCV) RNA positive in peripheral blood; Human immunodeficiency virus (HIV) antibody positive; Cytomegalovirus (CMV) DNA positive; Syphilis test positive;
Severe heart disease: including but not limited to unstable angina pectoris, myocardial infarction (within 6 months before screening), congestive heart failure (New York Heart Association [NYHA] classification ≥ grade III), severe arrhythmia;
Unstable systemic diseases judged by the researcher: including but not limited to severe liver, kidney or metabolic diseases requiring drug treatment;
Within 7 days before screening, there were active or uncontrollable infections requiring systemic treatment (except mild urogenital infection and upper respiratory tract infection);
Pregnant or lactating women, female subjects who planned pregnancy within 1 year after cell reinfusion, or male subjects whose partners planned pregnancy within 1 year after cell reinfusion;
Those who had received car-t therapy or other gene modified cell therapy before screening;
Subjects who were receiving systemic steroid treatment within 7 days before screening or who were determined by the investigator to need long-term systemic steroid treatment during treatment (except inhalation or local use);
Participated in other clinical studies within 3 months before screening;
There was evidence of central nervous system invasion during subject screening;
According to the judgment of the researcher, it does not conform to the situation of cell preparation;
Other researchers believe that it is not suitable for inclusion.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Xingbing Wang
Phone
13856007984
Email
wangxingbing@ustc.edu.cn
First Name & Middle Initial & Last Name or Official Title & Degree
Huimin Meng
Phone
0551-65728070
Email
huimin.meng@persongen.com.cn
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Xingbing Wang
Organizational Affiliation
No.1, Swan Lake Road, new administrative and Cultural District, Hefei City, Anhui Province
Official's Role
Principal Investigator
Facility Information:
Facility Name
Anhui Provincial Hospital
City
Hefei
State/Province
Anhui
ZIP/Postal Code
230000
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
xingbing wang, doctor
Phone
13856007984
Email
wangxingbing@ustc.edu.cn
12. IPD Sharing Statement
Learn more about this trial
TAA05 Cell Injection in the Treatment of Recurrent / Refractory Acute Myeloid Leukemia
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