Clinical Study of SL19+22 CAR-T Cells for Relapsed or Refractory Non-Hodgkin Lymphoma
Primary Purpose
Non-hodgkin's Lymphoma
Status
Recruiting
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
CD19+22 CAR-T cells
Sponsored by
About this trial
This is an interventional treatment trial for Non-hodgkin's Lymphoma focused on measuring NHL,19+22
Eligibility Criteria
Inclusion Criteria:
- Sign the informed consent form and be able to comply with the visit, treatment regimen, laboratory examination and other requirements of the study as stipulated in the trial flow chart;
- The diagnosis of patients with relapsed or refractory non-hodgkin lymphoma;
- The definition of recurrent or refractory non-Hodgkin lymphoma: Patients with DLBCL, pmbcl and TFL diagnosed by histopathology are resistant to standard treatment; Or PD after at least second-line standard treatment; Or the last treatment effect was SD and the duration was no longer than 6 months; Or CD20 positive patients were ineffective or relapsed after anti-CD20 monoclonal antibody treatment; Or PD after autologous hematopoietic stem cell transplantation or recurrence confirmed by biopsy within 12 months; Or patients undergoing salvage treatment after autologous hematopoietic stem cell transplantation had no remission or recurrence after end-line treatment;
- There should be at least one measurable tumor foci according to the RECIST version 1.1;
- ECOG Scores: 0~2;
- The expression of CD19 and/or CD22 on the tumor cells are reported as positive by either immunohistochemistry or flow cytometry;
- Estimated survival time is longer than 3 months;
- Main organ functions shall meet the following requirements: serum creatinine ≤1.5 times the upper limit of normal value (ULN); ALT ULN 2.5 or less; AST ULN 2.5 or less; Total bilirubin ≤ 1.5ULN; Left ventricular ejection fraction (LVEF) ≥45%; Hemoglobin ≥90g/L; Platelet count ≥50×109/L; absolute Neutrophil count (ANC) ≥1.0×109/L; Blood oxygen saturation >92%;
- Peripheral blood mononuclear immune cells must be collected at least 2 weeks after the last radiotherapy or systemic treatment.
Exclusion Criteria:
- Serious cardiac insufficiency;
- Has a history of severe pulmonary function damaging;
- Coexisting with severe or persistent infection that cannot be effectively controlled;
- Patients with a history of other malignancies, except those with non-melanoma skin cancer or carcinoma in situ (eg, cervical cancer, bladder cancer, breast cancer) who have received curative treatment at least 2 years prior to screening without disease recurrence;
- Presence of metabolic diseases (except diabetes and Dyslipidemia);
- Presence of severe autoimmune diseases or immunodeficiency disease;
- Patients with active hepatitis B or hepatitis C virus infection;
- Patients with HIV infection or syphilis infection;
- Has a history of serious allergies on Biological products (including antibiotics);
- Participated in any other clinical drug trial for the last three months(except clinicaltrials of CART );
- Being pregnant, lactating, or planing on pregnancy in the next 12 months.
- Any situations that the researchers believe will increase the risks for the subject or affect the results of the study(have a history of serious mental illness, drug abuse and addiction).
Sites / Locations
- Hebei Yanda Ludaopei HospitalRecruiting
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
SL 19+22 CAR-T
Arm Description
Outcomes
Primary Outcome Measures
Safety: Incidence and severity of adverse events
To evaluate the possible adverse events could occurred within first month post infusion.
Efficacy: Overall Remission Rate (ORR)
Overall Remission Rate (ORR) including partial remission and complete remission rate after infusion of SL19+22
Secondary Outcome Measures
Efficacy:duration of response (DOR)
duration of response (DOR)
Efficacy: progression-free survival (PFS)
progression-free survival (PFS) time
CAR-T proliferation
the copy number of CD19 and CD22 CAR- T cells in the genomes of PBMC by qPCR
Cytokine release
Cytokine( IL-6,IL-10,IFN-γ,TNF-α ) concentration (pg/mL) by flow cytometry
Full Information
NCT ID
NCT05206071
First Posted
January 11, 2022
Last Updated
January 11, 2022
Sponsor
Hebei Senlang Biotechnology Inc., Ltd.
1. Study Identification
Unique Protocol Identification Number
NCT05206071
Brief Title
Clinical Study of SL19+22 CAR-T Cells for Relapsed or Refractory Non-Hodgkin Lymphoma
Official Title
Clinical Study of SL19+22 CAR-T Cells for Relapsed or Refractory Non-Hodgkin Lymphoma
Study Type
Interventional
2. Study Status
Record Verification Date
January 2022
Overall Recruitment Status
Recruiting
Study Start Date
May 1, 2021 (Actual)
Primary Completion Date
December 31, 2023 (Anticipated)
Study Completion Date
December 31, 2023 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hebei Senlang Biotechnology Inc., 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
To evaluate the safety and efficacy of SL19+22 in patients with relapsed or refractory non-Hodgkin's lymphoma.
Detailed Description
SL19+22 injection is a CAR-T product independently developed by Senlang that targets both CD19 and CD22. Based on the traditional CAR T treatment regimen, the CAR structure was designed, and the activation mode of T cells was changed by using cytokine combination amplification and improved transfection technology.
The Main research objectives:
To evaluate the safety and efficacy of SL19+22 in patients with recurrent or refractory non-Hodgkin's lymphoma
The Secondary research objectives:
To investigate the cytokinetic characteristics of SL19+22 in patients with recurrent or refractory non-Hodgkin's lymphoma.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-hodgkin's Lymphoma
Keywords
NHL,19+22
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
100 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
SL 19+22 CAR-T
Arm Type
Experimental
Intervention Type
Biological
Intervention Name(s)
CD19+22 CAR-T cells
Other Intervention Name(s)
CD19+22 CAR-T
Intervention Description
Biological: CD19+22 CAR-T; Drug: Cyclophosphamide,Fludarabine;
Primary Outcome Measure Information:
Title
Safety: Incidence and severity of adverse events
Description
To evaluate the possible adverse events could occurred within first month post infusion.
Time Frame
First month post CAR-T cells infusion
Title
Efficacy: Overall Remission Rate (ORR)
Description
Overall Remission Rate (ORR) including partial remission and complete remission rate after infusion of SL19+22
Time Frame
3 months post CAR-T cells infusion
Secondary Outcome Measure Information:
Title
Efficacy:duration of response (DOR)
Description
duration of response (DOR)
Time Frame
24 months post CAR-T cells infusion
Title
Efficacy: progression-free survival (PFS)
Description
progression-free survival (PFS) time
Time Frame
24 months post CAR-T cells infusion
Title
CAR-T proliferation
Description
the copy number of CD19 and CD22 CAR- T cells in the genomes of PBMC by qPCR
Time Frame
3 months post CAR-T cells infusion
Title
Cytokine release
Description
Cytokine( IL-6,IL-10,IFN-γ,TNF-α ) concentration (pg/mL) by flow cytometry
Time Frame
First month post CAR-T cells infusion
10. Eligibility
Sex
All
Minimum Age & Unit of Time
3 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Sign the informed consent form and be able to comply with the visit, treatment regimen, laboratory examination and other requirements of the study as stipulated in the trial flow chart;
The diagnosis of patients with relapsed or refractory non-hodgkin lymphoma;
The definition of recurrent or refractory non-Hodgkin lymphoma: Patients with DLBCL, pmbcl and TFL diagnosed by histopathology are resistant to standard treatment; Or PD after at least second-line standard treatment; Or the last treatment effect was SD and the duration was no longer than 6 months; Or CD20 positive patients were ineffective or relapsed after anti-CD20 monoclonal antibody treatment; Or PD after autologous hematopoietic stem cell transplantation or recurrence confirmed by biopsy within 12 months; Or patients undergoing salvage treatment after autologous hematopoietic stem cell transplantation had no remission or recurrence after end-line treatment;
There should be at least one measurable tumor foci according to the RECIST version 1.1;
ECOG Scores: 0~2;
The expression of CD19 and/or CD22 on the tumor cells are reported as positive by either immunohistochemistry or flow cytometry;
Estimated survival time is longer than 3 months;
Main organ functions shall meet the following requirements: serum creatinine ≤1.5 times the upper limit of normal value (ULN); ALT ULN 2.5 or less; AST ULN 2.5 or less; Total bilirubin ≤ 1.5ULN; Left ventricular ejection fraction (LVEF) ≥45%; Hemoglobin ≥90g/L; Platelet count ≥50×109/L; absolute Neutrophil count (ANC) ≥1.0×109/L; Blood oxygen saturation >92%;
Peripheral blood mononuclear immune cells must be collected at least 2 weeks after the last radiotherapy or systemic treatment.
Exclusion Criteria:
Serious cardiac insufficiency;
Has a history of severe pulmonary function damaging;
Coexisting with severe or persistent infection that cannot be effectively controlled;
Patients with a history of other malignancies, except those with non-melanoma skin cancer or carcinoma in situ (eg, cervical cancer, bladder cancer, breast cancer) who have received curative treatment at least 2 years prior to screening without disease recurrence;
Presence of metabolic diseases (except diabetes and Dyslipidemia);
Presence of severe autoimmune diseases or immunodeficiency disease;
Patients with active hepatitis B or hepatitis C virus infection;
Patients with HIV infection or syphilis infection;
Has a history of serious allergies on Biological products (including antibiotics);
Participated in any other clinical drug trial for the last three months(except clinicaltrials of CART );
Being pregnant, lactating, or planing on pregnancy in the next 12 months.
Any situations that the researchers believe will increase the risks for the subject or affect the results of the study(have a history of serious mental illness, drug abuse and addiction).
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Peihua Lu, PhD&M
Phone
008618611636172
Email
peihua_lu@126.com
First Name & Middle Initial & Last Name or Official Title & Degree
Jianqiang Li, PhD&M
Phone
008615511369555
Email
limmune@gmail.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Peihua Lu, PhD&M
Organizational Affiliation
Hebei Yanda Ludaopei Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Hebei Yanda Ludaopei Hospital
City
Langfang
State/Province
Hebei
ZIP/Postal Code
065000
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Peihua Lu, PhD&M
Phone
008618611636172
Email
peihua_lu@126.com
12. IPD Sharing Statement
Learn more about this trial
Clinical Study of SL19+22 CAR-T Cells for Relapsed or Refractory Non-Hodgkin Lymphoma
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