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Clinical Study on CAR-T Targeting Igβ Targets in Refractory Relapsed Non-Hodgkin's Lymphoma

Primary Purpose

Relapsed/Refractory B-cell Non-Hodgkin's Lymphoma

Status
Recruiting
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
Chimeric Antigen Receptor T Cells (CAR-T) Targeting Igβ Targets
Sponsored by
The First Affiliated Hospital of Soochow University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Relapsed/Refractory B-cell Non-Hodgkin's Lymphoma focused on measuring CAR-T Cells targeting Igβ targets, Relapsed Refractory B-cell Non-Hodgkin's Lymphoma

Eligibility Criteria

6 Years - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Voluntary signing of informed consent and good compliance.
  2. Age ≥ 6 years.
  3. Previously treated with 2 or more lines of therapy.
  4. Has a measurable target lesion.
  5. ECOG 0-1#.
  6. Have appropriate organ function, subject to the following criteria (except for abnormal liver function due to tumor infiltration): AST≤3 times upper limit of normal#ALT≤3 times upper limit of normal# TB≤2 times ULN, unless combined with Gilbert's syndrome #Patients with Gilbert's syndrome with TB≤ 3 times ULN and DB≤ 1.5 times ULN can be include # Scr ≤1.5 times ULN or CCr≥60 ml/min# Lung function≤Level 1; dyspnea(CTCAE v5.0),and blood oxygen saturation without oxygen absorption> 91%# INR≤1.5 times ULN# aPTT≤1.5 times ULN.
  7. negative blood/urine pregnancy test in women of childbearing age within 7 days prior to cell infusion, and any male and female patients of childbearing potential must agree to use an effective method of contraception throughout the study and for at least six months after the study treatment is administered.
  8. Pass the T-cell amplification test.
  9. Have adequate venous access to single or venous blood and no other contraindications to leukocyte isolation.
  10. Estimated survival time ≥3 months.

Exclusion Criteria:

  1. Prior malignancy (other than Relapsed Refractory B-cell Non-Hodgkin's Lymphoma), except for cured malignant tumors with no active lesions for 3 years; Adequate treatment of inactive lesions in non-melanoma skin cancer, malignant tonsilloma or carcinoma in situ.
  2. Have used immunosuppressants or hormones within 2 weeks prior to signing informed consent, or plan to have to use immunosuppressants or high-dose hormones (e.g. prednisone >15mg) after signing informed consent, specifically systemic treatment, excluding treatment with topical or inhaled corticosteroids.
  3. The presence of bacterial, fungal, viral, mycoplasma or other types of infection that, in the judgment of the investigator, are difficult to control.
  4. HIV, Syphilis or COVID-19 infection.
  5. Active hepatitis B or active hepatitis C.
  6. Previous or current CNS disease other than this disease, such as seizures, cerebrovascular ischaemia/hemorrhage, dementia, cerebellar disease or any CNS-related autoimmune disease.
  7. A history of cardiac angioplasty or stent placement within 12 months prior to signing the informed consent form, or a history of myocardial infarction, unstable angina or other clinically significant heart disease.
  8. Patients with primary immunodeficiency.
  9. Have had a severe tachyphylaxis to any of the drugs to be used in this study.
  10. Live vaccination within 6 weeks prior to screening.
  11. Pregnant or breasting-feeding women.
  12. Active autoimmune diseases.
  13. Active acute or chronic graft-versus-host disease (GVHD) at the time of signing the informed consent form.
  14. Received an allogeneic hematopoietic stem cell transplant within 6 months prior to signing the informed consent form.
  15. Participated in an investigational clinical trial of any other drug within 30 days prior to signing the informed consent form.
  16. Conditions deemed by the researcher to be inappropriate for participation in this clinical trial.

Sites / Locations

  • The First Affiliated Hospital of Soochow UniversityRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Chimeric Antigen Receptor T Cells (CAR-T) Targeting Igβ Targets

Arm Description

Chimeric antigen receptor T cells targeting Igβ targets (CAR-T)

Outcomes

Primary Outcome Measures

DLT
DLT occurring within 28 days of the last dose.
Adverse events profile
Number of participants with adverse events. Frequencies of toxicities based on the NCI Common Terminology Criteria for Adverse Events (CTCAE), version 5.0 will be tabulated.

Secondary Outcome Measures

Objective Response Rate
Proportion of CR and PR subjects will be assessed at 3 months post-infusion.
Duration of Response
Duration of overall response will be assessed from the first chimeric antigen receptor T cells (CAR-T) targeting Igβ targets given to progression, death or last follow-up.
Progression-free survival
To measure the duration of response to chimeric antigen receptor T cells (CAR-T) targeting Igβ targets over a follow-up period of 12 months.
Overall Survival
OS will be assessed from the first chimeric antigen receptor T cells (CAR-T) targeting Igβ targets given to death or last follow-up.
Peak Plasma Concentration
the peak amplification of Igβ-CART in peripheral blood.
Time to Peak Amplification
the time to peak amplification of Igβ-CART in peripheral blood.
AUC0-28
the area under the curve (AUC0-28) obtained by plotting the number of CAR-T cells in serum against the visit time from 0 to 28 days after reinfusion.
PD
Pharmacodynamics is the peripheral blood B-cell ratio.

Full Information

First Posted
March 21, 2022
Last Updated
April 3, 2022
Sponsor
The First Affiliated Hospital of Soochow University
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1. Study Identification

Unique Protocol Identification Number
NCT05312476
Brief Title
Clinical Study on CAR-T Targeting Igβ Targets in Refractory Relapsed Non-Hodgkin's Lymphoma
Official Title
Clinical Study of the Safety, Tolerability and Preliminary Efficacy of Chimeric Antigen Receptor T Cells (CAR-T) Targeting Igβ Targets in Patients With Igβ-positive Refractory Relapsed Non-Hodgkin's Lymphoma
Study Type
Interventional

2. Study Status

Record Verification Date
March 2022
Overall Recruitment Status
Recruiting
Study Start Date
February 10, 2022 (Actual)
Primary Completion Date
February 10, 2025 (Anticipated)
Study Completion Date
February 10, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
The First Affiliated Hospital of Soochow University

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
Aim of this study will evaluate the safety, tolerability and preliminary efficacy of chimeric antigen receptor T cells (CAR-T) targeting Igβ targets in patients with Igβ-positive refractory relapsed non-Hodgkin's lymphoma.
Detailed Description
Non-Hodgkin's lymphoma is a group of malignant neoplasms of the lymphatic system originating from B or T cells, of which 60-70% of patients have B-cell-derived lymphoma (B-NHL). Although rituximab in combination with chemotherapy has significantly improved the prognosis of B-cell lymphoma, some patients still have primary resistance or relapse. In recent years, breakthroughs have been made in the treatment of B-cell tumors with Chimeric Antigen Receptor-Modified T Cells (CART), the investigators therefore constructed CAR-T cells targeting Igβ to investigate the safety and efficacy of CAR-T cells with this target for the treatment of r/r B-NHL.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Relapsed/Refractory B-cell Non-Hodgkin's Lymphoma
Keywords
CAR-T Cells targeting Igβ targets, Relapsed Refractory B-cell Non-Hodgkin's Lymphoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
12 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Chimeric Antigen Receptor T Cells (CAR-T) Targeting Igβ Targets
Arm Type
Experimental
Arm Description
Chimeric antigen receptor T cells targeting Igβ targets (CAR-T)
Intervention Type
Drug
Intervention Name(s)
Chimeric Antigen Receptor T Cells (CAR-T) Targeting Igβ Targets
Other Intervention Name(s)
Chimeric antigen receptor-modified T (CAR-T) cell therapy
Intervention Description
Dose escalation studies:3 dose groups in total: expect 3-6 cases in each group, and dose set at 1×106/kg,3×106/kg,6×106/kg. Dose extension study:3 cases (1 dose group).
Primary Outcome Measure Information:
Title
DLT
Description
DLT occurring within 28 days of the last dose.
Time Frame
Measured from start of treatment until 28 days after last dose
Title
Adverse events profile
Description
Number of participants with adverse events. Frequencies of toxicities based on the NCI Common Terminology Criteria for Adverse Events (CTCAE), version 5.0 will be tabulated.
Time Frame
Measured from start of treatment until 28 days after last dose
Secondary Outcome Measure Information:
Title
Objective Response Rate
Description
Proportion of CR and PR subjects will be assessed at 3 months post-infusion.
Time Frame
up to 3 months
Title
Duration of Response
Description
Duration of overall response will be assessed from the first chimeric antigen receptor T cells (CAR-T) targeting Igβ targets given to progression, death or last follow-up.
Time Frame
up to 12 months
Title
Progression-free survival
Description
To measure the duration of response to chimeric antigen receptor T cells (CAR-T) targeting Igβ targets over a follow-up period of 12 months.
Time Frame
up to 12 months
Title
Overall Survival
Description
OS will be assessed from the first chimeric antigen receptor T cells (CAR-T) targeting Igβ targets given to death or last follow-up.
Time Frame
up to 12 months
Title
Peak Plasma Concentration
Description
the peak amplification of Igβ-CART in peripheral blood.
Time Frame
Measured from start of treatment until 28 days after last dose
Title
Time to Peak Amplification
Description
the time to peak amplification of Igβ-CART in peripheral blood.
Time Frame
Measured from start of treatment until 28 days after last dose
Title
AUC0-28
Description
the area under the curve (AUC0-28) obtained by plotting the number of CAR-T cells in serum against the visit time from 0 to 28 days after reinfusion.
Time Frame
Measured from start of treatment until 28 days after last dose
Title
PD
Description
Pharmacodynamics is the peripheral blood B-cell ratio.
Time Frame
Measured from start of treatment until 28 days after last dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
6 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Voluntary signing of informed consent and good compliance. Age ≥ 6 years. Previously treated with 2 or more lines of therapy. Has a measurable target lesion. ECOG 0-1#. Have appropriate organ function, subject to the following criteria (except for abnormal liver function due to tumor infiltration): AST≤3 times upper limit of normal#ALT≤3 times upper limit of normal# TB≤2 times ULN, unless combined with Gilbert's syndrome #Patients with Gilbert's syndrome with TB≤ 3 times ULN and DB≤ 1.5 times ULN can be include # Scr ≤1.5 times ULN or CCr≥60 ml/min# Lung function≤Level 1; dyspnea(CTCAE v5.0),and blood oxygen saturation without oxygen absorption> 91%# INR≤1.5 times ULN# aPTT≤1.5 times ULN. negative blood/urine pregnancy test in women of childbearing age within 7 days prior to cell infusion, and any male and female patients of childbearing potential must agree to use an effective method of contraception throughout the study and for at least six months after the study treatment is administered. Pass the T-cell amplification test. Have adequate venous access to single or venous blood and no other contraindications to leukocyte isolation. Estimated survival time ≥3 months. Exclusion Criteria: Prior malignancy (other than Relapsed Refractory B-cell Non-Hodgkin's Lymphoma), except for cured malignant tumors with no active lesions for 3 years; Adequate treatment of inactive lesions in non-melanoma skin cancer, malignant tonsilloma or carcinoma in situ. Have used immunosuppressants or hormones within 2 weeks prior to signing informed consent, or plan to have to use immunosuppressants or high-dose hormones (e.g. prednisone >15mg) after signing informed consent, specifically systemic treatment, excluding treatment with topical or inhaled corticosteroids. The presence of bacterial, fungal, viral, mycoplasma or other types of infection that, in the judgment of the investigator, are difficult to control. HIV, Syphilis or COVID-19 infection. Active hepatitis B or active hepatitis C. Previous or current CNS disease other than this disease, such as seizures, cerebrovascular ischaemia/hemorrhage, dementia, cerebellar disease or any CNS-related autoimmune disease. A history of cardiac angioplasty or stent placement within 12 months prior to signing the informed consent form, or a history of myocardial infarction, unstable angina or other clinically significant heart disease. Patients with primary immunodeficiency. Have had a severe tachyphylaxis to any of the drugs to be used in this study. Live vaccination within 6 weeks prior to screening. Pregnant or breasting-feeding women. Active autoimmune diseases. Active acute or chronic graft-versus-host disease (GVHD) at the time of signing the informed consent form. Received an allogeneic hematopoietic stem cell transplant within 6 months prior to signing the informed consent form. Participated in an investigational clinical trial of any other drug within 30 days prior to signing the informed consent form. Conditions deemed by the researcher to be inappropriate for participation in this clinical trial.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Caixia Li, M.D
Phone
+86 512 67781856
Email
licaixia@suda.edu.cn
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Depei Wu, M.D
Organizational Affiliation
The First Affiliated Hospital of Soochow University
Official's Role
Study Chair
Facility Information:
Facility Name
The First Affiliated Hospital of Soochow University
City
Suzhou
State/Province
Jiangsu
ZIP/Postal Code
215000
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Caixia Li, M.D
Phone
+86 512 67781856
Email
licaixia@suda.edu.cn

12. IPD Sharing Statement

Learn more about this trial

Clinical Study on CAR-T Targeting Igβ Targets in Refractory Relapsed Non-Hodgkin's Lymphoma

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