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Administration of Anti-siglec-6 CAR-T Cell Therapy in Relapsed and Refractory Acute Myeloid Leukemia (rr/AML)

Primary Purpose

Acute Myeloid Leukemia Refractory, Acute Myeloid Leukemia, in Relapse

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
anti-siglec-6 CAR-T cell therapy
Sponsored by
Xuzhou Medical University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Acute Myeloid Leukemia Refractory

Eligibility Criteria

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

Inclusion Criteria:

  1. All subjects must sign and date the Informed Consent before initiating any study specific procedures or activities;
  2. At the age of 18-70 years old;
  3. Diagnosed as relapse/refractory (r/r) de novo or secondary acute myeloid leukemia (AML);
  4. The patient has recovered from the toxicity of previous treatment;
  5. ECOG score ≤ 2 and expected survival period is not less than 3 months;
  6. Adequate organ function defined as:AST ≤3×ULN; ALT ≤3×ULN; Total bilirubin ≤1.5×ULN; Serum creatinine ≤1.5×ULN, or CCR≥60 mL/min; Hemoglobin ≥60g/L ; Indoor oxygen saturation ≥92%; LVEF≥45%;
  7. Pregnancy testing: females of childbearing potential must have a negative serum or urine pregnancy test;
  8. From the use of study drug to 2 years after treatment, males and female of childbearing potential must agree to use an effective method of contraception.

Exclusion Criteria:

  1. Diagnosis of acute promyelocytic leukemia;
  2. History or presence of a CNS disorder;
  3. HBsAg is positive; HCV 、HIV or Syphilis antibody are positive, CMV DNA in peripheral blood is more than≥500 copies /mL;
  4. History of severe hypersensitivity reaction;
  5. History of myocardial infarction, cardiac angioplasty or stenting, unstable angina, New York Heart Association Class II or greater congestive heart failure, atrial fibrillation, or other clinically significant cardiac disease within 12 months before enrollment;
  6. History of organ transplant surgery;
  7. Required systemic application of immunosuppressive or other drugs;
  8. Auto-SCT within the 3 months before enrollment;
  9. Active autoimmune or inflammatory diseases of the nervous system (e.g., Guillain-Barre syndrome (GBS), amyotrophic lateral sclerosis (ALS)) and clinically active cerebrovascular diseases (e.g., cerebral edema, posterior reversible encephalopathy syndrome (PRES));
  10. Requirement for urgent therapy due to ongoing or impending oncologic emergency (eg, leukostasis or tumor lysis syndrome (TLS)) ;
  11. Presence or suspicion of a fungal, bacterial, viral, or other infection that is uncontrolled or requiring antimicrobials for management;
  12. Live vaccine received within the ≤ 4 weeks before enrollment;
  13. Persons with serious mental illness;
  14. History of major surgical operations four weeks before enrollment;
  15. History of alcoholism or substance abuse;
  16. Was identified by the investigators as unsuitable to participate in the study.

Sites / Locations

  • Kailin XuRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

anti-siglec-6 CAR-T cell therapy

Arm Description

anti-siglec-6 CAR-T cell therapy

Outcomes

Primary Outcome Measures

Dose-limiting toxicity(DLT)
Adverse events assessed according to NCI-CTCAE v5.0 criteria

Secondary Outcome Measures

MRD negative overall response rate (MRD- ORR)
Assessment of MRD negative overall response rate (MRD- ORR) at 3 months of treatment
Overall response rate (ORR)
Assessment of ORR (ORR = CR + CRi ) at Month 6, 12, 18 and 24
Event-free survival (EFS)
Assessment of EFS at Month 6, 12, 18 and 24
Overall survival (OS)
Assessment of OS at Month 6, 12, 18 and 24

Full Information

First Posted
August 2, 2022
Last Updated
August 2, 2022
Sponsor
Xuzhou Medical University
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1. Study Identification

Unique Protocol Identification Number
NCT05488132
Brief Title
Administration of Anti-siglec-6 CAR-T Cell Therapy in Relapsed and Refractory Acute Myeloid Leukemia (rr/AML)
Official Title
Application of Anti-siglec-6 CAR-T Cell Therapy in Relapsed and Refractory Acute Myeloid Leukemia (rr/AML)
Study Type
Interventional

2. Study Status

Record Verification Date
March 2022
Overall Recruitment Status
Recruiting
Study Start Date
April 1, 2022 (Actual)
Primary Completion Date
March 31, 2024 (Anticipated)
Study Completion Date
March 31, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Xuzhou Medical 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
To evaluate the safety and efficacy of anti-Siglec-6 CAR-T cells in the treatment of relapsed and refractory acute myeloid leukemia.
Detailed Description
Sialic acid-binding immunoglobulin-like lectins (Siglec) are a class of classical immunoglobulin-like lectins. Studies have shown that Siglec-6 is commonly expressed in AML but not detected on normal hematopoietic stem and progenitor cells (HSC/P). In vitro experiments revealed that anti-Siglec-6 CAR-T cell treatment did not affect the viability or lineage differentiation in colony-forming assays. These data suggest that anti-SigLlec-6 is an ideal target with great potential for treating acute myeloid leukemia.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acute Myeloid Leukemia Refractory, Acute Myeloid Leukemia, in Relapse

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
20 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
anti-siglec-6 CAR-T cell therapy
Arm Type
Experimental
Arm Description
anti-siglec-6 CAR-T cell therapy
Intervention Type
Drug
Intervention Name(s)
anti-siglec-6 CAR-T cell therapy
Intervention Description
Enrolled patients will receive prespecified dose of autologous CAR-T cells.
Primary Outcome Measure Information:
Title
Dose-limiting toxicity(DLT)
Description
Adverse events assessed according to NCI-CTCAE v5.0 criteria
Time Frame
Baseline up to 28 days after T cell infusion
Secondary Outcome Measure Information:
Title
MRD negative overall response rate (MRD- ORR)
Description
Assessment of MRD negative overall response rate (MRD- ORR) at 3 months of treatment
Time Frame
3 months
Title
Overall response rate (ORR)
Description
Assessment of ORR (ORR = CR + CRi ) at Month 6, 12, 18 and 24
Time Frame
Month 6, 12, 18 and 24
Title
Event-free survival (EFS)
Description
Assessment of EFS at Month 6, 12, 18 and 24
Time Frame
Month 6, 12, 18 and 24
Title
Overall survival (OS)
Description
Assessment of OS at Month 6, 12, 18 and 24
Time Frame
Time Frame: Month 6, 12, 18 and 24

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: All subjects must sign and date the Informed Consent before initiating any study specific procedures or activities; At the age of 18-70 years old; Diagnosed as relapse/refractory (r/r) de novo or secondary acute myeloid leukemia (AML); The patient has recovered from the toxicity of previous treatment; ECOG score ≤ 2 and expected survival period is not less than 3 months; Adequate organ function defined as:AST ≤3×ULN; ALT ≤3×ULN; Total bilirubin ≤1.5×ULN; Serum creatinine ≤1.5×ULN, or CCR≥60 mL/min; Hemoglobin ≥60g/L ; Indoor oxygen saturation ≥92%; LVEF≥45%; Pregnancy testing: females of childbearing potential must have a negative serum or urine pregnancy test; From the use of study drug to 2 years after treatment, males and female of childbearing potential must agree to use an effective method of contraception. Exclusion Criteria: Diagnosis of acute promyelocytic leukemia; History or presence of a CNS disorder; HBsAg is positive; HCV 、HIV or Syphilis antibody are positive, CMV DNA in peripheral blood is more than≥500 copies /mL; History of severe hypersensitivity reaction; History of myocardial infarction, cardiac angioplasty or stenting, unstable angina, New York Heart Association Class II or greater congestive heart failure, atrial fibrillation, or other clinically significant cardiac disease within 12 months before enrollment; History of organ transplant surgery; Required systemic application of immunosuppressive or other drugs; Auto-SCT within the 3 months before enrollment; Active autoimmune or inflammatory diseases of the nervous system (e.g., Guillain-Barre syndrome (GBS), amyotrophic lateral sclerosis (ALS)) and clinically active cerebrovascular diseases (e.g., cerebral edema, posterior reversible encephalopathy syndrome (PRES)); Requirement for urgent therapy due to ongoing or impending oncologic emergency (eg, leukostasis or tumor lysis syndrome (TLS)) ; Presence or suspicion of a fungal, bacterial, viral, or other infection that is uncontrolled or requiring antimicrobials for management; Live vaccine received within the ≤ 4 weeks before enrollment; Persons with serious mental illness; History of major surgical operations four weeks before enrollment; History of alcoholism or substance abuse; Was identified by the investigators as unsuitable to participate in the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Kailin Xu, M.D., Ph.D.
Phone
15162166166
Email
lihmd@163.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kailin Xu, M.D., Ph.D.
Organizational Affiliation
The Affiliated Hospital of Xuzhou Medical University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Kailin Xu
City
Xuzhou
State/Province
Jiangsu
ZIP/Postal Code
221000
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Kailin Xu, M.D., Ph.D.
Phone
86-516-85802007

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Administration of Anti-siglec-6 CAR-T Cell Therapy in Relapsed and Refractory Acute Myeloid Leukemia (rr/AML)

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