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CT0594CP CAR-T Cells in Patients With Relapsed/Refractory Multiple Myeloma or Plasma Cell Leukemia

Primary Purpose

Multiple Myeloma, Plasma Cell Leukemia

Status
Recruiting
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
CT0594CP
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 Multiple Myeloma

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Patients and legally acceptable representative must have voluntarily signed ICF and willing to complete the study procedure, after fully understanding of the study. Age ≥ 18 years and ≤ 75 years, male or female. The patients, with MM or Plasma Cell Leukemia, who have received regimens and have medical records in the past. According to the IMWG consensus for relapsed and/or refractory multiple myeloma or Plasma Cell Leukemia, the disease is in a progressive state Subjects should have measurable disease. 1) Serum M protein ≥ 5 g / L; 2) 24-hour urinary M-protein ≥ 200 mg; 3) The serum free light chain (sFLC) ratio was abnormal and the involved FLC ≥ 100mg/L in patients with light chain multiple myeloma whose serum or urinary M protein levels did not meet the assessable criteria. 4) Circulating plasma cells ≥2% 6. Expected survival > 12 weeks. 7. Eastern Cooperative Oncology Group (ECOG) scores 0-1. 8. Subjects should have adequate function in hemostatic and liver and kidney. 9. Women of childbearing age must undergo a serum pregnancy test with negative results at screening and before lymphodepletion and be willing to use an effective and reliable method of contraception for at least 1 year after study treatment. All female subjects are prohibited from egg donation within 1 year after study treatment. 10. Men must be willing to use an effective and reliable method of contraception for at least 1 year after study treatment if they have sexual activity with women of childbearing potential. All male subjects are prohibited from sperm donation within 1 year after study treatment . Exclusion Criteria: Pregnant or lactating women. Subjects positive for any following tests: human immunodeficiency virus (HIV) antibody, Treponema pallidum (syphilis) antibody, CMV(IgM),EBV; Active hepatitis B and/or active hepatitis C (HCV RNA positive); Those who are positive for hepatitis B surface antigen and/or core antibodies but whose HBV-DNA test is within normal limits may be enrolled. Subjects with any uncontrolled active infection (Except for prophylactic treatment). Subjects with AEs from previous treatment that have not recovered to Common Terminology Criteria for Adverse Events (CTCAE) ≤ 1, excluding hair loss and other events that the treating physician considers as tolerable. Subjects who have received autologous BCMA CAR-T therapy Subjects who have received allogeneic stem cell transplantation for MM. Subjects who have received autologous stem cell transplantation less than 12 weeks before ICF. Subjects who have received any anti-MM treatment 14 days before ICF; the subjects are eligible to participate in the study regardless of the radiotherapy end date if the radiation area less than 5% of whole body. Subjects who have received systemic glucocorticoids within 7 days before infusion, except inhaled steroids. Subjects who have been received live attenuated vaccine within 8 weeks or inactivated vaccine within 4 weeks before lymphodepletion. Subjects have severe allergy history. Subjects who have any uncontrolled disease conditions within 6 months prior to the screening. LVEF < 50% Blood oxygen saturation that can only be maintained at > 95% by oxygen inhalation. Subjects known to have active autoimmune diseases including but not limited to psoriasis, rheumatoid arthritis and other conditions that require long-term immunosuppressive therapy. Subjects with malignant tumors that have not been cured in the past 5 years or at the same time, except for very low malignant tumors. Subjects who have central nervous system (CNS) metastases or symptomatic CNS involvement. Subjects who are unable or unwilling to comply with the requirements of clinical trial or other reasons that are not suitable for participating in the clinical trial. Subjects who have received major surgery 2 weeks prior to the screening or plan to receive major surgery within 4 weeks after study treatment (excluding cataract and other local anesthesia).

Sites / Locations

  • First Affiliated Hospital, Soochow UniversityRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

CT0594CP CAR-T Cells[BCMA-UCAR-T(CT0594) and CD9-UCAR-T(CT7590)]

Arm Description

CT0594CP

Outcomes

Primary Outcome Measures

Safety and tolerabilitydose limiting toxicity
Safety and tolerability: dose limiting toxicity [Time Frame: 21-28 days post administration of CT0594CP ]

Secondary Outcome Measures

Full Information

First Posted
March 29, 2023
Last Updated
April 18, 2023
Sponsor
The First Affiliated Hospital of Soochow University
Collaborators
CARsgen Therapeutics Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05822037
Brief Title
CT0594CP CAR-T Cells in Patients With Relapsed/Refractory Multiple Myeloma or Plasma Cell Leukemia
Official Title
Exploratory Study to Assess the Safety and Efficacy of CT0594CP CAR-T Cells in Patients With Relapsed/Refractory Multiple Myeloma or Plasma Cell Leukemia
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Recruiting
Study Start Date
April 12, 2023 (Actual)
Primary Completion Date
April 29, 2026 (Anticipated)
Study Completion Date
April 29, 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
The First Affiliated Hospital of Soochow University
Collaborators
CARsgen Therapeutics Co., Ltd.

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 is an open-label, single arm study to evaluate the safety and tolerability of treatment with CT0594CP CAR-T Cells in patients with relapsed and/or refractory multiple myeloma or Plasma Cell Leukemia

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Myeloma, Plasma Cell 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
6 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
CT0594CP CAR-T Cells[BCMA-UCAR-T(CT0594) and CD9-UCAR-T(CT7590)]
Arm Type
Experimental
Arm Description
CT0594CP
Intervention Type
Biological
Intervention Name(s)
CT0594CP
Intervention Description
Cell injection
Primary Outcome Measure Information:
Title
Safety and tolerabilitydose limiting toxicity
Description
Safety and tolerability: dose limiting toxicity [Time Frame: 21-28 days post administration of CT0594CP ]
Time Frame
21-28 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients and legally acceptable representative must have voluntarily signed ICF and willing to complete the study procedure, after fully understanding of the study. Age ≥ 18 years and ≤ 75 years, male or female. The patients, with MM or Plasma Cell Leukemia, who have received regimens and have medical records in the past. According to the IMWG consensus for relapsed and/or refractory multiple myeloma or Plasma Cell Leukemia, the disease is in a progressive state Subjects should have measurable disease. 1) Serum M protein ≥ 5 g / L; 2) 24-hour urinary M-protein ≥ 200 mg; 3) The serum free light chain (sFLC) ratio was abnormal and the involved FLC ≥ 100mg/L in patients with light chain multiple myeloma whose serum or urinary M protein levels did not meet the assessable criteria. 4) Circulating plasma cells ≥2% 6. Expected survival > 12 weeks. 7. Eastern Cooperative Oncology Group (ECOG) scores 0-1. 8. Subjects should have adequate function in hemostatic and liver and kidney. 9. Women of childbearing age must undergo a serum pregnancy test with negative results at screening and before lymphodepletion and be willing to use an effective and reliable method of contraception for at least 1 year after study treatment. All female subjects are prohibited from egg donation within 1 year after study treatment. 10. Men must be willing to use an effective and reliable method of contraception for at least 1 year after study treatment if they have sexual activity with women of childbearing potential. All male subjects are prohibited from sperm donation within 1 year after study treatment . Exclusion Criteria: Pregnant or lactating women. Subjects positive for any following tests: human immunodeficiency virus (HIV) antibody, Treponema pallidum (syphilis) antibody, CMV(IgM),EBV; Active hepatitis B and/or active hepatitis C (HCV RNA positive); Those who are positive for hepatitis B surface antigen and/or core antibodies but whose HBV-DNA test is within normal limits may be enrolled. Subjects with any uncontrolled active infection (Except for prophylactic treatment). Subjects with AEs from previous treatment that have not recovered to Common Terminology Criteria for Adverse Events (CTCAE) ≤ 1, excluding hair loss and other events that the treating physician considers as tolerable. Subjects who have received autologous BCMA CAR-T therapy Subjects who have received allogeneic stem cell transplantation for MM. Subjects who have received autologous stem cell transplantation less than 12 weeks before ICF. Subjects who have received any anti-MM treatment 14 days before ICF; the subjects are eligible to participate in the study regardless of the radiotherapy end date if the radiation area less than 5% of whole body. Subjects who have received systemic glucocorticoids within 7 days before infusion, except inhaled steroids. Subjects who have been received live attenuated vaccine within 8 weeks or inactivated vaccine within 4 weeks before lymphodepletion. Subjects have severe allergy history. Subjects who have any uncontrolled disease conditions within 6 months prior to the screening. LVEF < 50% Blood oxygen saturation that can only be maintained at > 95% by oxygen inhalation. Subjects known to have active autoimmune diseases including but not limited to psoriasis, rheumatoid arthritis and other conditions that require long-term immunosuppressive therapy. Subjects with malignant tumors that have not been cured in the past 5 years or at the same time, except for very low malignant tumors. Subjects who have central nervous system (CNS) metastases or symptomatic CNS involvement. Subjects who are unable or unwilling to comply with the requirements of clinical trial or other reasons that are not suitable for participating in the clinical trial. Subjects who have received major surgery 2 weeks prior to the screening or plan to receive major surgery within 4 weeks after study treatment (excluding cataract and other local anesthesia).
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Chengcheng Fu
Phone
13962191404
Email
fuzhengzheng@suda.edu.cn
First Name & Middle Initial & Last Name or Official Title & Degree
Jingjing Shang
Phone
180 1356 8250
Email
rebeccasjj@163.com
Facility Information:
Facility Name
First Affiliated Hospital, 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
Fu chengcheng, Phd
Phone
13962191404
Email
fuzhengzheng@suda.edu.cn

12. IPD Sharing Statement

Learn more about this trial

CT0594CP CAR-T Cells in Patients With Relapsed/Refractory Multiple Myeloma or Plasma Cell Leukemia

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