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CD123-Targeted CAR-T Cell Therapy for Relapsed/Refractory Acute Myeloid Leukemia

Primary Purpose

Leukemia, Leukemia, Myeloid, Leukemia, Myeloid, Acute

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
CD123 CAR-T cells
Sponsored by
Chongqing Precision Biotech Co., Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Leukemia

Eligibility Criteria

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

Inclusion Criteria:

  1. Signed written informed consent;
  2. Diagnose as Relapsed/Refractory AML, and meet one of the following conditions:

    1. With persistent disease after at least two lines of therapy;
    2. Relapse to the last line of therapy in 6 months,as known as early recurrence;
    3. Relapse to the last line of therapy after 6 months, but refractory to this last line of therapy;
    4. Relapse more than once. The definition of relapse: Reappearance of blasts in the blood or bone marrow (>5%) or in any extramedullary site after a CR (the most common are CNS and testicular leukemia).
  3. Evidence for cell membrane CD123 expression;
  4. KPS>60;
  5. The expect time of survive is above 3 months;
  6. Ages: 2 to 75 years;
  7. All genders;
  8. The patients that diagnosis as high risks, relapse/refractory or inconformity criteria to other therapy;
  9. No serious mental disorders;
  10. Left ventricular ejection fraction ≥40%;
  11. Sufficient hepatic function defined by ALT/AST<5 x ULN and bilirubin≤34.2μmol/L;
  12. Sufficient renal function defined by creatinine clearance <220μmol/L;
  13. Sufficient pulmonary function defined by indoor oxygen saturation≥92%;
  14. No other illness may conflict with the protocol (e.g. autoimmune diseases, immune deficiency and organ transplantation;
  15. Ability and willingness to adhere to the study visit schedule and all protocol requirements.

Exclusion Criteria:

  1. Previous history of other malignancy;
  2. Presence of uncontrolled active infection;
  3. Evidence of disorder that need the treatment by glucocorticoids;
  4. Active or chronic GVHD;
  5. The patients treatment by inhibitor of T cell;
  6. Pregnant or breasting-feeding women;
  7. Any situation that investigators regard not suitable for attending in this study (e.g. HIV , HCVinfection or intravenous drug addiction) or may affect the data analysis.

Sites / Locations

  • 920th Hospital of Joint Logistics Support ForceRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

CD123 CAR-T cells treat

Arm Description

Patients will be be treated with CD123 CAR-T cells

Outcomes

Primary Outcome Measures

Adverse events that related to treatment
Therapy-related adverse events will be recorded and assessed according to the National Cancer Institute's Common Terminology Criteria for Adverse Events (CTCAE, Version 5.0).
The response rate of CD123 CAR-T treatment in patients with relapse/refractory AML that treatment by CD123 CAR-T cells therapy
The response rate of CD123 CAR-T treatment will be recorded and assessed according to the National Comprehensive Cancer Network Guideline.

Secondary Outcome Measures

Cellular kinetics of CD123 CAR-T in Blood
In vivo (peripheral blood) rate and quantity of CD123 CAR-T cells were determined by means of flow cytometry and qPCR
Cellular kinetics of CD123 CAR-T in Bone marrow
In vivo (bone marrow) rate and quantity of CD123 CAR-T cells were determined by means of flow cytometry and qPCR
Cellular kinetics of CD123 positive cells in Bone marrow
In vivo (bone marrow) rate and quantity of CD123 positive cells were determined by means of flow cytometry
Duration of Response (DOR) of CD123 CAR-T treatment in patients with refractory/relapsed AML
DOR will be assessed from the first assessment of CR or CRi to the first assessment of recurrence or progression of the disease or death from any cause (censored)
Progress-free survival(PFS) of CD123 CAR-T treatment in patients with refractory/relapsed AML
PFS will be assessed from the first CAR-T cell infusion to death from any cause or the first assessment of progression (censored)
Overall survival(OS) of CD123 CAR-T treatment in patients with refractory/relapsed AML
OS will be assessed from the first CAR-T cell infusion to death from any cause (censored)

Full Information

First Posted
January 31, 2020
Last Updated
April 16, 2023
Sponsor
Chongqing Precision Biotech Co., Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT04265963
Brief Title
CD123-Targeted CAR-T Cell Therapy for Relapsed/Refractory Acute Myeloid Leukemia
Official Title
CD123-Targeted CAR-T Cell Therapy for Relapsed/Refractory Acute Myeloid Leukemia
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Recruiting
Study Start Date
September 1, 2019 (Actual)
Primary Completion Date
December 31, 2023 (Anticipated)
Study Completion Date
July 1, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Chongqing Precision Biotech Co., 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
There are limited options for treatment of relapse/refractory acute myeloid leukemia (AML). CD123 CAR-T cells may have an attractive and permanent effect on anti-tumor. This study purpose to estimate the safety and efficiency of CD123 CAR-T cells to patients with relapse/refractory AML.
Detailed Description
CD123 is expressed on most myeloid leukemia cells so it is a ideal target for CAR-T. Some researches have revealed that CD123 is a marker of leukemia stem cells, which indicates that the eradication of CD123 cells may prevent relapse of leukemia. In this study, investigators will evaluate the safety and efficacy of CAR-T targeting CD123 in patients with Acute Myelocytic Leukemia. The primary goal is safety and efficiency assessment, including adverse events and disease status after treatment.

6. Conditions and Keywords

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

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
45 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
CD123 CAR-T cells treat
Arm Type
Experimental
Arm Description
Patients will be be treated with CD123 CAR-T cells
Intervention Type
Biological
Intervention Name(s)
CD123 CAR-T cells
Intervention Description
CD123 CAR-T cell therapy
Primary Outcome Measure Information:
Title
Adverse events that related to treatment
Description
Therapy-related adverse events will be recorded and assessed according to the National Cancer Institute's Common Terminology Criteria for Adverse Events (CTCAE, Version 5.0).
Time Frame
2 years
Title
The response rate of CD123 CAR-T treatment in patients with relapse/refractory AML that treatment by CD123 CAR-T cells therapy
Description
The response rate of CD123 CAR-T treatment will be recorded and assessed according to the National Comprehensive Cancer Network Guideline.
Time Frame
2 years
Secondary Outcome Measure Information:
Title
Cellular kinetics of CD123 CAR-T in Blood
Description
In vivo (peripheral blood) rate and quantity of CD123 CAR-T cells were determined by means of flow cytometry and qPCR
Time Frame
2 years
Title
Cellular kinetics of CD123 CAR-T in Bone marrow
Description
In vivo (bone marrow) rate and quantity of CD123 CAR-T cells were determined by means of flow cytometry and qPCR
Time Frame
2 years
Title
Cellular kinetics of CD123 positive cells in Bone marrow
Description
In vivo (bone marrow) rate and quantity of CD123 positive cells were determined by means of flow cytometry
Time Frame
1 years
Title
Duration of Response (DOR) of CD123 CAR-T treatment in patients with refractory/relapsed AML
Description
DOR will be assessed from the first assessment of CR or CRi to the first assessment of recurrence or progression of the disease or death from any cause (censored)
Time Frame
2 years
Title
Progress-free survival(PFS) of CD123 CAR-T treatment in patients with refractory/relapsed AML
Description
PFS will be assessed from the first CAR-T cell infusion to death from any cause or the first assessment of progression (censored)
Time Frame
2 years
Title
Overall survival(OS) of CD123 CAR-T treatment in patients with refractory/relapsed AML
Description
OS will be assessed from the first CAR-T cell infusion to death from any cause (censored)
Time Frame
2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
2 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Signed written informed consent; Diagnose as Relapsed/Refractory AML, and meet one of the following conditions: With persistent disease after at least two lines of therapy; Relapse to the last line of therapy in 6 months,as known as early recurrence; Relapse to the last line of therapy after 6 months, but refractory to this last line of therapy; Relapse more than once. The definition of relapse: Reappearance of blasts in the blood or bone marrow (>5%) or in any extramedullary site after a CR (the most common are CNS and testicular leukemia). Evidence for cell membrane CD123 expression; KPS>60; The expect time of survive is above 3 months; Ages: 2 to 75 years; All genders; The patients that diagnosis as high risks, relapse/refractory or inconformity criteria to other therapy; No serious mental disorders; Left ventricular ejection fraction ≥40%; Sufficient hepatic function defined by ALT/AST<5 x ULN and bilirubin≤34.2μmol/L; Sufficient renal function defined by creatinine clearance <220μmol/L; Sufficient pulmonary function defined by indoor oxygen saturation≥92%; No other illness may conflict with the protocol (e.g. autoimmune diseases, immune deficiency and organ transplantation; Ability and willingness to adhere to the study visit schedule and all protocol requirements. Exclusion Criteria: Previous history of other malignancy; Presence of uncontrolled active infection; Evidence of disorder that need the treatment by glucocorticoids; Active or chronic GVHD; The patients treatment by inhibitor of T cell; Pregnant or breasting-feeding women; Any situation that investigators regard not suitable for attending in this study (e.g. HIV , HCVinfection or intravenous drug addiction) or may affect the data analysis.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Zhi Yang, PhD
Phone
86-13206140093
Email
yangzhi@precision-biotech.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sanbin Wang, MD
Organizational Affiliation
920th Hospital of Joint Logistics Support Force of People's Liberation Army of China
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Cheng Qian, PhD
Organizational Affiliation
Chongqing University Cancer Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
920th Hospital of Joint Logistics Support Force
City
Kunming
State/Province
Yunnan
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sanbin Wang, MD
Email
Sanbin1011@163.com
First Name & Middle Initial & Last Name & Degree
Sanbin Wang, MD

12. IPD Sharing Statement

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CD123-Targeted CAR-T Cell Therapy for Relapsed/Refractory Acute Myeloid Leukemia

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