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Safety and Efficacy of BCMA-Targeted CAR-T Therapy for Relapsed/Refractory Multiple Myeloma

Primary Purpose

Multiple Myeloma, Multiple Myeloma in Relapse, Neoplasm, Plasma Cell

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
BCMA 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 Multiple Myeloma focused on measuring Multiple Myeloma, Chimeric Antigen Receptor T cell, BCMA

Eligibility Criteria

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

Inclusion Criteria:

  1. Signed written informed consent
  2. Diagnose as relapsed /refractory multiple myeloma, and meet one of the following conditions:

    1. Failed to standard chemotherapy regimens;
    2. Relapse after complete remission, high-risk and / or refractory patients ;
    3. Relapse after hematopoietic stem cell transplantation;
  3. Evidence for cell membrane BCMA expression;
  4. All genders, ages: 18 to 75 years;
  5. The expect time of survive is above 12 weeks;
  6. KPS>60;
  7. No serious mental disorders ;
  8. Left ventricular ejection fraction ≥50%
  9. Sufficient hepatic function defined by ALT/AST≤3 x ULN and bilirubin≤2 x ULN;
  10. Sufficient renal function defined by creatinine clearance≤2 x ULN;
  11. Sufficient pulmonary function defined by indoor oxygen saturation≥92%;
  12. With single or venous blood collection standards, and no other cell collection contraindications;
  13. Ability and willingness to adhere to the study visit schedule and all protocol requirements.

Exclusion Criteria:

  1. Have received CAR-T therapy or other genetically modified cell therapy before screening;
  2. Participated in other clinical research within 1 month before screening;
  3. Have received the following anti-tumor treatment before screening: Have received chemotherapy, targeted therapy or other experimental drug treatment within 4 weeks, except those who have confirmed disease progression after treatment;
  4. Live attenuated vaccine within 4 weeks before screening;
  5. Convulsion or stoke within past 6 months;
  6. Previous history of other malignancy;
  7. Presence of uncontrolled active infection;
  8. Subjects with positive HBsAg or HBcAb positive and peripheral blood HBV DNA titer is higher than the lower limit of detection of the research institution; HCV antibody positive and peripheral blood HCV RNA titer is higher than the lower limit of detection of the research institution; HIV antibody positive; syphilis primary screening antibody positive;
  9. Pregnant or breasting-feeding women;
  10. Any situation that investigators regard not suitable for attending in this study or may affect the data analysis.

Sites / Locations

  • Chongqing University Cancer HospitalRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

BCMA CAR-T cells treat

Arm Description

Patients will be be treated with BCMA 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 BCMA CAR-T treatment in patients with relapse/refractory Multiple Myeloma that treatment by BCMA CAR-T cells therapy
The response rate of BCMA CAR-T treatment will be recorded and assessed according to the IMWG

Secondary Outcome Measures

Rate of BCMA CAR-T cells in bone marrow and peripheral blood
In vivo (bone marrow and peripheral blood) rate of BCMA CAR-T cells were determined by means of flow cytometry
Quantity of BCMA CAR copies in bone marrow and peripheral blood
In vivo (bone marrow and peripheral blood) quantity of BCMA CAR copies were determined by means of qPCR
Quantity of clonal plasma cells in bone marrow
In vivo (bone marrow) quantity of clonal plasma cells
Levels of IL-6 in Serum
In vivo (Serum) quantity of IL-6
Duration of Response (DOR) of BCMA CAR-T treatment in patients with refractory/relapsed Multiple Myeloma
DOR will be assessed from the first assessment of sCR/CR/VGPR/PR to the first assessment of recurrence or progression of the disease or death from any cause (censored)
Progress-free survival(PFS) of BCMA CAR-T treatment in patients with refractory/relapsed multiple myeloma
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 BCMA CAR-T treatment in patients with refractory/relapsed multiple myeloma
OS will be assessed from the first CAR-T cell infusion to death from any cause (censored)

Full Information

First Posted
February 13, 2020
Last Updated
April 16, 2023
Sponsor
Chongqing Precision Biotech Co., Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT04272151
Brief Title
Safety and Efficacy of BCMA-Targeted CAR-T Therapy for Relapsed/Refractory Multiple Myeloma
Official Title
Safety and Efficacy of BCMA-Targeted CAR-T Therapy for Relapsed/Refractory Multiple Myeloma
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Recruiting
Study Start Date
December 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
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a single arm study to evaluate the efficacy and safety of BCMA-targeted CAR-T cells therapy for patients with relapsed/refractory Multiple Myeloma.
Detailed Description
There are limited options for treatment of relapse/refractory Multiple Myeloma. BCMA is expressed on most Multiple Myeloma cells so it is an ideal target for CAR-T. In this study, investigators will evaluate the safety and efficacy of CAR-T targeting BCMA in patients with relapsed/refractory Multiple Myeloma. 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
Multiple Myeloma, Multiple Myeloma in Relapse, Neoplasm, Plasma Cell
Keywords
Multiple Myeloma, Chimeric Antigen Receptor T cell, BCMA

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
40 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
BCMA CAR-T cells treat
Arm Type
Experimental
Arm Description
Patients will be be treated with BCMA CAR-T cells
Intervention Type
Biological
Intervention Name(s)
BCMA CAR-T cells
Intervention Description
A single infusion of BCMA CAR-T cells will be administered intravenously.
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 BCMA CAR-T treatment in patients with relapse/refractory Multiple Myeloma that treatment by BCMA CAR-T cells therapy
Description
The response rate of BCMA CAR-T treatment will be recorded and assessed according to the IMWG
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Rate of BCMA CAR-T cells in bone marrow and peripheral blood
Description
In vivo (bone marrow and peripheral blood) rate of BCMA CAR-T cells were determined by means of flow cytometry
Time Frame
2 years
Title
Quantity of BCMA CAR copies in bone marrow and peripheral blood
Description
In vivo (bone marrow and peripheral blood) quantity of BCMA CAR copies were determined by means of qPCR
Time Frame
2 years
Title
Quantity of clonal plasma cells in bone marrow
Description
In vivo (bone marrow) quantity of clonal plasma cells
Time Frame
1 years
Title
Levels of IL-6 in Serum
Description
In vivo (Serum) quantity of IL-6
Time Frame
3 months
Title
Duration of Response (DOR) of BCMA CAR-T treatment in patients with refractory/relapsed Multiple Myeloma
Description
DOR will be assessed from the first assessment of sCR/CR/VGPR/PR 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 BCMA CAR-T treatment in patients with refractory/relapsed multiple myeloma
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 BCMA CAR-T treatment in patients with refractory/relapsed multiple myeloma
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
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Signed written informed consent Diagnose as relapsed /refractory multiple myeloma, and meet one of the following conditions: Failed to standard chemotherapy regimens; Relapse after complete remission, high-risk and / or refractory patients ; Relapse after hematopoietic stem cell transplantation; Evidence for cell membrane BCMA expression; All genders, ages: 18 to 75 years; The expect time of survive is above 12 weeks; KPS>60; No serious mental disorders ; Left ventricular ejection fraction ≥50% Sufficient hepatic function defined by ALT/AST≤3 x ULN and bilirubin≤2 x ULN; Sufficient renal function defined by creatinine clearance≤2 x ULN; Sufficient pulmonary function defined by indoor oxygen saturation≥92%; With single or venous blood collection standards, and no other cell collection contraindications; Ability and willingness to adhere to the study visit schedule and all protocol requirements. Exclusion Criteria: Have received CAR-T therapy or other genetically modified cell therapy before screening; Participated in other clinical research within 1 month before screening; Have received the following anti-tumor treatment before screening: Have received chemotherapy, targeted therapy or other experimental drug treatment within 4 weeks, except those who have confirmed disease progression after treatment; Live attenuated vaccine within 4 weeks before screening; Convulsion or stoke within past 6 months; Previous history of other malignancy; Presence of uncontrolled active infection; Subjects with positive HBsAg or HBcAb positive and peripheral blood HBV DNA titer is higher than the lower limit of detection of the research institution; HCV antibody positive and peripheral blood HCV RNA titer is higher than the lower limit of detection of the research institution; HIV antibody positive; syphilis primary screening antibody positive; Pregnant or breasting-feeding women; Any situation that investigators regard not suitable for attending in this study 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
First Name & Middle Initial & Last Name or Official Title & Degree
Yingzi Zhang
Phone
86-18623351275
Email
yingzi6526@163.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Cheng Qian, PhD
Organizational Affiliation
Chongqing University Cancer Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Ying Xiang, MD
Organizational Affiliation
Chongqing University Cancer Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Chongqing University Cancer Hospital
City
Chongqing
State/Province
Chongqing
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Cheng Qian, PhD
Email
cqian3184@163.com
First Name & Middle Initial & Last Name & Degree
Ying Xiang, MD
Email
1324339678@qq.com
First Name & Middle Initial & Last Name & Degree
Cheng Qian, PhD
First Name & Middle Initial & Last Name & Degree
Ying Xiang, MD

12. IPD Sharing Statement

Learn more about this trial

Safety and Efficacy of BCMA-Targeted CAR-T Therapy for Relapsed/Refractory Multiple Myeloma

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