B Cell LeukemiaPhase 1/2NCT04747093
Induced-T Cell Like NK Cells for B Cell Malignancies
A Phase 1/2 study testing CAR-ITNK cells in people with B Cell Leukemia and B Cell Lymphoma, run by Nanfang Hospital, Southern Medical University at 1 site in China.
Trial summary
Relapsed and refractory B cell malignancies show unfavorable prognosis, especially for adult patients. Now, there is no standard management for these patients. Induced-T cell-like NK cells with chimeric antigen receptor (CAR-ITNK cells) is a promising treatment option for treating B cell derived malignancy. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- B Cell Leukemia, B Cell Lymphoma, B-cell Acute Lymphoblastic Leukemia
- What is being tested?
- CAR-ITNK cells
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 12 participants
- Where
- 1 siteChina
- Study dates
- 29 Jan 2021to 31 Mar 2022
- Phase
- Phase 1/2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patient with CD19 positive B-cell acute leukemia
- Eastern Cooperative Oncology Group (ECOG) performance status <2
- ALT/ AST <3 x normal
- Bilirubin < 2.0 mg/dl
- Creatinine < 2.5 mg/dl and less than 2.5x normal for age
- LVEF< 45%
- Accept white blood cell collection
- Provide informed consent
Who cannot join
- Previous treatment with investigational gene or cell therapy medicine products
- Active hepatitis B , hepatitis C or HIV infection
- Uncontrolled active infection
- Presence of grade 2-4 acute or extensive chronic GVHD
- Active CNS involvement: epilepsy, paresis, aphasia, stroke, severe head trauma,
- Dementia, Parkinson's disease, cerebellar disease, organic brain syndrome, uncontrolled mental illness, etc.
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- Any uncontrolled active medical disorder that would preclude participation as outlined.
- Received non-diagnostic purposes major surgery within the past 4 weeks
- Participated in any other clinical study within the past 4 weeks
- Used murine biological products (except blinatumomab), unless it is proved no anti-mouse antibodies exist.
- Pregnancy or breast-feeding women
- Use of prohibited drugs:
- Steroids: Therapeutic doses of steroids must be stopped > 72 hours prior to ITNK Cells infusion
- Allogeneic cellular therapy: Any donor lymphocyte infusions (DLI) must be completed > 4 weeks prior to ITNK Cells infusion
- GVHD therapies: Any drug used for GVHD must be stopped > 4 weeks prior to ITNK Cells infusion
- Any situation that may increase the risk of the test or interfere with the test results
Trial locations and contacts
1 site in 1 country.
China1 site, 1 recruiting
- Recruiting
Department of Hematology,Nanfang Hospital, Southern Medical University
Guangzhou, Guangdong, 510515
Ren Lin, MD, +86-020-61641613, lansinglinren@hotmail.com
Qifa Liu
About this study
Official title: Induced-T Cell Like NK Cellular Immunotherapy for Refractory B Cell Malignancies
Relapsed and refractory B cell malignancies show unfavorable prognosis, especially for adult patients. Now, there is no standard management for these patients. Induced-T cell-like NK cells with chimeric antigen receptor (CAR-ITNK cells) is a promising treatment option for treating B cell derived malignancy. The purpose of this study is to evaluate the efficacy and safety of CAR-ITNK cells infusions in patients with relapsed and refractory B cell malignancies.
- Conditions
- B Cell Leukemia, B Cell Lymphoma, B-cell Acute Lymphoblastic Leukemia, B-cell Lymphoma Recurrent, B-cell Lymphoma Refractory
- Being tested
- CAR-ITNK cells
- Keywords
- ITNK Cells, CAR, B Cell Malignancy
- Medical subject headings
- Leukemia, B-Cell, Lymphoma, B-Cell, Burkitt Lymphoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CAR-ITNK cellsBiological
CAR-ITNK cells will be infused over 10-15 minutes on Day 0.
| Study group | Role | What they receive |
|---|---|---|
| ITNK group | Experimental | Not described Receives: Biological: CAR-ITNK cells |
What is being measured
The primary outcome is the main question the study is designed to answer.
Adverse Events
Measured: 12 months
Secondary outcomes (5)
ORR
Overall Response Rate includes Complete Remission (CR) and Complete Remission with Incomplete Blood Count Recovery (CRi), as determined by assessments of peripheral blood, bone marrow, CNS symptoms, physical exam (PE) and CSF. The primary endpoint will be based on the IRC assessment. The local investigator's assessed results will be used for sensitivity analysis.
Measured: 3 months
ORR
Overall Response Rate includes Complete Remission (CR) and Complete Remission with Incomplete Blood Count Recovery (CRi), as determined by assessments of peripheral blood, bone marrow, CNS symptoms, physical exam (PE) and CSF. The primary endpoint will be based on the IRC assessment. The local investigator's assessed results will be used for sensitivity analysis.
Measured: 6 months
ORR
Overall Response Rate includes Complete Remission (CR) and Complete Remission with Incomplete Blood Count Recovery (CRi), as determined by assessments of peripheral blood, bone marrow, CNS symptoms, physical exam (PE) and CSF. The primary endpoint will be based on the IRC assessment. The local investigator's assessed results will be used for sensitivity analysis.
Measured: 12 months
OS
overall survival
Measured: 1 year
DFS
disease-free survival
Measured: 1 year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Feb 2021
- Study start29 Jan 2021
- Primary completion31 Dec 2021 (estimated)
- Study completion31 Mar 2022 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for B Cell LeukemiaStudies of the same condition, open and under way.
- More trials run by Nanfang Hospital, Southern Medical UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1/2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 12 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Nanfang Hospital, Southern Medical University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Qifa Liu, Nanfang Hospital, Southern Medical University
- Investigators
- Qi-fa Liu, Principal investigator, Nanfang Hospital, Southern Medical University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04747093
- Sponsor's protocol ID
- ITNK-2021
- Status last verified
- Feb 2021
- First submitted
- 6 Feb 2021
- Last updated
- 10 Feb 2021
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 10 Feb 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Induced-T Cell Like NK Cellular Immunotherapy for Refractory B Cell Malignancies
- ClinicalTrials.gov ID
- NCT04747093
- Acronym / sponsor ID
- ITNK-2021
- Conditions
- B Cell Leukemia, B Cell Lymphoma, B-cell Acute Lymphoblastic Leukemia, B-cell Lymphoma Recurrent, B-cell Lymphoma Refractory
- Keywords
- ITNK Cells, CAR, B Cell Malignancy
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 12 participants (estimated)
- Lead sponsor
- Nanfang Hospital, Southern Medical UniversityUniversity, hospital or other
- Study start
- 29 Jan 2021 (actual)
- Primary completion
- 31 Dec 2021 (estimated)
- Study completion
- 31 Mar 2022 (estimated)
- First posted
- 10 Feb 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Relapsed and refractory B cell malignancies show unfavorable prognosis, especially for adult patients. Now, there is no standard management for these patients. Induced-T cell-like NK cells with chimeric antigen receptor (CAR-ITNK cells) is a promising treatment option for treating B cell derived malignancy. The purpose of this study is to evaluate the efficacy and safety of CAR-ITNK cells infusions in patients with relapsed and refractory B cell malignancies.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| ITNK group | Experimental | Biological: CAR-ITNK cells |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Patient with CD19 positive B-cell acute leukemia
- Eastern Cooperative Oncology Group (ECOG) performance status <2
- ALT/ AST <3 x normal
- Bilirubin < 2.0 mg/dl
- Creatinine < 2.5 mg/dl and less than 2.5x normal for age
Key exclusion criteria (16 listed)
- Previous treatment with investigational gene or cell therapy medicine products
- Active hepatitis B , hepatitis C or HIV infection
- Uncontrolled active infection
- Presence of grade 2-4 acute or extensive chronic GVHD
- Active CNS involvement: epilepsy, paresis, aphasia, stroke, severe head trauma,
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| CAR-ITNK cellsCAR-ITNK cells will be infused over 10-15 minutes on Day 0. | Biological | ITNK group |
Primary outcome
Adverse Events
Time frame: 12 months
5 secondary outcomes
ORR
Time frame: 3 months
ORR
Time frame: 6 months
ORR
Time frame: 12 months
OS
Time frame: 1 year
DFS
Time frame: 1 year
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Feb 2021.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Qi-fa Liu principal investigator
Nanfang Hospital, Southern Medical University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing CAR-ITNK cells in people with B Cell Leukemia and B Cell Lymphoma, run by Nanfang Hospital, Southern Medical University at 1 site in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 10 Feb 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Ren Lin, MD (+86-020-62787883, lansinglinren@hotmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Adverse Events (time frame: 12 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Feb 2021.