Relapsed/Refractory Hematological MalignanciesPhase 1NCT05528887
Study of CAR-T Cell Therapy in the Treatment of Relapsed/Refractory Hematological Malignancies
A Phase 1 study testing Autologous CAR-T cells, Fludarabine and Cyclophosphamide in people with Relapsed/Refractory Hematological Malignancies and Lymphoma, run by The Affiliated People's Hospital of Ningbo University at 1 site in China.
Trial summary
The primary purpose of this study is to determine the safety and efficacy of novel autologous CAR-T cells in patients with relapsed/refractory hematological malignancies. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Relapsed/Refractory Hematological Malignancies, Lymphoma, Myeloma
- What is being tested?
- Autologous CAR-T cells, Fludarabine and Cyclophosphamide
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 10 participants
- Where
- 1 siteChina
- Study dates
- 16 Sep 2021to Jun 2026
- Phase
- Phase 1
- 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 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histological diagnosis of hematological malignancies (such as lymphoma, myeloma, leukemia) refractory to, or relapsing after standard therapy.
- Positive expression of specific antigens.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0~2.
- Adequate organ functions:
- Serum bilirubin ≤ 35 μmol/L;
- Serum aspartate aminotransferase (AST)/alanine aminotransferase (ALT) < 2;
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- Serum creatinine (Cr) ≤ 2 × upper limit of normal (ULN);
- Brain natriuretic peptide (BNP)<80 pg/mL.
- Subjects must be able to understand the protocol and be willing to enroll the study, sign the informed consent, and be able to comply with the study and follow-up procedures.
Who cannot join
- History of allergy to any of the drugs involved in the protocol.
- History of cardiac diseases:
- Left ventricular ejection fraction (LVEF) < 50%;
- Class III or IV heart failure as defined by the New York Heart Association (NYHA).
- History of another malignancy tumor.
- Active hepatitis C (HCV), hepatitis B (HBV), human immunodeficiency virus (HIV), or syphilis infection.
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- Patients with any contraindications to allogeneic hematopoietic stem cell transplantation.
- Uncontrolled fungal, bacterial, viral, or other infection.
- Female subjects who are pregnant or lactating.
Trial locations and contacts
1 site in 1 country.
China1 site, 1 recruiting
- Recruiting
The Affiliated People's Hospital of Ningbo University
Ningbo, Zhejiang, 315101
Dong Chen, +8613805888089, 13805888089@163.com
About this study
Official title: Safety and Efficacy Study of Chimeric Antigen Receptor T (CAR-T) Cells in the Treatment of Relapsed/Refractory Hematological Malignancies
The primary purpose of this study is to determine the safety and efficacy of novel autologous CAR-T cells in patients with relapsed/refractory hematological malignancies.
Read the detailed description
CAR-T cells targeted CD19 have demonstrated unprecedented successes. Besides CD19, many other molecules such as CD123, BCMA, and CD7 may be potential in developing the corresponding CAR-T cells to treat patients with hematopoietic and lymphoid malignancies. UTC Therapeutics Inc. have developed an efficient platform for constructing CAR-T cells that can remodel of tumor microenvironment and enhance the anti-tumor immune response and persistence of CAR-T cells. In this study, all eligible subjects will receive a conditioning chemotherapy regimen of fludarabine and cyclophosphamide followed by investigational treatment, CAR-T cells. Safety and efficacy of the CAR-T cells will be assessed.
- Being tested
- Autologous CAR-T cells, Fludarabine, Cyclophosphamide
- Keywords
- CD19 CAR-T, BCMA CAR-T, CD7 CAR-T, CD123 CAR-T
- Medical subject headings
- Hematologic Neoplasms, Lymphoma, Neoplasms, Plasma Cell, Leukemia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Autologous CAR-T cellsBiological
D0: CAR-T cells will be infused intravenously.
FludarabineDrug
Also called Fludara
D-5 to D-3: Fludarabine (30 mg/m^2/day) will be administered intravenously for 3 days.
CyclophosphamideDrug
Also called Cytoxan
D-5 to D-3: Cyclophosphamide (500 mg/m^2/day) will be administered intravenously for 3 days.
| Study group | Role | What they receive |
|---|---|---|
| Autologous CAR-T cells | Experimental | A conditioning chemotherapy regimen of fludarabine and cyclophosphamide will be administered followed by investigational treatment, CAR-T cells. CAR-T cells targeted CD19/BCMA/CD123/CD7 are autologous genetically modified T cells. Receives: Biological: Autologous CAR-T cells; Drug: Fludarabine; Drug: Cyclophosphamide |
What is being measured
The primary outcome is the main question the study is designed to answer.
TEAEs
Incidence and severity of Treatment Emergent Adverse Event.
Measured: 4 weeks
TRAEs
Incidence and severity of Treatment Related Adverse Events.
Measured: 4 weeks
AESIs
Incidence and severity of AEs of Special Interest.
Measured: 4 weeks
Secondary outcomes (3)
Objective Response Rate (ORR) (PR+CR)
The proportion of patients with complete response(CR) or partial response(PR)
Measured: 12 months
Progression-Free Survival (PFS)
PFS was defined as the time from CAR-T infusion to the date of disease progression or death from any cause.
Participants not meeting the criteria for progression by the analysis data cutoff date were censored at their last evaluable disease assessment date.
Measured: 12 months
Overall survival (OS)
OS was defined as the time from CAR-T infusion to the date of death. Participants who did not die by the analysis data cutoff date were censored at their last contact date.
Measured: 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Sep 2022
- Study start16 Sep 2021
- Primary completionJun 2024 (estimated)
- Study completionJun 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Relapsed/Refractory Hematological MalignanciesStudies of the same condition, open and under way.
- 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
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 10 participants (estimated)
Sponsor and investigators
- Lead sponsor
- The Affiliated People's Hospital of Ningbo University
- Sponsor type
- Other government
- Collaborators
- UTC Therapeutics Inc.
- Responsible party
- Sponsor
- Investigators
- Ying Lu, Principal investigator, The Affiliated People's Hospital of Ningbo University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05528887
- Sponsor's protocol ID
- 2021-037
- Status last verified
- Sep 2022
- First submitted
- 1 Sep 2022
- Last updated
- 6 Sep 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 6 Sep 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Safety and Efficacy Study of Chimeric Antigen Receptor T (CAR-T) Cells in the Treatment of Relapsed/Refractory Hematological Malignancies
- ClinicalTrials.gov ID
- NCT05528887
- Acronym / sponsor ID
- 2021-037
- Keywords
- CD19 CAR-T, BCMA CAR-T, CD7 CAR-T, CD123 CAR-T
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 10 participants (estimated)
- Lead sponsor
- The Affiliated People's Hospital of Ningbo UniversityOther government
- Collaborators
- UTC Therapeutics Inc.
- Study start
- 16 Sep 2021 (actual)
- Primary completion
- Jun 2024 (estimated)
- Study completion
- Jun 2026 (estimated)
- First posted
- 6 Sep 2022 (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.
The primary purpose of this study is to determine the safety and efficacy of novel autologous CAR-T cells in patients with relapsed/refractory hematological malignancies.
Detailed description
CAR-T cells targeted CD19 have demonstrated unprecedented successes. Besides CD19, many other molecules such as CD123, BCMA, and CD7 may be potential in developing the corresponding CAR-T cells to treat patients with hematopoietic and lymphoid malignancies. UTC Therapeutics Inc. have developed an efficient platform for constructing CAR-T cells that can remodel of tumor microenvironment and enhance the anti-tumor immune response and persistence of CAR-T cells. In this study, all eligible subjects will receive a conditioning chemotherapy regimen of fludarabine and cyclophosphamide followed by investigational treatment, CAR-T cells. Safety and efficacy of the CAR-T cells will be assessed.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Autologous CAR-T cells | Experimental | Biological: Autologous CAR-T cells, Drug: Fludarabine, Drug: CyclophosphamideA conditioning chemotherapy regimen of fludarabine and cyclophosphamide will be administered followed by investigational treatment, CAR-T cells. CAR-T cells targeted CD19/BCMA/CD123/CD7 are autologous genetically modified T cells. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Histological diagnosis of hematological malignancies (such as lymphoma, myeloma, leukemia) refractory to, or relapsing after standard therapy.
- Positive expression of specific antigens.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0~2.
- Adequate organ functions:
- Subjects must be able to understand the protocol and be willing to enroll the study, sign the informed consent, and be able to comply with the study and follow-up procedures.
Key exclusion criteria (9 listed)
- History of allergy to any of the drugs involved in the protocol.
- History of cardiac diseases:
- History of another malignancy tumor.
- Active hepatitis C (HCV), hepatitis B (HBV), human immunodeficiency virus (HIV), or syphilis infection.
- Patients with any contraindications to allogeneic hematopoietic stem cell transplantation.
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 |
|---|---|---|
| Autologous CAR-T cellsD0: CAR-T cells will be infused intravenously. | Biological | Autologous CAR-T cells |
| FludarabineAlso: FludaraD-5 to D-3: Fludarabine (30 mg/m^2/day) will be administered intravenously for 3 days. | Drug | Autologous CAR-T cells |
| CyclophosphamideAlso: CytoxanD-5 to D-3: Cyclophosphamide (500 mg/m^2/day) will be administered intravenously for 3 days. | Drug | Autologous CAR-T cells |
Primary outcome
TEAEs
Time frame: 4 weeks
Incidence and severity of Treatment Emergent Adverse Event.
TRAEs
Time frame: 4 weeks
Incidence and severity of Treatment Related Adverse Events.
AESIs
Time frame: 4 weeks
Incidence and severity of AEs of Special Interest.
3 secondary outcomes
Objective Response Rate (ORR) (PR+CR)
Time frame: 12 months
Progression-Free Survival (PFS)
Time frame: 12 months
Overall survival (OS)
Time frame: 12 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Sep 2022.
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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.
Ying Lu principal investigator
The Affiliated People's Hospital of Ningbo 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 study testing Autologous CAR-T cells, Fludarabine and Cyclophosphamide in people with Relapsed/Refractory Hematological Malignancies and Lymphoma, run by The Affiliated People's Hospital of Ningbo 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 9 inclusion and 9 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 6 Sep 2022. 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 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.
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 Ying Lu (86-13486090834, 814871416@qq.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
TEAEs (time frame: 4 weeks). The study lists 3 primary outcomes in all. 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 6 Sep 2022.