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Multiple MyelomaEarly Phase 1NCT06407947

Study of CT071 Injection in High Risk Newly Diagnosed Multiple Myeloma

A Early Phase 1 study testing Chimeric antigen receptor modified T cells Infusion in people with Multiple Myeloma, run by Shanghai Changzheng Hospital at 1 site in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This trial is a single-arm, single-center, open-label clinical trial to evaluate the safety, efficacy, and metabolism kinetics of CT071 in patients with high-risk newly diagnosed multiple myeloma. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Multiple Myeloma
What is being tested?
Chimeric antigen receptor modified T cells Infusion
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
6 Jun 2024to 3 Jun 2027
Phase
Early Phase 1
Are there results?
Not yet: the study is under way

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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participants must meet all of the following criteria to be enrolled:
  • 1.Volunteer to participate in the clinical trial; the participants themselves fully understand and are informed of this study, and sign the informed consent form and are willing to follow and able to complete all trial procedures;
  • 2.Age ≥ 18 years, male or female;
  • 3.Participants must have newly diagnosed with multiple myeloma according to International Myeloma Working Group diagnostic criteria 2014 ;
  • 4.Measurable disease based on at least one of the following parameters (International Myeloma Working Group consensus criteria for response and minimal residual disease assessment in multiple myeloma 2016); the values for these parameters obtained up to 60 days prior to signing the Informed Consent Form including the results at the time of diagnosis may be used.
  • Serum M-protein ≥ 1.0 g/dL;
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  • Urine M-protein ≥ 200 mg/24 hr;
  • Serum free light chain (FLC): involved FLC level ≥ 10 mg/dL (100 mg/L) provided serum FLC ratio is abnormal.
  • 5.Known to have the following high risk factors, i.e. At least one of the following conditions is met:
  • 1)Meet any one or more of the cytogenetic criteria: del (17p); t (4; 14); t (14; 16); t (14; 20); 1q21 amplification ≥ 4 copies; 2)R-ISS stage 3; R2-ISS stages 3 and 4; 3)Presence of soft tissue extramedullary plasmacytoma 4)2%-5% in peripheral plasma cells;
  • 6.Eastern Cooperative Oncology Group (ECOG) score 0-2;
  • 7.Participants should meet the following test results (repeat tests are allowed):
  • 1)Hematology: Absolute neutrophil (ANC) count ≥ 1.0 × 109/L; Platelet (PLT) ≥ 50 × 109/L; Hemoglobin (Hb) ≥ 7.5 g/dL; 2)Blood chemistry: Endogenous creatinine clearance ≥ 40 mL/min (see Appendix 1 using the Cockcroft-Gault formula); Alanine aminotransferase (ALT) ≤ 2.5 × upper limit of normal (ULN), aspartate aminotransferase (AST) ≤ 2.5 × ULN, total bilirubin ≤ 1.5 × ULN; 3)International normalized ratio (INR), or activated partial thromboplastin time (aPTT) ≤ 1.5 × ULN.
  • 8.Venous access required for collection can be established and there is no contraindication for cell collection.
  • 9.Females of childbearing potential (WOCBP) must have a negative serum pregnancy test at screening and must be willing to use effective and reliable contraception for at least 12 months after CT071 infusion.
  • 10.A male participant, if sexually active with a female of childbearing potential, is willing to use a highly effective and reliable method of contraception for 1 year after receiving trial treatment. All male participants absolutely refrain from donating sperm during the trial and for 1 year after receiving trial treatment.

Who cannot join

  • Participants were not enrolled in the trial if they met any of the following criteria:
  • Patients with non-secretory MM.
  • Prior treatment for MM other than up to 2 cycles of (bortezomib, lenalidomide, dexamethasone) for induction, including but not limited to cytotoxic therapy, proteasome inhibitors, immunomodulators, targeted therapy, radiotherapy (patients are eligible for this trial if the radiation field covers ≤ 5% bone marrow reserve regardless of the end date of radiotherapy), epigenetic therapy, etc.
  • Pregnant or lactating females.
  • Patients with severe mental disorders or altered mental status, history of central nervous system disease, such as epilepsy, intracranial hemorrhage, paralysis, aphasia, stroke, severe brain injury, dementia, Parkinson's disease, cerebellar disease, memory impairment, spinal cord compression, psychiatric disease or any disease involving the central nervous system, or suspected central nervous system (CNS) metastasis, or any autoimmune disease involving the CNS, with or suspected CNS infiltration.
  • Participants had other malignancies, including the following that were considered to have been successfully treated: non-metastatic basal cell or squamous cell skin cancer, non-metastatic prostate cancer, carcinoma in situ of the breast or cervix, and non-muscle invasive bladder cancer.
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  • Active autoimmune disease that results in end organ damage or requires systemic immunosuppressive/systemic disease modifying drugs, including but not limited to Crohn's disease, rheumatoid arthritis, systemic lupus erythematosus and other patients requiring long-term immunosuppressive therapy.
  • Have any uncontrolled active infection (defined as exhibiting persistent signs or symptoms associated with infection that do not improve despite appropriate anti-infective therapy), or other serious active viral, bacterial, or uncontrolled systemic fungal infection. I
  • Positive test results for biomarkers of any of the following pathogenic microorganisms: human immunodeficiency virus (HIV) antibody, Treponema pallidum antibody (TPPA), hepatitis C virus (HCV) antibody, hepatitis B virus (HBV) surface antigen (HBsAg) (core antigen [HBcAb] positive must have DNA copies below the lower limit of normal).
  • Vaccination with live attenuated vaccine or mRNA vaccine within 8 weeks and inactivated vaccine within 4 weeks prior to screening.
  • Patients who are allergic or intolerant to lymphodpletion drugs, tocilizumab, or allergic to the ingredients of CT071 cell infusion preparation (DMSO); Or previous history of other severe allergies, such as anaphylactic shock.
  • Clinically significant cardiac abnormalities, including but not limited to:
  • 1)Uncontrolled congestive heart failure (New York Heart Association Class III or IV heart failure, see Appendix 3); 2)Myocardial infarction, coronary artery bypass grafting or unstable angina within 6 months prior to apheresis; 3)History of clinically significant uncontrolled cardiac arrhythmias such as ventricular arrhythmias; 4)History of severe non-ischemic cardiomyopathy; 5)Left ventricular ejection fraction (LVEF) < 50%, diagnosed by echocardiography, without clinically significant ECG abnormalities; 6)Other heart disease that, in the opinion of the investigator, may jeopardize the health of the participant when participating in this clinical trial.
  • 12.Participants with known or suspected chronic obstructive pulmonary disease (COPD) with a forced expiratory volume in 1 second (FEV1) < 50% of the predicted normal value of spirometry, or other lung disease that, in the judgment of the investigator, significantly affects lung function or affects the safety of the participant, such as asthma, interstitial lung disease, diffuse lung disease, pulmonary infection, pulmonary embolism, etc.
  • 13.No need for supplemental oxygen for maintenance and oxygen saturation < 92% in room air.
  • 14.Participant has a history of stroke or seizure within 6 months prior to the screening period.
  • 15.Has had major surgery before screening, or is planned to undergo major surgery after the trial treatment (excluding cataract and other surgery under local anesthesia). The investigator must discuss with the sponsor to determine whether a surgery is major surgery before enrolling the participant in the trial.
  • 16.The participant has not recovered to Common Terminology Criteria for Adverse Events (CTCAE) v5.0 ≤ Grade 1 from toxicities attributable to previous treatments, except for alopecia, peripheral neuropathy, and other events that, in the judgment of the investigator, are unlikely to result in lymphodepletion or cumulative toxicities of CT071 treatment; 17.Other conditions considered inappropriate for participation in this clinical trial by the investigator.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

China1 site, 1 recruiting
  • Juan Du

    Shanghai, Shanghai Municipality, 200000

    Juan Du, 15800706091, juan_du@live.com

    Juan Du, PhD

    Recruiting

Other trials in China

About this study

Official title: Exploratory Clinical Trial of the Safety and Efficacy of CT071 Injection in Patients With High Risk Newly Diagnosed Multiple Myeloma

This trial is a single-arm, single-center, open-label clinical trial to evaluate the safety, efficacy, and metabolism kinetics of CT071 in patients with high-risk newly diagnosed multiple myeloma.

Read the detailed description

This trial is a single-arm, single-center, open-label clinical trial to evaluate the safety, efficacy, and metabolism kinetics of CT071 in patients with high-risk newly diagnosed multiple myeloma (HRNDMM).

Being tested
Chimeric antigen receptor modified T cells Infusion
Keywords
Multiple Myeloma, Chimeric antigen receptor modified T cells
Medical subject headings
Multiple Myeloma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Chimeric antigen receptor modified T cells InfusionDrug

    Also called Single Group Assignment

    chimeric antigen receptor T cells

Study groups in NCT06407947
Study groupRoleWhat they receive
Chimeric antigen receptor modified T cells InfusionExperimentalChimeric antigen receptor modified T cells chimeric antigen receptor T cells
Receives: Drug: Chimeric antigen receptor modified T cells Infusion

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Adverse Events (AE) after CT071 infusion

    An assessment of severity grade will be made according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), with the exception of cytokine release syndrome (CRS), and immune effector cell-associated neurotoxicity syndrome (ICANS).

    Measured: From first dose of study drug administration to end of treatment (up to 24 months)

  2. Overall response rate (ORR)

    ORR defined as proportion of patients achieving partial response or better based on International Myeloma Working Group defined response criteria

    Measured: From first dose of study drug administration to end of treatment (up to 24 months)

  3. Recommended Phase II Dose of CT071 in patients with high-risk newly diagnosed multiple myeloma

    Evaluate Dose limited toxicity and adverse events after CT071 infusion

    Measured: Assessed from the date of first dose of study treatment until 28 days

Secondary outcomes (15)
  1. Minimal residual disease (MRD) negative rate

    Minimal residual disease (MRD) negative rate is defined as the proportion of patients with Very good partial response or better who achieved 10-5 sensitivity of nucleated cell

    Measured: From first dose of study drug administration to end of treatment (up to 24 months)

  2. Complete response/stringent complete response (CR/sCR) rate

    Rate of complete response/stringent complete response (CR/sCR) defined as proportion of patients achieving CR or better based on International Myeloma Working Group defined response criteria

    Measured: From first dose of study drug administration to end of treatment (up to 24 months)

  3. Duration of response (DOR)

    DOR is defined as the time from first achieving partial response or better to confirmed disease progression or death from any cause

    Measured: From first dose of study drug administration to end of treatment (up to 24 months)

  4. Progression-free survival (PFS)

    PFS defined as the time from the date of apheresis of the subject to the first assessment of confirmed disease progression or death from any cause according to International Myeloma Working Group 2016 criteria, whichever occurs first

    Measured: From first dose of study drug administration to end of treatment (up to 24 months)

  5. Time to response (TTR)

    TTR defined as the time from the date of apheresis to the date of initial assessment of Partial response or better according to International Myeloma Working Group 2016 criteria

    Measured: From first dose of study drug administration to end of treatment (up to 24 months)

  6. Time to best response (TTBR) as assessed by the investigator

    TTBR defined as the time from the date of apheresis to the date of assessment with a best response according to International Myeloma Working Group 2016 criteria

    Measured: From first dose of study drug administration to end of treatment (up to 24 months)

  7. Overall survival (OS)

    OS defined as the time from the date of apheresis of the subject to death from any cause

    Measured: From first dose of study drug administration to end of treatment (up to 24 months)

  8. Peak Plasma Concentration (Cmax) of CAR T cells

    time to Peak Plasma Concentration (Cmax)

    Measured: From first dose of study drug administration to end of treatment (up to 24 months)

  9. Presence of anti-CT071 antibodies

    Anti-drug antibody positive rate

    Measured: From first dose of study drug administration to end of treatment (up to 24 months)

  10. Duration of MRD negativity

    Sustain MRD negative month

    Measured: From first dose of study drug administration to end of treatment (up to 24 months)

  11. Cytokines in the peripheral blood after CT071 infusion

    Serum concentrations of granulocyte-macrophage colony stimulating factor (GM-CSF) interleukin (IL)-6, IL-10, interferon gamma (IFN-γ) and tumor necrosis factor (TNF),after CT071 infusion

    Measured: From first dose of study drug administration to end of treatment (up to 24 months)

  12. Immune-related proteins after CT071 infusion

    Serum concentrations of C-reactive protein (CRP),etc.

    Measured: From first dose of study drug administration to end of treatment (up to 24 months)

  13. Markers

    Expresion of soluble GPRC5D (sGPRC5D)

    Measured: From first dose of study drug administration to end of treatment (up to 24 months)

  14. Area under the plasma concentration versus time curve (AUC) of CART cells

    Area under the plasma concentration versus time curve (AUC)

    Measured: From first dose of study drug administration to end of treatment (up to 24 months)

  15. Level of CAR-T Cell Expansion persistence

    Levels of cell expansion persistence via monitoring CAR-T positive cell counts and CAR transgene level will be reported.

    Measured: From first dose of study drug administration to end of treatment (up to 24 months)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 May 2024
  2. Study start6 Jun 2024
  3. Primary completion3 Jun 2027 (estimated)
  4. Study completion3 Jun 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
10 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06407947
Sponsor's protocol ID
CT071-CG7002
Status last verified
Jun 2024
First submitted
6 May 2024
Last updated
12 Jun 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Early Phase 1 study testing Chimeric antigen receptor modified T cells Infusion in people with Multiple Myeloma, run by Shanghai Changzheng Hospital 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 16 inclusion and 18 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: looking for participants now, as of the sponsor's last update on 12 Jun 2024. 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?

Early Phase 1 (sometimes called Phase 0) studies give a very small amount of a treatment to a few people, mainly to see how the body handles it.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Adverse Events (AE) after CT071 infusion (time frame: From first dose of study drug administration to end of treatment (up to 24 months)). 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 12 Jun 2024.

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