POEMS SyndromePhase 1NCT06518876
A Study of KQ-2003 CAR-T Cell Therapy for Patients With Relapsed or Refractory POEMS Syndrome
A Phase 1 study testing KQ-2003 CAR T-cells in people with POEMS Syndrome, run by Novatim Immune Therapeutics (Zhejiang) Co., Ltd. at 1 site in China.
Trial summary
This is a multicenter, open-label, dose-escalation/expansion phase 1 study to evaluate the safety, tolerability, pharmacokinetic/pharmacodynamic characteristics and determine the recommended dose of KQ-2003 CAR T-cells for patients with Relapsed/Refractory POEMS Syndrome Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- POEMS Syndrome
- What is being tested?
- KQ-2003 CAR T-cells
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 21 participants
- Where
- 1 siteChina
- Study dates
- 31 Aug 2024to 31 Dec 2027
- Phase
- 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
- Age ≥18 years old, male or female;
- Diagnosis of POEMS syndrome with relapsed or refractory disease;
- Eastern Cooperative Oncology Group (ECOG) Performance ≤2 ;
- Adequate venous access for the apheresis of peripheral blood mononuclear cell;
- Vascular Endothelial Growth Factor (VEGF) ≥1200ng/L;
- Overall Neuropathy Limitations Scale (ONLS) ≥ 1;
- Adequate organ function;
- Able and willing to comply with the study protocol and follow-up plan, and sign the informed consent form in writing.
Who cannot join
- Subjects who had previously received BCMA-CD19 dual-target CAR-T cell products or autologous stem cell transplantation within 12 weeks before the collection of peripheral blood mononuclear cells;
- Known allergy or hypersensitivity reactions to cyclophosphamide, fludarabine, dimethyl sulfoxide (DMSO), CD19, or BCMA-targeted drugs;
- Received any treatment that might influence the activity of CAR-T cells prior to the collection of peripheral blood mononuclear cells;
- Have history of vaccination within the 4 weeks preceding the collection of peripheral blood mononuclear cells;
- Have tested positive for cytomegalovirus and/or mycobacterium tuberculosis, or had any uncontrolled active infection within 14 days prior to the collection of peripheral blood mononuclear cells;
- Subjects infected with active HBV or HCV, HIV, syphilis;
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- Subjects with known central nervous system disease, for example, seizure disorders, clinically significant cerebral ischemia/hemorrhage, dementia);
- Subjects currently experiencing active autoimmune diseases; Diagnosed with immunodeficiency or receiving any other form of immunosuppressive therapy within 7 days prior to enrollment in this study;
- Subjects with active bleeding or VTE events (such as pulmonary embolism or deep vein thrombosis) require anticoagulation;
- Have following severe diseases: unstable angina, cerebrovascular accident or transient ischemic attack, myocardial infarction , New York Heart Association (NYHA) Class ≥ III, congestive heart failure, poorly controlled severe arrhythmias or other cardiac diseases requiring mechanical support; subjects with known chronic obstructive pulmonary disease (COPD) with a forced expiratory volume in 1 second (FEV1) < 50% of predicted normal; subjects with known moderate or severe persistent asthma, or a history of asthma within the past 2 years, or currently having any category of uncontrolled asthma; subjects requiring oxygen to maintain adequate oxygen saturation; subjects with hypertension whose blood pressure cannot be lowered to the following range despite treatment with two or more antihypertensive medications;
- Have active malignancies;
- Have any non-hematologic toxicity resulting from prior treatments that cannot be restored to ≤ grade 1 or baseline, excluding alopecia and grade 2 neuropathy;
- Subjects had participated in other clinical trials and used its investigational drugs within the 3 months prior to the collection of peripheral blood mononuclear cells;
- History of alcohol abuse, drug addiction, substance abuse, or mental illness within the past year;
- Pregnant or lactating women;
- Any situation that the investigator believes may increase the risk of subjects or interfere with the results of clinical trials
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
Chinese Academy of Medical Sciences & Peking Union Medical College Hospital
Beijing, 100730
Jian Li, M.D., 010-65296114, lijian@pumch.cn
About this study
Official title: A Phase 1 Study to Evaluate the Safety, Tolerability, Preliminary Efficacy, and Pharmacokinetic Characterization of KQ-2003 for Patients With Relapsed/Refractory POEMS Syndrome
This is a multicenter, open-label, dose-escalation/expansion phase 1 study to evaluate the safety, tolerability, pharmacokinetic/pharmacodynamic characteristics and determine the recommended dose of KQ-2003 CAR T-cells for patients with Relapsed/Refractory POEMS Syndrome
Read the detailed description
The study included the phase 1a dose escalation study and the phase 1b cohort extension study. The phase 1a study is an open, dose-escalation design with 3 dose groups according to the "3+3" dose escalation rule: low dose group (0.5×10^6 CAR T cells/kg), medium dose group (1.0×10^6 CAR T cells/kg), high dose group (2.0×10^6 CAR T cells/kg). After initial confirmation of maximum tolerated dose (MTD) or recommended phase 2 dose (RP2D), a phase 1b cohort extension study will be conducted.
- Conditions
- POEMS Syndrome
- Being tested
- KQ-2003 CAR T-cells
- Medical subject headings
- POEMS Syndrome
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
KQ-2003 CAR T-cellsBiological
KQ-2003 CAR T-cell therapy involves autologous chimeric antigen receptor T-cells, capable of targeting both human B cell maturation antigen (anti-BCMA CAR) and CD19 antigen molecules (anti-CD19 CAR) simultaneously as a cellular therapy.
| Study group | Role | What they receive |
|---|---|---|
| Phase 1a: Low dose group | Experimental | Infusion of KQ-2003 CAR T-cells by single dose of 0.5×10^6 CAR-T cells/kg Receives: Biological: KQ-2003 CAR T-cells |
| Phase 1a: Medium dose group | Experimental | Infusion of KQ-2003 CAR T-cells by single dose of 1.0×10^6 CAR-T cells/kg Receives: Biological: KQ-2003 CAR T-cells |
| Phase 1a: High dose group | Experimental | Infusion of KQ-2003 CAR T-cells by single dose of 2.0×10^6 CAR-T cells/kg Receives: Biological: KQ-2003 CAR T-cells |
| Phase 1b: RP2D | Experimental | After all subjects in the Phase 1a dose-escalation study completed DLT observation, RP2D was determined based on the analysis results for the phase 1b expansion study. Receives: Biological: KQ-2003 CAR T-cells |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of patients with dose-limiting toxicity (DLT)
For DLT evaluation, severity (grade) is classified according to common terminology criteria for adverse events version 5.0 (CTCAE v5.0).
Measured: Within 28 days of receiving KQ-2003 CAR T-cells transfusion therapy
Adverse Event
Safety will be assessed by adverse events (AEs), which include clinically significant abnormalities identified during a medical test (e.g. laboratory tests, electrocardiogram, vital signs, physical examinations). AEs will be coded by Medical Dictionary for Regulatory Activities (MedDRA) and their severity will be graded according to the NCI Common Terminology Criteria for Adverse Events (CTCAE, version 5.0).
Measured: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
Maximum Tolerated Dose (MTD)
At least 6 subjects in the MTD dose group must complete the DLT assessment.
Measured: Within 28 days of receiving KQ-2003 CAR T-cells transfusion therapy
Recommended Phase 2 Dose (RP2D)
To determine after all subjects in the Phase 1 dose-escalation study completed DLT observation
Measured: Through study completion, an average of 1 year
Secondary outcomes (22)
Response of serum vascular endothelial growth factor level(VEGF)
The improvements of serum VEGF will be assessed every three months by evaluating changes from baseline and will be described descriptively.
Measured: Through study completion, an average of 2 years
Hematologic response
Hematologic response is also a criterion for assessing the efficacy of treatment for POEMS syndrome. The improvements of serum protein electrophoresis (SPEP) and immunofixation electrophoresis (IFE) will be assessed every three months by evaluating changes from baseline and will be described descriptively.
Measured: Through study completion, an average of 2 years
Response of positron emission tomography-scan (PET-CT)
Observe the change in FDG uptake in the lesions of the subjects compared to the baseline, assessed every three months.
Measured: Through study completion, an average of 2 years
Response rate of critical organs
Evaluate the changes in clinical symptoms compared to the baseline according to CTCAE 5.0. The assessment of clinical efficacy is conducted every three months after KQ-2003 CAR T-cells transfusion therapy.
Measured: Through study completion, an average of 2 years
Complete response rate (CRR)
The definition of CRR is the proportion of subjects achieving CR confirmed by efficacy re-assessment after a minimum interval of three months.
Measured: Through study completion, an average of 2 years
Disease-free survival (DFS)
DFS refers to time from treatment until the recurrence of disease (or death) after undergoing the study treatment.
Measured: Through study completion, an average of 2 years
Overall survival (OS)
OS is the time from the start of cell infusion to the death of the subject.
Measured: Through study completion, an average of 2 years
Maximum concentration (Cmax)
Blood and bone marrow samples will be collected and used for pharmacokinetics assessments.
Measured: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
Time to maximum plasma concentration (Tmax)
Blood and bone marrow samples will be collected and used for pharmacokinetics
Measured: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
Levels of IL-2
Blood samples will be collected and used for pharmacodynamic to evaluate the levels about cytokine levels
Measured: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
Levels of IL-6
Blood samples will be collected and used for pharmacodynamic to evaluate the levels about cytokine levels
Measured: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
Levels of IL-10
Blood samples will be collected and used for pharmacodynamic to evaluate the levels about cytokine levels
Measured: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
Levels of TNF-α
Blood samples will be collected and used for pharmacodynamic to evaluate the levels about cytokine levels
Measured: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
Levels of IFN-γ
Blood samples will be collected and used for pharmacodynamic to evaluate the levels about cytokine levels
Measured: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
Levels of C-reactive protein (CRP)
Blood samples will be collected and used for pharmacodynamic to evaluate the levels
Measured: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
Levels of ferritin
Blood samples will be collected and used for pharmacodynamic to evaluate the levels
Measured: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
CD19+B lymphocyte count
Blood samples will be collected and used for pharmacodynamic to evaluate the levels about peripheral blood lymphocyte subsets
Measured: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
CD20+B lymphocyte count
Blood samples will be collected and used for pharmacodynamic to evaluate the levels about peripheral blood lymphocyte subsets
Measured: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
CD3+T lymphocyte count
Blood samples will be collected and used for pharmacodynamic to evaluate the levels about peripheral blood lymphocyte subsets
Measured: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
CD4+T lymphocyte count
Blood samples will be collected and used for pharmacodynamic to evaluate the levels about peripheral blood lymphocyte subsets
Measured: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
CD8+T lymphocyte count
Blood samples will be collected and used for pharmacodynamic to evaluate the levels about peripheral blood lymphocyte subsets
Measured: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
ADA
The trial will evaluate the positive rate, titer and duration or persistence of ADA following the administration of CAR T-Cells.
Measured: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Jul 2024
- Study start31 Aug 2024 (estimated)
- Primary completion31 Dec 2027 (estimated)
- Study completion31 Dec 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for POEMS SyndromeStudies 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
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 21 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Novatim Immune Therapeutics (Zhejiang) Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06518876
- Sponsor's protocol ID
- KQ-2003-BC101
- Status last verified
- Jul 2024
- First submitted
- 8 Jul 2024
- Last updated
- 24 Jul 2024
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 24 Jul 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1 Study to Evaluate the Safety, Tolerability, Preliminary Efficacy, and Pharmacokinetic Characterization of KQ-2003 for Patients With Relapsed/Refractory POEMS Syndrome
- ClinicalTrials.gov ID
- NCT06518876
- Acronym / sponsor ID
- KQ-2003-BC101
- Conditions
- POEMS Syndrome
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 21 participants (estimated)
- Lead sponsor
- Novatim Immune Therapeutics (Zhejiang) Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 31 Aug 2024 (estimated)
- Primary completion
- 31 Dec 2027 (estimated)
- Study completion
- 31 Dec 2027 (estimated)
- First posted
- 24 Jul 2024 (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.
This is a multicenter, open-label, dose-escalation/expansion phase 1 study to evaluate the safety, tolerability, pharmacokinetic/pharmacodynamic characteristics and determine the recommended dose of KQ-2003 CAR T-cells for patients with Relapsed/Refractory POEMS Syndrome
Detailed description
The study included the phase 1a dose escalation study and the phase 1b cohort extension study. The phase 1a study is an open, dose-escalation design with 3 dose groups according to the "3+3" dose escalation rule: low dose group (0.5×10^6 CAR T cells/kg), medium dose group (1.0×10^6 CAR T cells/kg), high dose group (2.0×10^6 CAR T cells/kg). After initial confirmation of maximum tolerated dose (MTD) or recommended phase 2 dose (RP2D), a phase 1b cohort extension study will be conducted.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Phase 1a: Low dose group | Experimental | Biological: KQ-2003 CAR T-cellsInfusion of KQ-2003 CAR T-cells by single dose of 0.5×10^6 CAR-T cells/kg |
| Phase 1a: Medium dose group | Experimental | Biological: KQ-2003 CAR T-cellsInfusion of KQ-2003 CAR T-cells by single dose of 1.0×10^6 CAR-T cells/kg |
| Phase 1a: High dose group | Experimental | Biological: KQ-2003 CAR T-cellsInfusion of KQ-2003 CAR T-cells by single dose of 2.0×10^6 CAR-T cells/kg |
| Phase 1b: RP2D | Experimental | Biological: KQ-2003 CAR T-cellsAfter all subjects in the Phase 1a dose-escalation study completed DLT observation, RP2D was determined based on the analysis results for the phase 1b expansion study. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Age ≥18 years old, male or female;
- Diagnosis of POEMS syndrome with relapsed or refractory disease;
- Eastern Cooperative Oncology Group (ECOG) Performance ≤2 ;
- Adequate venous access for the apheresis of peripheral blood mononuclear cell;
- Vascular Endothelial Growth Factor (VEGF) ≥1200ng/L;
Key exclusion criteria (16 listed)
- Subjects who had previously received BCMA-CD19 dual-target CAR-T cell products or autologous stem cell transplantation within 12 weeks before the collection of peripheral blood mononuclear cells;
- Known allergy or hypersensitivity reactions to cyclophosphamide, fludarabine, dimethyl sulfoxide (DMSO), CD19, or BCMA-targeted drugs;
- Received any treatment that might influence the activity of CAR-T cells prior to the collection of peripheral blood mononuclear cells;
- Have history of vaccination within the 4 weeks preceding the collection of peripheral blood mononuclear cells;
- Have tested positive for cytomegalovirus and/or mycobacterium tuberculosis, or had any uncontrolled active infection within 14 days prior to the collection of peripheral blood mononuclear cells;
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 |
|---|---|---|
| KQ-2003 CAR T-cellsKQ-2003 CAR T-cell therapy involves autologous chimeric antigen receptor T-cells, capable of targeting both human B cell maturation antigen (anti-BCMA CAR) and CD19 antigen molecules (anti-CD19 CAR) simultaneously as a cellular therapy. | Biological | Phase 1a: High dose group, Phase 1a: Low dose group, Phase 1a: Medium dose group, Phase 1b: RP2D |
Primary outcome
Number of patients with dose-limiting toxicity (DLT)
Time frame: Within 28 days of receiving KQ-2003 CAR T-cells transfusion therapy
For DLT evaluation, severity (grade) is classified according to common terminology criteria for adverse events version 5.0 (CTCAE v5.0).
Adverse Event
Time frame: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
Safety will be assessed by adverse events (AEs), which include clinically significant abnormalities identified during a medical test (e.g. laboratory tests, electrocardiogram, vital signs, physical examinations). AEs will be coded by Medical Dictionary for Regulatory Activities (MedDRA) and their severity will be graded according to the NCI Common Terminology Criteria for Adverse Events (CTCAE, version 5.0).
Maximum Tolerated Dose (MTD)
Time frame: Within 28 days of receiving KQ-2003 CAR T-cells transfusion therapy
At least 6 subjects in the MTD dose group must complete the DLT assessment.
Recommended Phase 2 Dose (RP2D)
Time frame: Through study completion, an average of 1 year
To determine after all subjects in the Phase 1 dose-escalation study completed DLT observation
22 secondary outcomes
Response of serum vascular endothelial growth factor level(VEGF)
Time frame: Through study completion, an average of 2 years
Hematologic response
Time frame: Through study completion, an average of 2 years
Response of positron emission tomography-scan (PET-CT)
Time frame: Through study completion, an average of 2 years
Response rate of critical organs
Time frame: Through study completion, an average of 2 years
Complete response rate (CRR)
Time frame: Through study completion, an average of 2 years
Disease-free survival (DFS)
Time frame: Through study completion, an average of 2 years
Overall survival (OS)
Time frame: Through study completion, an average of 2 years
Maximum concentration (Cmax)
Time frame: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
Time to maximum plasma concentration (Tmax)
Time frame: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
Levels of IL-2
Time frame: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
Levels of IL-6
Time frame: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
Levels of IL-10
Time frame: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
Levels of TNF-α
Time frame: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
Levels of IFN-γ
Time frame: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
Levels of C-reactive protein (CRP)
Time frame: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
Levels of ferritin
Time frame: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
CD19+B lymphocyte count
Time frame: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
CD20+B lymphocyte count
Time frame: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
CD3+T lymphocyte count
Time frame: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
CD4+T lymphocyte count
Time frame: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
CD8+T lymphocyte count
Time frame: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
ADA
Time frame: Minimum 2 years after KQ-2003 CAR T-cells infusion (Day 1)
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Jul 2024.
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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.
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 KQ-2003 CAR T-cells in people with POEMS Syndrome, run by Novatim Immune Therapeutics (Zhejiang) Co., Ltd. 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: opening soon, as of the sponsor's last update on 24 Jul 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?
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?
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?
Contact Jian Li, M.D. (010-65296114, lijian@pumch.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of patients with dose-limiting toxicity (DLT) (time frame: Within 28 days of receiving KQ-2003 CAR T-cells transfusion therapy). The study lists 4 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 24 Jul 2024.