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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.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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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;
Show all 16Show fewer
  • 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.

Jian Li, M.D. contact

010-65296114

lijian@pumch.cn

China1 site
  • Chinese Academy of Medical Sciences & Peking Union Medical College Hospital

    Beijing, 100730

    Jian Li, M.D., 010-65296114, lijian@pumch.cn

Other trials in China

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 groups in NCT06518876
Study groupRoleWhat they receive
Phase 1a: Low dose groupExperimentalInfusion 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 groupExperimentalInfusion 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 groupExperimentalInfusion 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: RP2DExperimentalAfter 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.

  1. 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

  2. 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)

  3. 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

  4. 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)
  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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)

  9. 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)

  10. 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)

  11. 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)

  12. 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)

  13. 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)

  14. 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)

  15. 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)

  16. 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)

  17. 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)

  18. 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)

  19. 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)

  20. 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)

  21. 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)

  22. 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.

  1. First posted24 Jul 2024
  2. Study start31 Aug 2024 (estimated)
  3. Primary completion31 Dec 2027 (estimated)
  4. Study completion31 Dec 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
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
21 participants (estimated)
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

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.

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