CD19-directed CAR T Cells Therapy in Relapsed/Refractory B Cell Malignancy
CD19-directed Chimeric Antigen Receptor T Cells Therapy in Relapsed/Refractory B Cell Malignancy
1 other identifier
interventional
60
1 country
1
Brief Summary
Relapsed/refractory leukemia and lymphoma lack effective treatment. The cancer immunotherapy with chimeric antigen receptor (CAR) T cells provides a potent new approach for them. In this clinical trial, the investigators aim to assess the safety and efficacy of administering T cell expressing an anti-CD19 CARs to patients with chemotherapy resistant or refractory CD19 positive B cell malignancy including leukemia and lymphoma.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1 leukemia
Started Jul 2015
Typical duration for phase_1 leukemia
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2015
CompletedFirst Submitted
Initial submission to the registry
August 26, 2015
CompletedFirst Posted
Study publicly available on registry
September 2, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2020
CompletedDecember 3, 2018
November 1, 2018
4.9 years
August 26, 2015
November 29, 2018
Conditions
Outcome Measures
Primary Outcomes (1)
Occurrence of study related adverse events
defined as \>= Grade 3 signs/symptoms, laboratory toxicities, and clinical events) that are possibly,likely,or definitely related to the study.
2 years
Secondary Outcomes (4)
Response rates to CAR-T cells
2 years
Progression free survival(PFS)
2 years
Duration of remission(DOR)
2 years
Overall survival(OS) of patients treated with CAR-T cells
2 years
Study Arms (1)
CAR-T cells
EXPERIMENTALAutologous 2nd generation CD19-directed CAR-T cells
Interventions
CD19-directed CAR-T cell infusion will be given by vein
Eligibility Criteria
You may qualify if:
- Patients with CD19+ leukemia or lymphoma, meeting the following criteria:
- At least 2 prior combination chemotherapy regimens (not including single agent monoclonal antibody (Rituximab) therapy)
- Less than 1 year between last chemotherapy and progression
- Not eligible or appropriate for allo-HSCT
- To be aged 6 to 85 years
- Estimated survival of ≥ 6 months, but ≤ 2 years
- ECOG score ≤2
- Relapse after auto-HSCT
- Women of childbearing potential must have a urine pregnancy test taken and proven negative prior to the treatment. All patients agree to use reliable methods of contraception during the trial period and until follow-up for the last time
- Voluntary participation in the clinical trials and sign the informed consent
You may not qualify if:
- History of epilepsy or other CNS disease
- Patients have GVHD, which needs treatment with immunosuppressive agents
- Patients with prolonged QT interval or severe heart disease
- Patients in pregnancy or breast-feeding period
- Uncontrolled active infection
- Active hepatitis B or hepatitis C infection
- Previously treatment with any gene therapy products
- Feasibility assessment during screening demonstrates \<20% transduction of target lymphocytes, or insufficient expansion (\<5-fold) in response to CD3/CD28 costimulation
- ALT /AST\>3 x normal value; Creatinine\> 2.5 mg/dl; Bilirubin \>2.0 mg/dl
- Any uncontrolled medical disorders that the researchers consider are not eligible to participate the clinical trial
- HIV infection
- Any situation that would increase dangerousness of subjects or disturb the outcome of the clinical study according to the researcher's evaluation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Shanghai Tongji Hospital, Tongji University School of Medicine
Shanghai, 200065, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Aibin Liang, MD,Ph.D.
Shanghai Tongji Hospital, Tongji University School of Medicine
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Director,Department of Hematology
Study Record Dates
First Submitted
August 26, 2015
First Posted
September 2, 2015
Study Start
July 1, 2015
Primary Completion
June 1, 2020
Study Completion
June 1, 2020
Last Updated
December 3, 2018
Record last verified: 2018-11
Data Sharing
- IPD Sharing
- Will not share