NCT03093168

Brief Summary

The goal of this clinical trial is to study the feasibility and efficacy of anti-B-Cell Maturation Antigen (BCMA) expressing T cells in treating patients with multiple myeloma.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
10

participants targeted

Target at below P25 for phase_1 multiple-myeloma

Timeline
Completed

Started Feb 2017

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 15, 2017

Completed
28 days until next milestone

First Submitted

Initial submission to the registry

March 15, 2017

Completed
13 days until next milestone

First Posted

Study publicly available on registry

March 28, 2017

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2019

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2020

Completed
Last Updated

February 27, 2019

Status Verified

March 1, 2018

Enrollment Period

2.5 years

First QC Date

March 15, 2017

Last Update Submit

February 25, 2019

Conditions

Outcome Measures

Primary Outcomes (1)

  • Safety measured by occurrence of study related adverse effects defined by NCI CTCAE 4.0

    Safety measured by occurrence of study related adverse effects defined by NCI CTCAE 4.0

    6 months

Secondary Outcomes (3)

  • Overall complete remission rate defined by the standard response criteria for malignant lymphoma for each arm

    8 weeks

  • Duration of CAR-positive T cells in circulation

    6 months

  • Total number of CAR-positive T cells infiltrated into lymphoma tissue

    6 months

Study Arms (1)

anti-BCMA CAR-T

EXPERIMENTAL

Administration of anti-BCMA:TCRζ-4-1-BB CAR-T cells to patients with multiple myeloma

Biological: Anti-BCMA CAR-T cellsDrug: FludarabineDrug: Cyclophosphamide

Interventions

Retroviral vector-transduced autologous T cells to express anti-BCMA CAR

anti-BCMA CAR-T

dose: 25mg/m2/d

anti-BCMA CAR-T

Dose: 40mg/kg

anti-BCMA CAR-T

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Expected survival \> 12 weeks
  • Diagnosis of Multiple Myeloma by MWG criteria 20
  • Patients previously received at least 3 different prior treatment regimens for multiple myeloma, including alkylating agent, protein inhibitors, and immunomodulator, and have disease progression in the past 60 days
  • Important organs function enough to tolerate this therapy
  • At least 90 days after stem cell transplantation
  • Clinical performance status of ECOG score 0-4
  • Accessible to intravenous injection, and no white blood cell collection contraindications
  • Sexually active patients must be willing to utilize one of the more effective birth control methods for 30 days after the CTL infusion. Male partner should use a condom
  • Able to understand and sign the Informed Consent Document.

You may not qualify if:

  • Patients with symptoms of central nervous system
  • Patients with second malignancies in addition to multiple myeloma
  • Active hepatitis B or C, HIV infections
  • Any other active diseases could affect the enrollment of this trial
  • Suffering severe cardiovascular or respiratory disease
  • Poorly controlled hypertension
  • Long term use of immunosuppressive agents after organ transplantation, except currently receiving or recently received glucocorticoid treatment
  • A history of mental illness and poorly controlled
  • Screening showing target cell transduction efficacy is lower than 30%, or T cell proliferation is not enough for infusion (less than 5 fold)
  • Occurrence of unstable pulmonary embolism, deep vein thrombosis, or other major arterial/venous thromboembolic events 30 days prior to assignment
  • Women of child-bearing potential who are pregnant or breastfeeding during therapy, or have a planned pregnancy with 2 months after therapy
  • Women of child-bearing potential who are not willing to practice birth control from the time of enrollment on this study and for 2 months after receiving the preparative regimen. Women of child bearing potential must have a negative serum or urine pregnancy test performed within 48 hours before infusion
  • Active systemic infections or uncontrolled infection within 14 days prior enrollment
  • Subjects suffering disease affects the understanding of informed consent or complying with study protocol

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Henan Province of TCM

Zhengzhou, Henan, China

RECRUITING

Related Publications (1)

  • Zhou L, Fu W, Wu S, Xu K, Qiu L, Xu Y, Yan X, Zhang Q, Zhang M, Wang L, Hong R, Chang AH, Yu J, Fu S, Kong D, Li L, Wang Y, Li Z, Jiang H, Huang J, Liu Z, Su N, Wei G, Hu Y, Huang H. Derivation and validation of a novel score for early prediction of severe CRS after CAR-T therapy in haematological malignancy patients: A multi-centre study. Br J Haematol. 2023 Aug;202(3):517-524. doi: 10.1111/bjh.18873. Epub 2023 May 16.

MeSH Terms

Conditions

Multiple Myeloma

Interventions

fludarabineCyclophosphamide

Condition Hierarchy (Ancestors)

Neoplasms, Plasma CellNeoplasms by Histologic TypeNeoplasmsHemostatic DisordersVascular DiseasesCardiovascular DiseasesParaproteinemiasBlood Protein DisordersHematologic DiseasesHemic and Lymphatic DiseasesHemorrhagic DisordersLymphoproliferative DisordersImmunoproliferative DisordersImmune System Diseases

Intervention Hierarchy (Ancestors)

Phosphoramide MustardsNitrogen Mustard CompoundsMustard CompoundsHydrocarbons, HalogenatedHydrocarbonsOrganic ChemicalsPhosphoramidesOrganophosphorus Compounds

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 15, 2017

First Posted

March 28, 2017

Study Start

February 15, 2017

Primary Completion

September 1, 2019

Study Completion

February 1, 2020

Last Updated

February 27, 2019

Record last verified: 2018-03

Data Sharing

IPD Sharing
Will share

Locations