NCT03528421

Brief Summary

n this study, approximately 30 patients with relapsed or refractory non-Hodgkin's lymphoma (NHL) were recruited for a single reinfusion of IM19-CD28 and IM19-41BB CAR-T cells. Assess the safety, tolerability of treatment, and initially observe the efficacy.

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
30

participants targeted

Target at P25-P50 for phase_1

Timeline
Completed

Started May 2018

Typical duration for phase_1

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

First Submitted

Initial submission to the registry

May 7, 2018

Completed
10 days until next milestone

First Posted

Study publicly available on registry

May 17, 2018

Completed
5 days until next milestone

Study Start

First participant enrolled

May 22, 2018

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2020

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2020

Completed
Last Updated

July 16, 2018

Status Verified

May 1, 2018

Enrollment Period

1.9 years

First QC Date

May 7, 2018

Last Update Submit

July 13, 2018

Conditions

Keywords

CAR-T

Outcome Measures

Primary Outcomes (1)

  • Occurrence of study related adverse events

    \>= Grade 3 signs/symptoms,laboratory toxicities,and clinical events that are possibly,likely,or definitely related to study treatment Adverse events assessed according to NCI-CTCAE v4.0 criteria 2.

    2 years

Secondary Outcomes (1)

  • Overall response rate

    2 years

Study Arms (1)

IM19 CAR-T cells

EXPERIMENTAL

3\*10\^5/kg,1\*10\^6/kg,3\*10\^6/kg IM19 CAR-T cell.Two days before cell infusion, all patients will be treated with fludarabine and Cyclophosphamide for 3 days

Biological: IM19Drug: FludarabineDrug: Cyclophosphamide

Interventions

IM19BIOLOGICAL

CAR-T cells

IM19 CAR-T cells

Two days before cell infusion, all patients will be treated with fludarabine for 3 days

IM19 CAR-T cells

Two days before cell infusion, all patients will be treated with Cyclophosphamide for 3 days

IM19 CAR-T cells

Eligibility Criteria

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

You may qualify if:

  • Relapsed or refractory CD19-positive non-Hodgkin lymphoma (NHL) patients. 1 Diffuse large B lymphoma (DLBCL), follicular lymphoma (FL), primary mediastinal B-cell lymphoma (PMBCL) patients meet one of the following conditions: I Patients who have relapsed or are refractory after at least 2 previous treatments; II Patients who have relapsed after transplantation. 2 Patients with relapsed or refractory mantle cell lymphoma after at least one treatment.
  • Patients must have evaluable disease evidence;
  • Age ≥ 18 years old;
  • The expected life span is more than 3 months;
  • ECOG score 0-2 points (see Attachment 2);
  • Women of childbearing age have a negative blood pregnancy test before the start of the trial and agree to have effective contraceptive measures during the trial until the last follow-up;
  • Those who voluntarily participate in the trial and sign the informed consent.

You may not qualify if:

  • Patients with high-risk organ involvement: tumors invade one of the central nervous system, gastrointestinal tract, lungs, pericardium, and large vessels;
  • Those who have a graft-versus-host response and need to use immunosuppressive drugs; or who have a disease of the autoimmune system;
  • Use chemotherapy or radiotherapy within 3 days before the blood collection period;
  • Those who have used systemic steroids within the 5 days prior to the blood sampling period (except recently or currently using inhaled steroids);
  • Use stimulating bone marrow hematopoietic cells to produce drugs (whitening needles, etc.) within 5 days before the blood collection period;
  • Those who have previously used any gene therapy products;
  • History of epilepsy or other diseases of the central nervous system;
  • New York Heart Association (NYHA) class III or above (see Annex 3);
  • creatinine\> 1.5 times the upper limit of normal or ALT / AST\> 3 times the upper limit of normal or bilirubin\> 2 times the normal upper limit;
  • active Hepatitis B or Hepatitis C virus, HIV or other untreated active infections;
  • pregnant or lactating women;
  • suffer from other uncontrolled diseases that the researcher considers inappropriate;
  • Any condition that the investigator believes may increase the subject's risk or interfere with the test results.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Beijing Cancer Hospital

Beijing, Beijing Municipality, China

RECRUITING

Related Publications (2)

  • Ernst M, Oeser A, Besiroglu B, Caro-Valenzuela J, Abd El Aziz M, Monsef I, Borchmann P, Estcourt LJ, Skoetz N, Goldkuhle M. Chimeric antigen receptor (CAR) T-cell therapy for people with relapsed or refractory diffuse large B-cell lymphoma. Cochrane Database Syst Rev. 2021 Sep 13;9(9):CD013365. doi: 10.1002/14651858.CD013365.pub2.

  • Ying Z, He T, Wang X, Zheng W, Lin N, Tu M, Xie Y, Ping L, Zhang C, Liu W, Deng L, Wu M, Feng F, Leng X, Du T, Qi F, Hu X, Ding Y, Lu XA, Song Y, Zhu J. Distribution of chimeric antigen receptor-modified T cells against CD19 in B-cell malignancies. BMC Cancer. 2021 Feb 25;21(1):198. doi: 10.1186/s12885-021-07934-1.

MeSH Terms

Conditions

Lymphoma, Non-Hodgkin

Interventions

fludarabineCyclophosphamide

Condition Hierarchy (Ancestors)

LymphomaNeoplasms by Histologic TypeNeoplasmsLymphoproliferative DisordersLymphatic DiseasesHemic and Lymphatic DiseasesImmunoproliferative DisordersImmune System Diseases

Intervention Hierarchy (Ancestors)

Phosphoramide MustardsNitrogen Mustard CompoundsMustard CompoundsHydrocarbons, HalogenatedHydrocarbonsOrganic ChemicalsPhosphoramidesOrganophosphorus Compounds

Central Study Contacts

Study Design

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

Study Record Dates

First Submitted

May 7, 2018

First Posted

May 17, 2018

Study Start

May 22, 2018

Primary Completion

April 1, 2020

Study Completion

May 1, 2020

Last Updated

July 16, 2018

Record last verified: 2018-05

Data Sharing

IPD Sharing
Will not share

Locations