BCMA and CD19 Targeted Fast Dual CAR-T for BCMA+ Refractory/Relapsed Multiple Myeloma
Exploratory Study to Evaluate Efficacy and Safety of GC012F Injection in BCMA+ Refractory/Relapsed Multiple Myeloma
1 other identifier
interventional
15
1 country
1
Brief Summary
This is a single arm, open-label, multi-center prospective study to determine the safety and efficacy of GC012F CAR-T cells in patients diagnosed with BCMA+ refractory/relapsed multiple myeloma (r/r MM).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for early_phase_1 multiple-myeloma
Started Jan 2020
Typical duration for early_phase_1 multiple-myeloma
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
First Submitted
Initial submission to the registry
January 15, 2020
CompletedStudy Start
First participant enrolled
January 16, 2020
CompletedFirst Posted
Study publicly available on registry
January 22, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 31, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2022
CompletedJune 15, 2021
June 1, 2021
2.5 years
January 15, 2020
June 13, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Incidence and severity of adverse events after GC012F infusion
up to 24 weeks after GC012F infusion
Secondary Outcomes (9)
Percentage of MRD negative patients after GC012F treatment
12 weeks, 24 weeks after GC012F infusion
ORR (PR, VGPR, CR and sCR) of patients receive GC012F treatment
12 weeks, 24 weeks after GC012F infusion
Progression free survival after GC012F treatment
12 weeks, 24 weeks after GC012F infusion
Copies and cell counts of CAR in blood and bone marrow (if available) after GC012F treatment
Days 4, 7, 10, 14 and weeks 4, 8, 12, 18, 24 after GC012F infusion
Cytokines in serum after GC012F treatment
Days 4, 7, 10, 14 and weeks 4, 8, 12, 18, 24 after GC012F infusion
- +4 more secondary outcomes
Study Arms (1)
GC012F treatment
EXPERIMENTALBCMA+ R/R multiple myeloma patients be treated with a single dose of GC012F cells. Total dose of (1-5)\*10E5/kg cells will be administered at Day 0.
Interventions
GC012F injection is a autologous dual CAR-T targeted BCMA and CD19. A single infusion of CART cells will be administered intravenously.
Eligibility Criteria
You may qualify if:
- Patients must have a confirmed prior diagnosis of active multiple myeloma as defined by the updated IMWG criteria;
- Diagnosis of MM with relapsed or refractory disease. Definition of Refractory/relapse:
- Have had at least 3 prior lines of therapy or primary refractory as defined by Consensus recommendations for the uniform reporting of clinical trials: report of the International Myeloma Workshop Consensus Panel 1. Prior therapy should include PI and IMiD. Note: Patients should undergone at least have at least complete 1 cycle treatment in each line. Induction with or without hematopoietic stem cell transplant followed by maintenance therapy is considered a single line of therapy.
- Have had at least 2 prior lines of therapy when refractory to both immunomodulatory drug (IMiD) and proteasome inhibitor(PI) (Refractory was defined by IMWG consensus criteria);
- Estimated life expectancy ≥3 months;
- Hemoglobin ≥ 8.0 g/dL;
- Absolute neutrophil count ≥ 0.75\*10E9/L;
- Platelet count ≥ 50\*10E9/L;
- Absolute lymphocyte count ≥ 1\*10E8/L;
- Liver, kidney and cardiopulmonary functions meet the following requirements: a)Total bilirubin ≤ 2×ULN(except for Gilbert Syndrome); ALT and/or AST ≤3 × ULN; b)clearance of serum creatinine ≥ 40 mL/min, calculated by Cockcroft-Gault; c)Corrected serum calcium ≤ 12.5mg/dL or free ion calcium ≤ 6.5mg/dL(1.6mmol/L);
- Sufficient venous access for leukapheresis collection, and no other contraindications to leukapheresis;
- Subjects and sexual partner with fertility are willing to use effective and reliable method of contraception for at least 100 days after CART cell infusion;
- Subjects must have signed written, informed consent.
You may not qualify if:
- Accompanied by other uncontrolled malignancies.There are two exceptions to this criterion: Recepted radical therapy carcinoma without activity within 3 years before screening; and fully treated skin non-melanoma;
- Any situations not benefit for subjects to accept or tolerated to planned therapy or understand informed consent; or any situation in which investigators believe that participation in this study is not in the subject's best interests (e.g., harm to health), or any situation that may prevent, limit or confuse the assessment;
- Convulsion or stoke within past 6 months;
- Any instability of systemic disease within 6 months prior to screening, including but not limited to congestive heart failure (New York heart association (NYHA) classification ≥ III), unstable angina, cerebrovascular accident, or transient cerebral ischemic, myocardial infarction,LEVF\< 45% (assessed by an echocardiogram or multi-door circuit scan );
- Patients have central nervous system (CNS) metastases or CNS involvement (including cranial neuropathies or mass lesions and leptomeningeal disease);
- Subjects with positive HBsAg or HBcAb postive and peripheral blood HBV DNA titer is higher than the lower limit of detection of the research institution; HCV antibody positive; HIV antibody positive; syphilis primary screening antibody positive;
- Presence or suspicion of fungi, bacteria, viruses or other infections that are uncontrollable or requiring intravenous treatment;
- Activity of autoimmune diseases (such as crohn's disease, rheumatoid arthritis, systemic lupus erythematosus), orhistory of autoimmune disease within the last 3 years;
- Clinical evidence of dementia or changes of mental state.
- Exist of pulmonary fibrosis;
- Allergy subjects or history of severe hypersensitivity;
- Oxygen inhalation requirment to maintain adequate oxygen saturation;
- Surgery (except for local anesthesia surgery) plan 2 weeks before apheresis. during or 2 weeks after CART infusion;
- Chemotherapy forbidden for cyclophosphamide or fludarabine;
- Pregnant or lactating, or planning to have a pregnancy during or within 100 days after treatment;
- +1 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Shanghai Changzheng Hospital
Shanghai, Shanghai Municipality, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- early phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Director of Hematology Department
Study Record Dates
First Submitted
January 15, 2020
First Posted
January 22, 2020
Study Start
January 16, 2020
Primary Completion
July 31, 2022
Study Completion
December 31, 2022
Last Updated
June 15, 2021
Record last verified: 2021-06