Clinical Study of the Safety and Efficacy of the R/R B-NHL Regimen With BTK Inhibitor+Anti-CD19 CAR-T Cells
Prospective, Multicenter, Open, One-arm Clinical Study of the Safety and Efficacy of the R/R B-NHL Regimen With BTK Inhibitor+Anti-CD19 CAR-T Cells
1 other identifier
interventional
30
1 country
1
Brief Summary
To evaluate the ORR (CR+PR) of R/R B-NHL subjects treated with BTKi+Anti-CD19 CAR T cells.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Jan 2023
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
January 1, 2023
CompletedFirst Submitted
Initial submission to the registry
February 14, 2023
CompletedFirst Posted
Study publicly available on registry
February 24, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2025
CompletedFebruary 24, 2023
February 1, 2023
2 years
February 14, 2023
February 23, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
objective response rate
CR+PR
From 1 month to 1 year.
Secondary Outcomes (3)
Percentage of complete response
From 1 month to 1 year.
Progression-free survival
From 1 month to 1 year.
Duration of response
From 1 month to 1 year.
Study Arms (1)
CAR-T Cell Infusion
EXPERIMENTALAfter FC regimen (fludarabine (25mg/m2/d) on days -5 to -3 and cyclophosphamide (750mg/m2) on days -5) were pretreated, Anti-CD19 CAR T cells were transfused on day 0. The dose was determined by the investigator according to the subjects' own disease conditions and in vitro preparation. Intravenous drip/push at a constant rate for 30 minutes; Ibrutinib, a BTK inhibitor, was enrolled with a standard dose of 560mg qd.
Interventions
After FC regimen (fludarabine (25mg/m2/d) on days -5 to -3 and cyclophosphamide (750mg/m2) on days -5) were pretreated, Anti-CD19 CAR T cells were transfused on day 0. The dose was determined by the investigator according to the subjects' own disease conditions and in vitro preparation. Intravenous drip/push at a constant rate for 30 minutes; Ibrutinib, a BTK inhibitor, was enrolled with a standard dose of 560mg qd.
Eligibility Criteria
You may qualify if:
- Patients or their legal guardians voluntarily participate and sign the informed consent;
- Male or female patients aged 18-70 years old;
- CD19+ B-NHL was confirmed by pathology and histology, and the patient had no effective treatment options at present, such as chemotherapy or hematopoietic stem cell transplantation after recurrence; Or patients voluntarily chose BTKi+Anti-CD19 CAR T as salvage therapy;
- Subjects showed residual lesions after major treatment and were not suitable for HSCT; Relapse occurs after CR and is not suitable for HSCT; Patients with high risk factors; Relapse or no remission after hematopoietic stem cell transplantation or cellular immunotherapy;
- Have measurable or evaluable lesions;
- The patient's main tissues and organs function well;
- The patient's peripheral shallow venous blood flow is smooth, which can meet the needs of intravenous drip.
- Patients with ECOG score ≤2, estimated survival time ≥3 months, age ≥ 12 years, ≤ 75 years.
You may not qualify if:
- Women who are pregnant (urine/blood pregnancy test is positive) or breastfeeding;
- Men or women who have planned to get pregnant within the last 1 year;
- The patients were not guaranteed to take effective contraceptive measures (condom or contraceptive, etc.) within 1 year after enrollment;
- Patients had uncontrollable infectious diseases within 4 weeks prior to enrollment;
- Active hepatitis B/C virus;
- HIV-infected patients;
- Suffering from a serious autoimmune disease or immunodeficiency disease;
- The patient is allergic to antibodies, cytokines and other macromolecular biological drugs;
- The patient had participated in other clinical trials within 6 weeks prior to enrollment;
- Systemic use of hormones within 4 weeks prior to enrollment (except for inhaled hormones);
- Suffering from mental illness;
- The patient has substance abuse/addiction;
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
The Affiliated Hospital of Xuzhou Medical University
Xuzhou, Jiangsu, 221002, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 14, 2023
First Posted
February 24, 2023
Study Start
January 1, 2023
Primary Completion
January 1, 2025
Study Completion
January 1, 2025
Last Updated
February 24, 2023
Record last verified: 2023-02
Data Sharing
- IPD Sharing
- Will not share