Study of CT071 Injection in RRMM or PPCL

NCT05838131 | Active Not Recruiting Early Phase 1

• 1 other identifier: CT071-CG7001
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

A Clinical Trial to Explore the Safety and Efficacy of CT071 injection in Patients with Relapsed/Refractory Multiple Myeloma or Primary Plasma Cell Leukemia

Conditions

Multiple Myeloma; Primary Plasma Cell Leukemia

Keywords

multiple myeloma; primary plasma cell leukemia; CAR-T

Outcome Measures

Primary Outcomes (3)

• DLT after CT071 infusion

  Evaluate DLT and adverse events after CT071 infusion

  Assessed from the date of first dose of study treatment until 21~28 days

• AE of Neurotoxicity and cytokine release syndrome after CT071 infusion

  Cytokine release syndrome（CRS）should be evaluated according to the American Society for Transplantation and Cellular Therapy (ASTCT) consensus grading，higher scores mean a worse outcome.

  From first dose of study drug adminisration to end of treatment (up to 12 months)

• Adverse Events (AE) after CT071 infusion

  An assessment of severity grade will be made according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), with the exception of cytokine release syndrome (CRS), and immune effector cellassociated neurotoxicity syndrome (ICANS).

  From first dose of study drug administration to end of treatment (up to 12 months)

Secondary Outcomes (10)

• Level of CAR-T Cell Expansion (proliferation), and Persistence

  From first dose of study drug administration to 26 weeks

• Cytokines in the peripheral blood after CT071 infusion

  From first dose of study drug administration to 4 weeks

• Preliminary evaluation of immunogenicity

  From first dose of study drug administration to end of treatment (up to 12 months)

• Overall response rate (ORR) as measured by International Myeloma Working Group (IMWG) criteria after CT071 infusion

  From first dose of study drug administration to end of treatment (up to 12 months)

• Rate of very good partial response (VGPR) and above, complete response/stringent complete response (CR/sCR);

  From first dose of study drug administration to end of treatment (up to 12 months)

Study Arms (1)

CAR-T cells Infusion

EXPERIMENTAL

Biological: CART cells chimeric antigen receptor T cells

Drug: Experimental: CAR-T cells Infusion

Interventions

Experimental: CAR-T cells Infusion DRUG

Biological: chimeric antigen receptor T cells

Also known as: Single Group Assignment

CAR-T cells Infusion

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Volunteer to participate in the clinical trial; fully understand and are informed of this trial and sign the informed consent form; Willing to follow and able to complete all trial procedures;
• Age ≥ 18 years, male or female;
• Patients with multiple myeloma who have received at least three lines therapy for multiple myeloma (requires relapse, progression, non-response after treatment with at least 1 proteasome inhibitor and at least 1 immunomodulator.
• Patients with primary plasma cell leukemia progressed after treatment with at least 1 regimen;
• Progressive disease at the time of enrollment according to the IMWG consensus for myeloma or plasma cell leukemia;
• Have any of the following evaluable conditions:
• Serum M-protein ≥ 5 g/L;
• hour urine M-protein ≥ 200 mg;
• Abnormal serum free light chain (sFLC) ratio and affected FLC ≥ 100 mg/L in subjects with multiple myeloma who did not meet evaluable criteria for either serum or urine M-protein levels;
• Circulating plasma cells ≥ 5% (PCL subjects only);
• Estimated survival \> 12 weeks;
• Eastern Cooperative Oncology Group (ECOG) score 0-2;
• Subjects had adequate organ function.
• Female subjects of childbearing potential must have a negative serum pregnancy test at screening, be willing to use a highly effective and reliable method of contraception within 1 year after receiving the trial treatment, and absolutely prohibit egg donation during the trial and within 1 year after receiving the trial treatment;
• Male subjects, if sexually active with a female of childbearing potential, are willing to use a highly effective and reliable method of contraception for 1 year after receiving trial treatment. All male subjects are absolutely prohibited from donating sperm during the trial and for 1 year after receiving the trial treatment.

You may not qualify if:

• Pregnant or lactating females;
• Patients with a history of neurological disease, such as epilepsy, intracranial hemorrhage, paralysis, aphasia, stroke, severe brain injury, dementia, Parkinson's disease, cerebellar disease, memory impairment, spinal cord compression, psychiatric disease or any disease involving the central nervous system, or suspected central nervous system (CNS) metastasis;
• Patients with other incurable malignant tumors within 5 years or at the same time, except for those with very low degree of malignancy;
• Patients with active autoimmune diseases, including but not limited to psoriasis, rheumatoid arthritis, inflammatory bowel disease and other patients requiring long-term immunosuppressive therapy;
• Received allogeneic stem cell transplantation within two years prior to screening;
• Received autologous stem cell transplantation within 12 weeks prior to screening, or plan to receive autologous stem cell transplantation during the trial;
• Any uncontrolled disease or disorder with important clinical significance investigator considered not applicable for the study;
• Patients who had any uncontrolled active infection (defined as the presence of persistent signs or symptoms associated with infection that did not improve despite appropriate antiinfective treatment) or who required intravenous antiinfective agents (except for prophylactic treatment) within 4 weeks before apheresis. If there is clinical indications, investigators should consider screening EBV, CMV, and other related pathogenic microorganisms;
• Major surgery within 2 weeks prior to screening, or planning to undergo major surgery within 4 weeks after trial treatment (excluding cataract and other surgery under local anesthesia);
• Received treatment for the disease under study within 2 weeks prior to apheresis(or within five half-lives of the drug, whichever is shorter), including but not limited to cytotoxic therapy, proteasome inhibitors, immunomodulators, targeted therapy, radiotherapy, epigenetic therapy, etc.; Received anti-PD-1/PD-L1 monoclonal antibody or other investigational drug/invasive medical device within 4 weeksprior to apheresis;
• Vaccination with live attenuated vaccine or mRNA vaccine within 8 weeks and inactivated vaccine within 4 weeks before screening;
• Patients who are allergic or intolerant to CLD drugs, tocilizumab, or allergic to the ingredients of CT071 cell infusion preparation (DMSO); Or previous history of other severe allergies, such as anaphylactic shock;
• Positive test results for any of the following: human immunodeficiency virus (HIV) antibody, Treponema pallidum antibody, hepatitis C virus (HCV) RNA, hepatitis B virus (HBV) surface antigen (HBsAg), HBV DNA;
• The toxicities caused by the previous treatment have not recovered to Common Terminology Criteria for Adverse Events (CTCAE) ≤ Grade 1, except for alopecia and other tolerable events as judged by the investigator;
• Left ventricular ejection fraction (LVEF) \< 50%;

Sponsors & Collaborators

• Shanghai Changzheng Hospital: lead
• CARsgen Therapeutics Co., Ltd.: collaborator

Study Sites (1)

Shanghai Changzheng Hospital

Shanghai, China

Location

Related Publications (1)

• Jin L, Gu S, Ruan Q, Lu J, Qiang W, He H, Fan X, Liu J, Guo P, Meng X, Rajakumaraswamy N, Chen D, Li Z, Du J. GPRC5D-targeted CAR T-cell therapy (CT071) in patients with relapsed or refractory multiple myeloma: a first-in-human, single-centre, single-arm, phase 1 trial. Lancet Haematol. 2025 Oct;12(10):e798-e807. doi: 10.1016/S2352-3026(25)00176-0.

  PMID: 41062204 DERIVED

MeSH Terms

Conditions

Multiple Myeloma

Condition Hierarchy (Ancestors)

Neoplasms, Plasma Cell; Neoplasms by Histologic Type; Neoplasms; Hemostatic Disorders; Vascular Diseases; Cardiovascular Diseases; Paraproteinemias; Blood Protein Disorders; Hematologic Diseases; Hemic and Lymphatic Diseases; Hemorrhagic Disorders; Lymphoproliferative Disorders; Immunoproliferative Disorders; Immune System Diseases

Study Officials

• Juan Du

  Shanghai Changzheng Hospital

  PRINCIPAL INVESTIGATOR

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: Chief physician, professor

Study Record Dates

• First Submitted: April 3, 2023
• First Posted: May 1, 2023
• Study Start: April 28, 2023
• Primary Completion: July 1, 2025
• Study Completion: July 1, 2025
• Last Updated: January 7, 2025

Record last verified: 2025-01

Locations

CN (1)