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NCT Number: NCT04609241

CD79b CAR-T Cell Therapy for Patients With Relapsed and/or Refractory Acute Lymphoblastic Leukemia and B-cell Non-Hodgkin's Lymphoma

A study of CD79b CAR-T Cell Therapy for Patients With Relapsed and/or Refractory Acute Lymphoblastic Leukemia and B-cell Non-Hodgkin's Lymphoma

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Key information

Sex eligibility

All sexes

Study type

Interventional

Phase

Early Phase 1

Primary location

The First Affiliated Hospital, College of Medicine, Zhejiang University

Hangzhou, Zhejiang, China

Location contact

He Huang, PhD

CONTACT

About this study

This is a single arm, open-label, single-center study. This study is indicated for relapsed or refractory Relapsed and/or Refractory Acute Lymphoblastic Leukemia and B-cell Non-Hodgkin's Lymphoma. The selections of dose levels and the number of subjects are based on clinical trials of similar foreign products. 72 patients will be enrolled. Primary objective is to explore the safety, main consideration is dose-related safety.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Only For B-ALL
  • No gender or age limit
  • Histologically confirmed diagnosis of CD69b+ B-ALL per the US National Comprehensive Cancer Network (NCCN) Clinical Practice Guidelines for Acute Myeloid Leukemia (2016.v1);
  • Relapsed or refractory CD123+ AML (meeting one of the following conditions):
  • CR not achieved after standardized chemotherapy;
  • CR achieved following the first induction, but CR duration is less than 12 months;
  • Ineffectively after first or multiple remedial treatments;
  • 2 or more relapses;
  • The number of primordial cells in bone marrow is > 5% (by morphology), and/or > 0.01% (by flowcytometry);
  • Philadelphia chromosome negative(Ph-) subjects; Ph+ subjects who cannot tolerate tyrosine kinase inhibitor (TKI) treatment or who do not respond to two kinds of TKI treatment;
  • Only For B-NHL
  • No gender or age limit;
  • Histologically confirmed diagnosis of DLBCL (NOS), FL, DLBCL transformed from CLL/SLL, PMBCL, and HGBCL per the WHO Classification Criteria for Lymphoma (2016);
  • Relapsed or refractory B-NHL (meeting one of the following conditions):

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  • No response or relapse after second-line or above chemotherapy regimens;
  • Primary drug resistance;
  • Relapse after auto-HSCT;
  • At least one assessable tumor lesion per Lugano 2014 criteria
  • For both B-ALL and B-NHL
  • Total bilirubin ≤ 51 umol/L, ALT and AST ≤ 3 times of upper limit ofnormal, creatinine ≤ 176.8 umol/L;
  • Echocardiogram shows left ventricular ejection fraction (LVEF) ≥50%;
  • No active infection in the lungs, blood oxygen saturation in indoorair is ≥ 92%;
  • Estimated survival time ≥ 3 months;
  • ECOG performance status 0 to 2;
  • Patients or their legal guardians volunteer to participate in the studyand sign the informed consent.

Exclusion criteria

  • 1. History of craniocerebral trauma, conscious disturbance,epilepsy,cerebrovascular ischemia, and cerebrovascular, hemorrhagicdiseases; 2. Electrocardiogram shows prolonged QT interval, severe heart diseasessuch as severe arrhythmia in the past; 3. Pregnant (or lactating) women; 4. Patients with severe active infections (excluding simple urinarytractinfectionand bacterial pharyngitis); 5. Active infection of hepatitis B virus or hepatitis C virus; 6. Previously treated with any CAR-T cell product or other genetically modified T cell therapies; 7. Insufficient amplification capacity in response to CD3 / CD28 co-stimulus signal (<5 times) 8. Creatinine>2.5mg/dl, or ALT / AST > 3 times of normal amounts, or bilirubin>2.0 mg/dl; 9. Other uncontrolled diseases that were not suitable for this trial; 10. Patients with HIV infection; 11. Any situations that the investigator believes may increase the risk ofpatients or interfere with the results of study.

Treatment and study plan

CD79b CAR-T Cells

Drug

Each subject receive CD79b CAR-Tcells by intravenous infusion

Primary outcomes

  1. Dose-limiting toxicity (DLT)

    Time frame: Baseline up to 28 days after CD79b targeted CAR T-cells infusion

    Adverse events assessed according to NCI-CTCAE v5.0 criteria

  2. Incidence of treatment-emergent adverse events (TEAEs)

    Time frame: Up to 2 years after CD79b targeted CAR T-cells infusion

    Incidence of treatment-emergent adverse events [Safety and Tolerability]

Secondary outcomes

  1. Acute Lymphoblastic Leukemia (ALL), Overall response rate (ORR)

    Time frame: At Month 1, 3, 6, 12, 18 and 24

    Assessment of ORR (ORR = CR + CRi) at Month 6, 12, 18 and 24

  2. ALL, Overall survival(OS)

    Time frame: Up to 2 years after CD79b CAR-T cells infusion

    From the first infusion of CD79b CAR-T cells to death or the last visit

  3. ALL, Event-free survival (EFS)

    Time frame: Up to 2 years after CD79b CAR-T cells infusion

    From the first infusion of CD79b CAR-T cells to the occurrence of any event, including death, relapse or generelapse, disease progression (any one occurs first), and the last visit

  4. B-cell Non-Hodgkin's Lymphoma(B-NHL), Overall response rate (ORR)

    Time frame: At Month 1, 3, 6, 12, 18 and 24

    Assessment of ORR (ORR = CR + CRi) at Month 6, 12, 18 and 24

  5. B-NHL, Overall survival(OS)

    Time frame: Up to 2 years after CD79b CAR-T cells infusion

    From the first infusion of CD79b CAR-T cells to death or the last visit

  6. B-NHL, Event-free survival (EFS)

    Time frame: Up to 2 years after CD79b CAR-T cells infusion

    From the first infusion of CD79b CAR-T cells to the occurrence of any event, including death, relapse or generelapse, disease progression (any one occurs first), and the last visit

  7. Quality of life(EORTC QLQ-C30) Core 30 (EORTC QLQ-C30)

    Time frame: At Baseline, Month 1, 3, 6, 9 and 12

    Assessment using European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) scale [For item1-28: max score: 112, min score: 28, higher scores mean a better outcome; for item 28-29: max score: 14, min score: 2, higher scores mean a worse outcome] to measure Quality of life at Baseline, Month 1, 3, 6, 9 and 12

  8. Activities of Daily Living (ADL) score

    Time frame: At Baseline, Month 1, 3, 6, 9 and 12

    Assessment using Activities of Daily Living (ADL) scale (Barthel Index) [max score: 100, min score: 0, higher scores mean a better outcome] at Baseline, Month 1, 3, 6, 9 and 12

  9. Instrumental Activities of Daily Living (IADL) score

    Time frame: At Baseline, Month 1, 3, 6, 9 and 12

    Assessment of Instrumental Activities of Daily Living (IADL) scale [max score: 56, min score: 14, higher scores mean a worse outcome] at Baseline, Month 1, 3, 6, 9 and 12

  10. Hospital Anxiety and Depression Scale (HADS) score

    Time frame: At Baseline, Month 1, 3, 6, 9 and 12

    Assessment using Hospital Anxiety and Depression Scale (HADS) [max score: 42, min score: 0, higher scores mean a worse outcome] at Baseline, Month 1, 3, 6, 9 and 12

Study contacts

Contact information is provided by the study sponsor or research team.

He Huang, PhD

CONTACT

[email protected]

86-13605714822

Yongxian Hu, PhD

CONTACT

[email protected]

86-15957162012

Sponsors and collaborators

Lead sponsor

Zhejiang University

Other

Collaborators

  • Yake Biotechnology Ltd.

Registry information

Official study title

Clinical Trial for the Safety and Efficacy of Murine CD79b CAR-T Therapy for Patients With Relapsed and/or Refractory B-cell Acute Lymphoblastic Leukemia and B-cell Non-Hodgkin's Lymphoma

Important dates

Study start
2020
Primary completion
2023
Study completion
2026
First posted
Oct 30, 2020
Registry last updated
Oct 30, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.