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To study the safety and effectiveness of HLA haploidentical CAR-NK cells targeting CD19 in patients with B-cell non-Hodgkin's lymphoma
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CAR-NK019 | Experimental | All subjects were intravenously administrated with CAR-NK019 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| anti-CD19 CAR-NK | Biological | lentiviral vector-transducted HLA haploidentical NK cells to express anti-CD19 CAR |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of dose limiting toxicity (DLTs) | To evaluate the safety, tolerability, and determine the recommended dosage of Anti-CD19 CAR-NK Cell Therapy for B-cell Non-Hodgkin Lymphoma | Up to 28 days |
| The overall response rate(ORR) | To determine the anti-tumor effectivity of CAR-NK019 | Up to 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Overall survival (OS) | To determine the anti-tumor effectivity of CAR-NK019 | Up to 2 years |
| progression free survival (PFS) | To determine the anti-tumor effectivity of CAR-NK019 |
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Inclusion Criteria:
Volunteer to participate in this study and sign an informed consent form;
Age 18-75 years old, no gender limit;
Histologically diagnosed as diffuse large B-cell lymphoma (DLBCL), transforming follicular lymphoma (TFL), primary mediastinal B-cell lymphoma (PMBCL), mantle cell lymphoma (MCL) and other inert B-cells NHL conversion type:
At least one measurable lesion with the longest diameter ≥ 1.5 cm exists;
The expected survival period is ≥12 weeks;
The puncture section of the tumor tissue was positive for CD19 expression;
ECOG score 0-2 points;
Sufficient organ function reserve:
Allow a previous stem cell transplantation
The approved anti-B-cell lymphoma treatments, such as systemic chemotherapy, systemic radiotherapy, and immunotherapy, have been completed for at least 3 weeks before the study medication;
Allow patients who have previously received CAR-T cell therapy and have failed or relapsed after 3 months of evaluation;
Female subjects of childbearing age must have a negative pregnancy test and agree to take effective contraceptive measures during the trial
Two tests for the new coronavirus were negative.
Exclusion Criteria:
Those who have a history of allergies to any of the ingredients in cell products;
History of other tumors
Previously presented with II-IV degree (Glucksberg criteria) acute GvHD or extensive chronic GvHD; or are receiving anti-GvHD treatment;
Have received gene therapy in the past 3 months;
Active infections that require treatment (except for simple urinary tract infections and bacterial pharyngitis), but preventive antibiotics, antiviral and antifungal infection treatments are allowed;
Hepatitis B (HBsAg positive, but HBV-DNA <103 is not an exclusion criterion) or hepatitis C virus infection (including virus carriers), syphilis and other subjects with acquired and congenital immunodeficiency diseases, including But not limited to people living with HIV;
According to the New York Heart Association's Heart Function Classification Standard, it is classified as Grade III or Grade IV.
Impaired subjects;
Those who have received anti-tumor therapy in the early stage but the toxic reaction has not recovered (the CTCAE 5.0 toxic reaction has not recovered to ≤1, except for fatigue, anorexia, and hair loss);
Subjects with a history of epilepsy or other central nervous system diseases;
Enhanced CT or MRI of the head showed evidence of central nervous system lymphoma;
Have received any other drugs that target CD19;
Women who are breastfeeding and unwilling to stop breastfeeding;
Any other situation that the investigator believes may increase the risk of the subject or interfere with the results of the test.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Wenbin Qian | Contact | +8613605801032 | qianwb@zju.edu.cn |
| Name | Affiliation | Role |
|---|---|---|
| Wenbin Qian | 2nd Affiliated Hospital, School of Medicine, Zhejiang University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| 2nd Affiliated Hospital, School of Medicine, Zhejiang University | Recruiting | Hangzhou | Zhejiang | 310009 | China |
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| ID | Term |
|---|---|
| D016393 | Lymphoma, B-Cell |
| ID | Term |
|---|---|
| D008228 | Lymphoma, Non-Hodgkin |
| D008223 | Lymphoma |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
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| Up to 2 years |
| Pharmacokinetics of CAR positive cells | The copy number of CAR DNA was measured at the preset follow-up time point. | Up to 2 years |
| Pharmacokinetics of CAR-NK cells | The duration of CAR-positive NK cells in circulation was measured by FACs | Up to 2 years |
| D008232 |
| Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |