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This is an open label, phase I study to assess the safety and efficacy of CLL1 CAR-T in patients with relapsed and refractory acute myeloid leukemia
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment group | Experimental | Dose Escalation:After enrollment ,Participants complete the PBMC apheresis,then complete the Lymphocyte clearance,and then receive the dose climning test: 3×10e6/kg,6 ×10e6/kg,9×10e6/kg. Dose Expansion:Participants receive a single dose (at the MTD determined). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CLL1 CAR-T | Drug | A single infusion of autologous CLL1 CAR-T cells administered intravenously |
|
| Measure | Description | Time Frame |
|---|---|---|
| Evaluation of Safety | Count the Incidence of adverse events | Up to 2 years after CLL1 CAR-T infusion |
| Changes in cytokine level after CLL1 CAR-T infusion | Calculate the change of cytokine level in peripheral blood by flow cytometry after CLL1 CAR-T infusion. Cytokines include IL-2、IL-6、IL-10、IFN-γ. | Up to 2 years after CLL1 CAR-T infusion |
| Measure | Description | Time Frame |
|---|---|---|
| Complete response rate(CRR) | Proportion of subjects who achieved morphological complete response (CR) and complete response with hematologic incomplete recovery (CRi) | Up to 2 years after CLL1 CAR-T infusion |
| Partial response Rate (PRR) |
| Measure | Description | Time Frame |
|---|---|---|
| Overall survival | Death from any cause from the beginning of cell transfusion | Up to 2 years after CLL1 CAR-T infusion |
| Recurrence free survival (RFS) | From remission to relapse or death of the subject (including all causes), whether the subject relapsed or died is unknown until the date of the last follow-up examination. |
Inclusion Criteria:
All subjects must sign and date the Informed Consent before initiating any study specific procedures or activities;
Diagnosed as relapse/refractory (r/r) de novo or secondary acute myeloid leukemia (AML);
The expression of CLL1 in AML blast is positive ;
The patient has recovered from the toxicity of previous treatment;
ECOG score ≤ 2 and expected survival period is not less than 3 months;
Adequate organ function defined as:
AST ≤3×ULN; ALT ≤3×ULN; Total bilirubin ≤1.5×ULN; Serum creatinine ≤1.5×ULN, or CCR≥60 mL/min; Hemoglobin ≥60g/L ; Indoor oxygen saturation ≥92%; LVEF≥45%;
Pregnancy testing: females of childbearing potential must have a negative serum or urine pregnancy test;
From the use of study drug to 2 years after treatment, males and female of childbearing potential must agree to use an effective method of contraception
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mingming Zhang, MD | Contact | 13656674208 | mingmingzhang@zju.edu.cn |
| Name | Affiliation | Role |
|---|---|---|
| He Huang, MD | First Affiliated Hospital of Zhejiang University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Affiliated Hospital, Zhejiang University | Hangzhou | China |
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Proportion of subjects who achieved a partial response (PR)
| Up to 2 years after CLL1 CAR-T infusion |
| Overall response Rate(ORR) | Proportion of subjects who achieved CR, CRi, or PR | Up to 2 years after CLL1 CAR-T infusion |
| Up to 2 years after CLL1 CAR-T infusion |
| Event-free survival (EFS) | Counting from the beginning of cell transfusion until treatment failure, recurrence, or death (various causes). Subjects without any of these events were counted up to the last follow-up examination date. For patients without CR or CRi, EFS is calculated from the beginning of cell transfusion until disease progression or death. Based on the initial event. | Up to 2 years after CLL1 CAR-T infusion |
| MRD negative rate | The rate of MRD negative subjects was determined by flow cytometry. | Up to 2 years after CLL1 CAR-T infusion |
| Median BM Reduction | Changes of bone marrow primitive cells after cell transfusion from baseline. | Up to 2 years after CLL1 CAR-T infusion |
| Percentage of subjects disengaged from transfusion | Percentage of baseline transfusion-dependent subjects who were discharged from transfusion after cell transfusion. | Up to 2 years after CLL1 CAR-T infusion |