Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Second Affiliated Hospital of Nanchang University | OTHER |
Not provided
Not provided
Not provided
Not provided
This study is a open-label, dose-escalation trial to explore the safety, tolerability and pharmacokinetic/pharmacodynamics characteristics of Human CD19-CD22 Targeted T Cells by intravenous and intrathecal administration, and to preliminarily observe the efficacy of the trial drug in patients with central nervous system involvement of refractory/relapsed B cell malignancies.
Subjects with refractory/relapsed central nervous system involvement of B cell malignancies can participate if all eligibility criteria are met. Tests required to determine eligibility including disease assessments, a physical exam, Electrocardiograph, Computed tomography (CT) / Magnetic Resonance Imaging (MRI) / Positron Emission Tomography (PET), Cerebrospinal fluid exam and blood draws. Subjects will receive preconditioning chemotherapy prior to the infusion of Human CD19-CD22 Targeted T Cells Injection. After the infusion, subjects will be followed for adverse events, pharmacokinetic/pharmacodynamics characteristics, efficacy of Human CD19-CD22 Targeted T Cells Injection. Study procedures may be performed while hospitalized.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Human CD19-CD22 Targeted T Cells Injection | Experimental | Intravenous administration: 1.0×10^6 CAR+T cells/kg, 3.0×10^6 CAR+T cells/kg, 5.0×10^6 CAR+T cells/kg. Intrathecal administration: The initial dose is set at 1 × 10⁶ CAR+cells per patient. The decision to escalate the intrathecal dose and frequency is made based on the condition of the subjects. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Human CD19-CD22 Targeted T Cells Injection | Drug | Autologous genetically modified anti-CD19/CD22 CAR transduced T cells |
|
| Measure | Description | Time Frame |
|---|---|---|
| Dose limited toxicity (DLT) | Safety Indicators | 28 days post infusion |
| The occurrence rate of adverse events grade ≥ 3 assessed by NCI-CTCAE 5.0 | Safety Indicators | 28 days post infusion |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics parameters - the highest concentration of Human CD19-CD22 Targeted T Cells amplified in peripheral blood after reinfusion | Effectiveness Metrics | 2 years post infusion |
| Pharmacokinetics parameters - the time to reach the highest concentration of Human CD19-CD22 Targeted T Cells amplified in peripheral blood after reinfusion |
Not provided
Inclusion Criteria:Subjects must meet all of the following criteria to be enrolled:
B cell malignancies patients with CD19 or CD22 positive, or CD19 and CD22 positive,include B cell acute lymphoblastic leukemia relapsed with central nervous system invasion and refractory/relapsed B cell lymphoma of central nervous system;
18 to 70 years old (including cut-off value), Male and female;
Expected survival > 12 weeks;
ECOG score 0-2;
Definitive diagnosed as central nervous system of B cell malignancies by Cerebrospinal fluid and/or MRI, PET/CT or other imaging examinations;
The venous access required for collection can be established and leukapheresis can be carried according to the judgement of investigators;
Liver, kidney and cardiopulmonary functions meet the following requirements:
Able to understand and sign the Informed Consent Document.
Exclusion Criteria:Any one of the following conditions cannot be selected as a subject:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Qingming Wang, M.D. | Second Affiliated Hospital of Nanchang University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Second Affiliated Hospital of Nanchang University | Nanchang | Jiangxi | 330006 | China |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Effectiveness Metrics |
| 2 years post infusion |
| Pharmacokinetics parameters - the 28-day area under the curve of Human CD19-CD22 Targeted T Cells amplified in peripheral blood after reinfusion | Effectiveness Metrics | 2 years post infusion |
| The rate of CAR-T cells in cerebrospinal fluid | Effectiveness Metrics | 2 years post infusion |
| The duration of CAR-T cells in cerebrospinal fluid | Effectiveness Metrics | 2 years post infusion |
| Pharmacodynamics characteristics - the detection values of IL-6, IFN-γ, IL-15 cytokines in peripheral blood | Effectiveness Metrics | 2 years post infusion |
| Overall response rate (ORR) at 3 months after administration | Effectiveness Metrics | 3 months post infusion |
| Duration of remission (DOR) after administration | Effectiveness Metrics | 2 years post infusion |
| Overall Survival (OS) after administration | Effectiveness Metrics | 2 years post infusion |
| ID | Term |
|---|---|
| D008223 | Lymphoma |
| D012008 | Recurrence |
| ID | Term |
|---|---|
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
Not provided
Not provided