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| Name | Class |
|---|---|
| Shanghai Changzheng Hospital | OTHER |
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This study is a single-arm, open-label, dose-escalation trial to explore the safety, tolerability and pharmacokinetic/pharmacodynamics characteristics of human BCMA targeted CAR-NK Cells injection, and to preliminarily observe the efficacy of the trial drug in patients with relapsed/refractory multiple myeloma or plasma cell leukemia.
Subjects with relapsed/refractory multiple myeloma or plasma cell leukemia 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), liver/renal function tests, complete blood count with differential and complete metabolic profile and etc. Subjects will receive preconditioning chemotherapy prior to the first infusion of human BCMA targeted CAR-NK Cells injection. After the infusion, subjects will be followed for adverse events, pharmacokinetic/pharmacodynamics characteristics, efficacy of human BCMA targeted CAR-NK cells. Study procedures may be performed while hospitalized.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Human BCMA Targeted CAR-NK Cells Injection | Experimental | Two doses on Day 0 and Day 7. 1.5Ć10^8 CAR+NK cells/dose, 3.0Ć10^8 CAR+NK cells/dose or 6.0Ć10^8 CAR+NK cells/dose |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Human BCMA targeted CAR-NK cells injection | Drug | Allogenic genetically modified anti-BCMA CAR transduced NK cells |
|
| Measure | Description | Time Frame |
|---|---|---|
| Dose limited toxicity (DLT) | Safety Indicators | 28 days post infusion |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics parameters - the highest concentration of human BCMA targeted CAR-NK cells amplified in peripheral blood and bone marrow after infusion | Effectiveness Metrics | 2 years post infusion |
| Pharmacokinetics parameters - the time to reach the highest concentration of human BCMA targeted CAR-NK cells amplified in peripheral blood and bone marrow after infusion |
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Inclusion Criteria:Subjects must meet all of the following criteria to be enrolled:
Subjects volunteer to participate in clinical trials, understand and sign the informed consent document, be willing to complete all the trial procedures;
18 years and older, Male and female;
Expected survival > 12 weeks;
Documented evidence of multiple myeloma at diagnosis as defined by IMWG updated criteria (2014), or plasma cell leukemia at diagnosis as defined by Diagnosis and therapeutic criteria of hematologic disease (4th edition);
One of the following indicators is satisfied:
Patients with relapsed/refractory multiple myeloma or plasma cell leukemia, satisfying:
Liver, kidney and cardiopulmonary functions meet the following requirements:
Blood routine examination satisfying hemoglobinā„60 g/L, neutrophilsā„ 1.0Ć10^9/L, and plateletsā„30Ć10^9/L, can complete this trial according to the judgement of investigators.
Exclusion Criteria:Any one of the following conditions cannot be selected as a subjectļ¼
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xuedong Sun, Doctor | Contact | +8615811287219 | sunxuedong@dashengbio.com |
| Name | Affiliation | Role |
|---|---|---|
| Juan Du, Doctor | Shanghai Changzheng Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shanghai Changzheng Hospital | Recruiting | Shanghai | Shanghai Municipality | 200003 | China |
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| ID | Term |
|---|---|
| D009101 | Multiple Myeloma |
| D007952 | Leukemia, Plasma Cell |
| ID | Term |
|---|---|
| D054219 | Neoplasms, Plasma Cell |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D020141 | Hemostatic Disorders |
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Effectiveness Metrics |
| 2 years post infusion |
| Pharmacokinetics parameters - the 28-day area under the curve of human BCMA targeted CAR-NK cells amplified in peripheral blood and bone marrow after infusion | Effectiveness Metrics | 2 years post infusion |
| Pharmacodynamics characteristics - the detection values of CRP, IL-6, IL-15, Granzyme B cytokines in peripheral blood | Effectiveness Metrics | 2 years post infusion |
| Pharmacodynamics characteristics - the detection values of monoclonal plasma cell in bone marrow | Effectiveness Metrics | 2 years post infusion |
| Overall response rate (ORR, include PR, VGPR, CR and sCR) after administration | Effectiveness Metrics | 3 months post infusion |
| Percentage of subjects with negative minimal residual disease (MRD) | Effectiveness Metrics | 2 years post infusion |
| Duration of subjects with negative minimal residual disease (MRD) | Effectiveness Metrics | 2 years post infusion |
| Number of subjects with adverse events | Safety Metrics | 2 years post infusion |
| Change from baseline in perform status as measured by Easten Cooperative Oncology Group (ECOG) score | 2 years post infusion | Safety Metrics |
| The occurrence rate of adverse events gradeā„3 assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0. | Safety Metrics | 2 years post infusion |
| Change in body weight over time after infusion | Safety Metrics | 2 years 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 |
| D014652 |
| Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D010265 | Paraproteinemias |
| D001796 | Blood Protein Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D006474 | Hemorrhagic Disorders |
| D008232 | Lymphoproliferative Disorders |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| D007938 | Leukemia |