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This is a single-centre, single-arm, open-label, early clinical study to evaluate the safety, tolerability and preliminary efficacy of donor NK cells injection combined with low-dose interleukin-2 in the treatment of acute myeloid leukemia (AML) relapse after allogeneic hematopoietic stem cell transplantation (allo-HSCT).
This is a dose-escalation study of non-genetically modified natural killer cells derived from a healthy donor. The relapsed AML patients after allo-HSCT will receive donor NK cells injection s followed by low-dose interleukin-2. No graft-versus-host disease (GVHD) prevention will be conducted before or after infusion. Dose-limiting toxicity, incidence of adverse events, disease response and PK/PD will be detected post-infusion.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| NK cell treatment in AML replase after HSCT | Experimental | The relapsed AML patients will receive donor NK cells injections for a total dose of twice per 2 weeks up to 3 dose levels (1.0×108 cells/dose,5.0×108 cells/dose,2.0×109 cells/dose), followed by low-dose interleukin-2 (1mIU ih, Qd) for 28 days. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| NK cell | Drug | Drug: Donor NK cells injection is a non-genetically modified natural killer cells therapy derived from a healthy donor. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Dose limiting toxicities (DLTs) | Dose limiting toxicities (DLTs) | 1 month |
| Treatment-related adverse events | Treatment-related adverse events | 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| Complete response (CR) | Complete response (CR) | 3 months |
| Proportion of subjects with minimal-residual disease (MRD) negative response | 3 months |
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Inclusion Criteria:
Exclusion Criteria:
1. Central nervous system involved; 2. Patients who received the following anti-tumor therapies prior to infusion: A. Systemic use of hormones within 3 days prior to infusion (except for patients with inhaled corticosteroids); B. Systemic anti-tumor therapy within 2 weeks or within 5 drug half-lives (whichever is shorter); C. Radiotherapy within 4 weeks; D. DLI within 6 weeks; E. Intrathecal injection within 1 week; F. Received CAR-T, CAR-NK or other modified cell therapy within 6 months; 3. Any active infection requiring systemic therapy by intravenous infusion within 14 days prior to the first dose of study drug, including: HBV, HCV, HIV, syphilis infection, or active pulmonary tuberculosis.
4. History of hypersensitivity reactions to murine protein-containing products, or macromolecular biopharmaceuticals such as antibodies or cytokines; 5. Patients cannot guarantee effective contraception (condom or contraceptives, etc.) within 1 years after enrollment; 6. Women who are pregnant (urine/blood pregnancy test positive) or lactating; 7. Suffering from a serious autoimmune disease or immunodeficiency disease; 8. Known alcohol dependence or drug dependence; 9. According to the investigator's judgment, the patient has other unsuitable grouping conditions.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yujun Dong, Docter | Contact | 8683575680 | dongy@hsc.pku.edu.cn | |
| Bingjie Wang | Contact | wbj880202@163.com |
| Name | Affiliation | Role |
|---|---|---|
| Yujun Dong, Docter | Peking University First Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking University First Hospital | Beijing | Beijing Municipality | 100034 | China |
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| Peak levels of donor NK cells (maximum concentration or Cmax) | 3 months |
| ID | Term |
|---|---|
| D015470 | Leukemia, Myeloid, Acute |
| D012008 | Recurrence |
| ID | Term |
|---|---|
| D007951 | Leukemia, Myeloid |
| D007938 | Leukemia |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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