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This study is an open, prospective, dose-increasing exploratory clinical trial. To evaluate the safety, cytodynamics and initial efficacy of RGL-305 in patients with lymphoma. All enrolled lymphoma patients were required to achieve CR or PR and MRD positive after standard treatment, PR patients were required to have a Deauville score of 4, and all patients would receive RGL-305 cell reinfusion therapy.
This study adopted a "3+3" dose escalation design. RGL-305 preset two dose groups: low dose and high dose , and each dose group planned to enroll 3 to 6 subjects. The first patient in each group was set as a sentinel subject and observed for at least 48 hours. After evaluation by the investigators, it was found that no important adverse reactions occurred (such as CRS ≥ grade 3, aGVHD, anaphylaxis, etc.), and the other subjects at this dose level could be administered. The DLT observation period was set to 21 days after the subject received RGL-305 for the first time, during which the subject continued to receive the same dose level of RGL-305 for 1 cycle every 2 weeks (Q2W) and the first day of each cycle (D1), receiving a total of up to 5 cycles of cell transfusion. Treatment until the end of the cycle, disease recurrence or disease progression, intolerable toxicity, initiation of a new anti-tumor therapy, death (whichever occurs first)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| In the RGL-305 low dose group, 3 to 6 subjects were planned to be enrolled in each dose | Experimental |
| |
| In the RGL-305 high dose group, 3 to 6 subjects were planned to be enrolled in each dose group | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RGL-305 | Drug | RGL-305 is administered intravenously with a recommended rate of 3-5 mL /min. The interval after the first administration was 3 weeks, and then every 2 weeks was a cycle, each cycle was given d1, and up to 5 cycles of cell transfusion were received. |
| Measure | Description | Time Frame |
|---|---|---|
| To evaluate the safety and tolerability of RGL-305 | Incidence and severity of adverse events (AE)/serious adverse events (SAE) (severity based on CTCAE v 5.0 criteria) and association of adverse events with the investigational drug - Dose limiting toxicity (DLT) incidence of DLT during the observation period | up to 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| To evaluate the cytodynamics of RGL-305 after reinfusion | Flow cytometry was used to detect the number and proportion of Target cells in peripheral blood and the changes compared with baseline | up to 2 years |
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Inclusion Criteria:
Voluntarily participate in the study and sign a written informed consent
Age 18-75 years old (including the boundary value), gender is not limited;
Patients with pathologically confirmed lymphoma who have previously received at least one standard treatment. After the last treatment, patients with Lugano 2014 lymphoma efficacy evaluation criteria were CR or PR, and MRD was positive. Patients with PR were required to have a Deauville score of 4.
Be willing to provide blood or tissue samples required for cytodynamic and biomarker detection before and after treatment;
ECOG score is 0 or 1;
Expected survival ≥3 months;
The function of vital organs meets the following criteria:
Fertile female subjects must agree to effective contraception and refrain from egg donation for 6 months from the signing of the informed consent until the last administration of the investigational drug, the serum pregnancy test must be negative within 7 days prior to the first administration, and they are not lactating; Male subjects whose partner is a fertile woman must agree to highly effective contraception and refrain from sperm donation from signing the informed consent until 6 months after the final administration of the investigational drug (see Annex 6 for details)
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Rong Tao, M.D | Contact | 021-33676001 | rtao@shca.org.cn |
| Name | Affiliation | Role |
|---|---|---|
| Rong Tao, M.D | Fudan University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fudan University Shanghai Cancer Center | Recruiting | Shanghai | Shanghai Municipality | 201200 | China |
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| ID | Term |
|---|---|
| D008223 | Lymphoma |
| ID | Term |
|---|---|
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
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| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |