Not provided
Not provided
Not provided
Not provided
Not provided
The main consideration is the allocation of company resources, We can only terminate this research.
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
This is a single-center, open-label study conducted in subjects with relapsed or refractory CD30-positive lymphoma, with priority given to Hodgkin lymphoma and anaplastic large cell lymphoma.
The primary purpose of this study is to evaluate the preliminary efficacy, safety, and tolerability of CD30-targeted CAR-T cell therapy in participants with CD30-positive relapsed or refractory lymphoma.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| U29(CD30 CAR-T Cells) | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CD30 CAR-T Cells | Drug | Lymphodepletion preconditioning is required prior to CAR-T cell therapy. Lymphodepletion will be performed using a regimen of cyclophosphamide (250-500 mg/m²) and fludarabine (25-30 mg/m²), each administered for 3 consecutive days. |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Dose-Limiting Toxicity (DLT) and Treatment-Emergent Adverse Events (TEAEs) Within 28 Days Post CAR-T Infusion | Incidence, type, frequency, and severity of DLT within 28 days post CAR-T infusion; incidence of TEAEs, clinically significant abnormalities in laboratory tests, vital signs, electrocardiogram (ECG), and echocardiography results after CAR-T infusion, graded by CTCAE v5.0. | 28 days post CAR-T cell infusion (for DLT); up to 24 months post CAR-T cell infusion (for other safety assessments) |
| Objective Response Rate (ORR), as assessed by Investigators | The Objective Response Rate (ORR) is the percentage of participants who achieved a best overall response of Complete Remission (CR) or Partial Remission(PR) | 2 years post CAR T cell infusion |
| Duration of response (DOR) | Duration of response (DOR) is defined as the time from the first documented objective response to the first documented disease progression or death. | 2 years post CAR T cell infusion |
| Overall survival (OS) | Overall Survival (OS) was defined as the time from the date of first infusion of U01 to the date of death due to any cause. | 2 years post CAR T cell infusion |
| Progression-free survival (PFS) | Progression-free survival (PFS) was defined as the time from the date of infusion to the earliest date of the first objective documentation of progressive disease (PD) or death due to any cause. | 2 years post CAR T cell infusion |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics of U29 | Time at the maximal concentration(Tmax) | 2 years post CAR T cell infusion |
| Pharmacokinetics of U29 | Area under the concentration-time curve(AUC) |
Not provided
Inclusion Criteria:
Subjects must provide written informed consent and demonstrate good compliance with study procedures.
Age between 18 and 70 years, inclusive; male or female.
Histologically confirmed relapsed or refractory lymphoma (with priority for Hodgkin lymphoma, anaplastic large cell lymphoma, or other lymphoproliferative disorders), with CD30 expression confirmed by immunohistochemistry or flow cytometry (≥50% positive cells).
Relapsed or refractory disease, defined as:
**Hodgkin Lymphoma (HL):**
Failure to achieve remission or disease progression after autologous hematopoietic stem cell transplantation (auto-HSCT); OR
Failure of at least two prior lines of systemic chemotherapy; OR
Ineligibility for auto-HSCT due to:
**Anaplastic Large Cell Lymphoma (ALCL):** Failure of at least two prior lines of systemic chemotherapy or relapse after response.
**Other CD30+ lymphomas:** No standard treatment options available, or failure after standard therapy.
At least one evaluable lesion according to the Lugano Classification for Malignant Lymphomas (Cheson 2014).
Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 3.
Adequate bone marrow reserve at screening:
Adequate organ function, defined as:
Female subjects of childbearing potential must have a negative serum or urine pregnancy test within 7 days prior to CAR-T infusion. All sexually active males and females of childbearing potential must agree to use effective contraception throughout the study and for at least 1 year after the last dose of study treatment.
Adequate venous access for leukapheresis or blood collection, and no contraindications to leukapheresis.
Expected survival of at least 3 months.
Exclusion Criteria:
History of another malignancy, except for malignancies in complete remission for > 3 years or carcinoma in situ.
Lymphoma infiltration of the cardiac atria or ventricles.
Use of immunosuppressive agents or corticosteroids within 1 week prior to leukapheresis, unless the investigator determines that the impact on T cells is minimal.
Presence of any of the following:
Bacterial, fungal, viral, mycoplasmal, or other type of infection that is judged by the investigator to be difficult to control.
Previous or current central nervous system (CNS) disease unrelated to the current lymphoma, such as seizures, cerebrovascular ischemia/hemorrhage, dementia, cerebellar disease, or any CNS-related autoimmune disease, unless judged by the investigator to be controllable.
Any of the following within 12 months prior to signing informed consent:
Primary immunodeficiency.
History of severe immediate hypersensitivity reaction to any of the study drugs.
Administration of a live vaccine within 6 weeks prior to screening.
Pregnant or lactating female.
Active autoimmune disease.
Active acute or chronic graft-versus-host disease (GVHD) at the time of signing informed consent.
Allogeneic hematopoietic stem cell transplantation within 6 months prior to signing informed consent.
Participation in any other interventional clinical trial within 30 days prior to signing informed consent.
Any other condition that, in the opinion of the investigator, makes the subject unsuitable for participation in this study.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hebei Yanda Lu Daopei Hospital | Sanhe | China |
Not provided
| ID | Term |
|---|---|
| D012008 | Recurrence |
| D008223 | Lymphoma |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009370 | Neoplasms by Histologic Type |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| 2 years post CAR T cell infusion |
| Pharmacokinetics of U29 | The maximal concentration of peripheral blood (Cmax) | 2 years post CAR T cell infusion |
| Pharmacodynamics of U29 | Concentration levels of CAR-T-related serum cytokines such as IL-6, IFN γ, ferritin and CRP at each time point | 2 years post CAR T cell infusion |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |