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The main purpse of this study is to evaluate the safety and tolerability of KSD-101 in the treatment of relapsed or refractory EBV-associated hematological malignancies,to preliminarily explore the clinical efficacy ,evaluate the immune response to KSD-101 for the treatment in Patients with EBV-associated hematological diseases and the improvement in subjects' quality of life (QOL) after KSD-101 treatment.
This is a multi-center, single-arm, open-label, dose confirmation and expansion Phase I clinical study to evaluate the safety, tolerability, immune response, and preliminary clinical efficacy of KSD-101 in the treatment of relapsed or refractory EBV-associated hematological malignancies. The study is divided into three stages by age.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| KSD-101 | Experimental | Biological: Dendritic Cell Vaccine.Autologous monocyte-derived DCs pulsed with EBV-associated antigen. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| KSD-101 | Biological | Patients will receive DC vaccine via subcutaneous injections bi-weekly,total 3-5 times. KSD-101 treatment dose: The dose is tentatively set at 2.5 or 5.0 × 10^6 cells/dose in the adult cohort. |
| Measure | Description | Time Frame |
|---|---|---|
| DLT | Incidence and number of dose-limiting toxicities. | The duration from the first dose to Day 28 |
| adverse events (AEs) | Adverse events will be graded according to the NCI-CTCAE 6.0 grading criteria throughout the study period, except for injection site (localized) adverse events, which will be graded with reference to the Guiding Principles for Grading Adverse Events in Vaccine Clinical Trials (Revised Edition). | Any adverse medical event occurring from the initiation of leukapheresis until 28 days (±7 days) after the last dose, or initiation of a new treatment (whichever occurs first) |
| Measure | Description | Time Frame |
|---|---|---|
| EBV-DNA load | Antiviral effect: changes in EBV-DNA load were assessed during the study | The duration from the first dose to 48 weeks |
| Objective response rate (ORR) | The percentage of participants who achieved PR or better response |
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Inclusion Criteria:
Subjects and/or their legal guardians agree to participate and sign the ICF.
Male or female subjects who are 2-70 (inclusive,If the age exceeds 70 years, the decision will be made jointly by the investigator and the sponsor.) years old.
Subjects with histologically and/or cytologically confirmed EBV-associated hematological diseases, including but not limited to EBV-positive diffuse large B-cell lymphoma, EBV-positive NK/T-cell lymphoma, EBV-positive Hodgkin's lymphoma, EBV-positive Burkitt lymphoma, EBV-positive nodal T follicular helper (TFH) cell lymphoma (angioimmunoblastic-type), and EBV-positive primary cutaneous T-cell lymphoma, and meeting the following conditions
Positive for EBER by in situ hybridization (ISH or FISH) .
Eastern Cooperative Oncology Group (ECOG) score of 0-1.
The EBV-associated lymphoma population must have at least one measurable lesion (lymph node lesion with a longest diameter > 15 mm, or extranodal lesion with a longest diameter > 10 mm).
Eligible for leukapheresis and has no other contraindications for cell collection.
Must have adequate organ function (have not received blood transfusion or hematopoietic stimulating factor therapy within 28 days):
Male and female subjects of reproductive age agree to take non-pharmacological contraceptive measures from signing the ICF until 6 months after the last dose.
Exclusion Criteria:
Received chemotherapy or immunosuppressive therapy within 4 weeks prior to leukapheresis or radiotherapy within 2 weeks prior to leukapheresis.
Underwent allogeneic transplantation prior to enrollment.
Received (attenuated) live vaccines within 4 weeks prior to enrollment.
Participated in other clinical studies within 4 weeks prior to enrollment and received at least one dose of the investigational product.
Underwent therapeutic surgery within 4 weeks prior to enrollment, or plan to undergo major surgery during the study, except diagnostic, biopsy and drainage procedures.
Presence of uncontrolled infectious disease within 4 weeks prior to enrollment, except EBV infection.
Receiving systemic corticosteroid therapy prior to screening and require long-term systemic corticosteroids during the treatment period (except inhalation or topical application) as judged by the investigator, or received systemic corticosteroid therapy (except inhalation or topical application) within 72 hours prior to administration.
Active central nervous system metastases/lesions (e.g., brain edema requiring hormone intervention or brain metastases).
Severe cardiovascular diseases:
Positive for hepatitis B surface antigen (HBsAg) or hepatitis B core antibody (HBcAb) and increased peripheral blood hepatitis B virus (HBV) DNA titer above the ULN; positive for hepatitis C virus (HCV) antibody and peripheral blood HCV RNA; positive for human immunodeficiency virus (HIV) antibody; positive for syphilis-specific antibodies.
Have not recovered to normal or Grade ≤ 1 from prior treatment-induced AEs prior to enrollment, except alopecia (any grade) and peripheral neuropathy (Grade ≤ 2).
Other active malignancies within the past 3 years, except for curable cancers that have been markedly cured, such as basal or squamous cell carcinoma, cervical or breast cancer in situ.
Prior history of severe drug allergies or history of penicillin allergy.
Substance abuse/addiction.
Women who are pregnant or nursing.
Other serious medical conditions, including liver disease, kidney disease, neurological/psychiatric disorders, endocrine disorders, hematologic disorders, and immune system disorders, which will render a subject unsuitable for participation in the study as judged by the investigator.
Other conditions that render a subject unsuitable for enrollment as judged by the investigator.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology | Wuhan | Hubei | 430000 | China |
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| ID | Term |
|---|---|
| D012008 | Recurrence |
| D019337 | Hematologic Neoplasms |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009371 | Neoplasms by Site |
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| The duration from the first dose to 48 weeks |
| Overall survival (OS) | OS is measured from the date of the initial injection of DC Vaccines to the date of the participant's death | The duration from the first dose to 48 weeks |
| Disease control rate (DCR) | The percentage of participants who achieved SD or better response | The duration from the first dose to 48 weeks |
| Progression-free survival (PFS) | The time from the start of KSD-101 treatment for the participants to the first time of disease progression or death for any reason | The duration from the first dose to 48 weeks |
| Levels of EBV-specific CD8+ T cells | EBV-specific CD8+ T cells in peripheral blood will be assessed to monitor changes | The duration from the first dose to 48 weeks |
| Levels of various lymphocyte subsets | total T lymphocytes, activated T lymphocytes, helper T lymphocytes, cytotoxic T lymphocytes, regulatory T lymphocytes, total B lymphocytes and total NK cells in peripheral blood will be assessed to monitor changes | The duration from the first dose to 48 weeks |
| EQ-5D-5L | The change from baseline in scores of EQ-5D-5L endpoints will be analyzed by age group or indication group. | The duration from the first dose to 48 weeks |
| QLQ-C30 | The change from baseline in scores of QLQ-C30 endpoints will be analyzed by age group or indication group | The duration from the first dose to 48 weeks |
| Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine | Shanghai | Shanghai Municipality | 200025 | China |
|
| D009369 | Neoplasms |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |