抗 CD22/CD19 CAR-T 细胞疗法 CAR-T2219.1 在成人和儿童复发/难治性 B-ALL 中的 I/II 期试验
A Phase I/II Trial of Anti-CD22/CD19 CAR-T Cell Therapy, CART2219.1, in Adult and Pediatric Relapsed/Refractory B-ALL.
英文原题:Study Evaluating Safety and Efficacy of UCART123v1.2 in Patients With Relapsed/Refractory Acute Myeloid Leukemia
Study Evaluating Safety and Efficacy of UCART123v1.2 in Patients With Relapsed/Refractory Acute Myeloid Leukemia
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⚠ 该试验的登记信息已有 14 个月未更新, 页面上显示的「进行中(不再招募)」可能已经失效。联系研究中心之前,建议先到 ClinicalTrials.gov 核对登记原文的最新状态与联系方式。
这是一项 I 期注册临床试验,评估细胞治疗用于急性髓系白血病的安全性、可行性及初步疗效。当前状态:进行中(不再招募)。计划入组 29 例。试验地点:美国 · 旧金山、坦帕、芝加哥、波士顿(共 8 个中心)。登记号:NCT03190278。
不限性别 · ≥ 18 Years 且 ≤ 65 Years
主要纳入标准:按WHO标准确诊复发或原发难治性AML,骨髓原始细胞≥5%;流式细胞术证实原始细胞CD123阳性;ECOG体能状态≤1;筛查期间最近一次评估显示骨髓、肾、肝、肺和心功能充分;剂量递增阶段在淋巴细胞清除(LD)前已确定供者及移植策略;可能还适用其他标准。主要排除标准:急性早幼粒细胞白血病(APL)或中枢神经系统(CNS)白血病;既往接受试验性基因或细胞治疗(包括CAR);既往接受异体干细胞移植>1次;过去3个月内接受利妥昔单抗或其他抗CD20治疗;任何已知的活动性或未控制感染;可能还适用其他标准。
Main Inclusion Criteria: * Patients with relapsed or primary refractory AML (as defined in World Health Organization \[WHO\] criteria) with ≥5% bone marrow blasts * Patients with CD123+ blast cells (verified by flow cytometry) * Eastern Cooperative Oncology Group Performance Status (ECOG-PS) of ≤1 * Adequate organ function, including bone marrow, renal, hepatic, pulmonary, and cardiac function based on the last assessment performed within screening period * (Dose-escalation) Identified donor and transplant strategy prior to lymphodepletion (LD) * Other criteria may apply Main Exclusion Criteria: * Patients with acute promyelocytic leukemia (APL) or central nervous system (CNS) Leukemia * Previous investigation gene or cell therapy (including CAR) * \> 1 prior allogeneic stem cell transplantations (SCTs) * Prior treatment with rituximab or other anti-cluster of differentiation 20 (anti-CD20) therapy within 3 months * Any known active or uncontrolled infection * Other criteria may apply
以上为辅助阅读译文。是否适合入组须由主治医生判断,最终以登记平台与研究者确认为准。
主要终点:Incidence of adverse events (AE)/serious adverse events (SAE)/Dose Limiting Toxicities (DLT) [Safety and Tolerability] · Safety of UCART123v1.2 - Incidence, nature, and severity of AE and SAEs throughout the study · 24 Months;Dose escalation and expansion part: Occurrence of DLTs · Up to Day 28 post last UCART123v1.2 infusion
次要终点:Investigators assessed overall response rate according to the European Leukemia Net (ELN) Response Criteria;Duration of Response;Progression Free Survival;Overall Survival;Pharmacokinetic (PK) Analysis: Standard PK Analysis will be completed to obtain Maximum plasma concentration (Cmax);Pharmacokinetic Analysis: Standard PK Analysis will be completed to obtain time to reach Cmax (Tmax);Pharmacokinetic Analysis: Standard PK Analysis will be completed to obtain total area under curve from zero to infinity (AUC-infinity);Pharmacokinetic Analysis: Standard PK Analysis will be completed to obtain Terminal Rate
在不同剂量水平及不同淋巴细胞清除方案下测试UCART123v1.2,以确定MTD并确定RP2D。剂量扩展阶段按剂量递增阶段确定的RP2D给予UCART123v1.2。
I期、开放标签、剂量递增和剂量扩展研究,评估靶向分化簇123(CD123)的通用型CAR-T 细胞(UCART)治疗复发/难治性急性髓系白血病(AML)的安全性和疗效。本研究旨在评估靶向CD123的UCART123v1.2的安全性和临床活性,并确定最大耐受剂量(MTD)及II期推荐剂量(RP2D)。
Phase I, open-label, dose-escalation and dose-expansion study evaluating the safety and efficacy of Universal Chimeric Antigen Receptor T-cell (UCART) targeting the Cluster of Differentiation 123 (CD123) in patients with relapsed/refractory acute myeloid leukemia (AML). The purpose of this study is to evaluate the safety and clinical activity of Universal Chimeric Antigen Receptor T-cells targeting CD123 (UCART123v1.2) and determine the Maximum Tolerated Dose (MTD) and Recommended Phase 2 Dose (RP2D).
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