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BCMA靶向Prime CAR-T细胞治疗复发/难治性多发性骨髓瘤及浆细胞疾病的临床研究

英文原题:a Clinical Research of BCMA-Targeted Prime CAR-T Cell Therapy in Relapsed/Refractory Multiple Myeloma and Plasma Cell Disease

ClinicalTrials.gov 2021/03/01(首次登记) I/II 期注册临床试验 · 招募中

⚠ 该试验的登记信息已有 19 个月未更新, 页面上显示的「招募中」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。

简要介绍

这是一项 I/II 期注册临床试验,评估 BCMACAR-T 细胞治疗多发性骨髓瘤、肿瘤的安全性、可行性及初步疗效。当前状态:招募中。计划入组 80 例。试验地点:中国 · 昆明(共 1 个中心,其中中国 1 个)。登记号:NCT04776330。

入组条件决定能不能参加

不限性别 · ≥ 18 Years 且 ≤ 75 Years

纳入标准:签署书面知情同意书;确诊复发/难治性多发性骨髓瘤或其他浆细胞疾病,并符合以下任一项:标准化疗方案失败;完全缓解后复发、属于高危和/或难治性患者;造血干细胞移植后复发;有证据显示细胞膜BCMA表达;性别不限,年龄18-75岁;预期生存期>3个月;KPS>60;无严重精神障碍;左心室射血分数≥50%;肝功能充分(ALT/AST≤正常值上限3倍且胆红素≤2倍);肾功能充分(原登记标准为肌酐清除率≤正常值上限2倍);肺功能充分(室内空气下血氧饱和度≥92%);符合单采或静脉采血要求且无其他细胞采集禁忌;能够并愿意遵守访视安排及方案要求。排除标准:既往其他恶性肿瘤;未控制的活动性感染;存在需糖皮质激素治疗的疾病;活动性或慢性GVHD;接受T细胞抑制剂治疗;妊娠或哺乳;研究者认为不适合参加研究或可能影响数据分析的情况(例如HIV、HCV感染或静脉药物成瘾)。
核对登记原文(英文)
Inclusion Criteria:

1. Signed written informed consent;
2. Diagnose as relapsed /refractory multiple myeloma or other plasma cell disease, and meet one of the following conditions:

   1. Failed to standard chemotherapy regimens;
   2. Relapse after complete remission, high-risk and / or refractory patients ;
   3. Relapse after hematopoietic stem cell transplantation;
3. Evidence for cell membrane BCMA expression
4. All genders, ages: 18 to 75 years#
5. The expect time of survive is above 3 months;
6. KPS\>60
7. No serious mental disorders ;
8. Left ventricular ejection fraction ≥50%
9. Sufficient hepatic function defined by ALT/AST≤3 x ULN and bilirubin≤2 x ULN;
10. Sufficient renal function defined by creatinine clearance≤2 x ULN;
11. Sufficient pulmonary function defined by indoor oxygen saturation≥92%; 12. With single or venous blood collection standards, and no other cell collection contraindications;

13\. Ability and willingness to adhere to the study visit schedule and all protocol requirements.

Exclusion Criteria:

1. Previous history of other malignancy;
2. Presence of uncontrolled active infection;
3. Evidence of disorder that need the treatment by glucocorticoids;
4. Active or chronic GVHD
5. The patients treatment by inhibitor of T cell
6. Pregnant or breasting-feeding women;
7. Any situation that investigators regard not suitable for attending in this study (e.g. HIV , HCVinfection or intravenous drug addiction) or may affect the data analysis.

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。

研究终点衡量什么算有效

  • 主要终点治疗相关不良事件2年。
  • 主要终点BCMA靶向Prime CAR-T治疗复发/难治性多发性骨髓瘤患者的缓解率2年。
  • 次要终点骨髓及外周血中BCMA靶向Prime CAR-T细胞比例
  • 次要终点骨髓及外周血中BCMA靶向Prime CAR拷贝数
  • 次要终点骨髓中克隆性浆细胞数量
  • 次要终点血清IL-6水平
  • 次要终点复发/难治性多发性骨髓瘤患者接受BCMA靶向Prime CAR-T治疗后的缓解持续时间(DOR)
  • 次要终点复发/难治性多发性骨髓瘤患者接受BCMA靶向Prime CAR-T治疗后的无进展生存期(PFS)
  • 次要终点复发/难治性多发性骨髓瘤患者接受BCMA靶向Prime CAR-T治疗后的总生存期(OS)
核对登记原文(英文)

主要终点:Adverse events that related to treatment · Therapy-related adverse events will be recorded and assessed according to the National Cancer Institute's Common Terminology Criteria for Adverse Events (CTCAE, Version 5.0) · 2 years;The response rate of BCMA targeted prime CAR-T treatment in patients with relapse/refractory Multiple Myeloma that treatment by BCMA targeted prime CAR-T cells therapy · The response rate of BCMA targeted prime CAR-T treatment will be recorded and assessed according to the IMWG · 2 years
次要终点:Rate of BCMA targeted prime CAR-T cells in bone marrow and peripheral blood;Quantity of BCMA targeted prime CAR copies in bone marrow and peripheral blood;Quantity of clonal plasma cells in bone marrow;Levels of IL-6 in Serum;Duration of Response (DOR) of BCMA targeted prime CAR-T treatment in patients with refractory/relapsed multiple myeloma;Progress-free survival(PFS) of BCMA targeted prime CAR-T treatment in patients with refractory/relapsed multiple myeloma;Overall survival(OS) of BCMA targeted prime CAR-T treatment in patients with refractory/relapsed multiple myeloma

研究设计怎么做的

研究类型
干预性研究
入组人数
80 人(预计)
分组方式
不适用(单臂)
  • BCMA靶向Prime CAR-T细胞治疗实验性

    患者将接受BCMA靶向Prime CAR-T细胞治疗。

核对分组登记原文(英文)
  • BCMA targeted prime CAR-T cells treat · EXPERIMENTAL · Patients will be be treated with BCMA targeted prime CAR-T cells

关键日期

开始日期
2021-03-07
主要完成日期
2026-12-31
全部完成日期
2027-07-01
登记状态核实于
2025-02

联系与责任方

申办方
Chongqing Precision Biotech Co., Ltd
联系邮箱
yangzhi@precision-biotech.com
联系电话
86-13206140093

登记简述

这是一项单臂研究,旨在评估BCMA靶向Prime CAR-T细胞治疗复发/难治性多发性骨髓瘤患者的疗效和安全性。

核对登记原文(英文)

This is a single arm study to evaluate the efficacy and safety of BCMA-targeted prime CAR-T cells therapy for patients with relapsed/refractory Multiple Myeloma.

登记原文与核验信息

试验登记号
NCT04776330
试验期别
I 期 / II 期
试验状态
招募中
中国试验中心(1 个)
920th Hospital of Joint Logistics Support Force · 昆明 · 中国
适应症(原文)
Multiple Myeloma; Neoplasm, Plasma Cell; Multiple Myeloma in Relapse
干预方式(原文)
BCMA targeted prime CAR-T cells