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AT101(CD19 抗 CD19CAR-T 细胞)治疗非霍奇金淋巴瘤:I/II 期临床试验

英文原题:Safety, Tolerability, and Efficacy of AT101 in Patients With Relapsed or Refractory B-cell Non-Hodgkin's Lymphoma

ClinicalTrials.gov 2022/04/21(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 53 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,评估抗 CD19CAR-T 细胞治疗非霍奇金淋巴瘤的安全性、可行性及初步疗效。当前状态:招募中。计划入组 82 例。试验地点:韩国 · 首尔(共 1 个中心)。登记号:NCT05338931。

入组条件决定能不能参加

不限性别 · ≥ 19 Years

纳入标准:

* 根据WHO 2017分类的B细胞非霍奇金淋巴瘤
* 与现有标准疗法不相容或已出现疾病进展,且因不耐受/不充分或拒绝等原因,其标准疗法目前无可用标准疗法
* 美国东部肿瘤协作组(ECOG)体能状态(PS)评分为0或1
* 筛查前两周内未输血且血液学、肾脏、肝脏、肺、心脏和骨髓功能充足
* 预期寿命至少为12周或以上
* 有生育能力的女性在本试验期间临床反应检测(血清-或尿-hCG)结果为阴性
* 已书面同意自愿参加本试验

排除标准:

* 既往有治疗同种异体造血干细胞移植(allogeneic HSCT)病史者
* 对At101/adcidmilisers、用于淋巴清除的抗癌化疗/adcidms或对托珠单抗过敏者
* 不能采集自体血者
* 在IP给药前两周内接受过化疗或放疗者,淋巴清除除外
* 因既往治疗未恢复(CTCAE 级别 ≤1 或基线)者
* 经研究者判断,存在可能影响试验期间安全性和验证的疾病者。
* 筛选时存在以下情况者:

  1. 筛选前 6 个月内临床已知心脏病者
  2. 筛选前 6 个月内被确定为血栓栓塞性疾病、肺栓塞或出血性素质者
  3. 筛选前五年内被确定有除 B 细胞非霍奇金淋巴瘤以外的恶性肿瘤病史者
  4. 筛选前 4 周内接受过大手术者
  5. 筛选前两周内接受过非关键手术者
* 在临床试验期间及 AT101 给药后 12 个月内,或当体内 AT101 未被识别时,无意愿使用有效避孕措施的育龄女性或男性
* 在筛选前 4 周内已给予或应用过其他 IP/ID 者
* 酒精和/或药物成瘾者
* 经PI判断不适合或无法参与本试验者
核对登记原文(英文)
Inclusion Criteria:

* B cell non-Hodgkin lymphoma based on WHO classification 2017
* incompatible with existing standard therapies or have had disease progression, and whose standard therapies do not currently have available standard therapies due to reasons such as intolerance/inadequacies or rejection
* The Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0 or 1
* adequate hematological, kidney, liver, lung, heart and bone marrow function without blood transfusion within two weeks prior to screening
* Those with a minimum life expectancy of 12 weeks or more
* In women with childbearing, clinical response tests (serum- or ure-hCG) were negatively identified during this trial
* Those who have agreed in writing to participate voluntarily in this trial

Exclusion Criteria:

* Those who have previously had a history of treating homologic autologous hemoblastitis (allogeneic HSCT)
* At101/adcidmilisers, anticancer chemotherapy/adcidms for lymphodeletion or those who are hypersensitive to tocilizumab
* Those who cannot take autologous blood
* Those who have received chemotherapy or radiotherapy, excluding lymphodeletion, within two weeks prior to IP administration
* Persons who have not been recovered (CTCAE grade ≤1 or baseline) due to previous treatment
* Those who have identified a condition that, at the test's discretion, may affect safety and validation during the trial period.
* Those who have identified the following forces at the time of screening:

  1. Those who have been clinically aware of heart disease within 6 months prior to screening
  2. Those identified as thromboembolic disease, pulmonary embolism or bleeding bleeding diatheses within 6 months prior to screening
  3. Those who have identified a history of malignant tumors other than B-cell non-Hodgkin's lymphoma within five years prior to screening
  4. Those who have undergone major surgery within 4 weeks prior to screening
  5. Those who have undergone non-critical surgery within two weeks prior to screening
* Childbearing women or men who do not have the will to use effective contraception for a longer period of time, either 12 months after clinical trial period and AT101 administration or when AT101 in the body is not identified
* Those who have been administered or applied to other IP/ID within 4 weeks of screening
* Those who are addicted to alcohol and/or medication
* Those who are unfit or unable to participate in this trial when judged by PI

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

  • 主要终点确定最大耐受剂量(MTD)和推荐的II期剂量(RP2D)28 days
  • 主要终点独立评估的总缓解率(ORR)5 years
  • 次要终点研究者评估的总缓解率(ORR)
  • 次要终点总体缓解持续时间(DOR)
  • 次要终点总生存期(OS)
  • 次要终点无进展生存期(PFS)
  • 次要终点缓解时间(TTR)
  • 次要终点无事件生存期(EFS)
  • 次要终点不良事件发生率
  • 次要终点AT101的峰值浓度(Cmax)
核对登记原文(英文)

主要终点:Determine the maximum tolerant dose (MTD) and Recommended Phase 2 Dose (RP2D) · Phase I: Tolerability of AT101 and the recommended dose 2 dose (RP2D) in phase 2 trials · 28 days;Overall response rate (ORR) by Independent assessment · Phase II: Proportion of subjects whose best overall response in tumor evaluation was evaluated as a complete response or a partial response · 5 years
次要终点:Overall response rate (ORR) by Investigator assessment;Duration of overall response (DOR);Overall survival(OS);Progression free survival (PFS);Time to response (TTR);Event free survival (EFS);Incidence of adverse Event;Peak concentration (Cmax) of AT101

研究设计怎么做的

研究类型
干预性研究
入组人数
82 人(预计)
分组方式
不适用(单臂)
  • AT101(Anti-CD19 Chimeric Antigen Receptor T cell)试验组

    Anti-CD19 Chimeric Antigen Receptor T cell

核对分组登记原文(英文)
  • AT101(Anti-CD19 Chimeric Antigen Receptor T cell) · EXPERIMENTAL · Anti-CD19 Chimeric Antigen Receptor T cell

关键日期

开始日期
2022-03-15
主要完成日期
2030-03-15
全部完成日期
2030-09-15
登记状态核实于
2022-04

联系与责任方

申办方
AbClon
联系邮箱
yhlee@abclon.com
联系电话
82-2-2109-1283

登记简述

根据AT101的安全性和耐受性确定MTD,以及针对复发性或非反应性B细胞NHL患者的RP2D。

核对登记原文(英文)

Determine MTD based on the safety and tolerability of AT101 and the RP2D for patients with recurrent or non-reactive B-cell NHL.

登记原文与核验信息

试验登记号
NCT05338931
试验期别
I 期 / II 期
试验状态
招募中
试验中心
Asan Medical Center · 首尔 · 韩国
适应症(原文)
B-cell Non Hodgkin Lymphoma
干预方式(原文)
AT101(Anti-CD19 Chimeric Antigen Receptor T cell)