决定异体 CAR T 细胞排斥与扩增的细胞和分子机制
Cellular and molecular mechanisms determining allogeneic CAR T cell rejection and expansion.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:Long-term Follow-up Study of Lentiviral-based Gene-edited Immune Cell Therapy
⚠ 该试验的登记信息已有 17 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。
根据FDA(2006)和欧洲药品管理局(EMA,2009)基因治疗临床试验指南,建议对受试者进行15年随访以观察迟发不良事件。本研究评估曾接受Pell Bio-Med Technology Co. Ltd.生产的慢病毒基因编辑免疫细胞患者的长期安全性和疗效。
不限性别
纳入标准:曾在临床试验中单独或联合接受Pell公司慢病毒基因编辑免疫细胞治疗;最后一次接受该细胞输注距今不超过15年;患者本人/患者父母/法定监护人能够签署知情同意书,并遵守知情同意书和方案列明的要求与限制。排除标准:本研究无特定排除标准。
Inclusion Criteria: 1. Patients must have ever received Pell's lentiviral-based gene-edited immune cell as monotherapy or as combination therapy in clinical trials. 2. The last lentiviral-based gene-edited immune cell infusion within 15 years. 3. Patient/patient's parent/legal guardian is capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol. Exclusion Criteria: There are no specific exclusion criteria for this study.
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:To assess delayed adverse events which are suspected related to previous gene-edited immune cell therapy · • Proportion of patients with any events of the following items which are suspected related to previous gene-edited immune cell therapy.
1. New malignancies
2. New incidence or exacerbation of a pre-existing neurologic disorder
3. New incidence or exacerbation of a prior rheumatologic or other autoimmune disorder
4. New incidence of a hematologic disorder, including hypogammaglobulinemia
5. New incidence of infection (potentially product-related)
6. Other than the above adverse events, which are suspected related to gene-edited immune cell therapy judged by the investigator · 15 years
次要终点:Monitor for Replication Competent of Lentivirus (RCL);Monitor the persistence of gene-edited immune cells in peripheral blood(By qPCR);Monitor the persistence of gene-edited immune cells in peripheral blood(By Flowcytometry);To assess the long-term efficacy of gene-edited immune cells
完成或提前退出治疗方案后,患者将进入本长期随访研究。如患者未在离开治疗方案后立即进入本研究,可在最后一次慢病毒基因编辑免疫细胞输注后的15年内随时参加。
参加本长期随访研究期间,部分患者可能需要加入Pell公司的其他基因编辑免疫细胞治疗研究。此时患者可进入新的治疗方案,同时仍可作为非活跃参与者继续留在本长期随访方案中。
根据卫生监管机构关于基因治疗临床试验的指南(FDA,2006;欧洲药品管理局EMA,2009),建议对受试者随访15年,以观察迟发不良事件。本长期随访研究旨在评估曾接受Pell Bio-Med Technology Co. Ltd.生产的慢病毒基因编辑免疫细胞患者的安全性和疗效。
According to health authorities guidances (FDA 2006, EMA(European Medicines Agency) 2009) for gene therapy clinical trials, observing subjects for delayed adverse events for 15 years is recommended. This purpose of this long-term follow-up study is to evaluate the safety and efficacy in patients who have ever received lentiviral-based gene-edited immune cells which are manufactured by Pell Bio-Med Technology Co. Ltd.
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