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CD7 CAR-T(CAR-T 细胞)治疗肿瘤:I/II 期临床试验

英文原题:CD7 CAR-T Bridging to alloHSCT for R/R CD7+Malignant Hematologic Diseases

查看英文原题

CD7 CAR-T Bridging to alloHSCT for R/R CD7+Malignant Hematologic Diseases

ClinicalTrials.gov 2023/04/25(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 14 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 CAR-T 细胞治疗肿瘤的安全性、可行性及初步疗效。当前状态:招募中。计划入组 30 例。试验地点:中国 · 杭州(共 1 个中心,其中中国 1 个)。登记号:NCT05827835。

入组条件决定能不能参加

不限性别 · ≥ 18 Years

入选标准

• 提供已签署并注明日期的知情同意书;男女均可,年龄≥18岁;预期生存期>12周;ECOG≤2。
• 按NCCN急性淋巴细胞白血病及急性髓系白血病临床指南(2016 v1)确诊CD7阳性ALL或AML,并符合复发/难治性CD7阳性急性白血病之一:标准化疗后未达CR;首次诱导达CR但缓解持续≤12个月;一线或多线挽救治疗无应答;多次复发。
• Ph阴性;或不能耐受TKI;或Ph阳性且对两种TKI均无应答。
• 肺功能正常,室内空气无需吸氧时血氧饱和度>92%。
• 生化指标:AST/ALT≤2.5×ULN;总胆红素≤1.5×ULN;24小时肌酐清除率≥30 mL/min;脂肪酶及淀粉酶≤2×ULN。
• 有生育能力男女须自签署知情同意至研究药物使用后2年内采取有效避孕。有生育能力女性包括绝经前及绝经后2年内女性,筛查血妊娠试验须阴性。

排除标准

• 癫痫或其他CNS疾病史;临床显著CNS病灶(如惊厥、脑血管缺血/出血、痴呆、小脑疾病、精神病、活动性CNS受累或癌性脑膜炎)。
• 妊娠或哺乳;未治愈的活动性感染;QT间期延长或严重心脏病;对本研究所用任何药物过敏/不耐受。
• 筛查前2周内接受抗癌化疗或其他药物治疗;筛查前5年内需治疗或有复发证据的既往恶性肿瘤。
• 过去2年内自身免疫病导致终末器官损伤(如克罗恩病、类风湿关节炎、系统性红斑狼疮),或需系统性免疫抑制/其他全身疾病控制药物。
• 严重活动性病毒/细菌感染或未控制的全身真菌感染;遗传性出血/凝血障碍、非创伤性出血或血栓栓塞史,以及其他增加出血风险的疾病。
• 筛查前8周内接受自体造血干细胞移植(ASCT),或计划研究期间接受ASCT。
• 筛查前4周或5个药物半衰期(取较长者)内参加其他药物临床试验。
• 研究者认为会增加患者风险或干扰试验结果的任何情况。
核对登记原文(英文)
Inclusion Criteria:

* Provision of signed and dated informed consent form (ICF)
* Male or female, older than 18 years (including 18 years)
* Anticipated survival time more than 12 weeks
* Eastern Cooperative Oncology Group (ECOG) performance status ≤2
* According to the National Comprehensive Cancer Network (NCCN) Clinical Practice Guidelines for Acute Lymphocytic Leukemia and Acute Myeloid Leukemia (2016. v1), patients diagnosed as CD7+ALL and AML
* Consistent with r/r CD7+acute leukemia diagnosis, including any of the following conditions
* a. No CR after standard chemotherapy
* b. The first induction reaches CR, but CR ≤ 12 months
* c. Patients with r/r CD7+acute leukemia have not responded to the first or multiple remedial treatments
* d. Multiple recurrences
* Philadelphia chromosome negative (Ph -) subjects; Or cannot tolerate tyrosine kinase inhibitor (TKI) treatment; Or Philadelphia chromosome positive (Ph+) subjects who did not respond to both TKI treatments
* Normal lung function, oxygen saturation greater than 92% without oxygen inhalation
* The blood biochemical test results are consistent with the following results
* a. (AST) and (ALT) ≤ 2.5 × (ULN)
* b. Total bilirubin ≤ 1.5 × ULN
* c. 24-hour serum creatinine clearance ≥ 30 mL/min
* d. Lipase and amylase ≤ 2 × ULN
* Fertility capable men and women of childbearing age must agree to use effective contraception starting with the signing of an informed consent form until within 2 years after the use of the study drug. Women of reproductive age include pre menopausal women and women within 2 years after menopause. The blood pregnancy test for women of reproductive age must be negative at screening

Exclusion Criteria:

* Patients with the history of epilepsy or other CNS disease
* Pregnant or breastfeeding
* Active infection with no cure
* Patients with prolonged QT interval time or severe heart disease
* Have experienced hypersensitivity or intolerance to any drug used in this study
* Patients who received anticancer chemotherapy or other drug treatment within 2 weeks before screening
* Previous malignant tumors that require treatment or have evidence of recurrence within the previous 5 years of screening
* Clinically significant central nervous system lesions such as seizures, cerebral vascular ischemia/hemorrhage, dementia, cerebellar disease, psychosis, active central nervous system involvement, or cancerous meningitis
* In the past 2 years, terminal organ damage caused by autoimmune diseases (such as Crohn's disease, rheumatoid arthritis, systemic lupus erythematosus) or the need for systematic application of immunosuppressive or other systemic disease control drugs
* Severe active viral, bacterial, or uncontrolled systemic fungal infections; Genetic bleeding/coagulation disorders, a history of non-traumatic bleeding or thromboembolism, and other diseases that may increase the risk of bleeding
* Patients who received autologous hematopoietic stem cell transplantation (ASCT) within 8 weeks before screening, or who plan to undergo ASCT during this study
* Participated in clinical trials of other drugs within 4 weeks or 5 drug half-lives (T1/2) before screening
* Any situation that the researchers believe may increase the risk of patients or interfere with the test results.

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

  • 主要终点不良事件(AE)和严重不良事件(SAE)的发生率及等级基线至CD7 CAR-T输注后28天
  • 次要终点CAR-T细胞表达/持续情况
  • 次要终点CAR-T相关细胞因子表达
  • 次要终点生存率(SR)
  • 次要终点至疾病进展时间(TTP)
  • 次要终点无进展生存期(PFS)
  • 次要终点缓解持续时间(DOR)
  • 次要终点总缓解率(ORR)
  • 次要终点临床获益率(CBR)
核对登记原文(英文)

主要终点:Incidence and level of AE and SAE · Adverse events assessed according to NCI-CTCAE v5.0 criteria · Baseline up to 28 days after CD7 CAR T-cells infusion
次要终点:CAR-T cell expression;CAR-T related cytokine expression;Survival Rate (SR);Time-To-Progression(TTP);Progression-free survival (PFS);Duration of remission,DOR;Overall response rate,ORR;Clinical Benefit Rate(CBR)

研究设计怎么做的

研究类型
干预性研究
入组人数
30 人(预计)
分组方式
不适用(单臂)
  • CD7 CAR-T桥接异基因造血干细胞移植治疗组试验组

    对复发/难治性CD7阳性恶性血液病患者输注CD7 CAR-T细胞,作为后续异基因造血干细胞移植的桥接治疗。

核对分组登记原文(英文)
  • Treatment Group · EXPERIMENTAL · R/R CD7+Malignant Hematologic Diseases

关键日期

开始日期
2023-04-30
主要完成日期
2026-04-25
全部完成日期
2027-04-25
登记状态核实于
2025-08

联系与责任方

主要研究者
He Huang
申办方
Zhejiang University
合作方
Yake Biotechnology Ltd.
联系邮箱
hehuangyu@126.com
联系电话
+86-0571-87236476

登记简述

本单臂、开放标签、单中心I/II期研究评估CD7 CAR-T桥接异基因造血干细胞移植治疗复发/难治性CD7阳性恶性血液病的安全性及临床结局。

核对登记原文(英文)

This is a single-arm, open-label, single-center, phase I/II study. The primary objective is to evaluate the safety of CD7 CAR-T Bridging to allo-HSCT therapy for patients with CD7-positive relapsed or refractory Malignant Hematologic Diseases

登记原文与核验信息

试验登记号
NCT05827835
试验期别
I 期 / II 期
试验状态
招募中
中国试验中心(1 个)
The first affiliated hospital of medical college of zhejiang university · 杭州 · 中国
适应症(原文)
Hematologic Diseases; Neoplasms
干预方式(原文)
CD7 CAR-T cells injection; Allogeneic hematopoietic stem cell transplantation