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他泽司他联合 CAR-T 细胞疗法治疗 B 细胞淋巴瘤的可行性研究

英文原题:A Feasibility Trial of Tazemetostat Plus CAR T Cell Therapy in B-cell Lymphomas

查看英文原题

A Feasibility Trial of Tazemetostat Plus CAR T Cell Therapy in B-cell Lymphomas

ClinicalTrials.gov 2023/07/07(首次登记) I 期注册临床试验 · 进行中(不再招募)

分数与星级只用于站内排序 —— 不代表疗效、安全性或个人适用性。

简要介绍

这是一项 I 期注册临床试验,评估细胞治疗用于滤泡性淋巴瘤、B 细胞淋巴瘤、套细胞淋巴瘤的安全性、可行性及初步疗效。当前状态:进行中(不再招募)。计划入组 15 例。试验地点:美国 · 纽约(共 1 个中心)。登记号:NCT05934838。

入组条件决定能不能参加

不限性别 · ≥ 18 Years

纳入标准:

• 确诊DLBCL、FL或MCL。
• 符合接受标准治疗CAR-T 细胞治疗的条件。
• 至少接受过1种既往治疗。

排除标准:

• 活动性HIV、乙型肝炎或丙型肝炎病毒感染。
• 活动性、未控制的全身性真菌、细菌或病毒感染。
• 正在接受其他癌症的活动性治疗。
• 妊娠或哺乳。
• 无法口服药物。
• 有某些显著病史,如近期卒中、肺栓塞、心肌梗死、充血性心力衰竭、未控制高血压或某些心律失常。
核对登记原文(英文)
Inclusion Criteria:

* Confirmed diagnosis of DLBCL, FL, or MCL
* Eligible to receive standard of care CAR T cells
* Have received at least 1 prior therapies

Exclusion Criteria:

* Active viral infection with HIV or hepatitis type B or C
* Active, uncontrolled systemic fungal, bacterial or viral infection
* Active treatment for another cancer
* Pregnant or breastfeeding
* Unable to take oral medication
* Certain significant past medical history, such recent stroke, pulmonary embolism, myocardial infarction, congestive heart failure, uncontrolled hypertension, or certain arrhythmias

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

  • 主要终点发生CTCAE v5分类不良事件的参加者人数自治疗开始至他泽司他末次给药后30天,最长约13个月
  • 次要终点治疗期间按ASTCT共识分级系统发生细胞因子释放综合征(CRS)的患者人数
  • 次要终点治疗期间按ASTCT共识分级系统发生免疫效应细胞相关神经毒性综合征(ICANS)的患者人数
  • 次要终点按Lugano疗效标准报告的总体缓解率(ORR)
  • 次要终点平均无进展生存期(PFS)
  • 次要终点平均总生存期(OS)
核对登记原文(英文)

主要终点:Number of participants who experience adverse events classified per CTCAEv5 · Adverse reactions will be graded as per National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5. · From start of treatment until 30 days after the last dose of tazemetostat, for a maximum of approximately 13 months
次要终点:Number of patients who experience cytokine release syndrome (CRS) by ASTCT Consensus Grading system during therapy;Number of patients who experience immune effector cell neurotoxicity syndrome (ICANS) by ASTCT Consensus Grading system during therapy;Overall response rate (ORR) reported as per Lugano response criteria;Mean Progression-Free Survival (PFS);Mean Overall Survival (OS)

研究设计怎么做的

研究类型
干预性研究
入组人数
15 人(预计)
分组方式
不适用(单臂)
  • 他泽司他联合CAR-T 细胞治疗试验组

    在标准治疗CAR-T 细胞治疗前后给予他泽司他;此用法仍属研究性治疗。

核对分组登记原文(英文)
  • Tazemetostat and CAR T-Cell Therapy · EXPERIMENTAL · Tazemetostat is being administered prior to, and following, standard of care CAR T cell therapy. The use of tazemetostat in this way is investigational.

关键日期

开始日期
2023-10-04
主要完成日期
2026-05-30
全部完成日期
2031-09
登记状态核实于
2026-06

联系与责任方公示信息

申办方
Weill Medical College of Cornell University
合作方
Epizyme, Inc.、Applebaum Foundation、American Society of Clinical Oncology

登记简述

本临床试验评估先给予他泽司他、随后按标准治疗输注CAR-T 细胞,用于既往治疗过的弥漫性大B细胞淋巴瘤(DLBCL)、滤泡性淋巴瘤(FL)和套细胞淋巴瘤(MCL)的可行性和安全性。研究者假设该联合方案有望在不显著影响安全性的前提下,显著增强CAR-T 细胞识别和杀伤淋巴瘤细胞的能力。参加者在CAR-T 治疗前后服用他泽司他,CAR-T 给药后最多持续12个月。患者随访最长5年。

核对登记原文(英文)

This is a clinical trial to evaluate the feasibility and safety of giving tazemetostat followed by standard of care CAR T cell infusion in previously treated diffuse large b-cell lymphoma (DLBCL), follicular lymphoma (FL), and mantle cell lymphoma (MCL). The investigators hypothesis is that this combination has the potential to significantly improve the ability of CART cells to recognize and kill lymphoma cells without a significant impact on safety. Participants will receive the tazemetostat pills before and after receiving their CAR T cell therapy, for up to 12 months after CAR T cell administration. Patients will be followed for up to 5 years.

登记原文与核验信息

试验登记号
NCT05934838
试验期别
I 期
试验状态
进行中(不再招募)
试验中心(1 个)
美国 1
适应症(原文)
Follicular Lymphoma; B-Cell Lymphoma; Mantle Cell Lymphoma; Diffuse Large B Cell Lymphoma
干预方式(原文)
Tazemetostat Pill