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:A Study of LUCAR-20SP in Subjects With Relapsed/Refractory B-cell Non-Hodgkin Lymphoma
⚠ 该试验的登记信息已有 18 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。
这是一项 I 期注册临床试验,评估细胞治疗用于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 42 例。试验地点:中国 · 北京、郑州(共 3 个中心,其中中国 3 个)。登记号:NCT06313957。
不限性别 · ≥ 18 Years
纳入标准:自愿参加临床研究;年龄≥18岁;ECOG评分0–1;组织学确诊大B细胞淋巴瘤、滤泡性淋巴瘤、套细胞淋巴瘤,或组织学惰性淋巴瘤转化为弥漫性大B细胞淋巴瘤;CD20阳性;按2014年Lugano标准至少有1个可测量肿瘤病灶;预期生存期≥3个月;筛选期临床实验室指标符合要求;同意采取有效避孕。 排除标准:既往抗肿瘤治疗洗脱期不足;既往接受异基因细胞或基因治疗(如CAR-T),除非已证明先前异基因治疗产品(如CAR阳性T细胞或CAR转基因)低于检测下限;既往接受异基因造血干细胞移植;既往接受基因治疗;供者特异性抗体(DSA)阳性;严重基础疾病;HBV DNA、HCV RNA或HIV抗体阳性;研究者判断可能限制患者参与或不适合参加研究的其他严重既往疾病。
Inclusion Criteria: * Subjects voluntarily participate in clinical research; * Age ≥18 years old; * Eastern Cooperative Oncology Group (ECOG) score 0-1; * Histologically confirmed large B-cell lymphoma, follicular lymphoma, mantle cell lymphoma, histologically indolent lymphoma to diffuse large B-cell lymphoma; CD20 positive; * At least one measurable tumor lesion according to the Lugano 2014. * Expected survival ≥3 months; * Clinical laboratory values in the screening period meet criteria. * Effective contraception. Exclusion Criteria: * Prior antitumor therapy with insufficient washout period. * Previous treatment with allogeneic cell and gene therapy (such as CAR-T); Except subjects with evidence that previous allogeneic cell and gene therapy products (such as CAR-positive T cells and CAR transgenes) in the subject have been below the lower limit of detection; * Previously received allogeneic hematopoietic stem cell transplantation; * Previously received gene therapy; * Donor specific antibody (DSA) positive subjects will be excluded; * Severe underlying diseases; * Hepatitis B virus deoxyribonucleic acid (HBV DNA), hepatitis C virus ribonucleic acid (HCV RNA) or human immunodeficiency virus antibody (HIV-Ab) positive; * Presence of other serious pre-existing medical conditions that may limit patient participation in the study. Any condition that, in the investigator's judgment, will make the subject unsuitable for participation in 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:Dose-limiting toxicity (DLT) rate · DLT refers to a drug-related toxicity during treatment with the drug, the severity of which is clinically unacceptable, limiting the further escalation of drug dose. · Minimum 2 years after LUCAR-20SP infusion (Day 1);Incidence, severity, and type of treatment-emergent adverse events (TEAEs) · An adverse event refers to any untoward medical occurrence in a clinical investigation subject administered a pharmaceutical product (investigational or non-investigational), which does not necessarily have a causal relationship with the treatment. · Minimum 2 years after LUCAR-20SP infusion (Day 1);Recommended Phase 2 Dose (RP2D) regimen finding · RP2D established through accelerated titration design (ATD) and Bayesian Optimal Interval (BOIN) design. · Minimum 2 years after LUCAR-20SP infusion (Day 1);Pharmacokinetics in peripheral blood · CAR transgene levels in peripheral blood after LUCAR-20SP infusion. CAR positive T cells levels in bone marrow after LUCAR-20SP infusion. · Minimum 2 years after LUCAR-20SP infusion (Day 1);Pharmacokinetics in bone marrow · CAR positive T cells levels in bone marrow after LUCAR-20SP infusion. CAR transgene levels in bone marrow after LUCAR-20SP infusion. · Minimum 2 years after LUCAR-20SP infusion (Day 1)
次要终点:Objective Response Rate (ORR) after administration;Time to Response (TTR) after administration;Duration of Remission (DoR) after administration;Progression-free Survival (PFS) after administration;Overall Survival (OS) after administration;Incidence of anti-LUCAR-20SP antibody
嵌合抗原受体T细胞LUCAR-20SP。
这是一项前瞻性、单臂、开放标签探索性临床研究,评估LUCAR-20SP治疗成人复发/难治性B细胞非霍奇金淋巴瘤的效果。
This is a prospective, single-arm, open-label, exploratory clinical study of LUCAR-20SP in adult subjects with relapsed/refractory B-cell non-Hodgkin lymphoma.
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