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LUCAR-20SP治疗复发/难治性B细胞非霍奇金淋巴瘤研究

英文原题:A Study of LUCAR-20SP in Subjects With Relapsed/Refractory B-cell Non-Hodgkin Lymphoma

ClinicalTrials.gov 2024/03/15(首次登记) I 期注册临床试验 · 招募中

⚠ 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。

简要介绍

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。

入组条件决定能不能参加

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。
核对登记原文(英文)
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。

研究终点衡量什么算有效

  • 主要终点剂量限制性毒性(DLT)率LUCAR-20SP输注(第1天)后至少2年。
  • 主要终点治疗期间出现的不良事件(TEAE)的发生率、严重程度和类型LUCAR-20SP输注(第1天)后至少2年。
  • 主要终点II期推荐剂量(RP2D)方案确定LUCAR-20SP输注(第1天)后至少2年。
  • 主要终点外周血药代动力学LUCAR-20SP输注(第1天)后至少2年。
  • 主要终点骨髓药代动力学LUCAR-20SP输注(第1天)后至少2年。
  • 次要终点给药后的客观缓解率(ORR)
  • 次要终点给药后的缓解时间(TTR)
  • 次要终点给药后的缓解持续时间(DoR)
  • 次要终点给药后的无进展生存期(PFS)
  • 次要终点给药后的总生存期(OS)
  • 次要终点抗LUCAR-20SP抗体发生率
核对登记原文(英文)

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

研究设计怎么做的

研究类型
干预性研究
入组人数
42 人(预计)
分组方式
不适用(单臂)
  • 所有受试者接受LUCAR-20SP细胞试验组

    嵌合抗原受体T细胞LUCAR-20SP。

核对分组登记原文(英文)
  • Each subject will receive LUCAR-20SP cells · EXPERIMENTAL · Chimeric antigen receptor T cells LUCAR-20SP cells

关键日期

开始日期
2024-03-14
主要完成日期
2026-09
全部完成日期
2028-09
登记状态核实于
2025-03

联系与责任方

申办方
Peking University Cancer Hospital & Institute
合作方
Nanjing Legend Biotech Co.、Beijing Boren Hospital、Henan Cancer Hospital
联系邮箱
songyq22622@163.com
联系电话
13683398726

登记简述

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。

核对登记原文(英文)

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.

登记原文与核验信息

试验登记号
NCT06313957
试验期别
I 期
试验状态
招募中
中国试验中心(3 个)
Beijing GoBroad Boren Hospital · 北京 · 中国 | Peking University Cancer Hospital & Institute · 北京 · 中国 | Henan Cancer Hospital · 郑州 · 中国
适应症(原文)
Relapsed B-cell Non-Hodgkin Lymphoma; Refractory B-cell Non-Hodgkin Lymphoma
干预方式(原文)
LUCAR-20SP cells