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:RD13-02 Cell Injection in Patients with Relapsed or Refractory CD7-Positive Natural Killer/T Cell Malignancies
⚠ 该试验的登记信息已有 22 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,评估细胞治疗用于淋巴瘤、血液系统恶性肿瘤的安全性、可行性及初步疗效。当前状态:招募中。计划入组 10 例。试验地点:中国 · 武汉(共 1 个中心,其中中国 1 个)。登记号:NCT06732492。
不限性别 · ≥ 3 Years 且 ≤ 70 Years
纳入标准:年龄3-70岁;确诊复发/难治性自然杀伤/T细胞淋巴瘤;CD7表达阳性;筛查时骨髓淋巴母细胞形态学评估≥5%;按Cockcroft-Gault公式估算的肌酐清除率≥60 mL/min,ALT/AST<正常值上限3倍,总胆红素<正常值上限1.5倍或≤1.5 mg/dL;左心室射血分数≥50%;室内空气下基线血氧饱和度≥92%;ECOG体能状态0-2分;预计生存期超过3个月;受试者或法定监护人自愿参加并签署知情同意书。排除标准:伴有骨髓衰竭相关遗传综合征;仅有髓外病灶;某些心脏疾病(方案未具体列明);未控制的活动性中枢神经系统白血病或脑脊液分级为CNS3;有可能影响遵循方案义务能力的创伤性脑损伤、意识障碍、癫痫、脑血管缺血或出血病史;非非黑色素瘤皮肤癌或原位癌以外的恶性肿瘤史;原发性免疫缺陷;未控制感染;CAR-T输注前接受某些抗癌治疗;活动性未控制急性感染;已知HIV感染,活动性或潜伏性乙肝、丙肝或梅毒;筛查前正在接受全身类固醇治疗。
Inclusion Criteria: 1. Age 3-70 2. Diagnosis of r/r NK/T lymphoma. 3. CD7 positive expression 4. Bone marrow lymphoblasts ≥5% by morphologic evaluation at screening 5. Creatinine clearance (as estimated by Cockcroft Gault) ≥ 60 mL/min, Serum alanine aminotransferase(ALT)/aspartate aminotransferase(AST) \< 3×upper limit of normal, Total bilirubin \< 1.5×upper limit of normal or ≤1.5mg/dl 6. Left ventricular ejection fraction ≥ 50% . 7. Baseline oxygen saturation ≥ 92% on room air. 8. Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2. 9. The estimated survival time is more than 3 months. 10. Subjects or their legal guardians volunteer to participate in the study and sign the informed consent. Exclusion Criteria: 1. Subjects with concomitant genetic syndromes associated with bone marrow failure states. 2. Isolated extramedullary lesions 3. Subjects with some cardiac conditions will be excluded. 4. With uncontrolled active central nervous system leukemia (CNSL), cerebrospinal fluid grade Central Nervous System3(CNS3). 5. History of traumatic brain injury, consciousness disturbance, epilepsy, cerebrovascular ischemia, and cerebrovascular hemorrhagic disease, which might compromise the ability of the subject to compliance with the obligations under the protocol. 6. History of malignancy other than non-melanoma skin cancer or carcinoma. 7. Primary immune deficiency. 8. Presence of uncontrolled infections. 9. Subjects with some anticancer therapy before CAR-T infusion will be excluded. 10. Active uncontrolled acute infections. 11. Known history of infection with human immunodeficiency virus (HIV); active or latent hepatitis B, hepatitis C and syphilis. 12. Subjects who are receiving systemic steroid therapy prior to screening.
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:Overall response rate (ORR) · The proportion of patients with complete response (CR) /complete response with incomplete blood cell recovery (CRi) · Evaluate at 4 weeks after CAR-T infusion
次要终点:Duration of remission (DOR);Event-free survival (EFS);Overall survival (OS)
通过静脉注射靶向CD7的RD13-02细胞。
这是一项单臂、开放标签、单中心I期研究。主要目的是评估CD7嵌合抗原受体T细胞(CAR-T)治疗复发或难治性CD7阳性自然杀伤/T细胞淋巴瘤患者的安全性,并评估CD7 CAR-T细胞的药代动力学。
This is a single-arm, open-label, single-center, phase I study. The primary objective is to evaluate the safety of CD7 Chimeric Antigen Receptor-T(CAR-T) therapy for patients with CD7-positive relapsed or refractory natural killer/T cell lymphoma, and to evaluate the pharmacokinetics of CD7 CAR-T in patients。
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