CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:A Clinical Study Exploring CT1190B in the Treatment of Patients with Relapsed/refractory B-cell Non-Hodgkin Lymphoma
A Clinical Study Exploring CT1190B in the Treatment of Patients with Relapsed/refractory B-cell Non-Hodgkin Lymphoma
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。
⚠ 该试验的登记信息已有 21 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 CAR-T 细胞治疗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 24 例。试验地点:中国 · 上海(共 1 个中心,其中中国 1 个)。登记号:NCT06734871。
不限性别 · ≥ 18 Years 且 ≤ 75 Years
纳入标准: 1. 自愿签署知情同意书,愿意且能够遵守访视安排及其他方案要求,并同意按法规要求接受最长15年的长期随访。 2. 年龄18–75岁。 3. 组织学或细胞学确诊B细胞非霍奇金淋巴瘤(B-NHL)。 4. 既往至少接受过2线全身治疗。 5. 不能耐受最近一次治疗,或最近一次治疗期间/之后疾病进展且目前需要治疗。 6. 至少有一个可测量靶病灶。 7. 预期生存期>12周;ECOG体能状态0–1分。 8. 有生育能力女性在筛选时及预处理前妊娠试验须为阴性,并同意治疗后1年内采取高效、可靠的避孕措施;治疗后1年内禁止捐卵。男性若与有生育能力女性发生性行为,须同意治疗后1年内采取高效、可靠的避孕措施;所有男性在治疗后1年内禁止捐精。 排除标准: 1. 妊娠或哺乳期女性。 2. HIV或梅毒感染、活动性乙肝(HBsAg阳性且HBV DNA高于检测限)或活动性丙肝(HCV抗体及HCV DNA均阳性)。 3. 存在任何未控制的活动性感染,包括研究者判断的活动性结核。 4. 既往治疗毒性尚未恢复至CTCAE≤1级;脱发及研究者认为可耐受的其他事件除外。 5. 知情同意前14天内接受过该疾病的治疗,包括细胞毒治疗、单克隆抗体或抗体偶联药物、靶向治疗、放疗、表观遗传治疗或试验药物;或前14天内使用过侵入性试验医疗器械。若放疗范围覆盖的骨髓储备≤5%,则不受放疗结束时间限制。 6. 知情同意前7天内全身使用泼尼松等效剂量>15 mg/日的糖皮质激素;局部用药除外。 7. 知情同意前4周内接种活减毒疫苗、灭活疫苗或RNA疫苗。 8. 对预处理药物或托珠单抗过敏/不耐受,或有过敏性休克等严重过敏史。 9. 筛选前6个月内患有任何心脏疾病。 10. 血氧饱和度<92%。 11. 存在需要治疗的第二原发恶性肿瘤,或过去2年内未达到完全缓解。 12. 知情同意前2周内接受重大手术,或计划在研究期间、研究治疗后4周内接受重大手术;白内障手术等局部麻醉操作除外。 13. 研究者评估认为受试者无法或不愿遵守方案要求,或不适合参加本研究。
Inclusion Criteria: 1. Participants must voluntarily sign the informed consent form (ICF) and must be willing and be able to adhere to the study visit schedule and other protocol requirements and agree to be in long term follow-up (LTFU) for up to 15 years as mandated by the regulatory guidelines. 2. 18-75 years old; 3. Histologically or cytologically confirmed B-NHL; 4. Previously received at least 2 lines of systemic therapy; 5. Intolerance to last treatment, or have progressed on or after the last treatment and currently require therapy; 6. There are measurable target lesions; 7. Expected survival \> 12 weeks; 8. Eastern Cooperative Oncology Group (ECOG) score 0-1; 9. Female participants of childbearing potential must have a negative pregnancy test at screening and prior to receiving preconditioning therapy and are willing to use a highly effective and reliable method of contraception for 1 year after receiving study treatment and are absolutely prohibited from donating eggs for 1 year after receiving study treatment infusion during the study; male participants are willing to use a highly effective and reliable method of contraception for 1 year after receiving study treatment if they are sexually active with a female of childbearing potential. Sperm donation is absolutely prohibited for 1 year after receiving study treatment infusions during the study for all male participants. Exclusion Criteria: 1. Pregnant or lactating women; 2. Has HIV, syphilis infection, active hepatitis B virus infection (HBsAg positive and HBV-DNA above the detection limit), or active hepatitis C virus infection (HCV antibody and HCV-DNA positive); 3. Has any current uncontrolled active infection, including but not limited to participants with active tuberculosis (investigator 's judgment); 4. Participants' toxicities caused by previous treatment did not recover to Common Terminology Criteria for Adverse Events (CTCAE) ≤ Grade 1, except alopecia and other events that are judged tolerable by the investigator; 5. Has received treatment for the disease within 14 days before informed consent, including but not limited to cytotoxic therapy, monoclonal antibodies or ADCs, targeted therapy, radiotherapy, epigenetic therapy, or investigational agents, or invasive investigational medical devices within 14 days before informed consent. If the radiation field covers ≤ 5% of the bone marrow reserve, the participant is eligible regardless of the end date of radiotherapy; 6. Systemic glucocorticoids equivalent to \> 15 mg/day prednisone within 7 days prior to informed consent, with the exception of topical glucocorticoids; 7. Vaccination with live attenuated vaccines, inactivate vaccines or RNA vaccines within 4 weeks prior to informed consent; 8. Participants who are allergic or intolerant to preconditioning drugs, tocilizumab, or have other previous history of severe allergy such as anaphylactic shock; 9. Patients with any heart disease in the 6 months prior to screening; 10. Oxygen saturation \< 92%,; 11. Presence of a second primary malignancy requiring treatment or not in complete remission within the past 2 years; 12. Major surgery within 2 weeks before informed consent or planned during the study period or within 4 weeks after giving study treatment (excluding local anesthesia such as cataract); 13. Participants are unable or unwilling to comply with the requirements of the study protocol or are otherwise unsuitable for participating in this clinical study in the investigator 's assessment;
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:Adverse Events (AE) after CT1190B infusion · An assessment of severity grade will be made according to the National Cancer Institute Common Terminology Criteria · 12 months after CT1190B infusion;MTD and/or dose range · Evaluate Dose limited toxicity and recommended dosage range after CT0991 infusion · Up to 28 days after CAR-T cells infusion
次要终点:Overall response rate(ORR);Complete response rate (CRR);Duration of remission(DOR);Time to response (TTR);Time to complete response (TTCR);Progression-free survival (PFS);Overall survival (OS)
输注CT1190B细胞。
以上邮箱 / 电话是登记库里的申办方联系方式(+86,中国),通常不直达某家医院。中国中心的联系方式请以医院或登记平台最新公示为准。
本临床研究旨在评估CT1190B CAR-T 细胞治疗复发/难治性B细胞非霍奇金淋巴瘤患者的安全性、疗效和细胞代谢特征。
A Clinical Study to Investigate the Safety, Efficacy, and Cellular Metabolism of CT1190B CAR-T Cell therapy, in Patients with Relapsed/Refractory B-Cell Non-Hodgkin Lymphoma.
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