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:The CD19/CD20 Dual-Target in Vivo CAR-T Lentiviral Product in the Treatment of Relapsed/Refractory B-cell Malignancies
这是一项 I 期注册临床试验,评估体内 CAR-T 细胞治疗 B 细胞恶性肿瘤的安全性、可行性及初步疗效。当前状态:招募中。计划入组 30 例。试验地点:中国 · 合肥、北京、石家庄、郑州(共 6 个中心,其中中国 6 个)。登记号:NCT07002112。
不限性别 · ≥ 18 Years
纳入标准: 1. 受试者自愿参加临床研究,充分了解研究并签署知情同意书;任何非疾病标准治疗所需的研究相关检查或程序开始前,须取得知情同意。受试者依从性良好并愿意配合随访; 2. 年龄≥18岁; 3. ECOG体能状态评分0或1分; 4. 至少有一个可评估肿瘤病灶; 5. 复发和/或难治性非霍奇金淋巴瘤,或有治疗指征的复发和/或难治性慢性淋巴细胞白血病(CLL); 6. 预期生存期≥3个月; 7. 临床实验室检查结果符合筛查访视要求; 8. 器官功能充分。 排除标准: 受试者不得符合以下任一条件: 1. 既往抗肿瘤治疗的洗脱期不足; 2. 既往接受过基于慢病毒载体的基因治疗; 3. 乙型肝炎表面抗原(HBsAg)、乙肝病毒DNA(HBV DNA)、丙肝抗体(HCV-Ab)、丙肝病毒RNA(HCV RNA)或HIV抗体阳性; 4. 已知对研究药物辅料或相关辅料(包括但不限于DMSO)有危及生命的过敏、超敏反应或不耐受;或既往有严重过敏反应史(如超敏反应,或研究者评估认为曾出现需使用糖皮质激素预防过敏性休克的严重免疫相关反应); 5. 哺乳期女性。
Inclusion Criteria: 1. Subjects voluntarily participate in clinical studies; Fully informed of this study and signed informed consent; Informed consent form must be obtained prior to initiation of any study-related tests or procedures that are not part of the standard treatment for the subject's disease; Good compliance and cooperation with follow-up. 2. Age greater than or equal to 18. 3. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. 4. At least one evaluable tumor lesion. 5. Relapsed and/or refractory NHL , and relapsed and/or refractory CLL with treatment indications 6. Life expectancy≥ 3 months 7. Clinical laboratory values meet screening visit criteria 8. Adequate organ function; Exclusion Criteria: Subject eligible for this study must not meet any of the following criteria: 1. Prior antitumor therapy with insufficient washout period ; 2. Prior treatment with lentiviral vector-based gene therapies; 3. Patients who are positive for hepatitis B surface antigen (HBsAg), hepatitis B virus deoxyribonucleic acid (HBV DNA), hepatitis C antibody (HCV-Ab), hepatitis C virus ribonucleic acid (HCV RNA), and human immunodeficiency virus antibody (HIV-Ab). 4. Known life-threatening allergic reaction, hypersensitivity reaction, or intolerance to study drug excipients and related excipients, including but not limited to DMSO; or those with a history of severe allergic reactions in the past (such as hypersensitivity reactions, or those with severe immune-related reactions such as the need for glucocorticoids to prevent anaphylaxis as assessed by the investigator). 5. Lactating women;
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:Incidence, severity and type of TEAEs (Treatment-emergent Adverse Events) · An adverse event is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. · Through study completion, an average of 2 years afterCD19/CD20 Dual-Target in vivo CAR-T Lentiviral infusion (Day 1);Pharmacokinetics in peripheral blood · CAR positive T cells and CAR transgene percentage of in peripheral blood after CD19/CD20 Dual-Target in vivo CAR-T Lentiviral infusion. · Through study completion, an average of 2 years after CD19/CD20 Dual-Target in vivo CAR-T Lentiviral infusion (Day 1);Pharmacokinetics in bone marrow · CAR positive T cells and CAR transgene percentage of in bone marrow after CD19/CD20 Dual-Target in vivo CAR-T Lentiviral infusion. · Through study completion, an average of 2 years after CD19/CD20 Dual-Target in vivo CAR-T Lentiviral infusion (Day 1);The recommended Phase II dose (RP2D) for this cell therapy · RP2D established through 3+3 design and the DLTs occurring following CD19/CD20 Dual-Target in vivo CAR-T Lentiviral infusion · 30 days after CD19/CD20 Dual-Target in vivo CAR-T Lentiviral infusion
次要终点:Overall Response Rate (ORR);Progression-free survival (PFS);Overall Survival (OS);Time to Response (TTR);Duration of Response (DoR);Immunogenicity assessment of CD19/CD20 Dual-Target in vivo CAR-T Lentiviral infusion
每个剂量水平下,受试者均接受一次CD19/CD20双靶向体内CAR-T慢病毒产品输注。
一项I期临床研究,评估CD19/CD20双靶向体内CAR-T慢病毒产品治疗复发/难治性B细胞恶性肿瘤的安全性、耐受性和有效性。
A Phase I Clinical Study to Evaluate the Safety, Tolerability, and Efficacy of the CD19/CD20 Dual-Target in vivo CAR-T Lentiviral product in the Treatment of Relapsed/Refractory B-cell Malignancies.
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