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.
英文原题:A Clinical Study Exploring Universal CAR-T Cell in Patients With Relapsed/Refractory B-cell Acute Lymphoblastic Leukemia
A Clinical Study Exploring Universal CAR-T Cell in Patients With Relapsed/Refractory B-cell Acute Lymphoblastic Leukemia
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⚠ 该试验的登记信息已有 15 个月未更新, 页面上显示的「尚未开始招募」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 细胞治疗急性淋巴细胞白血病的安全性、可行性及初步疗效。当前状态:尚未开始招募。计划入组 36 例。试验地点:中国 · 上海(共 1 个中心,其中中国 1 个)。登记号:NCT07043218。
不限性别 · ≥ 18 Years 且 ≤ 75 Years
纳入标准: 1. 受试者须自愿签署知情同意书(ICF),并愿意且能够遵守研究访视计划及其他方案要求。 2. 年龄18~75岁。 3. 经组织学或细胞学确诊为B细胞急性淋巴细胞白血病(B-ALL)。 4. 既往至少接受过2线全身治疗。 5. 预期生存期>12周。 6. 东部肿瘤协作组(ECOG)体能状态评分0~2分。 7. 有生育能力的女性受试者须在筛选时及接受预处理前妊娠试验结果为阴性。男女受试者均须愿意在接受研究治疗后1年内采用高效、可靠的避孕方法,并且在研究期间及输注研究治疗后1年内不得捐献精子或卵子。 排除标准: 1. 妊娠期或哺乳期女性。 2. 感染HIV、梅毒,存在活动性乙型肝炎病毒感染(HBsAg阳性且HBV-DNA高于检测限),或活动性丙型肝炎病毒感染(HCV抗体和HCV-DNA均阳性)。 3. 当前存在任何未控制的活动性感染,包括但不限于活动性结核病(由研究者判断)。 4. 既往治疗导致的毒性尚未恢复至不良事件通用术语标准(CTCAE)≤1级;脱发以及研究者认为可耐受的其他事件除外。 5. 存在孤立性髓外病灶。 6. 知情同意前4周内接种过减毒活疫苗、灭活疫苗或RNA疫苗。 7. 对预处理药物或托珠单抗过敏或不耐受,或既往发生过严重过敏(如过敏性休克)。 8. 筛选前6个月内患有心脏病。 9. 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。 10. 研究者判断可能危及患者参加研究时生命的严重肺部疾病。
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 2. 18-75 years old; 3. Histologically or cytologically confirmed B-ALL; 4. Previously received at least 2 lines of systemic therapy; 5. Expected survival \> 12 weeks; 6. Eastern Cooperative Oncology Group (ECOG) score 0-2; 7. Female participants of childbearing potential must have a negative pregnancy test at screening and prior to receiving preconditioning therapy。Both male and Female 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 sperm donation or eggs for 1 year after receiving study treatment infusion during the study. 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 Cvirus 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) ≤ Grade1, except alopecia and other events that are judged tolerable by the investigator; 5. Patients with isolated extramedullary lesions; 6. Vaccination with live attenuated vaccines, inactivate vaccines or RNA vaccines within 4 weeks prior to informed consent; 7. Participants who are allergic or intolerant to preconditioning drugs, tocilizumab, or have other previous history of severe allergy such as anaphylactic shock; 8. Patients with heart disease in the 6 months prior to screening; 9. Presence of a second primary malignancy requiring treatment or not in complete remission within the past 2 years; 10. Serious pulmonary diseases that are judged by the investigator to potentially endanger the patient's life when participating in the 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:MTD and/or dose range · Evaluate Dose limited toxicity and recommended dosage range after CT119X infusion · Up to 28 days after CAR-T cells infusion;Adverse Events (AE) after CT119X infusion · An assessment of severity grade will be made according to the National Cancer Institute Common Terminology Criteria · 12 months after CT119X 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-P和CT1192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。
本临床研究旨在考察CT119X(包括CT1190-P和CT1192)CAR-T 细胞疗法在复发/难治性B细胞急性淋巴细胞白血病患者中的安全性、疗效及细胞代谢特征。
A Clinical Study to Investigate the Safety, Efficacy, and Cellular Metabolism of CT119X(including CT1190-P and CT1192) CAR-T Cell therapy, in Patients with Relapsed/Refractory B-cell acute lymphoblastic leukemia.
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