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:A First-in-human Study to Assess OT-C001 (Amplified/Activated Allogenic Natural Killer Cells) in Patients With Relapsed/Refractory Diffuse Large B Cell Lymphoma
⚠ 该试验的登记信息已有 15 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,评估异体NK 细胞治疗弥漫大 B 细胞淋巴瘤的安全性、可行性及初步疗效。当前状态:招募中。计划入组 10 例。试验地点:欧洲 · 蒙彼利埃(共 1 个中心)。登记号:NCT07044050。
不限性别 · ≥ 18 Years
纳入标准: * 年龄≥18岁 * 组织学确诊为R/R DLBCL-NOS,且无进一步标准治疗方案,包括CAR T细胞治疗后复发或不适合CAR T细胞治疗者 * 具有可评估病灶 * 基线时具有足够的生物学参数 * ECOG体能状态≤1 * 研究者评估的预期寿命>3个月 排除标准: * 同时接受任何抗肿瘤导向药物治疗 * 治疗前或治疗期间接种任何活病毒疫苗 * 具有严重特应性体质,需要单克隆抗体、过敏原免疫治疗或长期全身性皮质类固醇治疗 * 3周内接受过大手术 * 疾病快速进展,包括大量未控制的胸腔、心包或腹腔积液、肺淋巴管炎,以及肝脏受累超过50% * 既往治疗未缓解的持续免疫相关毒性或不良事件等级>1,但白癜风、稳定至2级的神经病变、脱发以及通过替代激素治疗稳定的内分泌疾病除外 * 有记录的活动性自身免疫性疾病病史,且在过去12个月内需要全身性免疫抑制治疗 * 原发性或继发性免疫缺陷 * 需要静脉抗生素或抗病毒治疗的活动性未控制感染 * HIV、HBV或HCV血清学阳性(疫苗接种后或确诊治愈的肝炎除外) * 临床显著的心脏疾病,包括心力衰竭、未控制的高血压、既存心律失常、未控制的心绞痛,或12个月内的心肌梗死 * 痴呆或精神状态改变,无法签署知情同意 * 过去3年内的其他恶性肿瘤,但充分治疗的非黑色素瘤皮肤癌、宫颈原位癌或骨髓增生异常综合征除外
Inclusion Criteria: * ≥18 years of age * histologically confirmed diagnosis of R/R DLBCL-NOS without further standard treatment options including those relapsing after or ineligible for CAR T-cell therapy * with evaluable disease * with adequate biological parameters at baseline * ECOG performance status ≤1 * life expectancy \>3 months as assessed by the investigator Exclusion Criteria: * Receive concomitantly any antitumor-directed drug therapy * Any vaccination with live virus vaccines before or during treatment * With severe atopic predisposition who need a treatment with monoclonal antibodies, allergen immunotherapy, or long-term systemic corticosteroids * Major surgery within 3 weeks * With rapidly progressing disease that includes massive uncontrolled pleural, pericardial, or peritoneal effusions, pulmonary lymphangitis, and over 50% liver involvement * Ongoing immune-related tocivities or adverse events grade \>1 not resolved from previous therapies except vitiligo, stable neuropathy up to grade 2, hair loss, and stable endocrinopathies with substitutive hormone therapy * Documented history of active autoimmune disorders requiring systemic immunosuppressive therapy within the last 12 months * Primary or secondary immune deficiency * Active and uncontrolled infections requiring intravenous antibiotic or antiviral treatment * Seropositive (except after vaccination or confirmed cure for hepatitis) for HIV, HBV, or HCV * Clinically significant cardiac disease including heart failure, uncontrolled hypertension, pre-existing arrhythmia, uncontrolled angina pectoris, or myocardial infarction within 12 months * Dementia or altered mental status that would prohibit informed consent * Other malignancy within the last 3 years except adequately treated nonmelanoma skin cancer, in situ carcinoma of the uterine cervix, or myelodysplastic syndromes
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 and severity of treatment-emergent adverse events and clinically significant findings on clinical laboratory tests, performance status, vital signs, ECGs, and physical examinations. · All assessments will be conducted from first study treatment administration through the End of Treatment or Early Termination Visit (scheduled within 14 days after the last dose).
次要终点:Antitumor activity characterized by objective response rate per Lugano criteria.
OT-C001 1瓶,每周给药
OT-C001 3瓶,每周给药
OT-C001 1/3瓶(100M)
本临床试验的目的是了解OT-C001的安全性,并确定治疗复发或难治性弥漫性大B细胞淋巴瘤患者的良好剂量。同时还将了解OT-C001的初步活性。 参与者将: 在OT-C001治疗前接受短期化疗。在研究治疗期间,参与者将接受每周一次OT-C001给药,持续3或6周。在研究期间,参与者还将接受另外两种药物,利妥昔单抗和IL-2,以支持OT-C001治疗。 参与者需要按照研究计划前往诊所就诊或可能住院。
The goal of this clinical trial is to learn the safety of OT-C001 and decide a good dose in treating relapsed or refractory diffuse large B-cell lymphoma patients. It will also learn about the preliminary activity of OT-C001. Participants will: Receive a short course of chemotherapy before OT-C001 treatment. During the study treatment, participants will recieve weekly dose of OT-C001 for 3 or 6 weeks. During the study period, participants will also receive another two drugs, rituximab and IL-2, to support OT-C001 treatment. Participants need to visit the clinic or may be hospitalized according to the study plan.
MEMBER ACCOUNT
登录成功会直接打开下一页。