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 CT1194C in Patients With Relapsed/Refractory B-cell Non-Hodgkin Lymphoma
A Clinical Study Exploring CT1194C in 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 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 细胞治疗非霍奇金淋巴瘤的安全性、可行性及初步疗效。当前状态:尚未开始招募。计划入组 27 例。试验地点:中国 · 天津(共 1 个中心,其中中国 1 个)。登记号:NCT07068906。
不限性别 · ≥ 18 Years 且 ≤ 75 Years
纳入标准: 1. 自愿签署知情同意书,能够并愿意遵守研究访视计划及其他方案要求。 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2线全身治疗。 5. 不能耐受末次治疗,或末次治疗期间/之后疾病进展且目前需要治疗。 6. 有可测量靶病灶。 7. 预期生存期>12周。 8. ECOG评分0–1。 9. 有生育能力的女性筛选时及预处理治疗前妊娠检测须为阴性。男性和女性同意在研究治疗后1年内采用高效可靠的避孕方法,并且治疗输注后1年内不得捐精或捐卵。 排除标准: 1. 妊娠或哺乳期。 2. HIV或梅毒感染;活动性乙肝(HBsAg阳性且HBV-DNA高于检测限);活动性丙肝(HCV抗体和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. 既往治疗引起的毒性尚未恢复至CTCAE≤1级;脱发及研究者判断可耐受的其他事件除外。 5. 签署知情同意前14天内接受疾病治疗,包括细胞毒性治疗、单克隆抗体或抗体偶联药物(ADC)、靶向治疗、放疗、表观遗传治疗或试验药物,或接受侵入性试验医疗器械治疗。若放疗野覆盖≤5%的骨髓储备,则不受放疗结束时间限制。 6. 知情同意前7天内接受全身糖皮质激素且泼尼松等效剂量>15 mg/日;外用糖皮质激素除外。 7. 知情同意前4周内接种减毒活疫苗、灭活疫苗或RNA疫苗。 8. 对预处理药物、托珠单抗过敏或不耐受,或有其他严重过敏史(如过敏性休克)。 9. 筛选前6个月内有任何心脏疾病。 10. 血氧饱和度<92%。 11. 过去2年内存在需要治疗或尚未完全缓解的第二原发恶性肿瘤。 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;局部麻醉手术(如白内障手术)除外。 13. 研究者评估认为无法或不愿遵守方案要求,或不适合参加本临床研究。
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 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。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 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 CT1194C infusion · An assessment of severity grade will be made according to the National Cancer Institute Common Terminology Criteria · 12 months after CT1194C infusion;MTD and/or dose range · Evaluate Dose limited toxicity and recommended dosage range after CT1194C 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)
以上邮箱 / 电话是登记库里的申办方联系方式(中国内地手机),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CT1194C 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、疗效和细胞代谢情况。
A Clinical Study to Investigate the Safety, Efficacy, and Cellular Metabolism of CT1194C CAR-T Cell therapy, in Patients with Relapsed/Refractory B-Cell NonHodgkin Lymphoma.
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