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.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:A Study of A-CAR028 Treatment in Subjects With Relapsed or Refractory Acute Myeloid Leukemia
A Study of A-CAR028 Treatment in Subjects With Relapsed or Refractory Acute Myeloid Leukemia
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⚠ 该试验的登记信息已有 12 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,评估细胞治疗用于急性髓系白血病的安全性、可行性及初步疗效。当前状态:招募中。计划入组 20 例。试验地点:中国 · 杭州(共 1 个中心,其中中国 1 个)。登记号:NCT07198867。
不限性别 · ≥ 18 Years 且 ≤ 75 Years
纳入标准:签署知情同意书时年龄18-75岁;预期生存期超过12周;ECOG评分0-1分;复发/难治性急性髓系白血病(AML);器官功能充分。排除标准:急性早幼粒细胞白血病(APL);混合表型急性白血病(MPAL);急性未分化白血病(AUL);仅有髓外白血病;已知对A-CAR028细胞产品成分或辅料过敏;严重心脏病,包括但不限于签署知情同意书前12个月内心肌梗死、血管成形术或支架置入、不稳定型心绞痛、严重心律失常、重度非缺血性心肌病史或心力衰竭;签署知情同意书前3个月内接受自体或异体造血干细胞移植;中枢神经系统(CNS)受累或相关症状(包括脑神经病变、广泛病灶或脊髓压迫);签署知情同意书前12个月内发生卒中或癫痫;签署知情同意书前5年内有恶性肿瘤史;未控制的活动性感染;HBV、HCV、HIV、梅毒螺旋体(TP)阳性或CMV DNA阳性;签署知情同意书前4周内接种活疫苗;筛查时存在急性或慢性GVHD;既往治疗洗脱期不足;既往接受CAR-T 细胞产品或基因修饰T细胞治疗。
Inclusion Criteria: * 18 to 75 years old at the time of signing the Informed Consent Form (ICF) * More than 12 weeks of expected survival * ECOG score 0 or 1 * Relapsed or refractory AML * Adequate organ function Exclusion Criteria: * Acute Promyelocytic Leukemia (APL) * Mixed Phenotype Acute Leukemia (MPAL) * Acute Undifferentiated Leukemia (AUL) * Only extramedullary leukemia * Known allergies to the components or excipients of the A-CAR028 cell product * Severe heart diseases, including but not limited to, myocardial infarction, angioplasty or stent implantation within 12 months prior to signing the ICF, unstable angina pectoris, severe arrhythmia, history of severe non-ischemic cardiomyopathy, heart failure * Autologous or allogeneic hematopoietic stem cell transplantation within 3 months prior to signing the ICF * Central nervous system (CNS) involvement or symptoms of CNS involvement (including cranial nerve lesions and extensive lesions or spinal cord compression) * A stroke or seizure occurred within 12 months prior to signing the ICF * Malignancy history within 5 years prior to signing the ICF * Uncontrolled active infection * Hepatitis B Virus (HBV), Hepatitis C Virus (HCV), Human Immunodeficiency Virus (HIV), Treponema Pallidum (TP) positive, Cytomegalovirus (CMV) DNA positive * Live vaccine injection within 4 weeks prior to signing the ICF * Acute or chronic graft-versus-host disease (GVHD) was present at screening * Inadequate washing time for previous treatment * Previously treated with CAR-T cell products or genetically modified T cell therapies
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 of dose limiting toxicities (DLTs) · Throughout the 28 days post A-CAR028 infusion;Incidence and severity of Treatment Emergent Adverse Events (TEAEs) · Throughout the 3 months post A-CAR028 infusion
次要终点:Incidence and severity of Adverse Events (AEs);Overall Response Rate (ORR): including Complete Response (CR), CR with Partial Hematologic Recovery (CRh), CR with Incomplete Hematologic Recovery (CRi), Morphologic Leukemia-free State (MLFS) and Partial Response (PR);Duration of Response (DOR);Event-free Survival (EFS);Overall Survival (OS);Maximal plasma concentration (Cmax);Time to reach the maximal plasma concentration (Tmax);Area under the curve within 28 days (AUC0-28d)
自体A-CAR028通过静脉输注给药。
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。
这是一项单中心、开放标签研究,旨在评估A-CAR028治疗复发/难治性急性髓系白血病患者的安全性和疗效。
This is a single-center, open-label study to evaluate the safety and efficacy of A-CAR028 in relapsed/refractory acute myeloid leukemia patients
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