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:Universal CAR-T Cell Therapy for NHL
Universal CAR-T Cell Therapy for NHL
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。
这是一项分期未标注的注册临床试验,评估细胞治疗用于非霍奇金淋巴瘤的安全性、可行性及初步疗效。当前状态:招募中。计划入组 6 例。试验地点:中国 · 上海(共 1 个中心,其中中国 1 个)。登记号:NCT07248163。
不限性别 · ≥ 18 Years
纳入标准: 1. 愿意参加本临床研究并签署知情同意书。 2. 年龄≥18岁。 3. 预期生存期≥3个月。 4. 至少有一个可测量病灶。 5. CD19 表达阳性。 6. ECOG 评分0–1。 7. 血液学、凝血及生化指标符合要求。 8. 左室射血分数(LVEF)≥55%。 9. 无严重肺部疾病。 排除标准: 1. 妊娠或哺乳期女性。 2. 既往接受过异基因细胞治疗,包括异基因造血干细胞移植。 3. 既往接受过抗 CD19 靶向治疗。 4. 既往接受过任何 CAR-T 产品或其他基因修饰 T 细胞治疗。 5. 有慢性淋巴细胞白血病(CLL)Richter 转化史。 6. 存在需全身治疗的未控制真菌、细菌、病毒或其他感染。 7. 乙肝表面抗原(HBsAg)或乙肝核心抗体(HBcAb)阳性且外周血 HBV DNA 高于检测上限;HCV 抗体阳性且外周血 HCV RNA 阳性;HIV 抗体阳性;或梅毒检测阳性。 8. 严重精神障碍;有中枢神经系统疾病史,如癫痫发作、脑血管缺血/出血、痴呆、小脑疾病或累及中枢神经系统的自身免疫病。 9. 活动性自身免疫病需免疫治疗,包括过去2年内自身免疫病导致的终末器官损伤(如克罗恩病、类风湿关节炎、系统性红斑狼疮),或需全身使用免疫抑制剂/其他药物控制疾病。 10. 原发性免疫缺陷。 11. 其他恶性肿瘤史。 12. 严重心血管疾病。 13. 研究者判断可能增加受试者风险或干扰研究结果的其他情况。
Inclusion Criteria: 1. Willing to participate in this clinical study and sign an informed consent form; 2. Age ≥ 18 years old; 3. Estimated survival time ≥ 3 months; 4. At least one measurable lesion; 5. CD19 positively expressed; 6. ECOG score 0-1; 7. Hematology, coagulation and biochemistry parameters meeting the requirements; 8. LVEF ≥ 55%; 9. No severe pulmonary disorders; Exclusion Criteria: 1. Pregnant or lactating women; 2. Subjects who previously received allogeneic cell therapies, including allogeneic stem cell transplant; 3. Subjects who previously received anti-CD19 targeted therapy; 4. Prior treatment with any CAR-T cell product or other genetically modified T cell therapies; 5. History of Richter's transformation of chronic lymphocytic leukemia (CLL); 6. Presence of uncontrollable fungal, bacterial, viral, or other infections requiring systemic therapy; 7. Subjects with positive hepatitis B surface antigen (HBsAg) or hepatitis B core antibody (HBcAb) and peripheral blood HBV DNA titer higher than the upper limit of detection; hepatitis C virus (HCV) antibody positive and peripheral blood HCV RNA positive; human immunodeficiency virus (HIV) antibody positive; syphilis test positive; 8. Severe mental disorders; history of CNS disorders (e.g., epileptic seizure, cerebrovascular ischemia/hemorrhage, dementia, cerebellar diseases, or any CNS-involved autoimmune disorders); 9. Active autoimmune disorders requiring immunotherapy, including but not limited to end organ damages caused by autoimmune disorders (e.g., Crohn's disease, rheumatoid arthritis, and systemic lupus erythematosus) in the past 2 years, or requiring systemic application of immunosuppressive drugs or other drugs for systemic control of diseases; 10. Primary immunodeficiency; 11. History of other malignancies; 12. Patients with severe cardiovascular disorders; 13. Any circumstances that possibly increase the risk of subjects or interfere with the study results as judged by the investigator.
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:DLT · The number and severity of dose-limiting toxicity (DLT) events · Within 28 Days After BRL-301 Infusion
BRL-301,剂量5×10⁶/kg体重。
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。
这是一项单中心、单臂、开放标签临床研究,计划纳入3–6名受试者。
This is a single-center, single-arm, open-label clinical study, and the sample size is set to 3-6 subjects.
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