RecruitingEarly Phase 1NCT03407859

Sequential Treatment With CD20/CD22/CD10-CART After CD19-CART Treatment Base on MRD in Relapsed/Refractory B-ALL


Sponsor

Zhujiang Hospital

Enrollment

100 participants

Start Date

Jan 18, 2016

Study Type

INTERVENTIONAL

Conditions

Summary

CD19-negative B-ALL relapses after CD19 CAR T-cell treatment have occurred in some patients. CD20/CD22/CD10 is still expressed in CD19 negative B-ALL cells which means these CD molecules may become new targets in treatment of CD19-negative relapse of B-ALL. Thus sequential treatment with CD20/CD22/CD10-CART after CD19-CART treatment in relapsed/refractory B-ALL will kill and eliminate CD19 negative B-ALL cells and prolong the remission time.


Eligibility

Min Age: 18 YearsMax Age: 60 Years

Inclusion Criteria8

  • Relapsed/Refractory B-ALL patients
  • Did not achieve complete remission after 2 times of standard plan chemotherapy
  • Relapsed after first induction chemotherapy
  • Did not response to chemotherapy before HSCT or relapsed after HSCT
  • Cannot receive allo-HSCT or refuse to receive allo-HSCT
  • Cell phenotype is CD19 and CD20/CD22/CD10/CD70 positive (single or combined)
  • Estimated survival time is more than 3 months in leukemia
  • Volunteered for this clinical trail and signed a consent form

Exclusion Criteria8

  • MRD was negative while the cell phenotype was CD19 expressed
  • Patients with severe insufficient cardiac, pulmonary and hepatorenal functions
  • Patients with severe mental illness, neurological disease or infectious disease
  • Patients with GVHD was taking immunosuppressants
  • Pregnant or lactating women
  • Patients have received other genetic therapy products
  • Transfection efficiency was less than 30%
  • Any situation may do harm to the subjects or interfere the results

Interventions

BIOLOGICALSequential Treatment With different CART

Sequential Treatment With CD20/CD22/CD10-CART After CD19-CART Treatment in Relapsed/Refractory B-ALL


Locations(1)

Southern Medical University Zhujiang Hospital

Guangdong, Guangdong, China

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NCT03407859