RecruitingEarly Phase 1NCT04657861

APRIL CAR-T Cell Therapy for Patients With BCMA/TACI Positive Relapsed and/or Refractory Multiple Myeloma

Clinical Trial for the Safety and Efficacy of APRIL CAR-T Cells Therapy for Patients With BCMA/TACI Positive Relapsed and/or Refractory Multiple Myeloma


Sponsor

Zhejiang University

Enrollment

36 participants

Start Date

May 3, 2022

Study Type

INTERVENTIONAL

Conditions

Summary

A study of APRIL CAR-T cells therapy for patients with BCMA/TACI positive relapsed and/or refractory multiple myeloma


Eligibility

Min Age: 18 YearsMax Age: 75 Years

Inclusion Criteria12

  • Histologically confirmed diagnosis of BCMA/TACI+ multiple myeloma (MM):
  • Patients with MM relapsed after BCMA CAR-T therapy; Or MM with positive BCMA/TACI expression;
  • Relapsed after hematopoietic stem cell transplantation;
  • Cases with recurrent positive minimal residual disease;
  • Extramedullary leision which is hard to be eradicated by chemotherapy or radiotherapy.
  • Male or female aged 18-75 years;
  • Total bilirubin ≤ 51 umol/L, ALT and AST ≤ 3 times of upper limit of normal, creatinine ≤ 176.8 umol/L;
  • Echocardiogram shows left ventricular ejection fraction (LVEF) ≥50%;
  • No active infection in the lungs, blood oxygen saturation in indoorair is ≥ 92%;
  • Estimated survival time ≥ 3 months;
  • ECOG performance status 0 to 2;
  • Patients or their legal guardians volunteer to participate in the studyand sign the informed consent.

Exclusion Criteria11

  • History of craniocerebral trauma, conscious disturbance, epilepsy, cerebrovascular ischemia, and cerebrovascular, hemorrhagic diseases;
  • Electrocardiogram shows prolonged QT interval, severe heart diseases such as severe arrhythmia in the past;
  • Pregnant (or lactating) women;
  • Patients with severe active infections (excluding simple urinary tract infection and bacterial pharyngitis);
  • Active infection of hepatitis B virus or hepatitis C virus;
  • Concurrent therapy with systemic steroids within 2 weeks prior to screening, except for the patients recently or currently receiving in haled steroids;
  • Previously treated with any CAR-T cell product or other genetically modified T cell therapies;
  • Creatinine\>2.5mg/dl, or ALT / AST \> 3 times of normal amounts, or bilirubin\>2.0 mg/dl;
  • Other uncontrolled diseases that were not suitable for this trial;
  • Patients with HIV infection;
  • Any situations that the investigator believes may increase the risk of patients or interfere with the results of study

Interventions

DRUGAPRIL CAR-T cells

Each subject receive APRIL CAR T-cells by intravenous infusion


Locations(1)

The First Affiliated Hospital,College of Medicine, Zhejiang University

Hangzhou, Zhejiang, China

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NCT04657861


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