RecruitingPhase 1Phase 2NCT05554939

Allogenic CD19-targeting CAR-γδT Cell Therapy in R/R NHL

A Phase 1/2 Clinical Trial of Gene-edited Allogenic CD19 Targeting Chimeric Antigen Receptor-γδT Cells Therapy in Patients With Relapsed or Refractory B-cell Non-Hodgkin's Lymphoma


Sponsor

Chinese PLA General Hospital

Enrollment

30 participants

Start Date

Dec 11, 2022

Study Type

INTERVENTIONAL

Conditions

Summary

This is a single center, prospective, open-label, single-arm, phase 1/2 study for patients with r/r B-cell NHL to evaluate the safety and efficacy of gene edited allogenic CD19 CAR-γδT cells. The cells are from healthy adult volunteer donors that are gene edited ex vivo using CRISPR-Cas9 to weaken HLA expression and further to overcome host immune system rejection (HvGR). In this study, a second generation anti-CD19 CAR prototype was constructed, bearing murine FMC63 single-chain variant fragment (scFv) together with intracellular 4-1BB co-stimulatory and CD3ζ signaling domains linked by a CD8α sequence comprising the hinge and transmembrane domains. A total of around 30 patients with r/r B-cell NHL will be enrolled in the study and receive allogeneic CD19 CAR-γδT cell infusion. Phase 1 (n=9 to 12) is dose escalation part, and phase 2 (n=15 to 20) is expansion cohort part. The primary objective of this study was to evaluate the safety and efficacy of allogeneic CD19 CAR-γδT cell therapy in patients with r/r B-cell NHL.


Eligibility

Min Age: 18 YearsMax Age: 75 Years

Plain Language Summary

Simplified for easier understanding

This study is testing a new type of immune cell therapy called CAR-T cell therapy for people with certain types of B-cell lymphoma (a blood cancer) that has come back or stopped responding to treatment. Unlike standard CAR-T therapies, this one uses donor immune cells (allogeneic) rather than the patient's own cells. **You may be eligible if:** - You are between 18 and 75 years old - You have a confirmed type of CD19-positive B-cell lymphoma (such as DLBCL, follicular lymphoma, mantle cell lymphoma, or others) - Your cancer has relapsed or is not responding after at least 2 prior treatments - Your cancer expresses a protein called CD19 on the cancer cells **You may NOT be eligible if:** - You have not tried at least 2 prior lines of treatment - Your cancer does not express CD19 - You have active infections, uncontrolled organ problems, or other serious medical conditions - You do not meet the specific lymphoma subtype criteria Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BIOLOGICALAllogenic CD19 CAR-γδT cell

Phase 1 dose escalation (3+3) : dose 1 (6 × 10\^6 cells/kg) , dose 2 (1.2 × 10\^7 cells/kg), dose 3 (1.8 × 10\^7 cells/kg); Phase 2 : dose of RP2D.

DRUGFludarabine

Intravenous fludarabine 30\~50 mg/m\^2/day on days -5, -4, and -3.

DRUGCyclophosphamide

Intravenous cyclophosphamide 500\~1000 mg/m\^2/day on days -5, -4, and -3.


Locations(2)

School of phamaceutical, Tsinghua University

Beijing, Beijing Municipality, China

Biotherapeutic Department, Chinese PLA General Hospital

Beijing, China

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NCT05554939


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