RecruitingPhase 1Phase 2NCT05667506

A Study of CNCT19 Treatment in Children and Adolescent r/r ALL Patients(Pediatric)

A Phase Ib/II, Single Arm, Multi-center Study Evaluating the Safety and Efficacy of CNCT19 in Children and Adolescent(Pediatric) Patients With Relapsed/Refractory B-precursor Acute Lymphoblastic Leukemia (r/r B-ALL)


Sponsor

Juventas Cell Therapy Ltd.

Enrollment

47 participants

Start Date

Feb 7, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

This is a multi-center, phase Ib/II trial to evaluate the safety and efficacy of CNCT19 treatment in Children and Adolescent (pediatric) patients with relapsed or refractory B-cell acute lymphoblastic leukemia (r/r B-cell ALL).


Eligibility

Min Age: 3 YearsMax Age: 18 Years

Inclusion Criteria7

  • Signed written informed consent prior to any study procedures (patient and/or parent or legal guardian)
  • Age 3 to 18. Weight ≥10kg
  • Relapsed or refractory acute lymphoblastic leukemia (ALL).
  • Documentation of CD19 tumor expression demonstrated in bone marrow or peripheral blood within 3 months before screening.
  • Bone marrow with ≥ 5% lymphoblasts by morphologic assessment at screening.
  • Karnofsky (age ≥ 16 years) performance status ≥ 70 or Lansky (age \< 16 years) performance status ≥ 50 at screening
  • Organ function requirements: All patients must have adequate renal and liver functions

Exclusion Criteria14

  • Active Central Nervous System (CNS) involvement by malignancy.
  • Isolated extra-medullary disease relapse.
  • Patients with Burkitt's lymphoma/leukemia, mixed phenotypic acute leukemia and Chronic Myelogenous Leukemia in Blast Crisis
  • History of concomitant genetic syndrome
  • Patients with acute graft-versus-host disease (GVHD) or moderate-to-severe chronic GVHD within 4 weeks before screening.
  • Active systemic autoimmune disease
  • Known infection with human immunodeficiency virus (HIV) or chronic infection with hepatitis B virus (HbsAg positive) or hepatitis C virus (anti-HCV positive).
  • Patients with active infections at screening.
  • Patients who received specified chemotherapy before CNCT19 infusion
  • Radiotherapy before CNCT19 infusion:
  • Non-CNS site of radiation completed \< 4 weeks prior to CNCT19 Infusion; CNS directed radiation completed \< 8 weeks prior to CNCT19 infusion.
  • Donor lymphocyte infusion (DLI) must be stopped \> 6 week prior to CNCT19 infusion.
  • Has had treatment with any prior CAR-T therapy.
  • Life expectancy \< 3 months.

Interventions

BIOLOGICALsingle dose of CNCT19

Autologous 2nd generation CD19-directed CAR-T cells, single infusion intravenously. Lymphodepletion treatment: Drugs:Fludarabine Drugs: Cyclophosphamide


Locations(9)

The Second Hospital of Anhui Medical University

Hefei, Anhui, China

Children's Hospital of Chongqing Medical University

Chongqing, Chongqing Municipality, China

Guangzhou Women and Children's Medical Center

Guangzhou, Guangdong, China

Nanfang Hospital

Guangzhou, Guangdong, China

Union Hospital Tongji Medical College Huazhong University of Science of Technology

Wuhan, Hubei, China

Children's Hospital of Nanjing Medical University

Nanjing, Jiangsu, China

The Affiliated Hospital of Xuzhou Medical University

Xuzhou, Jiangsu, China

The First Affilicated Hospital of Nanchang University

Nanchang, Jiangxi, China

Institute of Hematology & Blood Diseases Hospital

Tianjin, Tianjin Municipality, China

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NCT05667506


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