QH103 Cell Injection for the Treatment of Relapsed/Refractory B-cell Acute Lymphoblastic Leukemia
A Dose-escalation Clinical Study of QH103 Cell Injection (CD19 CAR-γδT Cell Injection) in Patients With Relapsed/Refractory B-cell Acute Lymphoblastic Leukemia (B-ALL).
Anhui Provincial Hospital
10 participants
Sep 27, 2023
INTERVENTIONAL
Conditions
Summary
This is a single-arm, single-center, interventional, dose-escalation clinical study designed to evaluate the safety and tolerability of QH103 Cell Injection in the treatment of patients with relapsed/refractory B-cell acute lymphoblastic leukemia.
Eligibility
Inclusion Criteria12
- Age ≥14 years, gender is not limited;
- Patients with clinically diagnosed relapsed/refractory B-ALL (except those presenting with extramedullary disease only), including any of the following:
- Failure to obtain CR after 2 cycles of standard chemotherapy;
- First induction of CR, but duration of CR is ≤12 months;
- Relapsed/refractory B-ALL that has failed to respond to the first or multiple salvage treatments;
- Relapse after hematopoietic stem cell transplantation, including hematological relapse and positive micro residual disease (MRD).
- Cytological or histological confirmation of tumor cell immunophenotyping as CD19 positive;
- Bone marrow with a ratio of ≥5% primitive/naïve lymphocytes (morphology);
- Expected survival time of more than 3 months;
- Eastern Cooperative Oncology Group (ECOG) score of 0-2;
- Vital organ function meets the following requirements: left ventricular ejection fraction ≥50% on echocardiography; serum creatinine≤1.5 × upper limit of normal range (ULN); glutamine aminotransferase, aspartate aminotransferase ≤3 times ULN, total bilirubin ≤1.5 times ULN;
- Pregnancy tests for women of childbearing age should be negative, and both men and women should agree to use effective contraception during treatment and for the following 1 year.
Exclusion Criteria17
- No significant hereditary disease;
- Be able to understand the requirements and matters of the trial and be willing to participate in the clinical study as required;
- Sign the trial informed consent form.
- with uncontrolled active central nervous system leukemia (CNSL) or a history of epilepsy, cerebrovascular disease
- Pregnant or lactating women, or those who do not consent to the use of the drug during and within 1 year after treatment;
- Other malignant tumors not in remission;
- with primary immunodeficiency or autoimmune diseases requiring immunosuppressive therapy;
- Patients who have received immune cell therapy within 6 months prior to enrollment and donor lymphocyte infusion within 6 weeks prior to enrollment.
- Patients with confirmed positive serum anti-FMC63 and DSA reactions;
- Patients who have participated in other clinical trials within 4 weeks prior to enrollment;
- Uncontrolled infectious or other serious diseases, including but not limited to infections (Human Immunodeficiency Virus, acute or chronic active hepatitis B or hepatitis C), congestive heart failure, unstable angina pectoris cardiac arrhythmias, or conditions that the attending physician considers to be an unpredictable risk;
- Uncontrollable plasma fluid, such as large pleural effusions or ascites;
- History of stroke or intracranial hemorrhage within 3 months prior to enrollment;
- Major surgery or trauma within 28 days prior to enrollment, or major side effects from which you have not recovered;
- History of allergy to any of the ingredients in the cellular product;
- Inability to understand or unwillingness to sign the informed consent form;
- Other reasons deemed by the investigator to be unsuitable for the clinical trial.
Interventions
dose escalation (3+3) : dose 1 (3×10\^8CAR+cells) ,dose 2 (1 × 10\^9 CAR+cells),dose 3 (3 × 10\^9CAR+cells)
Intravenous fludarabine on days-5\~-2,the infusion dose is adjusted according to the subject's condition
Intravenous cyclophosphamide on days -5\~-3, the infusion dose is adjusted according to the subject's condition
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT06056752