RecruitingEarly Phase 1NCT06633341

Targeting CD5 CAR-T Cells in the Treatment of r/r CD5+ T-lymphoma

A Clinical Study on the Safety and Effectiveness of Targeting CD5 CAR-T Cells in the Treatment of r/r CD5+ T-lymphoma


Sponsor

Zhejiang University

Enrollment

30 participants

Start Date

Oct 20, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

A Clinical Study on the Safety and Effectiveness of targeting CD5 CAR-T Cells in the treatment of r/r CD5+ T-lymphoma


Eligibility

Inclusion Criteria14

  • \. According to the 2016 WHO classification of lymphocyte tumors, histologically confirmed CD5-positive T-cell non-Hodgkin lymphoma (T-NHL),
  • R/R T-NHL(meets one of the following conditions) :
  • Subjects did not go into remission or relapse after receiving second-line or more chemotherapy regiments;
  • Primary drug resistance;
  • Relapse after autologous hematopoietic stem cell transplantation;
  • CD5 expression rate was \>90%;
  • \. According to Lugano 2014, there should be at least one evaluable tumor lesion;
  • \. Total bilirubin ≤51 (mol/L), Alanine aminotransferase (ALT)/Aspartate aminotransferase (AST) ≤ 3 times the upper limit of the normal range, creatinine ≤176.8 (mol/L);
  • \. Echocardiography showed left ventricular ejection fraction (LVEF) ≥50%;
  • \. Refers to the pulse oxygen saturation 92% or higher oxygen (state);
  • \. Estimated life expectancy of minimum of 12 weeks;
  • \. ECOG 0-2;
  • \. Pregnant/lactating women, or male or female patients who have fertility and are willing to take effective contraceptive measures at least 6 months after the last cell infusion during the study period;
  • \. Those who voluntarily participated in this trial and provided informed consent;

Exclusion Criteria13

  • \. History of epilepsy or other central nervous system disorders;
  • \. Electrocardiogram shows prolonged QT interval, severe heart diseases such as severe arrhythmia in the past;
  • \. Active infection of hepatitis B virus, C virus or hepatitis E virus;
  • \. Active infected persons who are not cured;
  • \. Before using any gene therapy products;
  • \. Received anti-tumor therapy before infusion, should meet the following any one should be ruled out:
  • treated with systemic corticosteroids therapy within 72 hours (except glucocorticoid physiological replacement therapy, such as prednisone \< 10 mg/d or an equivalent dose of the drug);
  • received within 72 hours of small molecule targeted therapy;
  • weeks received systemic chemotherapy except (pretreatment);
  • four weeks received radiotherapy;
  • \. The proiferation rate is less than 5 times response to CD3/CD28 co-stimulation signal;
  • \. Any unsuitable to participate in this trial judged by the investigator;
  • \. Any situation that researchers believe may increase the risk to the subjects or interfere with the trial results.

Interventions

BIOLOGICALCD5 CAR T-cells

Each subject receive CD5+ T-lymphoma Targeted CAR T-cells by intravenous infusion


Locations(1)

The first affiliated hospital of medical college of zhejiang university

Hangzhou, Zhejiang, China

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NCT06633341


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