RecruitingEarly Phase 1NCT06633354
Targeting CD5 CAR-T Cells in the Treatment of r/r CD5+ T-ALL
A Clinical Study on the Safety and Effectiveness of Targeting CD5 CAR-T Cells in the Treatment of r/r CD5+ T-ALL
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-ALL
Eligibility
Inclusion Criteria15
- \. According to the National Comprehensive Cancer Network (NCCN) Clinical Practice Guidelines for Acute Lymphocytic Leukemia (2020. v1), patients diagnosed as CD5+T-ALL;
- \. Consistent with r/r CD5+T-ALL diagnosis, including any of the following conditions:
- No CR after standard chemotherapy;
- The first induction reaches CR, but CR ≤ 12 months;
- Patients with r/r CD5+T-ALL have not responded to the first or multiple remedial treatments;
- c.Multiple recurrences.
- \. CD5 expression rate was \>90%;
- \. Number of blasts in the bone marrow (protolychic + larvae) \>5% (morphology) and/or \>1% (flow cytometry);
- \. 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
- Patients with the history of epilepsy or other CNS disease;
- \. Patients with prolonged QT interval time or severe heart disease;
- \. Active infection of hepatitis B virus, C virus or hepatitis E virus;
- \. Active infection with no cure;
- \. 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-ALL Targeted CAR T-cells by intravenous infusion
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT06633354
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