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)

The first affiliated hospital of medical college of zhejiang university

Hangzhou, Zhejiang, China

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NCT06633354


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