RecruitingPhase 2NCT06698484

To Evaluate Safety and Efficacy of Autologous CD19 Chimeric Antigen Receptor (CAR)-T Cells in Relapsed/Refractory B- Non-Hodgkin Lymphoma (B-NHL)

A Phase II Open Label Single-arm Study to Evaluate Safety and Efficacy of Autologous CD19 CAR-T Cells in Patients With Relapsed/Refractory B- Non-Hodgkin Lymphoma


Sponsor

National University of Malaysia

Enrollment

20 participants

Start Date

Jun 3, 2021

Study Type

INTERVENTIONAL

Conditions

Summary

A Phase II Open-Label Single-arm Study to Evaluate Safety and Efficacy of locally manufactured autologous CD19-directed CAR T-cells in Patients with Relapsed/Refractory B- Non-Hodgkin Lymphoma (B-NHL) or patients not eligible for hematopoietic stem cell transplantation (HCT)


Eligibility

Min Age: 13 YearsMax Age: 75 Years

Inclusion Criteria10

  • Patients with histologically confirmed diagnosed with CD19 positive B cell NHL in accordance with WHO classification
  • Patients who are refractory to second-line treatment or patients who relapsed after first-line treatment with no available curative options such as autologous or allogeneic haematopoietic stem cell transplantation (HSCT) or relapse within one year of autologous HSCT
  • At least one measurable lesion according to revised IWG response criteria
  • Age between ≥13to ≤75 years
  • Adequate organ function as defined by a creatinine clearance \>40 ml/min, serum alanine transaminase (ALT) \< 5 times the normal value, serum bilirubin \< 3 times the normal value, left ventricular ejection fraction\> 45%
  • Absolute neutrophil count ≥ 1500/μl, haemoglobin level ≥ 7 g/dl, platelets ≥ 50000/μl.
  • Life expectancy \>12 weeks
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2
  • Female of childbearing age must have a negative pregnancy test and is on two effective contraception methods
  • Male patients must use two effective contraception methods

Exclusion Criteria9

  • Active central nervous system (CNS) lymphoma (detected by Imaging study or cerebrospinal fluid (CSF) analysis)
  • Active cancer(other than NHL) or receiving cancer treatment
  • Evidence of severe lung, heart (New York Heart Association class III/IV, arrhythmia, heart block, uncontrolled hypertension), liver, or renal failure or severe neurologic disorder
  • Presence of active autoimmune disease requiring immunosuppressive therapy
  • Human Immunodeficiency Virus (HIV) positivity
  • Active Hepatitis B, and Hepatitis C infection
  • Uncontrolled infection
  • Pregnant/nursing female.
  • Receiving autologous or allogeneic stem cell transplant within 12 weeks of enrolment

Interventions

DRUGCAR-T cells

2×10\^6 CAR T cells/kg


Locations(1)

Universiti Kebangsaan Malaysia

Bandar Tun Razak, Kuala Lumpur, Malaysia

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NCT06698484


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