Clinical Study on Safety and Efficacy of Anti-CLL1 /+CD33 CAR T Cells in the Treatment of Acute Myeloid Leukemia
Study Details
Study Description
Brief Summary
This is a single-center, single-arm, open, intravenous drug administration of the safety and efficacy of clinical study.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
The primary objective of the clinical trial was to evaluate the safety and efficacy of single dose infusion of anti-CLL1 /+CD33 CAR T cells in patients with refractory/recurrent acute myeloid leukemia. A total of about 5 patients with refractory/recurrent acute myeloid leukemia were enrolled in this study, and the target dose range was 1.00~2.50x10^6/kgCAR-positive T cells.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: CLL1/+CD33 CAR-T The target dose range for subjects was set to be 1.00~2.50x10^6/kg CAR-positive T cells. |
Biological: CLL1/+CD33 CAR-T
CLL1/+CD33 CAR T is a type of CAR T cell therapy for patients with treating/relapsed acute myeloid leukemia.
|
Outcome Measures
Primary Outcome Measures
- Changes in cytokine level after CLL1/+CD33 CAR-T infusion [CAR T cell infusion before and 12 months after infusion]
Calculate the change of cytokine level in peripheral blood by flow cytometry after CAR-T infusion.
- The change characteristics of chimeric antigen receptor(CAR)-T cell number in patients after infusion. [CAR T cell infusion before and 12 months after infusion]
Track CAR-T cells expansion in patients after infusion by flow cytometry
- The change characteristics of chimeric antigen receptor(CAR)-T cell copy number in patients after infusion. [CAR T cell infusion before and 12 months after infusion]
Track CAR-T cells expansion in patients after infusion by Real-time Quantitative Polymerase Chain Reaction(qPCR)
Secondary Outcome Measures
- Event-free survival [Up to 12 months after CLL1/+CD33 CAR-T infusion]
Counting from the beginning of cell transfusion until treatment failure, recurrence, or death (various causes). Subjects without any of these events were counted up to the last follow-up examination date. For patients without CR or CRi, EFS is calculated from the beginning of cell transfusion until disease progression or death. Based on the initial event.
- Overall survival [Up to 12 months after CLL1/+CD33 CAR-T infusion]
Death from any cause from the beginning of cell transfusion
- Duration of Overall Response [Up to 12 months after CLL1/+CD33 CAR-T infusion]
The time from the start of cell infusion when CR or PR is first achieved to disease progression.
- MRD negative rate [Up to 12 months after CLL1/+CD33 CAR-T infusion]
The rate of MRD negative subjects was determined by flow cytometry.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
The patient or his/her legal guardian volunteers for the trial and signs an informed consent form;
-
Age range 1-18 years;
-
Acute myeloid leukemia (AML) with CLL1 and CD33 markers (including secondary patients) was diagnosed by pathology, histology and flow cytometry, or complete hematologic remission could not be achieved after 1 course of chemotherapy for hematologic relapse after drug withdrawal ;
-
The main organ functions of the patients were good: (1) liver function: ALT/AST < 3 times the upper limit of normal (ULN) and bilirubin ≤34.2 μmol/l; (2) renal function: creatinine < 220 μmol/l; (3) lung function: oxygen saturation ≥95% ; (4) cardiac function: left ventricular ejection fraction (LVEF)≥40% ;
-
The blood flow of peripheral superficial vein was unobstructed, which could meet the demands of intravenous drip and mononuclear cell collection;
-
ECOG score was 0-2.
Exclusion Criteria:
-
The patients had uncontrollable infectious diseases within 4 weeks before the enrollment;
-
Active hepatitis B/C virus;
-
HIV infection, treponema syphilis positive patients;
-
Pathological diagnosis of primary tumors other than acute myeloid leukemia;
-
Suffering from serious autoimmune diseases or immunodeficiency diseases;
-
The patient is allergic to antibodies or cytokines and other macromolecular biological drugs;
-
Pregnant or lactating women;
-
Patients who were considered ineligible for study for other reasons.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Fujian Provincial Children's Hospital | Fuzhou | Fujian | China | 350005 |
Sponsors and Collaborators
- Guangzhou Bio-gene Technology Co., Ltd
Investigators
- Principal Investigator: Hui Zhang, doctor, Children's Hospital of Fujian Province
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- BG-CT-21-001