A Study of CAR-T Cells Targeting Both BCMA and GPRC5D in Treatment of Relapsed or Refractory Multiple Myeloma
Study Details
Study Description
Brief Summary
An Open-Label, Dose Finding Study to Investigate the Safety, Pharmacokinetics, and Preliminary Efficacy of BMCA and GPRC5D dual target CAR-T cells therapy in Patients with relapsed or refractory multiple myeloma
Condition or Disease | Intervention/Treatment | Phase |
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Phase 1 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: BMCA and GPRC5D dual target CAR-T cells (OriC321)
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Biological: BMCA and GPRC5D dual target CAR-T cells(OriC321)
Patients will receive lymphodepleting chemotherapy followed by a single infusion of OriC321
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Outcome Measures
Primary Outcome Measures
- Incidence, severity AEs/SAEs [2 years after CAR-T cell infusion]
Secondary Outcome Measures
- Concentration of CAR-T cells [2 years after CAR-T cell infusion]
- Objective response rate (ORR) [2 years after CAR-T cell infusion]
- Progression-free survival (PFS) [2 years after CAR-T cell infusion]
- Duration of response (DOR) [2 years after CAR-T cell infusion]
- Overall survival (OS) [2 years after CAR-T cell infusion]
- Percentage of Patients With Negative Minimal Residual Disease (MRD) [2 years after CAR-T cell infusion]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Signed and dated, written informed consent prior to any study specific procedures;
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Estimated life expectancy of minimum of 12 weeks;
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ECOG 0-2;
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Diagnosed as multiple myeloma according to the IMWG criteria;
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Evidence of cell membrane GPRC5D and/or BCMA expression, as determined by a validated immunohistochemistry (IHC) or flow cytometry of tumor tissue; Subjects should have measurable disease. At least meet one of the following criteria:
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If IgG type MM, serum M protein ≥10g/L; if IgA, IgD, IgE or IgM type MM, serum M protein ≥5g/L;
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urine M protein level ≥0.2g(200mg/24h);
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light chain type MM, serum free light chain (sFLC) ≥ 100mg / L and K/ λ FLC ratio is abnormal;
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there are extramedullary lesions;
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Subjects have had at least 3 prior lines of therapy including chemotherapy based on proteasome inhibitors (PIs) and immunomodulatory agents (IMiDs);
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Adequate organ functions
Exclusion Criteria:
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Active smoldering multiple myeloma;
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Active plasma cell leukemia;
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With organ amyloidosis;
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Central nervous system (CNS) involvement;
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Pregnant or breastfeeding;
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Hepatitis B virus (HBV) surface antigen (HBsAg) or hepatitis B core antibody-positive and detectable HBV DNA in peripheral blood; Hepatitis C virus (HCV) antibody and hepatitis C virus RNA in peripheral blood; Human immunodeficiency virus (HIV) antibody
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Uncontrolled Hypertension hypertension defined as a blood pressure (BP) ≥150/95 mmHg; Symptomatic heart failure per New York Heart Association Classification Class II, III or IV), Mean resting corrected QT interval corrected by Fridericia's formula (QTcF) > 470 msec (female), 450 msec (male) obtained from ECG; Baseline left ventricular ejection fraction (LVEF) below institution's lower limit of normal (LLN) or <50%;
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Have a history of another primary malignancy within 5 years prior to starting study treatment. Exceptions here are as follows: the disease under study; adequately treated basal or squamous cell carcinoma of the skin; cancer of the cervix in situ.
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Zhejiang University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Sirius