CD19-CART细胞治疗复发难治B淋巴细胞恶性肿瘤的临床研究

注册号:

Registration number:

ChiCTR-OOC-16007779 

最近更新日期:

Date of Last Refreshed on:

2016-01-17 15:00:05 

注册时间:

Date of Registration:

2016-01-17 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

CD19-CART细胞治疗复发难治B淋巴细胞恶性肿瘤的临床研究

Public title:

A clinical study of CD19-chimeric-antigen-receptor-tranduced T cells in the treatment of chemotherapy resistant or refractory B cell malignancy

注册题目简写:

English Acronym:

研究课题的正式科学名称:

CD19-CART细胞治疗复发难治B淋巴细胞恶性肿瘤的临床研究

Scientific title:

A clinical study of CD19-chimeric-antigen-receptor-tranduced T cells in the treatment of chemotherapy resistant or refractory B cell malignancy

研究课题代号(代码):

Study subject ID:

国家自然科学基金面上项目(81372249); 教育部留学回国人员科研启动基金(第41批)

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

涂三芳 

研究负责人:

李玉华 

Applicant:

Tu Sanfang 

Study leader:

Li Yuhua 

申请注册联系人电话:

Applicant telephone:

+86 13430200803

研究负责人电话:

Study leader's
telephone:

+86 13533706656

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

+86 020-61643188

申请注册联系人电子邮件:

Applicant E-mail:

doctortutu@163.com

研究负责人电子邮件:

Study leader's E-mail:

liyuhua2011gz@163.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

http://www.zjyy.com.cn/

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

广东省广州市海珠区工业大道中253号珠江医院血液科

研究负责人通讯地址:

广东省广州市海珠区工业大道中253号珠江医院血液科

Applicant address:

253 Middle Industrial Road, Guangzhou, China

Study leader's address:

253 Middle Industrial Road, Guangzhou, China

申请注册联系人邮政编码:

Applicant postcode:

510282

研究负责人邮政编码:

Study leader's postcode:

510282

申请人所在单位:

南方医科大学珠江医院

Applicant's institution:

Zhujiang Hospital of Southern Medical University

研究负责人所在单位:

Affiliation of the Leader:

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

2015-XYNK-002

伦理委员会批件附件:

Approved file of Ethical Committee:

批准本研究的伦理委员会名称:

南方医科大学珠江医院医学伦理委员会

Name of the ethic committee:

Ethics Committee of Zhujiang Hospital of Southern Medical University

伦理委员会批准日期:

Date of approved by ethic committee:

2015-11-26 00:00:00

伦理委员会联系人:

Contact Name of the ethic committee:

伦理委员会联系地址:

Contact Address of the ethic committee:

伦理委员会联系人电话:

Contact phone of the ethic committee:

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

南方医科大学珠江医院

Primary sponsor:

Zhujiang Hospital of Southern Medical University

研究实施负责(组长)单位地址:

广州市海珠区工业大道中253号珠江医院血液科

Primary sponsor's address:

253 Middle Yongye Avenue, Haizhu District, Guangzhou, Guangdong, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

广东省

市(区县):

广州市

Country:

China

Province:

Guangdong

City:

Guangzhou

单位(医院):

南方医科大学珠江医院

具体地址:

广州市海珠区工业大道中253号珠江医院血液科

Institution
hospital:

ZhuJiang Hospital of Southern Medical University

Address:

253 Middle Industrial Road, Guangzhou, China

经费或物资来源:

国家自然科学基金面上项目(81372249); 教育部留学回国人员科研启动基金(第41批);

Source(s) of funding:

National Natural Science Foundation of China (Grant No.81372249); Foundation of the Ministry of Education of China for Returned Scholars (Grant No. 41)

研究疾病:

复发难治B淋巴细胞恶性肿瘤  

Target disease:

Chemotherapy resistant or refractory B cell malignancy

研究疾病代码:

Target disease code:

研究类型:

观察性研究

Study type:

Observational study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

单臂 

Study design:

Single arm 

研究目的:

1)评估CD19-CART治疗复发难治B淋巴细胞恶性肿瘤的安全性。 2)评估CD19-CART治疗复发难治B淋巴细胞恶性肿瘤的有效性和可行性。  

Objectives of Study:

1) evaluate the safety of CD19-chimeric-antigen-receptor-tranduced T cells in the treatment of chemotherapy resistant or refractory B cell malignancy; 2) evaluate the curative effect and feasibility of CD19-chimeric-antigen-receptor-tranduced T cells in the treatment of chemotherapy resistant or refractory B cell malignancy.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1)怀孕或哺乳期妇女(本疗法对未出生的孩子的安全性尚未知);
2) 具有癫痫病史或其他中枢神经系统疾病者;
3)既往有QT期间延长或严重心脏疾病者;
4)肌酸酐>2.5mg/dl或ALT / AST>3倍正常量或胆红素>2.0 mg/dl者;
5)患有其他未被控制的疾病,研究者认为不适合加入者;
6)Ⅱ到Ⅳ度aGVHD或广泛型cGVHD
7)需要治疗的GVHD患者
8) 未控制的活动性感染者:
9) 乙型肝炎或丙型肝炎病毒感染者;
10)艾滋病病毒感染者;
11)两周前全身使用过糖皮质激素治疗(吸入性糖皮质激素除外)
12)之前使用过任何基因产品治疗者;
13)T细胞被复制缺陷型慢病毒转导的效率低于30%,或应答CD3 / CD28共刺激信号时扩增能力不足(<5倍)者;
14)CNS中枢神经系统受累的白血病患者;
15)研究者认为可能增加受试者危险性或干扰试验结果的任何情况。

Exclusion criteria:

1) Pregnant or lactating women(the safety of the unborn child is still unknown);
2) Has a history of epilepsy or other central nervous system disease;
3) People with QT interval prolongation or serious heart disease;
4) People who suffer from other diseases that are not controlled, the researchers believe that the person who is not suitable to be added;
5) creatinine>2.5mg/dl or ALT / AST>3 times normal amount or bilirubin>2.0 mg/dl;
6) Presence of grade 2-4 acute or extensive chronic GVHD;
7) Under treatment for GVHD;
8) Uncontrolled active infection;
9) Active hepatitis B or hepatitis C virus infection;
10) HIV infected persons;
11) Use of systemic steroids before treatment within 2 weeks(except for the recent or current use of inhaled steroids);
12) Previous treatment with any gene therapy products;
13) The efficiency of T cells transduced by replication-deficient lentivirus was less than 30%,or insufficient amplification (<5times)when respond the CD3 / CD28 costimulation signal;
14) central nervous system involvement of leukemia patients;
15) Any situation that may increase the risk of the test or interfere with the test results.

研究实施时间:

Study execute time:

From 2016-02-01 00:00:00 To 2018-02-01 00:00:00  

征募观察对象时间:

Recruiting time:

From 2016-01-01 00:00:00 To 2017-12-31 00:00:00

干预措施:

Interventions:

组别:

实验组

样本量:

30

Group:

experimental group

Sample size:

干预措施:

CART细胞治疗

干预措施代码:

Intervention:

therapy by CART

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

广东省 

市(区县):

 

Country:

China

Province:

Guangdong

City:

单位(医院):

南方医科大学珠江医院 

单位级别:

三级甲等 

Institution
hospital:

ZhuJiang Hospiatal of Southern Medical University

Level of the institution:

Tertiary A hospital

测量指标:

Outcomes:

指标中文名:

疾病无进展生存期

指标类型:

主要指标

Outcome:

Progression- Free Survival

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

总生存期

指标类型:

主要指标

Outcome:

Overall Survival

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

缓解率

指标类型:

主要指标

Outcome:

Response Rate

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

复发率

指标类型:

次要指标

Outcome:

relapse rate

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

无复发死亡率

指标类型:

次要指标

Outcome:

Non-Relapse Mortality

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

感染率

指标类型:

次要指标

Outcome:

Infection Rate

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

安全性

指标类型:

主要指标

Outcome:

safety

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

外周血

组织:

Sample Name:

Blood

Tissue:

人体标本去向

使用后销毁  

说明

保存半年后销毁

Fate of sample:

Destruction after use  

Note:

标本中文名:

骨髓

组织:

Sample Name:

Bone Marrow

Tissue:

人体标本去向

使用后保存  

说明

保存三年

Fate of sample:

Preservation after use  

Note:

征募研究对象情况:

Recruiting status:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 60 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

非随机对照研究,由先后入组自动生成顺序。

Randomization Procedure (please state who generates the random number sequence and by what method):

Non randomized controlled trial, continuous enrolled patients.

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

Blinding:

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

数据与安全监察委员会:

Data and Safety Monitoring Committee:

注册人:

Name of Registration:

 2016-01-17 15:00:05