CAR-T细胞治疗复发难治白血病的临床研究

注册号:

Registration number:

ChiCTR-OCB-15006379 

最近更新日期:

Date of Last Refreshed on:

2015-05-11 21:55:27 

注册时间:

Date of Registration:

2015-04-24 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

CAR-T细胞治疗复发难治白血病的临床研究

Public title:

A clinical study of chimeric-antigen-receptor-tranduced T cells in the treatment of chemotherapy resistant or refractory leukemia

注册题目简写:

English Acronym:

研究课题的正式科学名称:

CAR-T细胞治疗复发难治白血病的临床研究

Scientific title:

A clinical study of chimeric-antigen-receptor-tranduced T cells in the treatment of chemotherapy resistant or refractory leukemia

研究课题代号(代码):

Study subject ID:

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:

李萍 

研究负责人:

梁爱斌 

Applicant:

Li Ping 

Study leader:

Liang Aibin 

申请注册联系人电话:

Applicant telephone:

+86 13564181131

研究负责人电话:

Study leader's
telephone:

+86 021-66111019

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

lilyforever76@126.com

研究负责人电子邮件:

Study leader's E-mail:

lab7182@tongji.edu.cn

申请单位网址(自愿提供):

Applicant website(voluntary supply):

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:

上海市普陀区新村路389号

研究负责人通讯地址:

上海市普陀区新村路389号

Applicant address:

389 Xincun Road, Putuo District, Shanghai, China

Study leader's address:

389 Xincun Road, Putuo District, Shanghai, China

申请注册联系人邮政编码:

Applicant postcode:

200065

研究负责人邮政编码:

Study leader's postcode:

200065

申请人所在单位:

上海市同济医院

Applicant's institution:

Shanghai Tongji Hospital

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:

(同)伦审第279号

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:

上海市同济医院伦理委员会

Name of the ethic committee:

Ethics Committee of Shanghai Tongji Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2015-04-15 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:

上海市同济医院

Primary sponsor:

Shanghai Tongji Hospital

研究实施负责(组长)单位地址:

上海市普陀区新村路389号

Primary sponsor's address:

389 Xincun Road, Putuo District, Shanghai, 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):

上海

市(区县):

Country:

China

Province:

Shanghai

City:

Shanghai

单位(医院):

上海市同济医院

具体地址:

上海市普陀区新村路389号

Institution
hospital:

Shanghai Tongji Hospital

Address:

389 Xincun Road, Putuo District, Shanghai, China

经费或物资来源:

自筹

Source(s) of funding:

Self-financing

研究疾病:

复发难治白血病  

Target disease:

chemotherapy resistant or refractory leukemia

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:

治疗新技术临床试验 

Study phase:

New Treatment Measure Clinical Study

研究设计:

连续入组 

Study design:

Sequential 

研究目的:

1)评估19CART细胞治疗的安全性和可行性。 2)评估19CART细胞治疗复发难治白血病的有效性。  

Objectives of Study:

1. Determine the safety and feasibility of the chimeric antigen receptor T cells transduced with anti-CD19 lentiviral vector (19CAR-T cell); 2. Determine the efficacy of 19CAR-T cells in the treatment of chemotherapy resistant or refractory leukemia.

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)具有癫痫病史或其他中枢神经系统疾病者;
2)具有移植物抗宿主反应,需要使用免疫抑制剂者;
3)既往有 QT期间延长或严重心脏疾病者;
4)怀孕或哺乳期妇女;
5)未治愈的有活动性感染者;
6)活动性乙型肝炎或丙型肝炎病毒感染者;
7)参加治疗前2 周内合并使用全身性类固醇药物者(最近或目前正在使用吸入类固醇的除外);
8)之前使用过任何基因治疗产品者;
9) 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;
10)肌酐>2.5mg /dl或 ALT /AST>3 倍正常量或胆红素>2.0 mg /dl 者;
11)患有其他未被控制的疾病,研究者认为不适合加入者;
12)艾滋病病毒感染者;
13)研究者认为可能增加受试者危险或干扰试验结果的任何情况。

Exclusion criteria:

1. History of epilepsy or other CNS disease;
2. Patients have GVHD, which needs treatment with immunosuppressive agents;
3. Patients with prolonged QT interval or severe heart disease;
4. Patients in pregnancy or breast-feeding period;
5. Uncontrolled active infection;
6. Active hepatitis B or hepatitis C infection;
7. Concurrent use of systemic steroids. Recent or current use of inhaled steroids is not exclusionary;
8. Previously treatment with any gene therapy products;
9. Feasibility assessment during screening demonstrates <30% transduction of target lymphocytes, or insufficient expansion (<5-fold) in response to CD3/CD28 costimulation;
10. ALT /AST>3*normal value; Creatinine> 2.5 mg/dl; Bilirubin >2.0 mg/dl;
11. Any uncontrolled medical disorders that the researchers consider are not eligible to participate the clinical trial;
12. HIV infection;
13. Any situation that would increase dangerousness of subjects or disturb the outcome of the clinical study according to the researcher's evaluation.

研究实施时间:

Study execute time:

From 2015-05-04 00:00:00 To 2015-11-04 00:00:00  

征募观察对象时间:

Recruiting time:

From 2015-05-04 00:00:00 To 2020-05-04 00:00:00

干预措施:

Interventions:

组别:

1

样本量:

10

Group:

1

Sample size:

干预措施:

自体Car-T 细胞

干预措施代码:

Intervention:

autologous Car-Tcells

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

上海 

市(区县):

 

Country:

China

Province:

Shanghai

City:

Shanghai

单位(医院):

上海市同济医院 

单位级别:

三级甲等 

Institution
hospital:

Shanghai Tongji Hospital

Level of the institution:

Tertiary A hospital

测量指标:

Outcomes:

指标中文名:

完全缓解率

指标类型:

主要指标

Outcome:

Complete remission 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:

无进展生存期

指标类型:

次要指标

Outcome:

Progression Free Survival

Type:

Secondary 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:

次要指标

Outcome:

Overall Survival

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:

次要指标

Outcome:

Safety

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

无病生存率

指标类型:

次要指标

Outcome:

Disease Free Survival

Type:

Secondary 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:

血液

组织:

Sample Name:

Blood

Tissue:

人体标本去向

使用后销毁  

说明

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

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

标本中文名:

脑脊液

组织:

Sample Name:

Cerebrospinal Fluid

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction 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 12 years
最大 Max age 70 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

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

non-randomized

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:

非盲法

Blinding:

NA

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:

 2015-05-11 21:55:27