靶向CD19和CD22的CAR-T细胞免疫治疗技术用于复发/难治性B细胞淋巴瘤的安全性和有效性的初步临床研究

注册号:

Registration number:

ChiCTR2000041008 

最近更新日期:

Date of Last Refreshed on:

2021-02-22 14:42:26 

注册时间:

Date of Registration:

2020-12-16 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

靶向CD19和CD22的CAR-T细胞免疫治疗技术用于复发/难治性B细胞淋巴瘤的安全性和有效性的初步临床研究

Public title:

Clinical study on the safety and effectiveness of targeting CD19 and CD22 CAR - T cells immunotherapy in patients with relapsed or refractory B cell lymphoma

注册题目简写:

English Acronym:

研究课题的正式科学名称:

靶向CD19和CD22的CAR-T细胞免疫治疗技术用于复发/难治性B细胞淋巴瘤的安全性和有效性的初步临床研究

Scientific title:

Clinical study on the safety and effectiveness of targeting CD19 and CD22 CAR - T cells immunotherapy in patients with relapsed or refractory B cell lymphoma

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:

关涛 

研究负责人:

苏丽萍 

Applicant:

Tao Guan 

Study leader:

Liping Su 

申请注册联系人电话:

Applicant telephone:

+86 13509717461

研究负责人电话:

Study leader's
telephone:

+86 13835158122

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:

395714554@qq.com

研究负责人电子邮件:

Study leader's E-mail:

sulp2005@sohu.com

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:

山西省太原市杏花岭区职工新村3号

研究负责人通讯地址:

山西省太原市杏花岭区职工新村3号

Applicant address:

3 Zhigong New Village, Xinghualing District, Taiyuan, Shanxi

Study leader's address:

3 Zhigong New Village, Xinghualing District, Taiyuan, Shanxi

申请注册联系人邮政编码:

Applicant postcode:

030013

研究负责人邮政编码:

Study leader's postcode:

030013

申请人所在单位:

山西省肿瘤医院

Applicant's institution:

ShanXi Cancer Hospital

研究负责人所在单位:

山西省肿瘤医院

Affiliation of the Leader:

ShanXi Cancer Hospital

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:

2020-33

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

山西省肿瘤医院医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of Shanxi Cancer Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2020-11-12 00:00:00

伦理委员会联系人:

吕雪飞

Contact Name of the ethic committee:

Xuefei Lyu

伦理委员会联系地址:

山西省太原市杏花岭区职工新村3号

Contact Address of the ethic committee:

3 Zhigong New Village, Xinghualing District, Taiyuan, Shanxi

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 13513602856

伦理委员会联系人邮箱:

Contact email of the ethic committee:

342923026@qq.com

研究实施负责(组长)单位:

山西省肿瘤医院

Primary sponsor:

ShanXi Cancer Hospital

研究实施负责(组长)单位地址:

山西省太原市杏花岭区职工新村3号

Primary sponsor's address:

3 Zhigong New Village, Xinghualing District, Taiyuan, Shanxi

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

山西

市(区县):

太原

Country:

China

Province:

Shanxi

City:

Taiyuan

单位(医院):

山西省肿瘤医院

具体地址:

杏花岭区职工新村3号

Institution
hospital:

ShanXi Cancer Hospital

Address:

3 Zhigong New Village, Xinghualing District

经费或物资来源:

上海科棋药业科技有限公司

Source(s) of funding:

Shanghai Ke Qi pharmaceutical technology Co., Ltd

研究疾病:

B细胞淋巴瘤  

Target disease:

B cell lymphoma

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

探索性研究/预试验 

Study phase:

0

研究设计:

非随机对照试验 

Study design:

Non randomized control 

研究目的:

评价CD19-CD22 CAR-T细胞免疫治疗技术治疗B细胞淋巴瘤的安全性和耐受性、初步疗效、PK/PD。  

Objectives of Study:

Evaluation the safety,tolerability, preliminary efficacy,and PK/PD of CD19-CD22 CAR-T cells for the treatment of acute B cell lymphom.

药物成份或治疗方案详述:

筛选期4周、细胞采集1天、CD19-CD22 CAR-T细胞产品制备及质控约14天、清淋化疗3天、细胞输注(D0)及住院观察14-28天、出院后随访与评价约2年。 

Description for medicine or protocol of treatment in detail:

Screening period of 4 weeks, PBMC 1 day, CD19 CD22 CAR - T cells product preparation and quality control for about 14 days, Remove the lymphocyte for 3 days, cell infusion chemotherapy (D0) and 14 to 28 hospitalized days, follow-up and evaluation about two years after infusion. 

纳入标准:

Inclusion criteria

排除标准:

符合以下任意一项排除标准的患者均不能入组:
1.活动性乙肝,HBV-DNA高于研究中心检测下限的受试者;丙型肝炎病毒(HCV)抗体阳性且外周血HCV-RNA阳性受试者;HIV抗体阳性者;梅毒初筛抗体阳性者;
2.存在其他具有显著临床意义的活动性病毒、细菌感染或未能控制的全身真菌感染;
3.任何不稳定的系统性疾病:包括但不限于不稳定型心绞痛、脑血管意外或短暂性脑缺血(筛选前6个月内)、心肌梗死(筛选前6个月内)、纽约心脏病协会[NYHA]分类≥III级充血性心力衰竭,药物控制不佳的严重心律失常、肝脏、肾脏或代谢性疾病以及经标准治疗无法控制的高血压;
4.过去2年内,因自身免疫性疾病(如克罗恩病、类风湿性关节炎、系统性红斑狼疮等)导致终末器官受损,或需要系统性应用免疫抑制药物;
5.有中枢神经系统疾病病史,如癫痫、严重脑损伤、痴呆、帕金森病、精神病等影响试验评估的疾病;
6.既往5年内患有其他活动性恶性肿瘤(已治愈且不需要随访治疗的基底或鳞状皮肤癌、浅表性膀胱癌、原位乳腺癌除外);
7.已知对环磷酰胺、氟达拉滨或CAR-T细胞制剂包括辅料、DMSO有严重过敏反应的患者;
8.妊娠或哺乳期患者,细胞回输后6个月内不愿意采取有效避孕措施的患者;
9.其他经研究者判断不适合参加本研究的情况。

Exclusion criteria:

Comply with any of the following items were not into the group of patients exclusion criteria:
1. The active hepatitis b, HBV - DNA detection lower limit of the subjects above research center; Hepatitis c virus (HCV) antibody positive and peripheral blood HCV - RNA positive subjects; Antibodies to HIV positive people; Early syphilis screening antibody positive;
2. There are other significant clinical significance of active virus, bacterial infection, or failing to control systemic fungal infection;
3. Any instability of systemic disease, including but not limited to, unstable angina, cerebrovascular accident, or transient ischemic (within 6 months prior to screening), myocardial infarction (within 6 months prior to screening), New York heart association (NYHA) classification level III or higher congestive heart failure, drug control of serious arrhythmia, liver, kidney or metabolic diseases, as well as the standard treatment cannot control high blood pressure;
4. In the past two years, because of autoimmune diseases such as crohn's disease, rheumatoid arthritis and systemic lupus erythematosus (sle), etc.) causing end-organ damage, or need systemic application of immunosuppressive drugs;
5. A history of the central nervous system diseases, such as epilepsy, serious brain damage, dementia, Parkinson's disease, psychosis, such as impact test evaluation of disease;
6. Always with other active malignancy within five years (have to cure and does not require follow-up treatment of basal or scaly skin cancer, except for superficial bladder cancer, breast cancer in situ);
7. Known for cyclophosphamide, fluorine dara marina or CAR - T cell preparation including accessories, DMSO patients with severe allergic reactions;
8 patients with pregnancy or lactation, the cells back within 6 months after losing patients are reluctant to take effective contraceptive measures;
9. Other researchers determine doesn't fit to participate in this study.

研究实施时间:

Study execute time:

From 2020-12-21 00:00:00 To 2023-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2020-12-21 00:00:00 To 2021-12-31 00:00:00

干预措施:

Interventions:

组别:

低剂量组

样本量:

3

Group:

Low dose

Sample size:

干预措施:

1.0×10^5 CAR+T 细胞/kg

干预措施代码:

Intervention:

1.0×10^5 CAR+T cell/kg

Intervention code:

组别:

中剂量组

样本量:

3

Group:

Middle dose

Sample size:

干预措施:

5.0×10^5 CAR+T 细胞/kg

干预措施代码:

Intervention:

5.0×10^5 CAR+T cell/kg

Intervention code:

组别:

高剂量组

样本量:

3

Group:

High dose

Sample size:

干预措施:

2.0×10^6 CAR+T 细胞/kg

干预措施代码:

Intervention:

2.0×10^6 CAR+T cell/kg

Intervention code:

组别:

扩增剂量组

样本量:

10

Group:

Amplification dose

Sample size:

干预措施:

(1.0×10^5-2.0×10^6 )CAR+T 细胞/kg

干预措施代码:

Intervention:

(1.0×10^5-2.0×10^6 )CAR+T cell/kg

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

山西 

市(区县):

太原 

Country:

China

Province:

Shanxi

City:

Taiyuan

单位(医院):

山西省肿瘤医院 

单位级别:

三甲 

Institution
hospital:

ShanXi Cancer Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

无进展生存期或无瘤生存期

指标类型:

主要指标

Outcome:

PFS/DFS

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

客观缓解率

指标类型:

主要指标

Outcome:

ORR

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:

OS

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

缓解持续时间

指标类型:

主要指标

Outcome:

DOR

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

剂量限制性毒性

指标类型:

副作用指标

Outcome:

DLT

Type:

Adverse events

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

各类型不良事件发生率

指标类型:

副作用指标

Outcome:

Incidence of various types of adverse events

Type:

Adverse events

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:

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 6 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):

不设随机

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

N/A

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:

开放

Blinding:

open-label

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

是Yes

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):

试验完成后6个月公开 请说明共享原始数据的方式

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

Six months after the trial completed

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:

病例报告表

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

Case Record Form, CRF

数据与安全监察委员会:

Data and Safety Monitoring Committee:

暂未确定/Not yet

注册人:

Name of Registration:

 2020-12-16 13:05:05