Title
CD19-CAR-T Cells in Patients With R/R B-ALL
Phase I Study of the Safety and Efficacy of CD19-CAR-T Cells in Patients With Relapsed or Refractory Acute B-cell Lymphoblastic Leukemia (R/R B-ALL)
Phase
Phase 1Lead Sponsor
Bioceltech Therapeutics, Ltd.Study Type
InterventionalStatus
Unknown statusIndication/Condition
B-cell Acute Lymphoblastic LeukemiaIntervention/Treatment
CD19-CAR-T CellsStudy Participants
40This is a single center, single arm, open-lable phase 1 study to determine the safety and efficacy of autologous or donor-derived allogeneic T cells expressing CD19 chimeric antigen receptors (referred to as "CD19-CAR-T cells") in patients with relapsed or refractory acute B-cell lymphoblastic leukemia (R/R B-ALL).
Primary objective:
To investigate the safety and efficacy of autologous or HLA-haploidentical Allo-CD19-CAR-T cells in the treatment of patients with relapsed or refractory acute B-cell lymphoblastic leukemia.
Secondary objective:
To Assess the patient's quality of life after receiving the treatment.
T cells purified from the PBMC of subjects or subjects' relatives which depends on their conditions, transduced with 4-1BB/CD3-ζ lentiviral vector, expanded in vitro for future administration.
Subjects will receive CD19-CAR-T Cells on Day 0 : 100% of total dose.
Inclusion Criteria: Obtain Informed Consent Form (ICF) voluntarily signed by the patient; Age 3-70 years old; Primary resistant or relapsed B-cell line acute lymphoblastic leukemia; B cells are positive for CD19 expression; Peripheral blood tumor cell load <50%; 6. KPS score >50 points; 7. Normal liver and kidney function; 8. Normal heart function; 9. Good follow-up compliance; 10. Women of childbearing age (15-49 years old) must have a pregnancy test within 7 days before treatment and have a negative result; Men and women with fertility should agree to use effective contraception to ensure that during the study period and following 3 months after treatment the women will not get pregnant. Exclusion Criteria: Patients with non-B cell acute leukemia; Organ failure: Heart: Grade III and IV Liver: Class C with Child-Turcotte liver function classification Kidney: Renal failure and uremia Lung: severe respiratory failure Brain: Disabilities Active infection; Human immunodeficiency virus (HIV) positive; Acute and chronic graft-versus-host disease (GVHD)> Level 1; Pregnant or lactating women; Patients do not agree to use effective contraception during the treatment period and following 3 months; Patients who participated in other clinical studies at the same time; The researcher believes that there are other factors that are not suitable for inclusion in or influence the subject's participation in or completion of the study; Long-term use greater doses of hormones than physiological doses.