Status:

COMPLETED

A Study Evaluating Safety and Efficacy of C-CAR039 Treatment in NHL Subjects

Lead Sponsor:

Shanghai Tongji Hospital, Tongji University School of Medicine

Collaborating Sponsors:

Shanghai AbelZeta Ltd.

Conditions:

Non-Hodgkin's B-cell Lymphoma

Eligibility:

All Genders

18-75 years

Phase:

PHASE1

Brief Summary

The trial is a single arm, single-center, non-randomized phase I clinical trial which is designed to evaluate the safety and efficacy of C-CAR039 in treatment of relapsed or refractory NHL patients

Detailed Description

This study plans to enroll 25 patients to assess the safety and efficacy of C-CAR039. Subjects who meet the eligibility criteria will receive a single dose of C-CAR039 injection. The study will inclu...

Eligibility Criteria

Inclusion

  • 1\. Volunteered to participate in this study and signed informed consent
  • 2\. Age 18-75 years old, male or female
  • 3\. CD19 or CD20 positive DLBCL (including PMBCL and tFL), FL and MCL confirmed by cytology or histology according to WHO2016 criteria. For CD20-positive subjects, they should have received at least one regimen containing anti-CD20-targeted therapy (such as rituximab). If they do not complete the regimen due to intolerance, the cause should be recorded.
  • 4\. Relapsed or refractory disease after ≥ 2 lines (for FL, at least 3 lines) of standard therapy or relapsed after autologous stem cell transplantation (ASCT)
  • 5\. At least one measurable lesion (LDi ≥ 1.5 cm);
  • 6\. At least two weeks from last treatment (radiation, chemotherapy, mAb, etc) to apheresis;
  • 7\. LVEF≥ 50% (ECHO)
  • 8\. No active pulmonary infections, normal or mild impaired pulmonary function and SpO2≥92%
  • 9\. Laboratory criteria: ANC≥1.0×109/L; Platelets≥50×109/L; Serum total bilirubin ≤1.5x ULN; Creatinine≤ ULN; AST and ALT≤3x ULN
  • 10\. No contraindications of apheresis;
  • 11\. Expected survival ≥ 3months
  • 12\. ECOG score 0 or 1

Exclusion

  • 1\. Have a history of allergy to cellular products;
  • 2\. According to the NYHA cardiac function grading standards, patients with grade III or IV cardiac dysfunction;
  • 3\. A history of craniocerebral trauma, disturbance of consciousness, epilepsy, cerebrovascular ischemia, cerebrovascular hemorrhagic disease, etc.;
  • 4\. Patients with central nervous system involvement;
  • 5\. Patients with autoimmune diseases, immunodeficiency or other conditions requiring immunosuppressive therapy;
  • 6\. Received allogeneic hematopoietic stem cell transplantation before;
  • 7\. Previous use of any CAR T cell product or other genetically modified T cell therapy;
  • 8\. Autologous stem cell transplantation within 6 weeks before infusion;
  • 9\. Severe active infections (except for simple urinary tract infections, bacterial pharyngitis), or currently undergoing intravenous infusion of antibiotics. However, prophylactic antibiotic, antiviral and antifungal infection treatments are permissible;
  • 10\. Live vaccination within 4 weeks prior to apheresis;
  • 11\. People infected with HIV, HBV, HCV and TPPA/RPR, and carriers with HBV;
  • 12\. A history of alcohol abuse, drug use or mental illness;
  • 13\. Subjects who are not sterilized and have any of the following conditions:
  • are pregnant/lactating; or
  • planned pregnancy during the trial; or
  • being fertile and unable to use effective contraception;
  • 14\. Severe hypersensitivity to fludarabine or cyclophosphamide;
  • 15\. A history of other primary cancers other than the following:
  • Non-melanoma tumors such as basal cell carcinoma of the skin that are cured by excision
  • Cured in situ cancers such as cervical, bladder, or breast cancer
  • 16\. The investigators consider that the subject has other conditions that are not suitable for this trial.

Key Trial Info

Start Date :

November 5 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 30 2023

Estimated Enrollment :

25 Patients enrolled

Trial Details

Trial ID

NCT04317885

Start Date

November 5 2019

End Date

December 30 2023

Last Update

May 23 2025

Active Locations (1)

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Shanghai Tongji Hospital, Tongji University School of Medicine

Shanghai, Shanghai Municipality, China, 200065