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Trial Title: AHSCT Combined With CAR-T Cells in the Treatment of Refractory and Relapsed Multiple Myeloma

NCT ID: NCT05740891

Condition: Multiple Myeloma

Conditions: Official terms:
Multiple Myeloma
Neoplasms, Plasma Cell

Conditions: Keywords:
AHSCT
BCMA CAR-T

Study type: Interventional

Study phase: Phase 1

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: BCMA CAR-T cells injection
Description: Autologous hematopoietic stem cell transplantation combined with BCMA CAR-T cells
Arm group label: Treatment Group

Summary: Clinical Study on the Safety and Effectiveness of Autologous Hematopoietic Stem Cell Transplantation Combined With CAR-T Cells in the Treatment of Refractory and Relapsed Multiple Myeloma

Detailed description: This is a prospectiv , single arm, open-label, single-center study. This study is indicated for refractory and relapsed multiple myeloma. It aims to evaluate the safety and effectiveness of autologous hematopoietic stem cell transplantation combined with BCMA CAR-T to treat refractory and relapsed multiple myeloma. The main research is completely alleviated, overall reaction rate, and recurrence rate,etc. 50 patients will be enrolled.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - 1、BCMA positive accompanied by refractory/relapsed and resistance; - 2、Patients with the tumor load is high and cannot be transplanted directly, before transplantation. Reduce the load through CAR-T treatment to prepare for transplantation; - 3、Patient relapses after transplantation,donor lymphocyte infusion Invalid. The donor cells in the recipient body can be used or the donor cells can be collected directly.Prepare CAR-T to prevent recurrence and induce relapsing; - 4、Repeated MRD (+) refractory drug resistant cases; - 5、Male or female, 30-75 years old; - 6、Anticipated survival time more than 12 weeks - 7、Transplant subjects, regardless of their previous treatment, are eligible for inclusion after relapse; - 8、Patients had a negative urine pregnancy test before the start of administration and agreed to take effective contraceptive measures during the test period until the last follow-up; - 9、Those who voluntarily participate in the trial and sign the informed consent form Exclusion Criteria: - 1、Patients with the history of epilepsy or other CNS disease; - 2、Patients with prolonged QT interval time or severe heart disease; - 3、Pregnant or breastfeeding; - 4、Active infection with no cure; - 5、Patients with active hepatitis B or C infection; - 6、Previously treated with any genetic therapy; - 7、The proiferation rate is less than 5 times response to CD3/CD28 co-stimulation signal; - 8、Serum creatinine > 2.5mg/dl or ALT / AST > 3 times ULN or bilirubin > 2.0mg/dl; - 9、Those who suffer from other uncontrolled diseases are not suitable to join the study; - 10、HIV infection; - 11、Any situation that the researchers believe may increase the risk of patients or interfere with the test results.

Gender: All

Minimum age: 30 Years

Maximum age: 75 Years

Healthy volunteers: No

Locations:

Facility:
Name: The first affiliated hospital of medical college of zhejiang university

Address:
City: Hangzhou
Zip: 310003
Country: China

Status: Recruiting

Contact:
Last name: He Huang, MD

Phone: 86-13605714822
Email: hehuangyu@126.com

Contact backup:
Last name: Yongxian Hu, MD

Phone: +8615957162012
Email: huyongxian2000@aliyun.com

Start date: March 2023

Completion date: March 2025

Lead sponsor:
Agency: Zhejiang University
Agency class: Other

Collaborator:
Agency: Yake Biotechnology Ltd.
Agency class: Industry

Source: Zhejiang University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05740891

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