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Trial Title: 4SCAR19U T Cells Targeting B Cell Malignancies

NCT ID: NCT05995015

Condition: B Cell Malignancies

Conditions: Official terms:
Neoplasms

Conditions: Keywords:
Universal CAR-T
CD19 B-ALL
PMBCL
CNS-BCL
BCL

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: Biological
Intervention name: Universal CD19-specific CAR gene-engineered T cells
Description: Infusion of 4SCAR19U cells
Arm group label: Universal 4SCAR19U cells to treat CD19-positive hematological malignancies

Summary: The purpose of this study is to assess the feasibility, safety and efficacy of universal CAR T cell therapy against CD19-positive hematological malignancies using a novel CD19-specific CAR T cell product, 4SCAR19U T cells. The study also aims to learn more about the function of the 4SCAR19U T cells and their persistence in patients. This is a phase I trial enrolling patients from multiple clinical centers.

Detailed description: Chimeric antigen receptor (CAR) T cell therapy has proven effective in treating B cell malignancies. However, the application itself is still limited by the high cost and long preparation time which often do not meet the urgent need of patients. In addition, some patients may suffer from long-term immunosuppression caused by tumor microenvironment or after radiotherapy and chemotherapy, resulting in exhaustion, aging and functional defects of the autologous T cells, which will eventually affect the quality of the CAR-T cells and affect the clinical efficacy. The 4SCAR19U T cells are genetically engineered and manufactured in bulk amount that can be supplied off-the-shelf without being custom made from individual patients. The immediate availability of the CAR-T cells makes clinical treatment convenient and timely for rapid progressing disease or for the highly immune suppressed patients. This application can be time- and cost-effective. This novel approach may also overcome problems of functionally defective autologous T cells. The purpose of this clinical trial is to assess the feasibility, safety and efficacy of the 4SCAR19U T cell product in hematological malignancies. Another goal of the study is to learn more about the function of this novel product and its persistence in the patients

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Age older than 6 months. 2. Primary B cell surface expression of CD19. 3. The KPS score over 80 points, and survival time is more than 1 month. 4. Greater than Hgb 80 g/L. 5. No contraindications to blood cell collection. Exclusion Criteria: 1. Accompanied with other active diseases, and difficult to assess response after treatment. 2. Bacterial, fungal, or viral infection, unable to control. 3. Living with HIV. 4. Active HBV or HCV infection. 5. Pregnant and nursing mothers. 6. under systemic steroid treatment within a week of the treatment. 7. Prior failed CAR-T treatment.

Gender: All

Minimum age: 6 Months

Maximum age: 75 Years

Healthy volunteers: No

Locations:

Facility:
Name: Shenzhen Geno-Immune Medical Institute

Address:
City: Shenzhen
Zip: 518000
Country: China

Status: Recruiting

Contact:
Last name: Lung-Ji Chang, Ph.D

Phone: +86-0755 8672-5195
Email: c@szgimi.org

Start date: October 31, 2023

Completion date: December 31, 2026

Lead sponsor:
Agency: Shenzhen Geno-Immune Medical Institute
Agency class: Other

Source: Shenzhen Geno-Immune Medical Institute

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05995015

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