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Trial Title: A Study of KQ-2003 CAR-T Cell Therapy for Patients With Relapsed or Refractory Multiple Myeloma

NCT ID: NCT06223646

Condition: Multiple Myeloma

Conditions: Official terms:
Multiple Myeloma
Neoplasms, Plasma Cell

Study type: Interventional

Study phase: Phase 1/Phase 2

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Sequential Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Biological
Intervention name: KQ-2003 CAR T-cells
Description: KQ-2003 CAR T-cell therapy involves autologous chimeric antigen receptor T-cells, capable of targeting both human B cell maturation antigen (anti-BCMA CAR) and CD19 antigen molecules (anti-CD19 CAR) simultaneously as a cellular therapy.
Arm group label: Phase 1: High dose group
Arm group label: Phase 1: Low dose group
Arm group label: Phase 1: Medium dose group
Arm group label: Phase 2a: RP2D

Summary: This is a multicenter, open-label, dose-escalation/expansion phase 1/2a study to evaluate the safety, tolerability, pharmacokinetic/pharmacodynamic characteristics and determine the recommended dose of KQ-2003 CAR T-cells for patients with Relapsed/Refractory Multiple Myeloma

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Age ≥18 years old, male or female; - Diagnosis of MM with relapsed or refractory disease; - Eastern Cooperative Oncology Group (ECOG) Performance ≤2 ; - Expected survival of at least 12 weeks; - Participant has measurable disease; - Adequate venous access for the apheresis of peripheral blood mononuclear cell; - Adequate organ function; - Able and willing to comply with the study protocol and follow-up plan, and sign the informed consent form in writing. Exclusion Criteria: - Received any treatment that might influence the activity of CAR-T cells prior to the collection of peripheral blood mononuclear cells; - Have history of vaccination within the 4 weeks preceding the collection of peripheral blood mononuclear cells; - Have active bleeding or venous thromboembolic events requiring anticoagulation; - Have tested positive for cytomegalovirus and/or mycobacterium tuberculosis, or had any uncontrolled active infection within 14 days prior to the collection of peripheral blood mononuclear cells; - Subjects infected with active HBV or HCV, HIV, syphilis; - Subjects with known central nervous system disease or multiple myeloma involving the central nervous system (CNS) or presenting with CNS-related symptoms; - Patients currently experiencing active autoimmune diseases; - Diagnosed with immunodeficiency or receiving any other form of immunosuppressive therapy within 7 days prior to enrollment in this study. - Have following severe diseases: unstable angina, cerebrovascular accident or transient ischemic attack, myocardial infarction , New York Heart Association (NYHA) Class ≥ III, congestive heart failure, poorly controlled severe arrhythmias or other cardiac diseases requiring mechanical support; subjects with known chronic obstructive pulmonary disease (COPD) with a forced expiratory volume in 1 second (FEV1) < 50% of predicted normal; subjects with known moderate or severe persistent asthma, or a history of asthma within the past 2 years, or currently having any category of uncontrolled asthma; subjects requiring oxygen to maintain adequate oxygen saturation; subjects with hypertension whose blood pressure cannot be lowered to the following range despite treatment with two or more antihypertensive medications;. - Subjects with malignancies other than multiple myeloma; - Have any non-hematologic toxicity resulting from prior treatments that cannot be restored to ≤ grade 1 or baseline, excluding alopecia and grade 2 neuropathy; - History of alcohol abuse, drug addiction, substance abuse, or mental illness within the past year; - Presence of acute graft-versus-host disease (GVHD) or extensive chronic GVHD of Grade ≥ 2 requiring treatment within the 4 weeks before enrollment, or as judged by the investigator to likely require anti-GVHD treatment during the study; Subjects who had previously received BCMA-CD19 dual-target CAR-T cell products or autologous stem cell transplantation within 12 weeks before the collection of peripheral blood mononuclear cells; - Known allergy or hypersensitivity reactions to cyclophosphamide, fludarabine, dimethyl sulfoxide (DMSO), CD19, or BCMA-targeted drugs; - Subjects had participated in other clinical trials and used its investigational drugs within the 3 months prior to the collection of peripheral blood mononuclear cells - Pregnant or lactating women - Any situation that the investigator believes may increase the risk of subjects or interfere with the results of clinical trials

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Chinese Academy of Medical Sciences & Peking Union Medical College Hospital

Address:
City: Beijing
Zip: 100730
Country: China

Status: Recruiting

Contact:
Last name: Jian Li, M.D.

Phone: 01065296114
Email: lijian@pumch.cn

Start date: January 11, 2024

Completion date: March 31, 2026

Lead sponsor:
Agency: Novatim Immune Therapeutics (Zhejiang) Co., Ltd.
Agency class: Industry

Source: Novatim Immune Therapeutics (Zhejiang) Co., Ltd.

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06223646

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