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Trial Title: Safety and Efficacy of NK520 to Treat Relapsed/Refractory Acute Myeloid Leukemia

NCT ID: NCT06541444

Condition: Relapsed/Refractory Acute Myeloid Leukemia

Conditions: Official terms:
Leukemia
Leukemia, Myeloid
Leukemia, Myeloid, Acute

Study type: Interventional

Study phase: Early Phase 1

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Sequential Assignment

Intervention model description: Dose escalation study

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: NK520
Description: The number of NK520 cell infused for each dosing will be calculated based on body weight of subject. NK520 should be administered through intravenous infusion once a week, for a total of four times.
Arm group label: Group A(low-dose group)
Arm group label: Group B(medium-dose group)
Arm group label: Group C(high-dose group)

Other name: genetic modified NK cell

Summary: This study will evaluate the safety and efficacy of NK520 in the treatment of relapsed/refractory acute myeloid leukemia. NK520 will be administered by intravenous injection. The safety and efficacy of this treatment will be evaluated.

Detailed description: This open label, single-arm study aims to evaluate the efficacy and safety of allogenic NK cells in subjects with relapsed/refractory acute myeloid leukemia. Allogenic NK cells will be infused once a week. After infusion, the investigators will observe the characteristics of dose limited toxicity (DLT), and determine the maximum tolerable dose(MTD). To provide basis for the dosage and treatment plan of cell products in follow-up clinical trials.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Participants must be between 18 and 75 years; 2. Diagnostic Criteria: Meet the 2016 World Health Organization (WHO) diagnostic criteria for AML, unsuitable for current treatments or patients with relapsed/refractory AML after ≥2 lines of therapy. The definition of relapsed/refractory acute myeloid leukemia is based on the 2017 Chinese Guidelines for Diagnosis and Treatment: 1. Relapsed AML: Diagnosis is confirmed when leukemia cells reappear in the peripheral blood or bone marrow blast cells exceed 5% after complete remission (CR) (excluding reasons such as bone marrow regeneration post-consolidation chemotherapy) or there is extramedullary infiltration by leukemia cells; 2. Refractory AML: Initial cases unresponsive after two cycles of standard regimen treatment; recurrence within 12 months after CR and consolidation therapy; recurrence beyond 12 months with ineffectiveness of conventional chemotherapy; those who have relapsed twice or more; or persistent extramedullary leukemia; 3. Eastern Cooperative Oncology Group (ECOG) performance status score of 0 to 2; 4. Expected survival of at least 12 weeks; 5. Normal Organ Function. Exclusion Criteria: 1. Acute promyelocytic leukemia; 2. Severe bleeding tendency or coagulation disorders, or currently receiving thrombolytic therapy; 3. Active tuberculosis (TB), currently undergoing anti-TB treatment, or treated for TB within 1 year prior to the study; 4. HIV-infected individuals, or known active syphilis infection; 5. Use of immunosuppressive drugs within 1 week before the first dose, excluding topical, inhaled, or other locally administered glucocorticoids, or physiologic doses of systemic glucocorticoids (not exceeding 10 mg/day prednisone equivalent) for allergic reactions or for managing respiratory distress from asthma, COPD, etc; 6. Receipt of live attenuated vaccines within 2 weeks before the first dose or planned during the study; 7. Participation in another clinical trial and receipt of investigational drug within 4 weeks prior to the first dose; 8. Receipt of immune-modulating drugs (including thymosin, interferons, except for local use to control pleural or ascitic fluid) within 2 weeks prior to the first dose; 9. At screening, hepatitis B or C viral tests positive according to either: - HBsAg positive with serum HBV-DNA titer ≥1×10^3 copies/mL or above normal limits; - HCV antibody positive; 10. Any other condition or situation in which the investigator deems the patient unsuitable for participation in this study.

Gender: All

Minimum age: 18 Years

Maximum age: 75 Years

Healthy volunteers: No

Locations:

Facility:
Name: Shanghai Pudong Hospital

Address:
City: Shanghai
Zip: 201202
Country: China

Status: Recruiting

Contact:
Last name: Minghua Yu

Phone: 18017821601
Email: minghuamd@fudan.edu.cn

Start date: July 1, 2024

Completion date: June 1, 2026

Lead sponsor:
Agency: Base Therapeutics (Shanghai) Co., Ltd.
Agency class: Industry

Collaborator:
Agency: Shanghai Pudong Hospital
Agency class: Other

Source: Base Therapeutics (Shanghai) Co., Ltd.

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06541444

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