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Trial Title: Targeting CD5 CAR-T Cells in the Treatment of r/r CD5+ T-ALL

NCT ID: NCT06633354

Condition: T-Acute Lymphoblastic Leukemia

Conditions: Official terms:
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Precursor T-Cell Lymphoblastic Leukemia-Lymphoma

Conditions: Keywords:
CD5 CAR-T

Study type: Interventional

Study phase: Early 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: CD5 CAR T-cells
Description: Each subject receive CD5+ T-ALL Targeted CAR T-cells by intravenous infusion
Arm group label: Administration of CD5+ T-ALL Targeted CAR T-cells

Other name: CD5+ T-ALL Targeted CAR T-cells injection

Summary: A Clinical Study on the Safety and Effectiveness of targeting CD5 CAR-T Cells in the treatment of r/r CD5+ T-ALL

Detailed description: In this study, 30 patients with relapsed refractory T-ALL were proposed to undergo CD5 CAR-T Cells therapy. Under the premise that its safety has been clarified in previous studies, further observation and evaluation of the effectiveness of CD5 CAR-T Cells therapy for relapsed refractory T-ALL; At the same time, on the basis of expanding the sample size, more safety data on CD5 CAR-T Cells treatment for relapsed refractory T-ALL were accumulated.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - 1. According to the National Comprehensive Cancer Network (NCCN) Clinical Practice Guidelines for Acute Lymphocytic Leukemia (2020. v1), patients diagnosed as CD5+T-ALL; - 2. Consistent with r/r CD5+T-ALL diagnosis, including any of the following conditions: 1. No CR after standard chemotherapy; 2. The first induction reaches CR, but CR ≤ 12 months; 3. Patients with r/r CD5+T-ALL have not responded to the first or multiple remedial treatments; c.Multiple recurrences. - 3. CD5 expression rate was >90%; - 4. Number of blasts in the bone marrow (protolychic + larvae) >5% (morphology) and/or >1% (flow cytometry); - 5. Total bilirubin ≤51 (mol/L), Alanine aminotransferase (ALT)/Aspartate aminotransferase (AST) ≤ 3 times the upper limit of the normal range, creatinine ≤176.8 (mol/L); - 6. Echocardiography showed left ventricular ejection fraction (LVEF) ≥50%; - 7.Refers to the pulse oxygen saturation 92% or higher oxygen (state); - 8.Estimated life expectancy of minimum of 12 weeks; - 9.ECOG 0-2; - 10.Pregnant/lactating women, or male or female patients who have fertility and are willing to take effective contraceptive measures at least 6 months after the last cell infusion during the study period; - 11. Those who voluntarily participated in this trial and provided informed consent; 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. Active infection of hepatitis B virus, C virus or hepatitis E virus; - 4. Active infection with no cure; - 5. Before using any gene therapy products; - 6. Received anti-tumor therapy before infusion, should meet the following any one should be ruled out: 1. treated with systemic corticosteroids therapy within 72 hours (except glucocorticoid physiological replacement therapy, such as prednisone < 10 mg/d or an equivalent dose of the drug); 2. received within 72 hours of small molecule targeted therapy; 3. 2 weeks received systemic chemotherapy except (pretreatment); 4. four weeks received radiotherapy; - 7. The proiferation rate is less than 5 times response to CD3/CD28 co-stimulation signal; - 8. Any unsuitable to participate in this trial judged by the investigator; - 9. Any situation that researchers believe may increase the risk to the subjects or interfere with the trial results.

Gender: All

Minimum age: N/A

Maximum age: N/A

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: 057187233772
Email: hehuangyu@126.com

Contact backup:
Last name: Yongxian Hu, MD

Phone: 057187233772
Email: huyongxian2000@aliyun.com

Start date: October 20, 2024

Completion date: October 20, 2027

Lead sponsor:
Agency: Zhejiang University
Agency class: Other

Collaborator:
Agency: Shanghai YaKe Biotechnology Ltd.
Agency class: Other

Source: Zhejiang University

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06633354

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