Blood disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Diagnosed as refractory / relapsed, patients with tumor surface antigen CD19 missing, relapsed after humanized CD22-CAR T treatment, full expression of CD22 or relapsed / refractory acute B lymphocytic leukemia over 100 days after allogeneic hematopoietic stem cell transplant ; 2. Male or female patients aged 1-18 years; 3. No severe allergies; 4. ECOG score 0-2 points; 5. Expected survival time >=60 days; 6. CD22 positive in bone marrow or peripheral blood or immunohistochemistry; 7. A self-knowledgeable 18-year-old patient voluntarily signs the informed consent form, and the legal representative (guardian) of a child patient under 18 years old voluntarily signs the informed consent form.
Exclusion criteria
Exclusion criteria: 1. Intracranial hypertension or cerebral conscious disturbance; 2. Symptomatic heart failure or severe arrhythmia; 3. Symptoms of severe respiratory failure; 4. With other types of malignant tumors; 5. diffuse intravascular coagulation; 6. Serum creatinine and / or urea nitrogen = 1.5 times the normal value; 7. Suffering from sepsis or other uncontrollable infections; 8. suffering from uncontrollable diabetes; 9. severe mental disorders; 10. Skull MRI showed obvious lesions in the skull; 11. Cerebrospinal fluid examination of leukemia cells> 20 / ul; 12. The proportion of blood leukemia cells is> 30%; 14. Have received an organ transplant; 15. Positive blood HCG test for female patients (patients with fertility); 16. Hepatitis (including Hepatitis B and Hepatitis C), HIV / AIDS and syphilis screening.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Dose-limiting toxicity;Incidence and severity of treatment-related adverse events;Other safety observation indicators are vital signs, 12-lead ECG and clinical laboratory test results; | — |
Secondary
| Measure | Time frame |
|---|---|
| Proliferation and survival of CD22-CAR T cells in the blood of the subject;Objective response rate;Complete response rate;Partial response rate;Duration of remission;Progression-free survival;Total survival; | — |
Countries
China
Contacts
Beijing Boren Hospital