Hematologic malignancy
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 6 to 70 years (=3 months 4. Indications: (1) Acute lymphoblastic leukemia - Diagnosed as acute B lymphoblastic leukemia with CD19 and CD20 positive; - Not suitable or unconditional for allogeneic hematopoietic stem cell transplantation; - Recurrent and refractory acute B lymphoblastic leukemia; - Patients with recurrence after autologous hematopoietic stem cell transplantation. (2) Acute myeloid leukemia (AML) - Recurrent, refractory acute myeloid leukemia with positive surface biomarkers such as CD33/CD123/CLL-1 confirmed by MICM typing diagnosis; - Not suitable or unconditional for allogeneic hematopoietic stem cell transplantation; - Patients with recurrent acute myeloid leukemia after autologous hematopoietic stem cell transplantation. (3) Multiple myeloma (MM) - Multiple myeloma with positive antigen such as CD138\BCMA; - Unsuitable, unconditional or unwilling to perform autologous hematopoietic stem cell transplantation;Or there is no suitable donor; - Relapsed, refractory multiple myeloma; - Patients with recurrence after autologous stem cell transplantation. (4) Lymphoma - Recurrent, refractory lymphoma with positive CD19/CD20/CD22/CD30 associated surface biomarkers; - Unsuitable, unconditional or unwilling to perform autologous hematopoietic stem cell transplantation;Or there is no suitable donor; - Patients with recurrence after autologous stem cell transplantation. (5)Receiving bridging therapy or cooperative therapy before hematopoietic stem cell transplantation 5. Viscera functions: - Cardiac function: left ventricular ejection fraction in the last month>40% (echocardiography); - Liver function: alanine aminotransferase and aspartate aminotransferase =60; ECOG score <=2; 7. Medication: - Did not receive systematic chemotherapy within 1 month; - Did not receive other immunotherapy within 3 months.
Exclusion criteria
Exclusion criteria: 1. Active infection; 2. HIV positive; 3. History of myocardial infarction and serious arrhythmia within half a year; 4. Patients with congenital immune deficiency; 5. The patient and/or family members do not agree to the treatment plan; 6. Pregnancy and breastfeeding patients.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| CAR - T proliferation;Inflammatory indicators;Tumor load; | — |
Countries
China
Contacts
The Third Xiangya Hospital of Central South University