CD19 positive acute lymphoblastic leukemia
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) CD19 positive ALL 2) chemo-refractory/relapsed after allogeneic stem cell transplantation 3) 1-60 years old* 4) Written informed consent from patient or legal representative 5) Fulfill all of the following criteria: i) Performance status (PS) score: 0-3 ii) AST==90% (room air) *Cohort 1: 16-60 years old, Cohort 2: 1-15 years old
Exclusion criteria
Exclusion criteria: 1) predonisolone use >=0.5 mg/kg/day 2) BM blast >=20% 3) CNS-3 4) severe or uncontrollable infection 5) severe or uncontrollable GVHD 6) severe or uncontrollable heart failure 7) previous use of CAR-T therapy 8) Psychoses 9) History of allergic reaction to albumin 10) History of allergic reaction to mouse derived protein
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of DLT (specified below) occurring until completion of CAR-T therapy. 1,Grade 4 or higher non-hematological toxicities with causality to the therapy not ruled out 2,Grade 4 or higher toxicities judged related to or caused by cytokine release syndrome 3,Grade 4 GVHD 4,Grade 3 non-hematological toxicities with causality to the therapy not ruled out or Grade 3 toxicities judged related to or caused by cytokine release syndrome, with no improvement to Grade 2 or lower within 4 weeks after infusion | — |
Secondary
| Measure | Time frame |
|---|---|
| 1,Change of CAR-T cell counts CAR-T cells in blood and bone marrow will be counted over time until completion of CAR-T therapy by real time PCR assay and flow cytometry. 2,Change of ALL blast counts ALL blast (%) in blood and bone marrow will be counted. If available, ALL DNA and RNA levels in blood and bone marrow will be measured over time by real time PCR assay or next generation sequencer. Among all treated patients, those who presented blast response to the infusion will be recorded. 3,Disease state of ALL before and after CAR-T therapy (at 26 to 30 days after CAR-T infusion) | — |
Countries
Japan
Contacts
Nagoya University Hospital