Refractory B-cell Acute Lymphoblastic Leukemia, Relapsed B-cell Acute Lymphoblastic Leukemia
Conditions
Brief summary
This study aims to evaluate the safety and feasibility of UCART19 to induce molecular remission in pediatric patients with relapsed or refractory CD19-positive B-cell acute lymphoblastic leukemia (B-ALL).
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient with relapsed or refractory CD19-positive B-acute lymphoblastic leukaemia (B-ALL) who have exhausted alternative treatment options. * Estimated life expectancy ≥ 12 weeks * Lansky (age \< 16 years at the time of assent/consent) or Karnofsky (age ≥ 16 years at time of assent/consent) performance status ≥ 50
Exclusion criteria
* Burkitt leukemia * CD19-negative B-cell leukemia * Active Central Nervous System (CNS) leukemia * Active acute or chronic Graft-versus-Host Disease (GvHD) requiring systemic use therapy within 4 weeks before UCART19 infusion * Patients with autoimmune disease requiring systemic immunosuppression therapy that cannot be stopped * History of CRS grade 4 related to previous CAR T cell therapy * Contraindication to Alemtuzumab administration
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence and Severity of Adverse Events | From inclusion to Month 12 | Adverse events assessed according to NCI-CTCAE v5.0 criteria |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Molecular Remission Rate | At Day 28 after the first UCART19 infusion | Proportion of patients in whom a molecular Complete Remission (CR) or a Complete Remission with incomplete blood recovery (CRi) is observed (i.e. a CR or CRi combined to a Minimal residual disease \<10-4). |
Countries
France, Spain, United Kingdom, United States