Lymphoma
Conditions
Brief summary
Patients with relapsed or refractory lymphoma often develop resistance to chemotherapy. Chimeric antigen receptor-modified T cell (CART) therapy showed promising effect in B-cell malignancies these years. CD19 and CD22 are proteins expressed on the surface of the lymphoma cells in patients with CD19+CD22+ lymphoma. The CAR enables the T-cells to recognize and kill the tumor cell through recognition of CD19 and CD22. This is a phase 2 trial to study the safety and efficacy of dual specificity CD19 and CD22 CAR-T cell immunotherapy for CD19+CD22+ relapsed and refractory lymphoma.
Interventions
Patient-derived dual specificity CD19 and CD22 CAR-T Cells
Sponsors
Study design
Eligibility
Inclusion criteria
* Histological detection confirmed CD19/CD22 postive lymphoma; * Recieved more than 2 lines of chemotherapy; * Not eligible for hematopoietic stem cell transplantation or relapsed after hematopoietic stem cell transplantation; * Life expectation for more than 3 months; * ECOG ≥ 2; * Adequate organ function: EF≥50%; normal ECG; CCR≥40ml/min; ALT and AST ≤ 3 × upper limitation of normal, T-BIL ≤ 2.0mg/dl; PT and APTT \< 2 × upper limitation of normal; SpO2 \> 92%; * CBC results: Hb ≥ 80g/L, ANC \> 1 × 10E9/L, Plt ≥ 50 × 10E9/L; * Results of pregnant test should be negative, and agree to conception control during treatment and 1 year after CAR-T infusion; * With measurable disease; * Written informed consent could be acquired;
Exclusion criteria
* Immunosuppressive agents or steroids in recent 1 week before recruitment; * Uncontrolled infection; * HIV positive ; * Active HBV or HCV infection; * Women in pregnancy and lactation; * Refuse to conception control during treatment and 1 year after CAR-T infusion; * Uncured malignancies other than non-Hodgkin lymphoma; * Have participated similar trial for treating relapse/refractory non-Hodgkin lymphoma; * Inheritated immune deficiancy; * Severe heart disease.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall remission rate | 4 weeks after infusion | Rate of complete remission and patial remission |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adverse toxicity | Day 0, day 4, week 1, week 3, week 4, month 2, month 12 after CAR-T cells were infused | According to CTCAE 4.0 criteria |
Countries
China