Lymphoma
Conditions
Keywords
lymphoma CAR-T
Brief summary
The safety and feasibility of CAR-T cells (CD19.CAR-T) targeted at CD19 in the treatment of relapsed / refractory CD19 positive lymphoma were determined, and the proliferation and survival time of CD19.CAR-T cells in patients were determined.
Detailed description
The sponsors of this research also studied CD19.CAR-T cells for the treatment of leukemia and lymphoma, two courses of three transfusion 14 days after infection process standard training program , the safety and effectiveness have accumulated some of the data. In this study, the investigators will regenerate the cultured cells for 2 times in a course of treatment, and enter the patient's body . The investigators observed the safety and efficacy of CAR-T cell therapy.
Interventions
This study have only one arm that is CAR-T experimental arm. Firstly all participators will be attended the screening, who passed the screening for the treatment of CAR-T cells, the CAR-CD19-modified T cells can recognize and kill tumor cells in the body,follow-up 35 months..
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age is 16 years old, less than 70 years old, sex is not limited, race is not limited; 2. The pathological diagnosis was CD19 positive expression of B type lymphoma relapsed / refractory, meet any one of the following can be diagnosed with relapsed / refractory lymphoma: 1)the standard scheme of standardized treatment of more than 4 courses in 50%, or the condition of tumor size;2) standard treatment of CR, but the recurrence of use the original scheme or the current national consensus recommended second-line treatment can not get CR again;3) the relapse after haematopoietic stem cell transplantation; 3. The patient needs to have a lesion that can be used to detect or evaluate the disease. 4. 0\ 1 score of physical status score of the eastern cancer cooperation group (ECOG). 5. At the time of collection of peripheral white blood cell counts over 1 \* 10\^9/L; 6. Expected survival time \> 90 days; 7. Patients have the ability to know and sign informed consent.
Exclusion criteria
1. Pregnant or lactating women; 2. Uncontrolled infection; 3. HIV infected people, hepatitis B or HCV active stage; 4. Needs patients with long-term immunosuppressive therapy (such as allergies, autoimmune diseases, GVHD, etc.). 5. Combined with active central nervous system malignant tumor invading; 6. Has abnormal coagulation function, and there are patients with serious thrombus. 7. Organ failure (Appendix); A. heart: Grade II and above; B. liver: higher than grade II; C. kidney: second stages of renal insufficiency and above; D. lung: the second grade was slightly hypofunction and above. E. brain: metastatic or active lesion of the central nervous system. 8. Patients who participated in other clinical trials in the past 30 days or in other clinical trials; 9. Researchers believe that patients are not suitable for the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Primary Outcome Measure: The overall efficiency | [Time Frame: 3 years] | Complete remission (CR) number+The number of partial response (PR)/Total number of cases being treated |
Countries
China