Multiple Myeloma
Conditions
Keywords
Multiple myeloma
Brief summary
This is a single center study to assess the efficacy and safety of IM21 CAR-T cells in adult with R/R multiple myeloma in China.
Detailed description
In this study, about 10 patients with relapsed or refractory multiple myeloma aged ≥60 years were recruited for IM21 CAR-T cell single transfusion therapy. The safety and tolerability of the treatment were evaluated, and the curative effect was initially observed. The research plan includes five stages: screening stage, cell collection stage, chemotherapy pretreatment stage, infusion stage and follow-up stage.
Interventions
IM21 CAR-T cells Drug: Fludarabine Two days before cell infusion, all patients will be treated with fludarabine for 3 days Drug: Cyclophosphamide Two days before cell infusion, all patients will be treated with Cyclophosphamide for 3 days Other Names: Fludarabine Cyclophosphamide
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients with relapsed or refractory multiple myeloma who had received at least second line regular treatment failure; 2. Age ≥60 years old; 3. The expected survival time is more than 3 months; 4. ECOG score is 0-2; 5. Those who voluntarily participate in the study and sign the informed consent; 6. Hemoglobin (Hb)≥80g/L; Absolute count of neutrophils (ANC) \>1×10\^9/L Total platelet count (PLT)≥35×10\^9/L; 7. left ventricular ejection fraction \> 45%.
Exclusion criteria
1. High-risk viscera-involved patients: the tumor invaded the gastrointestinal tract, lung, pericardium and one of the great vessels; 2. Those who have graft versus host disease and need to use immunosuppressive agents; 3. Use of systemic steroids in combination within 5 days prior to the blood collection period (except for recent or current use of inhaled steroids); 4. Active hepatitis B or C virus, HIV or other untreated active infected persons; 5. Any circumstance that, in the opinion of the investigator, may increase the risk to the subject or interfere with test results; 6. Patients who use chemotherapy or radiotherapy within 3 days before the blood collection stage.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of adverse events within 1 month after CAR-T cell infusion | 30days | The primary endpoint wasIncidence of adverse events within 1 month after CAR-T cell infusion |
Secondary
| Measure | Time frame |
|---|---|
| Objective Response Rate(ORR) at 90 days | 90days |
Countries
China