Acute Myeloid Leukemia
Conditions
Keywords
FLT3,CAR-T,AML
Brief summary
This is a prospective,open-label, phase1/2 study to evaluate the safety and efficacy of anti-FLT3 chimeric antigen receptor engineered T cell immunotherapy (CART) in the treatment of FLT3 positive relapsed or refractory acute myeloid leukemia.
Detailed description
The patients will receive infusion of anti-FLT3 CAR T-cells targeting FLT3 to evaluate the safety and efficacy of anti-FLT3 CAR T-Cells in relapsed or refractory acute myeloid leukemia.
Interventions
Single intravenous infusion of anti-FLT3 CAR-T cells
Sponsors
Study design
Eligibility
Inclusion criteria
* FLT3 positive relapsed/refractory acute myeloid leukemia * Age 16-65 years. * Left ventricular ejection fractions ≥ 0.5 by echocardiography * Creatinine \< 1.5x upper limit of normal. * Aspartate aminotransferase/aspartate aminotransferase ≤ 2.5x upper limit of normal * Total bilirubin ≤ 1.5x upper limit of normal * Karnofsky performance status ≥ 60 * Expected survival time ≥ 3 months (according to investigator's judgement)
Exclusion criteria
* Patients are pregnant or lactating * Uncontrolled active infection * Grade III/IV cardiovascular disability according to the New York Heart * Association Classification * Active hepatitis B or hepatitis C infection * Patients with HIV infection * Patients with a history of seizure * Patients with other contraindications considered unsuitable for participation in this study (according to investigator's judgement)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Adverse Events | 12 months | Adverse events are evaluated with CTCAE V5.0 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall response rate (ORR) | 2 years | ORR includes CR, CRi, MLFS and PR. Complete remission (CR):Bone marrow blasts \<5%; absence of circulating blasts and blasts with Auer rods; absence of extramedullary disease; absolute neutrophil count \>1.0x 10\^9/L; platelet count \>100x10\^9/L. CR with incomplete hematologic recovery (CRi):All CR criteria except for residual neutropenia (\<1.0 x 109/L) or thrombocytopenia (\<100 x 109/L). Morphologic leukemia-free state (MLFS): Bone marrow blasts \<5%; absence of blasts with Auer rods; absence of extramedullary disease; no hematologic recovery required. Partial remission (PR): All hematologic criteria of CR; decrease of bone marrow blast percentage to 5% to 25%; and decrease of pretreatment bone marrow blast percentage by at least 50%. |
| Event-free survival (EFS) | 2 years | time from enrollment to the date of primary refractory disease, or relapse from CR or CRi, or death from any cause |
| Cumulative incidence of relapse(CIR) | 2 years | time from the date of achievement of a remission until the date of relapse |
Countries
China