Acute Myeloid Leukemia
Conditions
Keywords
AML, CLL1, CD33
Brief summary
This is a single-center, single-arm, open, intravenous drug administration of the safety and efficacy of clinical study.
Detailed description
The primary objective of the clinical trial was to evaluate the safety and efficacy of single dose infusion of anti-CLL1 /+CD33 CAR T cells in patients with refractory/recurrent acute myeloid leukemia. A total of about 5 patients with refractory/recurrent acute myeloid leukemia were enrolled in this study, and the target dose range was 1.00\ 2.50x10\^6/kgCAR-positive T cells.
Interventions
BIOLOGICALCLL1/+CD33 CAR-T
CLL1/+CD33 CAR T is a type of CAR T cell therapy for patients with treating/relapsed acute myeloid leukemia.
Sponsors
Guangzhou Bio-gene Technology Co., Ltd
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
1 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
1. The patient or his/her legal guardian volunteers for the trial and signs an informed consent form; 2. Age range 1-18 years; 3. Acute myeloid leukemia (AML) with CLL1 and CD33 markers (including secondary patients) was diagnosed by pathology, histology and flow cytometry, or complete hematologic remission could not be achieved after 1 course of chemotherapy for hematologic relapse after drug withdrawal ; 4. The main organ functions of the patients were good: (1) liver function: ALT/AST \< 3 times the upper limit of normal (ULN) and bilirubin ≤34.2 μmol/l; (2) renal function: creatinine \< 220 μmol/l; (3) lung function: oxygen saturation ≥95% ; (4) cardiac function: left ventricular ejection fraction (LVEF)≥40% ; 5. The blood flow of peripheral superficial vein was unobstructed, which could meet the demands of intravenous drip and mononuclear cell collection; 6. ECOG score was 0-2.
Exclusion criteria
1. The patients had uncontrollable infectious diseases within 4 weeks before the enrollment; 2. Active hepatitis B/C virus; 3. HIV infection, treponema syphilis positive patients; 4. Pathological diagnosis of primary tumors other than acute myeloid leukemia; 5. Suffering from serious autoimmune diseases or immunodeficiency diseases; 6. The patient is allergic to antibodies or cytokines and other macromolecular biological drugs; 7. Pregnant or lactating women; 8. Patients who were considered ineligible for study for other reasons.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in cytokine level after CLL1/+CD33 CAR-T infusion | CAR T cell infusion before and 12 months after infusion | Calculate the change of cytokine level in peripheral blood by flow cytometry after CAR-T infusion. |
| The change characteristics of chimeric antigen receptor(CAR)-T cell number in patients after infusion. | CAR T cell infusion before and 12 months after infusion | Track CAR-T cells expansion in patients after infusion by flow cytometry |
| The change characteristics of chimeric antigen receptor(CAR)-T cell copy number in patients after infusion. | CAR T cell infusion before and 12 months after infusion | Track CAR-T cells expansion in patients after infusion by Real-time Quantitative Polymerase Chain Reaction（qPCR） |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Event-free survival | Up to 12 months after CLL1/+CD33 CAR-T infusion | Counting from the beginning of cell transfusion until treatment failure, recurrence, or death (various causes). Subjects without any of these events were counted up to the last follow-up examination date. For patients without CR or CRi, EFS is calculated from the beginning of cell transfusion until disease progression or death. Based on the initial event. |
| MRD negative rate | Up to 12 months after CLL1/+CD33 CAR-T infusion | The rate of MRD negative subjects was determined by flow cytometry. |
| Overall survival | Up to 12 months after CLL1/+CD33 CAR-T infusion | Death from any cause from the beginning of cell transfusion |
| Duration of Overall Response | Up to 12 months after CLL1/+CD33 CAR-T infusion | The time from the start of cell infusion when CR or PR is first achieved to disease progression. |
Countries
China
Outcome results
None listed