B-cell Acute Lymphoblastic Leukemia
Conditions
Keywords
Inaticabtagene autoleucel, autologous hematopoietic stem cell transplantation, Minimal Residual Disease
Brief summary
Evaluate the safety and efficacy of Inaticabtagene autoleucel combined with autologous hematopoietic stem cell transplantation in adolescents or adults with MRD-positive initial complete remission in B-cell acute lymphoblastic leukemia.
Detailed description
Evaluate the safety and efficacy of Inaticabtagene autoleucel combined with autologous hematopoietic stem cell transplantation in adolescents or adults with MRD-positive initial complete remission in B-cell acute lymphoblastic leukemia.
Interventions
CNCT19 combined with autologous hematopoietic stem cell transplantation,Dose: (0.5 -2)x 10\^6/kg CNCT19 Cell Injection via intravenous infusion.
Sponsors
Study design
Eligibility
Inclusion criteria
* ECOG score of 0 to 1 * Newly diagnosed Ph-negative B-ALL within 6 months, achieving CR1 after standard induction chemotherapy, undergoing at least one consolidation therapy, and patients with bone marrow MRD ≥ 0.01% detected by routine flow cytometry. * Or newly diagnosed Ph-positive B-ALL within 6 months, achieving CR1 after guideline-recommended induction chemotherapy (or use of TKI), undergoing at least one consolidation therapy, and patients with BCR-ABL1 > 0% detected by routine q-PCR technology. * No significant organ dysfunction * Willing and meet the conditions for autologous hematopoietic stem cell transplantation
Exclusion criteria
* Burkitt lymphoma/leukemia, heterozygous or double-expressor leukemia, or chronic myeloid leukemia in blast phase. * Before screening or pre-treatment, bone marrow or peripheral blood with blasts ≥ 5%; or extramedullary leukemia. * Individuals who have received CAR-T cell therapy before screening or pre-treatment; or patients who have undergone hematopoietic stem cell transplantation. * Patients with associated genetic syndromes related to bone marrow failure, such as Fanconi anemia, Kostmann syndrome, Shwachman syndrome, or any other known bone marrow failure syndromes.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Relapse-Free Survival | From autologous hematopoietic stem cell transplantation to 2 years after transplantation | The time from the start of infusion of Inaticabtagene autoleucel until the diagnosis of relapse or any death (whichever comes first). |
Secondary
| Measure | Time frame |
|---|---|
| Overall survival rate | From autologous hematopoietic stem cell transplantation to 2 years after transplantation |
| Cumulative recurrence rate | From autologous hematopoietic stem cell transplantation to 2 years after transplantation |
| MRD negativity rate | 28 days after the first CAR-T cell reinfusion |
Countries
China