a Study of CT0596 in Relapsed/Refractory Multiple Myeloma and Relapsed/Refractory Plasma Cell Leukemia

Trial statusRecruiting
Trial phaseEarly Phase 1
Trial typeInterventional
Biological sexAll
Age18+
SponsorShanghai Changzheng Hospital

About this trial

This study is a single-arm, open-label, exploratory dose-escalation and dose-finding clinical trial to evaluate the safety, efficacy, cellular pharmacokinetics and pharmacodynamics of CT0596 cells in patients with R/R MM and PCL.RRMM and RRpPCL

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients must voluntarily sign the informed consent form (ICF) and must be willing and be able to adhere to the trial visit schedule and other protocol requirements and agree to be in long term follow-up (LTFU) for up to 15 years as mandated by the regulatory guidelines.

Age ≥ 18 years;

Patients with R/RMM who have received at least 3 prior lines of therapy, including at least 1 proteasome inhibitor and at least 1 immunomodulator (IMiD). Patients with RRpPCL had received at least 1 prior line of therapy. Number of lines of therapy was defined according to the guidelines provided in Rajkuma[1]r 2015 . Patients must have received at least 1 complete cycle of therapy for each line of therapy.

According to multiple myeloma IMWG 2016 and plasma cell leukemia IMWG 2013, patients must have progressive disease following or during the last treatment.

Disqualifiers

Pregnant or lactating women;

Patient has any significant condition(s), laboratory abnormality or psychiatric illness that would impair the ability of the patient to receive or tolerate the planned treatment or in the opinion of the investigator, participation would not be in the best interest of the patient (eg, compromise the well-being) or that could prevent, limit, or confound the protocol-specified assessments

Patients seropositive for HIV, active hepatitis C virus (HCV), or active hepatitis B virus (HBV) infection. History of treated hepatitis B or C is permitted if the viral load is undetectable per qPCR and or nucleic acid testing;

Patients with any uncontrolled active infection, including but not limited to patients with active tuberculosis (investigator 's judgment);

Trial design

Design model

Single group

Treatments tested in this trial

  • CAR-T cells Infusion

    Drug

    chimeric antigen receptor T cells

Treatment groups

24 Participants
are divided into 1 treatment group
Group A: CAR-T cells InfusionExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Adverse Events (AE) after CT0596 infusion

An assessment of severity grade will be made according to the National Cancer Institute Common Terminology Criteria

Time frame
12 months after CT0596 infusion
2

MTD and/or dose range

Evaluate Dose limited toxicity and recommended dosage range after CT0596 infusion

Time frame
12 months after CT0596 infusion

Secondary outcomes

1

Overall response rate (ORR) as assessed by the investigator

Overall response rate (ORR) defined as proportion of patients achieving partial response or better based on International Myeloma Working Group defined response criteria

Time frame
12 months after CT0596 infusion
2

Complete response/stringent complete response (CR/sCR) rate

Rate of complete response/stringent complete response (CR/sCR) defined as proportion of patients achieving CR or better based on IMWG defined response criteria.

Time frame
12 months after CT0596 infusion
3

Rate of very good partial response (VGPR) and above

Rate of complete very good partial response response/stringent complete response (VGPR/CR/sCR) defined as proportion of patients achieving VGPR or better based on IMWG defined response criteria

Time frame
12 months after CT0596 infusion
4

Duration of response (DOR)

DOR is defined as the time from first achieving PR or better to confirmed disease progression or death from any cause

Time frame
12 months after CT0596 infusion

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Shanghai Changzheng Hospital

Lead sponsor

CARsgen Therapeutics Co., Ltd.

Collaborator