Novel Bispecific AbTCR (Anti-CD19/CD22)-T Cells in Relapsed or Refractory B-cell Lymphoma

Trial statusNot yet recruiting
Trial phaseEarly Phase 1
Trial typeInterventional
Biological sexAll
Age18+
SponsorFirst Affiliated Hospital Xi'an Jiaotong University

About this trial

This is an open-lable, single arm, non-randomized study to evaluate the primary safety and efficacy of the novel bispecific AbTCR (anti-CD19/CD22)-T cells in patients with relapsed or refractory B-cell lymphoma

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age≥ 18 years;

Pathologically diagnosed CD19+/CD22+ B-cell lymphoma;

Relapsed or refractory after at least two prior lines of therapy;

Cardiac function: Left ventricular ejection fraction ≥50%;

Disqualifiers

Lymphoma involving only the central nervous system (CNS), or secondary CNS lymphoma patients judged by the investigator to be at high risk for AbTCR (anti-CD19/CD22)-T cell therapy;

History of other malignancies not in complete remission for at least 2 years (the following conditions are exempt from the 2-year restriction: non-melanoma skin cancer, completely resected stage I tumors with low risk of recurrence, treated localized prostate cancer, biopsy-confirmed cervical carcinoma in situ, or PAP smear showing squamous intraepithelial lesion);

Positive hepatitis B surface antigen (HBsAg) (regardless of hepatitis B virus DNA copy number);

Positive hepatitis B core antibody (HBcAb) with increased hepatitis B virus DNA copy number;

Trial design

Design model

Single group

Treatments tested in this trial

  • Conditioning chemotherapy followed by AbTCR (anti-CD19/CD22)-T cell infusion

    Drug

    Cyclophosphamide 250 mg/m2 and fludarabine 30 mg/m2 IV infusion on day -5, -4, and -3. AbTCR (anti-CD19/CD22)-T cell IV infusion on day 0.

Treatment groups

3 Participants
are divided into 1 treatment group
Group A: Conditioning chemotherapy plus AbTCR (anti-CD19/CD22)-T cellsExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Incidence of Treatment-related Adverse Events

Therapy-related adverse events will be recorded and assessed according to the National Cancer Institute's Common Terminology Criteria for Adverse Events (CTCAE, Version 5.0) or ASTCT consensus.

Time frame
3 years

Secondary outcomes

1

Overall response rate (ORR) of administering AbTCR (anti-CD19/CD22)-T cells in relapsed/refractory B cell lymphoma.

ORR will be assessed from AbTCR (anti-CD19/CD22)-T cell infusion to death or last follow-up (censored).

Time frame
3 years
2

Overall survival (OS) of administering AbTCR (anti-CD19/CD22)-T cells in relapsed/refractory B-cell lymphoma.

OS will be assessed from AbTCR (anti-CD19/CD22)-T cell infusion to death or last follow-up (censored).

Time frame
3 years
3

Progress-free survival (PFS) of administering AbTCR (anti-CD19/CD22)-T cells in relapsed/refractory B-cell lymphoma.

PFS will be assessed from AbTCR (anti-CD19/CD22)-T cell infusion to death or last follow-up (censored).

Time frame
3 years
4

Duration of Response (DOR) of administering AbTCR (anti-CD19/CD22)-T cells in relapsed/refractory B-cell lymphoma.

DOR will be assessed from AbTCR (anti-CD19/CD22)-T cell infusion to death or last follow-up (censored).

Time frame
3 years

Other outcomes

1

Expansion, persistence, and infiltration of AbTCR (anti-CD19/CD22)-T cells in peripheral blood, bone marrow, and tumor tissues.

AbTCR (anti-CD19/CD22)-T cells will be determined by flow cytometry and ddPCR.

Time frame
3 years

Sponsors and contacts

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