A Multicenter, Open-label, Non-randomized, Single-arm Phase 1/2 Study of Autologous Nano CD5-CAR T Cells for the Treatment of Relapsed/Refractory T-cell Acute Lymphoblastic Leukemia/Lymphoma

Trial statusNot yet recruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age3-70
SponsorInstitute of Hematology & Blood Diseases Hospital, China

About this trial

This is a clinical research study for people with relapsed or refractory T-cell acute lymphoblastic leukemia or T-cell lymphoma.

The study will test a new treatment called "autologous nano CD5-CAR T cells". These are your own immune cells that have been changed in a lab to recognize and kill cancer cells.

This study has two parts: Phase 1 to test the safety and best dose of the treatment, and Phase 2 to see how well it works.

You may receive the study treatment if you meet all the eligibility criteria. The main things the study will look at are: how safe the treatment is, how many people's cancer goes away or gets better, and how long the effect lasts.

Possible risks include fever, low blood pressure, and infection, which the study team will monitor closely.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age 3 to 70 years old

Diagnosed with CD5-positive relapsed/refractory T-cell acute lymphoblastic leukemia (T-ALL) or T-cell lymphoblastic lymphoma (T-LBL)

ECOG performance status 0-2

Adequate organ function (renal, hepatic, cardiac, pulmonary)

Disqualifiers

Active severe infection or uncontrolled sepsis

History of allogeneic stem cell transplantation within 3 months

Severe autoimmune disease or immunodeficiency

Prior CD5-targeted therapy

Trial design

Design model

Single group

Treatments tested in this trial

  • Autologous nano CD5-CAR T Cells

    Biological/Vaccine

    Autologous CD5-targeted CAR-T cells engineered with a novel nano antibody-based chimeric antigen receptor. Patients receive lymphodepleting chemotherapy (fludarabine 30 mg/m²/day + cyclophosphamide 250 mg/m²/day for 3 days) followed by a single intravenous infusion of CAR-T cells. The study uses a dose-escalation design with two main dose levels: 1.0×10\^6 cells/kg and 2.0×10\^6 cells/kg, with a backup low dose of 0.5×10\^6 cells/kg for use in case of insufficient cell yield.

Treatment groups

18 Participants
are divided into 1 treatment group
Group A: Autologous Nano CD5-CAR T Cells for Relapsed/Refractory T-ALL/LBLExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Incidence of Dose-Limiting Toxicities (DLT)

Proportion of patients experiencing dose-limiting toxicities (DLT) within 28 days after CAR-T infusion, to determine the maximum tolerated dose (MTD) and recommended phase 2 dose (RP2D).

Time frame
28 days after CAR-T cell infusion

Secondary outcomes

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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

This trial is not recruiting at the moment. You can still explore other options: