JWCAR239 in Patients With B Cell Non-Hodgkin Lymphoma

Trial statusNot yet recruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18+
SponsorPeking University Cancer Hospital & Institute

About this trial

JWCAR239 is a CD19/CD20 CAR-T product. This trial is intended to evaluate the safety, PK/PD and efficacy of JWCAR239 in patients with B Cell Non-Hodgkin Lymphoma (B-NHL)

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Histologically confirmed B-NHL with immunohistochemical positivity for CD20 and/or CD19 (accepting previous pathological reports and/or pathological review results of previous or fresh tumor tissues). According to the 2022 World Health Organization (WHO) classification, the pathological types include:Diffuse large B-cell lymphoma, Follicular large B-cell lymphoma (FL3B),Large B-cell lymphoma transformed from indolent B-NHL, Follicular lymphoma (excluding in situ follicular lymphoma, pediatric-type follicular lymphoma, and duodenal-type follicular lymphoma),Marginal zone lymphoma Mantle cell lymphoma (excluding in situ mantle cell neoplasms and leukemic non-nodal mantle cell lymphoma)

Relapsed or refractory disease after receiving two or more lines of adequate treatment, or failure after autologous hematopoietic stem cell transplantation (ASCT).

CT-measurable lesions and PET-evaluable positive lesions as defined by the 2014 Lugano criteria (lymph node or extranodal lesions must have two measurable diameters; lymph node lesions must have a long diameter >1.5 cm, and extranodal lesions must have a long diameter >1 cm).

Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.

Disqualifiers

Lymphoma involving the central nervous system (CNS).

EBV-positive DLBCL or Richter transformation of chronic lymphocytic leukemia.

History of other malignant tumors with complete remission for less than 2 years, or current presence of other malignant tumors (exceptions to the 2-year restriction include: basal cell carcinoma of the skin, squamous cell carcinoma of the skin, treated localized prostate cancer, biopsy-confirmed cervical in situ carcinoma, or cervical smears showing squamous intraepithelial lesions, or completely resected tumors with low recurrence potential as assessed by the investigator).

Acute deep vein thrombosis (DVT) (tumor thrombus or thrombus) or pulmonary embolism (PE) within 3 months prior to informed consent signing.

Trial design

Design model

Single group

Treatments tested in this trial

  • JWCAR239

    Biological/Vaccine

    A single infusion of chimeric antigen receptor (CAR)-transduced autologous T cells targeting CD19/CD20

  • Fludarabine

    Drug

    Administered according to package insert

  • Cyclophosphamide

    Drug

    Administered according to package insert

Treatment groups

20 Participants
are divided into 1 treatment group
Group A: JWCAR239 armExperimental treatment 3 interventions

Trial outcomes

Primary outcomes

1

The rate of Dose Limiting Toxicity events

Dose-Limiting Toxicity (DLT) refers to a specific type of adverse effect or toxic reaction caused by a drug or treatment that is severe enough to prevent an increase in dose or continuation of treatment.

Time frame
28 days
2

AE and SAE rate

ny adverse event (AE) or serious adverse event (SAE) occurring after JWCAR239 administration

Time frame
up to 2 years

Secondary outcomes

1

Pharmacokinetic (PK)- Cmax of JWCAR239

Maximum observed concentration of JWCAR239 in peripheral blood

Time frame
from baseline up to 2 years
2

PD

Peripheral blood levels of CD19+ and/or CD20+ B cells

Time frame
from baseline up to 2 years
3

overall response rate (ORR)

ORR is the proportion of subjects who achieve positive response to the treatment. It includes complete response and partial response.

Time frame
from baseline up to 2 years
4

complete response rate (CRR)

CRR refers to the proportion of subjects whose cancer signs disappear

Time frame
from baseline up to 2 years

Other outcomes

1

The change of serum cytokines concentration

The change of serum cytokines concentration after JWCAR239 infusion

Time frame
from baseline up to 2 years

Sponsors and contacts

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

Peking University Cancer Hospital & Institute

Lead sponsor

Shanghai JW Therapeutics Co., Ltd.

Collaborator

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