RN1701 Injection in the Treatment of Relapsed/Refractory B-Cell Lymphomas

Trial statusNot yet recruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age18-75
SponsorAffiliated Hospital of Nantong University

About this trial

This single-arm, open-label pilot study will assess the safety and efficacy of RN1701, a bispecific CD19/CD20-targeted allogeneic CAR-T-cell product, in patients with relapsed or refractory B-cell lymphoma. Up to 19 participants will be enrolled in a conventional 3 + 3 dose-escalation scheme. The primary objective of the study is to evaluate the safety and feasibility of RN1701 for the treatment of relapsed/refractory B-cell lymphoma. The secondary objective is to evaluate the efficacy of RN1701 for the treatment of relapsed/refractory B-cell lymphoma. The exploratory objective is to evaluate the expansion, persistence, and ability of RN1701 to deplete CD19- and/or CD20-positive cells in patients with relapsed/refractory B-cell lymphoma.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Voluntary participation; full understanding of the study and provision of written informed consent obtained before any study-related procedure not part of standard care; willingness to comply with follow-up.

Age 18-75 years; either sex.

ECOG performance status 0-1.

Histologically confirmed large B-cell lymphoma, follicular lymphoma, mantle-cell lymphoma, or indolent lymphoma transformed to DLBCL; CD19 and/or CD20 positive.

Disqualifiers

Malignancy that received curative therapy and has shown no evidence of active disease for ≥2 years before enrolment; or

Adequately treated non-melanoma skin cancer with no current evidence of disease.

CNS prophylaxis (e.g., intrathecal methotrexate and/or cytarabine) within 7 days;

Cytotoxic chemotherapy or radiotherapy within 14 days;

Trial design

Design model

Single group

Treatments tested in this trial

  • RN1701 injection

    Biological/Vaccine

    RN1701 injection is a bispecific CD19/CD20-targeted allogeneic CAR-T. A single infusion of CAR-T cells will be administered intravenously

Treatment groups

10 Participants
are divided into 1 treatment group
Group A: Relapsed/refractory B-cell lymphomaExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Toxicity and adverse event grading after RN1701 treatment

all toxicities and AEs will be assessed according to the National Cancer Institute CTCAE v5.0

Time frame
up to 12 months after infusion
2

CRS grading after RN1701 treatment

CRS will be graded using the Lee DW et al. CRS grading scale. Grade 1: Fever, mild symptoms, manageable with supportive care Grade 2: Moderate symptoms (eg, hypotension, hypoxia), requires intervention (eg, intravenous fluids, antipyretics) Grade 3: Severe symptoms (eg, multiorgan involvement), requires corticosteroids and tocilizumab Grade 4: Life-threatening, requires intensive care unit (ICU) care and urgent interventions

Time frame
up to 12 months after infusion

Secondary outcomes

1

Overall response rate (ORR =CR + PR) of patients receive RN1701 treatment

according to the Lugano criteria and CSCO guidelines

Time frame
1,3,6,and 12months after infusion
2

Disease control rate (DCR=CR +PR +SD) of patients receive RN1701 treatment

according to the Lugano criteria and CSCO guidelines

Time frame
1, 3, 6 and 12 months after infusion
3

Assessment includes contrast enhanced CT of head/neck, chest, abdomen,and pelvis, plus whole-body PET-CT

Tumor measurements and evaluations must be performed with the same technique used at baseline

Time frame
1,3,6,and 12 months after infusion
4

CAR copies of CAR-T in blood after RN1701 treatment

CAR copies in copies/ug genome DNA

Time frame
Days 0, 1, 3, 5, 7, 9,11, 14, 21, 28 and month 2, 3, 6, 9, 12 after infusion

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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