CAR-T Following ASCT for Relapsed/Refractory B-Cell Non-Hodgkin's Lymphoma (R/R B-NHL) With High-Risk Prognostic Factors

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorRuijin Hospital

About this trial

Clinical trial for the safety and efficacy of CD19 CAR-T following autologous hematopoietic stem cell transplantation (ASCT) for Relapsed/Refractory B-Cell Non-Hodgkin's Lymphoma (R/R B-NHL) with High-Risk Prognostic Factors

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Histologically confirmed B-cell non-Hodgkin's lymphoma including the following types

diffuse large B-cell lymphoma

high-grade B-cell lymphoma with or without MYC and BLC2 and/or BCL6 rearrangement

transformed lymphoma

Disqualifiers

History of autologous or allogeneic stem cell transplantation

Active HBV or HCV infection, defined as HBV-DNA or HCV-DNA levels above the normal upper limit, with or without abnormal liver function. Individuals with positive HBsAg or HBcAb should receive antiviral prophylaxis for at least 12 months after CAR-T cells infusion.

Presence of uncontrolled infection, cardio-cerebrovascular disease,coagulopathy, or connective tissue disease.

History of HIV infection

Trial design

Design model

Single group

Treatments tested in this trial

  • autologous stem-cell transplantation

    Other intervention

    high-dose chemotherapy and autologous stem-cell transplantation (HDT/ASCT)

  • Relmacabtagene autoleucel (relma-cel)

    Drug

    relma-cel (CD19 CAR-T cell)infusion on day 3(±1d) after ASCT with a fixed dose of 100X10\^6.

Treatment groups

16 Participants
are divided into 1 treatment group
Group A: CAR-T following ASCTExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Best Complete Response (CR) Rate in 3 months

Best Complete Response rate in 3 months is defined as the incidence of subjects achieving complete remission (CR) within 3 months after CAR-T infusion according to the Lugano Classification (Cheson et al, 2014), as determined by study investigators.

Time frame
3months post CAR-T infusion

Secondary outcomes

1

Objective remission rate (ORR) in 3months

ORR in 3 moths is defined as the incidence of either a CR or a partial response (PR) within 3 months after CAR-T infusion per the Lugano Classification as determined by study investigators.

Time frame
3months post CAR-T infusion
2

Duration of Response (DOR)

DOR is defined only for participants who experience an objective response after CAR-T infusion and is the time from the first objective response to disease progression or death from any cause

Time frame
2 years post CAR-T infusion
3

Progression-Free Survival (PFS)

PFS is defined as the time from the CAR-T infusion date to the date of disease progression or death from any cause.

Time frame
2 years post CAR-T infusion
4

Overall Survival (OS)

OS is defined as the time from CAR-T infusion to the date of death from any cause.

Time frame
2 years post CAR-T infusion

Other outcomes

Sponsors and contacts

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