About this trial
The study is a Phase II, single-arm, open-label, single-dose clinical trial, and its primary objective is to evaluate the efficacy and safety of CNCT19 Cell Injection in the treatment of CD19 positive Relapsed or Refractory acute lymphoblastic leukemia.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Informed consent is signed by the subject.
Age 18 to 65.
Relapsed or refractory acute lymphoblastic leukemia (ALL). (1) Relapse within 12 months of first remission; (2)a. Without remission after more than 6 weeks of induction chemotherapy or without remission after 2 cycles of induction chemotherapy regimen; c. 2nd or greater Bone Marrow (BM) relapse OR; d. First relapse after chemotherapy, without remission after at least 1 rescue treatment; e. Any BM relapse after autologous or allogeneic stem cell transplantation (SCT).
Documentation of CD19 tumor expression demonstrated in bone marrow or peripheral blood within 3 months of study entry.
Disqualifiers
Active Central Nervous System (CNS) involvement by malignancy.
Isolated extra-medullary disease relapse.
Lymphodepleting Chemotherapy prescribed by the protocol;
Tyrosine kinase inhibitors (TKI) and hydroxyurea must be stopped > 72 hours prior to CNCT19 infusion;
Trial design
Single group
Treatments tested in this trial
single dose of CNCT19
Biological/VaccineDose: 0.5 x 10\^8 CNCT19 Cell Injection via intravenous infusion. Drug: Fludarabine Drug: Cyclophosphamide
Treatment groups
Trial outcomes
Primary outcomes
Overall Remission Rate (ORR), which includes Complete Remission (CR) and Complete Remission with Incomplete Blood Count Recovery (CRi) as determined by Independent Review Committee (IRC).
The Investigators' evaluation results of ORR will be subjected to sensitivity analysis.
Secondary outcomes
Overall Remission Rate (ORR) with minimal residual disease (MRD) negative bone marrow as determined by IRC and Investigators.
MRD negative status as determined using flow cytometry.
Overall Remission Rate (ORR) as determined by IRC and Investigators.
The proportion of patients who have achieved CR or CRi.
Overall Remission Rate (ORR) with minimal residual disease (MRD) negative bone marrow as determined by IRC and Investigators.
MRD negative status as determined using flow cytometry.
Relapse Free Survival (RFS) as determined by IRC and Investigators.
RFS means the duration from reaching the response CR or CRi to the first defined relapse, or death due to any cause, whichever comes first.
Sponsors and contacts
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