Polymer-lipid Particle-delivered CAR1920 mRNA CAR-T Therapy for Relapsed/Refractory B-cell Lymphoma/Leukemia

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age14-85
SponsorDaihong Liu

About this trial

The purpose of this study is to determine the efficacy and safety of the CAR-T cell immunotherapy utilizing polymer-lipid nanoparticles for delivering CD19/CD20 dual-targeting InViVoCAR1920 mRNA, for the first-line consolidation therapy of relapsed/refractory B-cell lymphoma/leukemia.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Has voluntarily given informed consent, signed the informed consent form, and is willing and able to comply with the scheduled visits, study treatment, laboratory tests, imaging examinations, and other necessary trial procedures as required in the protocol;

Patients with relapsed/refractory (R/R) B-cell lymphoma/leukemia confirmed by histopathology, cytogenetics, molecular biology, clinical judgment, medical history, and other assessment methods in accordance with the WHO 2016 classification criteria, who have experienced disease progression under standard treatment regimens, are intolerant to standard treatment regimens, or lack effective standard treatment options;

B-cell acute lymphoblastic leukemia (B-ALL);

Relapse within 6 months after the first complete response (CR);

Disqualifiers

Previous receipt of any form of chimeric antigen receptor (CAR) cell therapy or other genetically modified T-cell therapies;

History of severe immediate-type hypersensitivity reactions to commonly used drugs such as aminoglycoside antibiotics;

Known history of Human Immunodeficiency Virus (HIV) infection, active Hepatitis B Virus (HBV) infection, or any uncontrolled active systemic infection requiring intravenous antibiotics (active HBV infection is defined as meeting all three of the following criteria: a. HBV DNA quantitation ≥ 2000 IU/ml; b. ALT ≥ 2 × Upper Limits of Normal (ULN); c. Exclusion of hepatitis caused by other factors such as the disease itself or medications. If a patient was diagnosed with active HBV infection initially and converted to inactive HBV infection after anti-HBV treatment, they may be included in this study with adequate ongoing anti-HBV treatment);

Hepatic or renal impairment unrelated to hematologic malignancies (e.g., lymphoma): ALT > 3 × ULN, AST > 3 × ULN, TBIL > 2 × ULN, or serum creatinine clearance < 30 mL/min;

Trial design

Design model

Single group

Treatments tested in this trial

  • Polymer-Lipid Nanoparticle-Mediated Delivery of CD19/CD20 Dual-Targeting InViVoCAR1920 mRNA for CAR-T Cell Immunotherapy

    Drug

    Polymer-Lipid Nanoparticle-Mediated Delivery of CD19/CD20 Dual-Targeting InViVoCAR1920 mRNA for CAR-T Cell Immunotherapy in the Treatment of Patients with Relapsed/Refractory (R/R) B-Cell Lymphoma/Leukemia

Treatment groups

10 Participants
are divided into 1 treatment group
Group A: Patients with R/R B-Cell Lymphoma/Leukemia who accepted CD19/CD20 Dual-Targeting InViVoCAR-TExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

the safety and maximum tolerated dose of CAR-T cell immunotherapy mediated by polymer-lipid nanoparticles delivering CD19/CD20 dual-targeting InViVoCAR1920 mRNA in patients with relapsed/refractory B-cell lymphoma/leukemia

Time frame
3 months after treatment

Secondary outcomes

1

30-day response rate

30-day response rate refers to the proportion of patients who achieve complete or partial response from the start of treatment.

Time frame
30 days
2

90-day response rate

90-day response rate refers to the proportion of patients who achieve complete or partial response 90 days after the start of treatment.

Time frame
90 days
3

overall survival (OS)

Overall survival (OS) refers to the time from the start of treatment to the death of the patient for any reason

Time frame
6 months after treatment
4

progression free survival (PFS)

Progression free survival (PFS) refers to the time from treatment to the first myeloma progression or death of the patient for any reason.

Time frame
6 months after treatment

Other outcomes

Sponsors and contacts

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

Daihong Liu

Lead sponsor

Chinese PLA General Hospital

Sponsor institution