Autologous and Donor-derived CD7 CAR-T Therapy in Refractory or Relapsed T-cell Malignancies

Last updated: February 7, 2025
Sponsor: Beijing GoBroad Hospital
Overall Status: Active - Recruiting

Phase

1/2

Condition

Lymphocytic Leukemia, Acute

Leukemia

Neoplasms

Treatment

Prior-HSCT donor-derived CD7 CAR T-cell

Autologous CD7 CAR T-cell

New donor-derived CD7 CAR T-cell

Clinical Study ID

NCT06316427
BJGBYY-IIT-LCYJ-2024-003
  • Ages 1-70
  • All Genders

Study Summary

This is a multi-center, open-label, non-randomized, phase I/II trial. Patients with refractory or relapsed T-cell malignancies will receive autologous, prior-HSCT donor-derived or new donor-derived CD7 CAR T cells according to their HSCT history, peripheral blood leukemia burden and at their discretion. The primary objective is to learn about the safety of autologous, prior-HSCT donor-derived and new donor-derived CD7 CAR T-cell therapy in patients with refractory or relapsed T-cell acute lymphoblastic leukemia and lymphoma (r/r T-ALL/T-LBL) in phase I and to learn about the efficacy of autologous, prior-HSCT donor-derived and new donor-derived CD7 CAR T-cell therapy in patients with refractory or relapsed T-cell acute lymphoblastic leukemia and lymphoma (r/r T-ALL/T-LBL) in phase II. The primary endpoint is type and incidence of dose limiting toxicity (DLT) within 21 days after CD7 CAR T-cell infusion in phase I and overall response rate (ORR), which includes CR, CRh, CRi, MLFS, aplastic marrow for blood and bone marrow; central nervous system (CNS) remission; CR and PR for lymphomatous extramedullary disease according to National Comprehensive Cancer Network (NCCN) Guidelines Version 3.2023 of Acute Lymphoblastic Leukemia at 3 months (± 1 week) post CD7 CAR T-cell infusion in refractory or relapsed T-cell acute lymphoblastic leukemia/lymphoma (r/r T-ALL/T-LBL) patients treated with CD7 CAR T cells in phase II. A total number of 80 subjects will be enrolled.

Eligibility Criteria

Inclusion

Inclusion Criteria:

Only patients who meet all the following criteria can be included in the group:

  1. CD7-positive refractory or relapsed T-cell malignancies with progression orintolerance after all standard treatments, limited prognosis from currentlyavailable treatments and no available treatment options (e.g. HSCT or chemotherapy).

  2. Tumor cells in bone marrow or cerebrospinal fluid are positive for CD7 antigen byflow cytometry or tumour tissue is positive for CD7 by immunohistochemistry (CD7antigen positivity by flow cytometry: >80% of tumour cells expressing CD7 with amean fluorescence intensity [MFI] of CD7 similar to that of normal T cells areconsidered to have fully positive expression; >80% of tumor cells expressing CD7 butwith an MFI of CD7 at least 1 log lower than that of normal T cells are consideredto have low expression [dim]; tumor cells with a CD7 expression rate between 20-80%are considered to have partial expression; CD7 antigen positivity by pathologicalimmunohistochemistry: >30%);

  3. Male or female, age 1-70 years;

  4. No severe allergic constitution;

  5. Eastern Cooperative Oncology Group (ECOG) performance status score (Oken et al.,

  1. of 0-2;
  1. Life expectancy of at least 60 days as determined by the investigator;

  2. Provide a signed informed consent form prior to any screening procedures; subjectsvolunteering to participate in the study should be capable of understanding andsigning the informed consent form and be willing to follow the study visit scheduleand associated study procedures as specified in the protocol. Subjects aged 19-70years old need to be sufficiently aware and capable of signing the informed consentform; subjects aged 1-7 years can be recruited after legal guardians or patientadvocates sign the informed consent form; subjects aged 8-18 years need to besufficiently aware and able to sign the informed consent form, and their legalguardians or patient advocates also need to sign the informed consent form.

Exclusion

Exclusion Criteria:

Patients with at least one of the following conditions are excluded:

  1. Intracranial hypertension or unconscious;

  2. Acute heart failure or severe arrhythmia;

  3. Acute respiratory failure;

  4. Other types of malignant tumors;

  5. Diffuse intravascular coagulation;

  6. Serum creatinine and/or blood urea nitrogen over 1.5 times the normal value;

  7. Sepsis or other uncontrolled infection;

  8. Uncontrolled diabetes mellitus;

  9. Severe psychological disorder;

  10. Obvious cranial lesions by cranial MRI;

  11. Allergic constitution;

  12. Organ recipients;

  13. Pregnant or breastfeeding;

  14. Active, uncontrolled infection, including hepatitis B virus (HBV), hepatitis C virus (HCV), human immunodeficiency virus (HIV) or treponema pallidum (TP).

Study Design

Total Participants: 80
Treatment Group(s): 3
Primary Treatment: Prior-HSCT donor-derived CD7 CAR T-cell
Phase: 1/2
Study Start date:
March 22, 2024
Estimated Completion Date:
March 30, 2028

Connect with a study center

  • Beijing GoBroad Hospital

    Beijing, Beijing 102206
    China

    Active - Recruiting

  • Shanghai Liquan Hospital

    Shanghai, Shanghai 201418
    China

    Active - Recruiting

  • Zhaxin Hospital of Integrated Traditional Chinese and Western Medicine

    Shanghai, Shanghai 200435
    China

    Active - Recruiting

  • The General Hospital of Western Theater Command PLA

    Chengdu, Sichuan 610083
    China

    Site Not Available

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