To Evaluate Safety and Efficacy of Autologous CD19 Chimeric Antigen Receptor (CAR)-T Cells in Relapsed/Refractory B- Non-Hodgkin Lymphoma (B-NHL)
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: CAR-T cells.
- Who it may be relevant to
- Registry conditions: Relapsed/Refractory B- Cell Non-Hodgkin Lymphoma. Basic parameters: 13 years — 75 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Malaysia
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
A Phase II Open Label Single-arm Study to Evaluate Safety and Efficacy of Autologous CD19 CAR-T Cells in Patients With Relapsed/Refractory B- Non-Hodgkin Lymphoma
Overview
A Phase II Open-Label Single-arm Study to Evaluate Safety and Efficacy of locally manufactured autologous CD19-directed CAR T-cells in Patients with Relapsed/Refractory B- Non-Hodgkin Lymphoma (B-NHL) or patients not eligible for hematopoietic stem cell transplantation (HCT)
Interventions
- Drug CAR-T cells
2×10\^6 CAR T cells/kg
Primary outcome measures
- Overall response rate (ORR) [Time frame: From day 30, then 3 monthly until 24 months after infusion of CAR-T cells]
Secondary outcome measures (2)
- overall survival [Time frame: OS at day 30, 6 months and one year, and 2 years following CAR-T cells infusion]
- Incidence of adverse events [Time frame: From the time of infusion up to 24 months after infusion of CAR-T cells]
Eligibility criteria
Inclusion criteria
- Patients with histologically confirmed diagnosed with CD19 positive B cell NHL in accordance with WHO classification
- Patients who are refractory to second-line treatment or patients who relapsed after first-line treatment with no available curative options such as autologous or allogeneic haematopoietic stem cell transplantation (HSCT) or relapse within one year of autologous HSCT
- At least one measurable lesion according to revised IWG response criteria
- Age between ≥13to ≤75 years
- Adequate organ function as defined by a creatinine clearance >40 ml/min, serum alanine transaminase (ALT) < 5 times the normal value, serum bilirubin < 3 times the normal value, left ventricular ejection fraction> 45%
- Absolute neutrophil count ≥ 1500/μl, haemoglobin level ≥ 7 g/dl, platelets ≥ 50000/μl.
- Life expectancy >12 weeks
- Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2
- Female of childbearing age must have a negative pregnancy test and is on two effective contraception methods
- Male patients must use two effective contraception methods
Exclusion criteria
- Active central nervous system (CNS) lymphoma (detected by Imaging study or cerebrospinal fluid (CSF) analysis)
- Active cancer(other than NHL) or receiving cancer treatment
- Evidence of severe lung, heart (New York Heart Association class III/IV, arrhythmia, heart block, uncontrolled hypertension), liver, or renal failure or severe neurologic disorder
- Presence of active autoimmune disease requiring immunosuppressive therapy
- Human Immunodeficiency Virus (HIV) positivity
- Active Hepatitis B, and Hepatitis C infection
- Uncontrolled infection
- Pregnant/nursing female.
- Receiving autologous or allogeneic stem cell transplant within 12 weeks of enrolment
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
Malaysia · 1 center
- Universiti Kebangsaan Malaysia — Bandar Tun Razak
Identifiers
NCT: NCT06698484 · CAR-T NHL PTS Plutonet 2021 · JEP-2021-224