At a glance
ClinicalIndex Comparison Record- ✓Confirmed CD19+ ALL, CLL, DLBCL, FL or MCL
- ✓Adults ≥18 years or children >3 to <18 years
- ✓Relapsed or refractory disease with CD19 expression confirmed on malignant cells in relapse
- ✓Measurable disease/MRD at time of enrollment
- ✕Immunosuppressive medication >30mg prednisolone/day equivalent (adults) or >0.5mg/kg/day (children)
- ✕Bridging/maintenance chemo- or immunotherapy not stopped ≥2 weeks prior to leukapheresis
- ✕Intrathecal chemotherapy during lymphodepletion until 14 days after CAR T cell infusion
- ✕DLI not completed >6 weeks prior to CAR T cell infusion
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Treatment of Patients With Relapsed or Refractory CD19+ Lymphoid Disease With T Lymphocytes Transduced by RV-SFG.CD19.CD28.4-1BBzeta Retroviral Vector - a Unicenter Phase I/II Clinical Trial
In Brief
A Phase 2 clinical trial evaluating CD19.CAR T Cells, Fludarabine, and 1 other intervention for Acute Lymphoblastic Leukemia, Adult and 5 related conditions. Currently recruiting, targeting 68 participants across 2 sites.
Detailed Summary
Adult patients with r/r acute lymphoblastic leukemia (ALL) (stratum I), r/r Non-Hodgkin's lymphoma (NHL) including chronic lymphocytic leukaemia (CLL), diffuse large B-cell lymphoma (DLBCL), follicular lymphoma (FL) or mantle cell lymphoma (MCL) (stratum II) as well as paediatric patients with r/r ALL (stratum III) will be treated with autologous T-lymphocytes transduced by the third-generation RV-SFG.CD19.CD28.4-1BBzeta retroviral vector. The main purpose of this study is to evaluate safety and feasibility of escalating CD19.CAR T cell doses (0,1-20×20\^7 transduced cells/m\^2) after lymphodepletion with fludarabine and cyclophosphamide.
Study Details
Timeline
Interventions
Dose Level 1: 1×10\^6 transduced cells/m\^2; Dose Level 2: 5×10\^6 transduced cells/m\^2; Dose Level 3: 20×10\^6 transduced cells/m\^2; Dose Level 4: 5x10\^7 transduced cells/m\^2; Dose Level 5: 10x10\^7 transduced cells/m\^2; Dose Level 6: 20x10\^7 transduced cells/m\^2
3 days of fludarabine 30 mg/m\^2/day
3 days of cyclophosphamide 500 mg/m\^2/day