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Intravenous Autologous CD19 CAR-T Cells for R/R B-ALL

NCT03937544 · National University of Malaysia
In plain English

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Official title
A Phase II/III Prospective, Open Label Study to Evaluate Safety and Efficacy of Intravenous Autologous CD19 CAR-T Cells for Relapsed/ Refractory B-Acute Lymphoblastic Leukaemia
About this study
This is Phase II / III, Prospective, single arm, Open Label Study to Evaluate Safety and Efficacy of Intravenous Autologous CD19 CAR-T Cells for Relapsed / Refractory B-Acute Lymphoblastic Leukaemia
Eligibility criteria
Inclusion Criteria: * Patients with relapsed/refractory B-ALL in accordance with World Health Organization (WHO) classification by virtue of BM morphology, flow cytometry, cytogenetics and molecular genetics * Age between ≥13 to ≤ 65 years * No detectable leukaemia in the CSF (CNS-1) * CNS leukaemia without clinically evident neurological symptoms (CNS-2; with \<5 WBC per μL and cytology positive for blasts) * Adequate organ function as defined by a creatinine clearance \> 50 ml/min, serum total bilirubin \< 5 times the normal value, left ventricular ejection fraction \> 40% * ECOG performance status ≤ 2 * Life expectancy \> 3 months * Post allogeneic HSCT must be ≥ Day +100 with no evidence of active GVHD and not receiving immunosuppression * Female patients of child bearing age must have negative pregnancy test and is on highly effective contraception methods * Male patients must use highly effective contraception methods Exclusion Criteria: * Patients with CNS-3 leukaemia. * Active cancer (other than B-ALL). * Evidence of severe lung, heart (NYHA class III/IV, arrhythmia, AV block, uncontrolled hypertension), liver, or renal failure or severe neurologic disorder. * Presence of active autoimmune disease or atopic allergy. * HIV serology positivity. * Active Hepatitis B or C infection as evidenced by quantitative viral PCR assay. * Uncontrolled sepsis * Pregnant / nursing female. * Ongoing prednisolone \> 1mg/kg daily or equivalent. * Chemotherapy immunotherapy in the recent 4 weeks such as allogeneic cellular therapy weeks, anti-GVHD therapy.
Study design
Enrollment target: 10 participants
Allocation: na
Masking: none
Age groups: child, adult, older_adult
Timeline
Starts: 2019-03-19
Estimated completion: 2027-03-18
Last updated: 2025-05-29
Interventions
Biological: CD19 CAR-T CELLSDrug: CyclophosphamideDrug: Fludarabine
Primary outcomes
  • Overall response rate (ORR) (Participants will be followed for the duration of the treatment, with an expected average of 3 months.)
  • Complete response (CR) (12 Months)
  • CR with incomplete blood recovery (CRi). (12 Months)
Sponsor
National University of Malaysia · other
With: Gaia Science
Contacts & investigators
ContactS Fadilah Abdul Wahid, MD, DrIntMed, PhD · contact · sfadilah@ppukm.ukm.edu.my · +60391456450
All locations (1)
UKM Medical CentreRecruiting
Bandar Tun Razak, Kuala Lumpur, Malaysia