Actively Recruiting

Phase 1
Age: 18Years - 80Years
All Genders
ID05054257

Safety and Dose Study of CART19 Cells for Adults with Relapsed or Refractory CD19+ Acute Lymphoblastic Leukemia and Non-Hodgkin's Lymphoma

Led by Institute of Hematology and Blood Transfusion, Czech Republic · Updated on 2025-01-06

10

Participants Needed

1

Research Sites

236 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are conducting a Phase I open-label study to evaluate the safety and appropriate dosing of CAR19 T cell therapy in adults with relapsed or refractory CD19-positive B-cell Acute Lymphoblastic Leukemia (B-ALL) or Non-Hodgkin's Lymphoma (B-NHL). This study includes up to 24 participants who have either not responded to previous treatments or have relapsed after stem cell transplantation. The goal is to determine the maximum tolerated or feasible dose of the CAR19 T cells for further research. Participants first receive a lymphodepleting chemotherapy regimen to prepare the body. Then, they are given a single dose of autologous CAR19 T lymphocytes, which are specially modified immune cells created from the patient's own cells by the sponsor's manufacturing facility. The dose of CAR19 cells will be increased in a stepwise manner among consecutive patients to find the recommended dose for future studies. Throughout the study, participants will be monitored closely for safety, including any adverse events occurring up to two years after treatment and specific dose-limiting toxicities within 28 days of the CAR19 cell administration. Evaluations include clinical assessments, laboratory tests, and other monitoring procedures to understand the treatment's effects and safety profile. The study involves detailed follow-up to assess outcomes and ensure patient well-being over the long term.

CONDITIONS

Official Title

CART19 Cells Effects in Patients with Relapsed or Refractory Acute Lymphoblastic Leukemia and Non-Hodgkin's Lymphoma

Who Can Participate

Age: 18Years - 80Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patient with refractory or relapsing CD19 positive B-ALL or B-NHL as defined by treatment refractoriness or relapse status
  • CD19 expression confirmed on malignant cells by flow cytometry or immunohistochemistry
  • Age between 18 and 80 years
  • Ability to understand and sign informed consent
  • Women of child-bearing potential must have a negative pregnancy test at enrollment and Visit 1
Not Eligible

You will not qualify if you...

  • Known hypersensitivity to any component of the investigational medicinal product
  • Autologous or allogeneic hematopoietic cell transplantation within 3 months prior to treatment
  • Severe, uncontrolled active infection
  • Life expectancy less than 6 weeks
  • Parenchymal central nervous system involvement
  • Respiratory insufficiency requiring oxygen therapy
  • Significant liver impairment (bilirubin > 50 µmol/L, AST or ALT > 4 times upper limit)
  • Acute kidney injury with serum creatinine > 180 µmol/L, oliguria, or need for dialysis
  • Heart failure with ejection fraction less than 30%
  • Active grade 3-4 acute graft-versus-host disease
  • Serious uncontrolled neurological comorbidity
  • Vaccination with live virus vaccines within 4 weeks before or 90 days after treatment
  • Pregnancy or breastfeeding
  • Fertile subjects not willing to use highly effective contraception during the study
  • Positive tests for HIV1/2, Hepatitis B/C, or syphilis
  • Recent therapies before cell collection or treatment as specified in protocol

AI-Screening

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Trial Site Locations

Total: 1 location

1

Institute of Hematology and Blood Transfusion, Czech Republic

Prague, Czechia, 12800

Actively Recruiting

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Research Team

J

Jan Vydra

P

Petr Lesny

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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Published Research Related To This Trial

Chimeric antigen receptor T cells persist and induce sustained remissions in relapsed refractory chronic lymphocytic leukemia.

David L Porter, Wei-Ting Hwang, Noelle V Frey...

https://pubmed.ncbi.nlm.nih.gov/26333935

Clinical development of CAR T cells-challenges and opportunities in translating innovative treatment concepts.

Jessica Hartmann, Martina Schüßler-Lenz, Attilio Bondanza...

https://pubmed.ncbi.nlm.nih.gov/28765140

Integration Mapping of piggyBac-Mediated CD19 Chimeric Antigen Receptor T Cells Analyzed by Novel Tagmentation-Assisted PCR.

Motoharu Hamada, Nobuhiro Nishio, Yusuke Okuno...

https://pubmed.ncbi.nlm.nih.gov/30082227

A new approach to CAR T-cell gene engineering and cultivation using piggyBac transposon in the presence of IL-4, IL-7 and IL-21.

Pavlína Ptáčková, Jan Musil, Martin Štach...

https://pubmed.ncbi.nlm.nih.gov/29475789

Chimeric receptors containing CD137 signal transduction domains mediate enhanced survival of T cells and increased antileukemic efficacy in vivo.

Michael C Milone, Jonathan D Fish, Carmine Carpenito...

https://pubmed.ncbi.nlm.nih.gov/19384291