Actively Recruiting

Phase 1
Age: 18Years - 75Years
All Genders
NCT05659628

CD19 CAR-T Expressing IL-7 and CCL19 Combined With Anti-PD1 in RR-DLBCL

Led by Ningbo No. 1 Hospital · Updated on 2022-12-21

24

Participants Needed

2

Research Sites

208 weeks

Total Duration

On this page

Sponsors

N

Ningbo No. 1 Hospital

Lead Sponsor

Z

Zhejiang University

Collaborating Sponsor

AI-Summary

What this Trial Is About

The goal of this clinical trial is to test CD19-7×19 CAR-T cells combined with Tislelizumab in refractory and relapsed diffuse large B lymphoma. The main question\[s\] it aims to answer are: question 1:What is the safety of CD19-7×19 CAR-T cells combined with Tislelizumab in the treatment of relapsed or refractory diffuse large B-cell lymphoma. question 2:What is the efficacy of CD19-7×19 CAR-T cells combined with Tislelizumab in the treatment of relapsed or refractory diffuse large B-cell lymphoma. Participants will be asked to receive clinical evaluation before CAR-T, including physical examination, blood routine test, biochemical test, imaging test, etc.Peripheral blood lymphocytes will be collected for preparation of CAR-T cells after enrollment. Pretreatment chemotherapy with fludarabine and cyclophosphamide will be used before CAR-T infusion. On the 31st day after CAR-T infusion, Tislelizumab 200mg was given once every 21 days for 6 cycles. Participants will be required to report concomitant medication and adverse events, and their disease was evaluated throughout the study.

CONDITIONS

Official Title

CD19 CAR-T Expressing IL-7 and CCL19 Combined With Anti-PD1 in RR-DLBCL

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age between 18 and 75 years, male or female
  • ECOG performance score between 0 and 3
  • Histologically confirmed diffuse large B-cell lymphoma (DLBCL) according to WHO 2008 criteria
  • CD19 positive lymphoma confirmed by immunohistochemistry or flow cytometry
  • Relapsed or refractory DLBCL defined by lack of complete remission after 2 lines of treatment, disease progression during treatment, or relapse within 12 months after autologous stem cell transplant
  • Previous treatment must include rituximab (CD20 monoclonal antibody) and anthracyclines
  • At least one measurable lesion with specific size and PET-CT uptake criteria
  • Peripheral blood neutrophils ≥ 1000/μl and platelets ≥ 45000/μl
  • Adequate heart, liver, and kidney function (creatinine < 1.5mg/dL, ALT/AST ≤ 2.5 times upper limit, total bilirubin < 1.5mg/dL, cardiac ejection fraction ≥ 50%)
  • Ability to understand and sign informed consent
  • Willingness to use contraception if of reproductive potential
  • Expected survival of at least 4 months as judged by researcher
  • Willingness to comply with visit schedules and test procedures
Not Eligible

You will not qualify if you...

  • History of other tumors
  • Autologous hematopoietic stem cell transplantation within 6 weeks
  • CAR-T cell therapy within 3 months prior to this treatment
  • Previous use of any commercially available PD-1 monoclonal antibody
  • Use of cytotoxic drugs, glucocorticoids, or targeted therapies within 2 weeks before cell collection
  • Active autoimmune diseases
  • Uncontrolled active bacterial or fungal infections
  • HIV, syphilis infection, active hepatitis B (HBV-DNA ≥ 1000 IU/mL), or active hepatitis C with abnormal liver function
  • Known central nervous system lymphoma

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 2 locations

1

The Second Affiliated Hospital of Zhejiang University, Ningbo First Hospital

Hangzhou, Zhejiang, China, 310009

Actively Recruiting

2

Ningbo First Hospital

Ningbo, Zhejiang, China, 315010

Actively Recruiting

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Research Team

L

Lixia Sheng, doctor

CONTACT

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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