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Actively Recruiting

Early Phase 1
Age: 18Years - 75Years
All Genders
ID06732232

Study of CD19CD22BCMA CAR-T Cell Therapy for Adults with Relapsed or Refractory Multiple Myeloma Evaluating Safety, Tolerability, and Dose Limits in Patients Aged 18 to 75

Led by Shanghai Cell Therapy Group Co.,Ltd · Updated on 2024-12-13

12

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating a new type of cell therapy called autologous chimeric antigen receptor T CAR-T cells that target CD19, CD22, and BCMA in patients with relapsed or refractory multiple myeloma. This early-phase, open-label study aims to assess the safety and tolerability of this treatment and to find the highest dose that patients can safely receive. Additional goals include studying how the therapy behaves in the body, how long the CAR-T cells survive, and its effects on the disease. Participants will go through several phases including screening, collection of their immune cells apheresis, a treatment to prepare their body lymphodepletion, followed by a single intravenous infusion of the CAR-T cells. After the infusion, patients will be closely monitored for dose-limiting toxicities during the first 28 days and followed up for longer-term observations. The study uses a dose escalation approach to find the maximum tolerated dose. During the study, participants will have multiple assessments such as blood tests to measure the concentration and activity of CAR-T cells, immune markers, and signs of disease progression. Researchers will also track overall survival and progression-free survival over two years. Safety and response will be evaluated frequently from the day of infusion through follow-up visits. The total participation duration may extend up to the end of the study, which is expected in late 2027.

CONDITIONS

Brief Title

A Dose Escalating Study of CD19/CD22/BCMA CAR-T Therapy in Relapsed/ Refractory Multiple Myeloma

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Understand and voluntarily sign an informed consent form
  • Age between 18 and 75 years old
  • Expected to survive at least 12 weeks
  • ECOG score of 2 or less
  • Positive BCMA antigen in bone marrow flow cytometry
  • Diagnosed with measurable multiple myeloma according to IMWG criteria
  • Previously treated with at least three different mechanisms of action but failed, relapsed, or intolerant to last treatment
  • Lung function normal with oxygen saturation over 92% without oxygen support
  • Liver function tests within specified limits
  • Kidney function with creatinine clearance rate at least 30 mL/min
  • Blood counts meeting specified thresholds for lymphocytes, neutrophils, hemoglobin, and platelets
  • Men and women of childbearing potential agree to use effective contraception during and for 2 years after treatment
Not Eligible

You will not qualify if you...

  • Asymptomatic multiple myeloma
  • Multiple myeloma with only extramedullary lesions
  • Plasma cell leukemia
  • Amyloidosis
  • CNS metastasis or leptomeningeal disease
  • Pregnancy or breastfeeding
  • Positive for hepatitis B, C, HIV, syphilis, or CMV without controlled viral load
  • Significant cardiovascular disease including prolonged QT interval, heart failure, low ejection fraction, uncontrolled hypertension, or serious arrhythmias
  • Recent unstable angina or heart attack within 6 months
  • Previous anti-CD45 or anti-CD3 treatments
  • Allergy to study drugs including cyclophosphamide or fludarabine
  • Recent investigational drug or anti-tumor treatment within 4 weeks
  • History of other cancers within 5 years except certain skin or cervical cancers
  • Active infections requiring treatment within 4 weeks
  • History of active pulmonary tuberculosis within 1 year
  • Interstitial lung disease or pneumonia
  • Recent or planned autologous stem cell transplant within 8 weeks
  • Previous allogeneic stem cell therapy
  • Any condition affecting compliance or suitability for the study

Research Team

J

Jinxing Lou

J

Jinxing Lou

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