About this trial
This study will evaluate safety and efficacy of a combination of 4th generation chimeric antigen receptor gene-modified T cells (4SCAR-T) targeting CD19-negative B-ALL that express alternative surface antigens such as CD22, CD10, CD20, CD38, and CD123, as many patients relapse after anti-CD19 immunotherapy. Clinical response and optiminzation of a standardized lentiviral vector and cell production protocol will be investigated. This is a phase I/II trial enrolling patients from multiple clinical centers.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age older than 6 months.
B cell malignancies relapsed after anti-CD19 immunotherapy.
Malignant B cells expressing one or more of the following surface molecules: CD22/CD123/CD38/CD10/CD20.
The KPS score over 80 points, and survival time is more than 1 month.
Disqualifiers
Complications with other active diseases, and difficult to assess patient response.
Bacterial, fungal, or viral infection unable to control.
Living with HIV.
Active HBV and HCV infection.
Trial design
Single group
Treatments tested in this trial
Infusion of 4SCAR-T specific to CD22/CD123/CD38/ CD10/CD20
Biological/VaccinePatients who have relapsed after anti-CD19 immunotherapy or have CD19 negative B cell malignancies
Treatment groups
Trial outcomes
Primary outcomes
Safety of fourth generation anti-CD22/CD123/CD38/CD10/CD20 CAR-T cells
Treatment-related adverse events are assessed by NCI CTCAE V4.0 criteria.
Secondary outcomes
Anti-tumor activity of fourth generation anti-CD22/CD123/CD38/CD10/CD20 CAR-T cells
Scale of CAR copies are detected by qPCR and leukemic cell burden are assessed by flow cytometry
Sponsors and contacts
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