A Single-arm, Open and Multicenter Phase I/II Clinical Study to Evaluate the Safety and Efficacy of U16 Injection in the Treatment of Refractory/Recurrent B-cell Non-Hodgkin's Lymphoma (r/r B-NHL)

Status: Recruiting
Location: See all (2) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1/Phase 2
SUMMARY

The study is a Phase I/II, single-arm, open-label clinical trial, and its primary objective of phase I and phase II is to evaluate the safety and efficacy of U16 Injection in the treatment of relapsed or refractory NHL,respectively.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 70
Healthy Volunteers: f
View:

• Patients who are willing to sign the informed consent form and have good compliance;

• Aged 18-70 years, male or female;

• CD20-positive B-cell non-Hodgkin's lymphoma with immunohistochemistry(IHC), with the following diagnostic: Diffuse large B cell lymphoma (DLBCL), or Primary mediastinal large B cell lymphoma (PMBCL), or Follicular lymphoma transformed large B cell lymphoma (TFL) , or High grade B cell lymphoma(HGBCL);

• Previously received≥2nd-line adequate therapy or autologous hematopoietic stem cell transplantation (ASCT), including: a) Received anthracycline-containing drugs and rituximab or other CD20-targeted drugs (except CD20-negative tumors); b) Definition of line: Stable disease (SD) after receiving a first-line therapy for at least 4 cycles or progressive disease (PD), and SD after a second-line therapy for at least 2 cycles or PD; c) For transformed follicular lymphoma (TFL), patients must be treated adequately against FL, and after transformation, must have received at least once the therapy against TFL, and become relapsed or refractory after the last therapy;

• In relapsed or refractory status at screening: a) Definition of relapse: Remission (including partial remission (PR) or complete remission (CR)) after treatment with at least the standard therapy regimen, and then PD; b)Definition of refractory: i. Non-response to the last therapy: The best response by the last therapy is SD or PD, and the duration is less than 6 months; ii. Relapse or progression (it must be proved by biopsy) after ASCT, including: Relapse or PD within 12 months after ASCT; if a salvage therapy is received, the patient is non-response (SD or PD) to the last therapy;

• According to Lugano Criteria (Cheson2014), at least one measurable lesion exists;

• Eastern Cooperative Oncology Group (ECOG) performance status of 0-1;

• Adequate bone marrow reserve, defined as: Absolute neutrophil count (ANC) ≥1.0×10\^9/L; Absolute lymphocyte count (ALC) ≥ 0.3×10\^9/L; Platelet (PLT) ≥50×10\^9/L;

• Proper organ function, defined as: Aspartate aminotransferase (AST) ≤ 3 Upper Limit of Normal (ULN); Alanine aminotransferase (ALT) ≤ 3 ULN(AST and ALT≤5 ULN are required for the patients with hepatic dysfunction due to tumor cell infiltration) ; Total serum bilirubin ≤ 2 ULN, unless there exists concurrent Gilbert syndrome; patients with Gilbert syndrome, with total serum bilirubin ≤ 3 ULN and direct bilirubin ≤ 1.5 ULN, may be included; Serum creatinine ≤ 1.5 ULN or creatinine clearance ≥ 60 mL/min (Cockcroft-Gault formula); Minimum pulmonary reserve, defined as Grade ≤ 1 dyspnea, and blood oxygen saturation \> 91% at non-oxygen inhalation status;

⁃ Women with child-bearing potential are negative in blood/urine pregnancy tests within 7 d prior to infusion of U16 infusion; any male or female patient with child-bearing potential must agree to adopt effective contraceptive measures throughout the study, and at least one year after administration of the investigational therapy.

⁃ Qualified T cell function;

⁃ Vascular conditions for apheresis, and no other contraindications for apheresis;

⁃ Elution period of CD20 monoclonal antibody at least 3 months before U16 infusion;

⁃ Life expectancy more than 3 months.

Locations
Other Locations
China
The Third Xiangya Hospital of Central South University
NOT_YET_RECRUITING
Changsha
The First Affiliated Hospital of Soochow University
RECRUITING
Suzhou
Contact Information
Primary
Xiaoyan Lou, Dr.
xiaoyan.lou@unicar-therapy.com
18721281671
Backup
Liqing Kang, Dr.
liqing.kang@unicar-therapy.com
13162512992
Time Frame
Start Date: 2023-03-28
Estimated Completion Date: 2026-12-31
Participants
Target number of participants: 100
Treatments
Experimental: U16
Route of administration: Intravenous injection.~Lymphodepletion conditioning:~Lymphodepletion will be conducted several days prior to U16 infusion.~A combination of fludarabine and cyclophosphamide will be used for lymphodepletion.
Related Therapeutic Areas
Sponsors
Leads: Shanghai Unicar-Therapy Bio-medicine Technology Co.,Ltd

This content was sourced from clinicaltrials.gov

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