Sequential Treatment With CD20/CD22/CD10-CART After CD19-CART Treatment Base on MRD in Relapsed/Refractory B-ALL
CD19-negative B-ALL relapses after CD19 CAR T-cell treatment have occurred in some patients. CD20/CD22/CD10 is still expressed in CD19 negative B-ALL cells which means these CD molecules may become new targets in treatment of CD19-negative relapse of B-ALL. Thus sequential treatment with CD20/CD22/CD10-CART after CD19-CART treatment in relapsed/refractory B-ALL will kill and eliminate CD19 negative B-ALL cells and prolong the remission time.
• Relapsed/Refractory B-ALL patients
• Did not achieve complete remission after 2 times of standard plan chemotherapy
• Relapsed after first induction chemotherapy
• Did not response to chemotherapy before HSCT or relapsed after HSCT
• Cannot receive allo-HSCT or refuse to receive allo-HSCT
• Cell phenotype is CD19 and CD20/CD22/CD10/CD70 positive (single or combined)
• Estimated survival time is more than 3 months in leukemia
• Volunteered for this clinical trail and signed a consent form