A Phase 1 Study of C402-CD19-CAR, a Chimeric Antigen Receptor T Cell (CAR-T) Therapy Targeting CD19 in Subjects With Relapsed or Refractory Large B-cell Lymphoma

Status: Recruiting
Location: See location...
Intervention Type: Biological
Study Type: Interventional
Study Phase: Phase 1
SUMMARY

This study is to investigate the safety and tolerability of C402-CD19-CAR treatment in subjects with relapsed or refractory large B-cell lymphoma and further determine the recommended Phase 2 dose of C402-CD19-CAR.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 75
Healthy Volunteers: f
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• Must meet all the following inclusion criteria:

• Male or female 18-75 years (inclusive);

• Patients can understand this study and capable of providing informed consent;

• Patients with willingness to be in the study and comply with the study visit procedures and other protocol requirements;

• Diagnosed with CD19-positive large B-cell lymphoma (LBCL) based on cytology or histology according to the WHO 2016 standards, including diffuse large B-cell lymphoma not otherwise specified (DLBCL-NOS), grade 3b follicular lymphoma (FL), transformed diffuse large B-cell lymphoma, primary mediastinal B-cell lymphoma (PMBL), high-grade B-cell lymphoma (HGBL) with MYC, BCL-2, and/or BCL-6 rearrangements, and high-grade B-cell lymphoma not otherwise specified (HGBL-NOS). For CD19 expression status, subjects with a clear past record of tumor histological diagnosis as CD19-positive (within 6 months prior to screening with no CD19-related treatment in the last 6 months) and tumors showing CD19-positive lymphoma levels ≥ 50% by IHC or CD19-positive lymphoma levels ≥ 70% by flow cytometry. If there is no previous CD19 tumor testing or the result is over 6 months prior to screening, a new tumor pathology sample must be provided or re-collected for CD19-positive diagnosis by the institution, with IHC showing CD19-positive lymphoma levels ≥ 50% or flow cytometry showing CD19-positive lymphoma levels ≥ 70%.

• For refractory or relapsed large B-cell lymphoma subjects, must have received at least anthracycline-based therapy and rituximab (or other CD20-targeted drugs, excluding CD20-negative cases). If previously treated with R-CHOP or other CD20-targeted therapy, the best treatment outcome prior to relapse must have been complete remission (CR). Subjects should meet the criteria for relapse, progression, or failure after second-line therapy; or relapse after autologous hematopoietic stem cell transplantation (auto-HSCT). If the subject has undergone previous auto-HSCT, the best treatment outcome prior to relapse must have been CR, and the relapse should occur more than 12 months after the previous treatment. (Refractory is defined as the best response to the most recent treatment being disease progression or stable disease after at least 2 cycles of the last-line therapy).

• According to the 2014 Lugano Treatment Response Assessment Criteria, at least one measurable tumor lesion should be present (lesions can be measured with PET results; lymph node lesions \[long axis LDi \> 15mm\] or extra nodal lesions \[long axis LDi \> 10mm\]);

• Expected survival time greater than 12 weeks;

• ECOG score of 0-1;

• Able to establish an intravenous route for PBMC collection, meeting the following hematologic parameters before screening: Hemoglobin ≥ 80 g/L, absolute neutrophil count ≥ 1.0 × 10\^9/L, platelet count ≥ 75 × 10\^9/L, lymphocyte count ≥ 0.5 × 10\^9/L (if using bone marrow stimulants or blood transfusion, a washout period of 7 days is required; for granulocyte colony-stimulating factor \[G-CSF\] or granulocyte-macrophage colony-stimulating factor \[GM-CSF\], a washout period of 4 weeks or 5 half-lives is required);

⁃ Liver and kidney function, as well as heart and lung function, should meet the following requirements:

∙ Serum creatinine ≤ 1.5 × ULN or creatinine clearance ≥ 50 mL/min (using the Cockcroft-Gault formula);

‣ Ejection fraction ≥ 50%, with no clinically significant pericardial effusion or pleural effusion detected;

‣ Oxygen saturation ≥ 92% without oxygen support;

‣ Total bilirubin ≤ 1.5 × ULN (for patients with Gilbert's syndrome or lymphoma involving the liver, ≤ 3 × ULN);

‣ Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 3 × ULN;

‣ Fibrinogen ≥ 1.0 g/L; activated partial thromboplastin time ≤ 1.5 × ULN, prothrombin time (PT) ≤ 1.5 × ULN;

⁃ No more than 1 month prior to screening, the subject must have participated in another interventional clinical study and recovered to a severity level of ≤ 1 for any treatment-related adverse events.

Locations
Other Locations
China
Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences
RECRUITING
Tianjin
Contact Information
Primary
Shihan Jie
shihan.jie@kuntuo.com
0086-15251756783
Backup
Liujin Sai, master
liujin.sai@kuntuo.com
0086-15702443608
Time Frame
Start Date: 2025-03-19
Estimated Completion Date: 2026-05-11
Participants
Target number of participants: 18
Treatments
Experimental: C402-CD19-CAR
To determine the safety, tolerability, dose-limiting toxicities (DLT) and maximum tolerated dose (MTD) of C402-CD19-CAR cell therapy in patients with relapsed or refractory large B cell lymphoma.~Dose cohorts:~* Dose level 1: 0.3x105 CD19 CAR positive cells/kg body weight, subcutaneous injection~* Dose level 2: 1 x105 CD19 CAR positive cells/kg body weight, subcutaneous injection~* Dose level 3: 3 x105 CD19 CAR positive cells/kg body weight, subcutaneous injection
Sponsors
Collaborators: Institute of Hematology & Blood Diseases Hospital, China
Leads: Shanghai Exuma Biotechnology Ltd.

This content was sourced from clinicaltrials.gov