Phase I/II Study of Enhanced CD33 CAR T Cells in Subjects With Relapsed or Refractory Acute Myeloid Leukemia

Overview

This is a open-label, nonramdominzed, single-arm, Phase I/II Study to evaluate safety and tolerability of functionally enhanced CD33 CAR-T cells in subjects with relapsed or refractory acute myeloid leukemia. 25 subjects will be enrolled. Subjects will be pretreated with chemotherapy prior to infusion of CAR T cells: about 5 days before cells transfusion, the patients who planned to reinfuse CAR T cells were treated with fluorodarabine 30 mg/m^2( body surface area) and cyclophosphamide 250 mg/m^2( body surface area) for 3 days. Then the Bayesian optimal interval phase I/II (Boin12) trial design will be used in this study: The protocol preset 2 dose levels: Dose 1 (DL-1) was 5×10^5 (±20%) CAR T cells/kg, and dose 2 (DL-2) was 1×10^6 (±20%) CAR T cells/kg. Phase I was the dose exploration phase. After determining the optimal biological dose (OBD), phase II will be expanded at the OBD dose by 10 cases, enrollment will reach 25 cases, and the trial will be discontinued. Moreover, the first 3 enrolled subjects per dose group will be on one by one dosing regimen.

The expected initial dose of 5×10^5 (±20%) CAR T cells/kg could not be achieved due to preparation problems and should be placed in the reduced dose group. The number of cells will be collected by the above regimen as far as possible. If this is not possible, subjects can still enter the study upon investigator consideration but require documentation of dosing. The lowest dose is 1×10^5 CAR T cells/kg (±20%), and the highest dose is 1×10^6 CAR T cells/kg (±20%). If the dose is out of the range mentioned above, entry into the trial will not be considered.

Eligibility

Inclusion Criteria:

        In order to be eligible to participate in this study, an individual must meet all of the
        following criteria:
          1. Candidates with relapse or refractory CD33+ acute myeloid leukemia, who have
             progressed on after treatment with all standard therapies or intolerant of standard
             care, have limited prognosis with currently available therapies and had no available
             curative treatment options (such as HSCT or chemotherapy)
          2. Male or female, aged 1-70 years
          3. No serious allergic constitution
          4. Eastern Cooperative Oncology Group (ECOG) performance status (Oken et al.,1982) score
             0 to 2
          5. Have life expectancy of at least 60 days based on investigator's judgement
          6. CD33 positive in bone marrow or cerebrospinal fluid (CSF) by flow cytometry, or CD33
             positive in tumor tissues by immunohistochemistry; (CD33 positive criteria: Flow
             cytometry: Positive: > 80% of tumor cells expressed CD33 and the MFI of CD33 is the
             same as that in normal myeloid cells; Dim: > 80% of tumor cells expressed CD33, but
             the MFI of CD33 is lower than that in normal myeloid cells as least as 1log; Partial
             positive: 20-80% of tumor cells expressed CD33 and the MFI of CD33 is the same as that
             in normal myeloid cells. Tumor tissue immunohistochemistry: Positive > 30% tumor cells
             expressed CD33);
          7. Provide a signed informed consent before any screening procedure; subjects who
             voluntarily participate in the study should have the ability to understand and sign
             the informed consent form and be willing to follow the study visit schedule and
             relevant study procedure, as specified in the protocol. Candidates aged 19-70 years
             need to be sufficiently conscious and able to sign the treatment consent form and
             voluntary consent form. Pediatric patients aged 1-7 years could be recruited after
             signing an informed consent form by a legal surrogate (Guardian); pediatric patients
             aged 8-18 years need to be sufficiently conscious and voluntarily signed an informed
             consent form, and their legal surrogates (guardians) were also required to sign a
             written informed consent form.
        Exclusion Criteria:
        An individual who meets any of the following criteria will be excluded from participation
        in this study:
          1. Intracranial hypertension or disorder of consciousness
          2. Symptomatic heart failure or severe arrhythmia
          3. Symptoms of severe respiratory failure
          4. Complicated with other types of malignant tumors
          5. Diffuse intravascular coagulation
          6. Serum creatinine and / or blood urea nitrogen ≥ 1.5 times of the normal value
          7. Suffering from septicemia or other uncontrollable infections
          8. Patients with uncontrollable diabetes
          9. Severe mental disorders
         10. Obvious and active intracranial lesions were detected by cranial magnetic resonance
             imaging (MRI)
         11. Have received organ transplantation (excluding hematopoietic stem cell
             transplantation);
         12. Reproductive-aged female patients with positive blood HCG test
         13. Screened to be positive of infection of hepatitis (including hepatitis B and C), AIDS
             or syphilis
         14. Patients with tumor burden higher than 30% requiring reinfusion of autologous CAR-T
             cells.