Overview
The primary purpose of this study is to determine the safety and efficacy of novel autologous CAR-T cells in patients with relapsed/refractory hematological malignancies.
Description
CAR-T cells targeted CD19 have demonstrated unprecedented successes. Besides CD19, many other molecules such as CD123, BCMA, and CD7 may be potential in developing the corresponding CAR-T cells to treat patients with hematopoietic and lymphoid malignancies. UTC Therapeutics Inc. have developed an efficient platform for constructing CAR-T cells that can remodel of tumor microenvironment and enhance the anti-tumor immune response and persistence of CAR-T cells. In this study, all eligible subjects will receive a conditioning chemotherapy regimen of fludarabine and cyclophosphamide followed by investigational treatment, CAR-T cells. Safety and efficacy of the CAR-T cells will be assessed.
Eligibility
Inclusion Criteria:
- Histological diagnosis of hematological malignancies (such as lymphoma, myeloma, leukemia) refractory to, or relapsing after standard therapy.
- Positive expression of specific antigens.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0~2.
- Adequate organ functions:
- Serum bilirubin ≤ 35 μmol/L;
- Serum aspartate aminotransferase (AST)/alanine aminotransferase (ALT) < 2;
- Serum creatinine (Cr) ≤ 2 × upper limit of normal (ULN);
- Brain natriuretic peptide (BNP)<80 pg/mL.
- Subjects must be able to understand the protocol and be willing to enroll the study,
sign the informed consent, and be able to comply with the study and follow-up procedures.
Exclusion Criteria:
- History of allergy to any of the drugs involved in the protocol.
- History of cardiac diseases:
- Left ventricular ejection fraction (LVEF) < 50%;
- Class III or IV heart failure as defined by the New York Heart Association (NYHA).
- History of another malignancy tumor.
- Active hepatitis C (HCV), hepatitis B (HBV), human immunodeficiency virus (HIV), or syphilis infection.
- Patients with any contraindications to allogeneic hematopoietic stem cell transplantation.
- Uncontrolled fungal, bacterial, viral, or other infection.
- Female subjects who are pregnant or lactating.