Donor Derived CD117 CAR-T Cells in the Treatment of R/R Acute Myeloid Leukemia
About this study
A Clinical Study on the Safety and Effectiveness of Donor Derived CD117 CAR-T Cell in the treatment of Relapsed/Refractory Acute Myeloid Leukemia
- Condition
- Acute Myeloid Leukemia
- Tested
- CD117 CAR T-cells
- Sponsor
- Zhejiang University
Who can join
- Age
- 18 years and older
- Sex
- All sexes
- Healthy volunteers
- Not accepted
Inclusion 14
- Minimum age: 18 years
- Study condition: Acute Myeloid Leukemia
- 1\. Patients with a histologically or immunophenotypically confirmed diagnosis of CD117-positive Acute Myeloid Leukemia (AML).
- Diagnosis must meet the 2016 WHO classification criteria for AML and fulfill the definitions for relapsed or refractory disease per the \*Chinese Guidelines for the Diagnosis and Management of Relapsed/Refractory Acute Myeloid Leukemia (2017 Edition)\*, with no available suitable standard therapeutic options or registered clinical trials.
- a). Relapsed AML: Defined as the reappearance of leukemic blasts in the peripheral blood, bone marrow blast count \>5% (when assessed morphologically, after excluding regenerative changes post-consolidation chemotherapy), or development of extramedullary disease after achieving a Complete Remission (CR).
- Refractory AML (meeting at least one criterion): Failure to achieve CR following two cycles of standard induction therapy in newly diagnosed patients; relapse within 12 months after CR following consolidation therapy; relapse beyond 12 months that fails to respond to conventional salvage chemotherapy; ≥2 relapses; or persistent extramedullary leukemia.
- 3\. Presence of \>5% bone marrow blasts (by morphology) and/or \>1% (by flow cytometric analysis).
- 4\. Total bilirubin ≤1.5 × ULN (≤51 μmol/L) ALT and AST ≤3 × ULN Serum creatinine ≤1.5 × ULN (≤176.8 μmol/L)
- 5\. Left ventricular ejection fraction (LVEF) ≥50% as assessed by echocardiography.
- 6\. Oxygen saturation ≥92% on room air.
- 7\. Life expectancy ≥3 months.
- 8\. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0, 1, or 2.
- 9\. For patients of childbearing potential: Agreement to use highly effective contraception from screening, throughout the study treatment period, and for at least 6 months after the cell infusion (due to unknown risks to the fetus).
- 10\. Voluntary participation, understanding of the study procedures, and provision of written informed consent by the patient or their legally authorized representative.
Exclusion 9
- 1\. Patients with the history of epilepsy or other CNS disease;
- 2\. Patients with prolonged QT interval time or severe heart disease;
- 3\. Active infection with no cure;
- 4\. Active infection of hepatitis B virus or C virus ;
- 5\. Before using any gene therapy products;
- 6\. The proiferation rate is less than 5 times response to CD3/CD28 co-stimulation signal;
- 7\. Suffering from other uncontrolled diseases that the researchers consider unsuitable for joining;
- 8\. Infected with AIDS virus;
- 9\. Any situation that researchers believe may increase the risk to the subjects or interfere with the trial results.
Where
1 site, 1 recruiting
The first affiliated hospital of medical college of zhejiang university
Hangzhou, Zhejiang, China
Contact
-
He Huang, MD
057187233772 hehuangyu@126.com
-
Yongxian Hu, MD
057187233772 huyongxian2000@aliyun.com
Potential match only. Final eligibility is determined by the study team.