Sequential CD19/CD22 CAR-T Cell Therapy Following ASCT
NCT07236151 · Status: COMPLETED · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 23
Last updated 2025-11-19
Summary
The goal of this clinical trial is to learn if sequential CD19/CD22 CAR-T cell therapy following autologous stem cell transplantation (ASCT) works to treat relapsed or refractory large B-cell lymphoma (LBCL) in adults. It will also learn about the safety of this treatment combination. The main questions it aims to answer are:
Does ASCT followed by sequential CD19/CD22 CAR-T therapy improve complete response rates in participants with relapsed/refractory LBCL? What medical problems do participants have when receiving this treatment combination? Researchers will evaluate the safety and efficacy of ASCT followed by sequential CD19/CD22 CAR-T therapy to determine if this treatment approach works to improve outcomes for patients with relapsed/refractory LBCL.
Participants will:
Undergo two separate apheresis procedures for stem cell collection and CAR-T cell manufacturing.
Receive conditioning chemotherapy followed by autologous stem cell infusion on day 0.
Receive sequential CD19 and CD22 CAR-T cell infusions over 3 days within one week post-transplant.Visit the clinic regularly for checkups and tests to monitor their response to treatment and any potential side effects.
Keep a record of their symptoms and any adverse events experienced during the treatment period.
Conditions
- Large B-cell Lymphoma
- CAR T Cell Therapy
- Auto Stem Cell Transplant
Interventions
- OTHER
-
Apheresis and Bridging Therapy
Patients undergo two separate apheresis procedures: * Mobilization and collection of autologous hematopoietic stem cells (HSCs) . * Collection of peripheral blood mononuclear cells (PBMCs) for the manufacture of CD19 and CD22 CAR-T cell products. Bridging therapy may be administered at the investigator's discretion between apheresis and the conditioning regimen.
- OTHER
-
Conditioning and Stem Cell Transplantation
Patients undergo a myeloablative conditioning regimen, followed by the infusion of autologous hematopoietic stem cells on Day 0.
- OTHER
-
CAR-T Cell Administration
Fractionated infusions of CD19-directed and CD22-directed CAR-T cells are completed within one week after HSC infusion.
Sponsors & Collaborators
-
The First Affiliated Hospital of Soochow University
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-02-24
- Primary Completion
- 2023-09-21
- Completion
- 2025-04-30
Countries
- China
Study Locations
More Related Trials
-
CD19/CD22 Bispecific CAR-T Cell Therapy for Relapsed/Refractory B-cell Lymphoma or Acute Lymphoblastic Leukemia
NCT06081478 ·Status: RECRUITING ·Phase: PHASE2
-
Safety of Autologous Humanized Anti-CD19 and Anti-CD20 Dual Specific CAR-T Cells in Adult Patients With Diffuse Large B-cell Lymphoma
NCT04215016 ·Status: UNKNOWN ·Phase: PHASE1
-
A Study of Anti-CD7 CAR-T Cells in Pediatric and Young Adult Patients With Relapse and Refractory T-ALL/ T-LBL
NCT04860817 ·Status: WITHDRAWN ·Phase: EARLY_PHASE1
-
Efficacy and Safety of CD19CD20-CAR.p40-T in B-cell Lymphoma
NCT07097207 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Clinical Study of Autologous Stem Cell Transplantation + Anti-CD19 CAR T Cells for B-cell Lymphoma
NCT05755828 ·Status: UNKNOWN ·Phase: PHASE2
-
the Sequential Therapy of CD19-targeted and CD20-targeted CAR-T Cell Therapy for Diffuse Large B Cell Lymphoma(DLBCL)
NCT02737085 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
a Clinical Research of Sequential CAR-T Bridging HSCT in the Treatment of Relapse/Refractory B-cell Malignancies
NCT02846584 ·Status: UNKNOWN ·Phase: PHASE2
-
Anti-CD19-CAR-T Cells in Relapsed/Refractory B-cell Tumor Patients.
NCT06375161 ·Status: RECRUITING ·Phase: EARLY_PHASE1
-
Dual Target CAR-T Cells in B-cell Acute Lymphoblastic Leukemia
NCT04723901 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
Sequential Infusion of Anti-CD19 and Anti-CD20 CAR-T Cells Against Relapsed and Refractory B-cell Lymphoma
NCT03207178 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
CD7 CAR-T Combined With Autologous Hematopoietic Stem Cell Transplantation
NCT07117305 ·Status: NOT_YET_RECRUITING ·Phase: PHASE1/PHASE2
-
CD19 and CD22 Dual-targeted CAR-T Cells for Relapsed or Refractory B-NHL
NCT04303247 ·Status: UNKNOWN ·Phase: EARLY_PHASE1
-
A Clinical Study of CAR-T Cells Treatment for Children With CD19+/CD22+ R/R ALL and Lymphoma
NCT04204161 ·Status: UNKNOWN ·Phase: PHASE1
-
An Extension Study to Evaluate the Safety and Efficacy of an Anti-CD19 CAR-T Product in Patients with B-cell Lymphoproliferative Disorders
NCT06721598 ·Status: NOT_YET_RECRUITING
-
Anti-CD19 Allo-CAR-T Cells for Relapsed B Cell Malignancies After HSCT
NCT04516551 ·Status: UNKNOWN ·Phase: PHASE1
-
Clinical Trial of CD19 and CD22 CAR Sequential Therapy Versus Single CD19 CAR Bridging to HSCT for r/r B-ALL Patients
NCT06343090 ·Status: RECRUITING ·Phase: NA
-
CD19-targeted CAR T Cell Autotransfusion for the Treatment of Recurrent/Refractory B-cell Acute Lymphoblastic Leukemia/Lymphoblastic Lymphoma in Children With CD19+
NCT06355739 ·Status: RECRUITING ·Phase: NA
-
Anti-CD19 CAR-T Therapy Combine With HSCT to Treat MRD+ B-cell Malignancies
NCT03366324 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
Efficacy of Sequential BCMA CAR-T Cell Therapy Following Autologous Hematopoietic Stem Cell Transplantation in Transplant-eligible Newly Diagnosed Multiple Myeloma
NCT06913192 ·Status: NOT_YET_RECRUITING ·Phase: PHASE1
-
Autologous and Donor-derived CD7 CAR-T Therapy in Refractory or Relapsed T-cell Malignancies
NCT06316427 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Anti-CD22 CAR-T Therapy for CD19-refractory or Resistant Lymphoma Patients
NCT02721407 ·Status: UNKNOWN ·Phase: PHASE1
-
Phase I/II Study of Enhanced CD33 CAR T Cells in Subjects With Relapsed or Refractory Acute Myeloid Leukemia
NCT04835519 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Predictive Factors for the Efficacy of CD19 CAR-T Therapy in Relapsed/Refractory Large B-Cell Lymphoma: A Clinical Study
NCT07236203 ·Status: RECRUITING
-
Safety and Efficacy of CD19/CD22 Dual Targeted CAR-T Cell Therapy in R/R B-Cell Acute Lymphoblastic Leukemia
NCT05225831 ·Status: UNKNOWN ·Phase: EARLY_PHASE1
-
A Study to Evaluate the Tolerability, Safety, and Efficacy of an Anti-CD19 CAR-T Product in Patients With B-cell Lymphoproliferative Disorders
NCT06705530 ·Status: COMPLETED ·Phase: PHASE1/PHASE2