Leukemia, Lymphocytic, Chronic, B-CellPhase 1NCT05259813
Phase I Study of JWCAR029 in Subjects With R/R CLL/SLL
A Phase 1 study testing JWCAR029 (Relmacabtagene Autoleucel) in people with Leukemia, Lymphocytic, Chronic, B-Cell, run by Shanghai Ming Ju Biotechnology Co., Ltd. at 1 site in China.
Trial summary
This is a Phase I, open-label, single-arm, single center study to assess the safety and efficacy of JWCAR029 in subjects With Relapsed or Refractory Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Leukemia, Lymphocytic, Chronic, B-Cell
- What is being tested?
- JWCAR029 (Relmacabtagene Autoleucel)
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 0 participants
- Where
- 1 siteChina
- Study dates
- 28 Feb 2022to 31 Mar 2025
- Phase
- Phase 1
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- ≥ 18 years old and ≤ 75 years old;
- Sign on the informed consent;
- Diagnosis of:
- CLL with an indication for treatment based on iwCLL 2018 and measurable disease, or
- SLL (lymphadenopathy and/or splenomegaly and < 5×10^9 CD19+ CD5+ clonal B lymphocytes/L [< 5000/µL] in the peripheral blood at diagnosis with measurable disease that is biopsy-proven SLL);
- Relapsed/refractory patients, Subjects must have received and failed Bruton tyrosine kinase inhibitor (BTKi) treatment or have been deemed ineligible for BTKi therapy;
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- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1;
- Expected survival is greater than 12 weeks;
- Adequate organ function;
- Adequate vascular access for leukapheresis procedure;
- Women of childbearing potential must agree to use highly effective methods of contraception for 1 year after the last dose of JWCAR029; Males who have partners of childbearing potential must agree to use an effective barrier contraceptive method for 1 year after the last dose of JWCAR029.
Who cannot join
- Central nervous system (CNS) only involvement by malignancy or primary CNS lymphoma;
- History of another primary malignancy that has not been in remission for at least 2 years;
- Subjects has HBV, HCV, HIV or syphilis infection at the time of screening;
- Deep venous thrombosis (DVT)/Pulmonary embolism (PE), or DVT/PE requires anti-coagulation within 3 months prior to signing the ICF;
- Subjects with uncontrolled systemic fungal, bacterial, viral or other infection;
- Presence of acute or chronic graft-versus-host disease (GVHD);
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- History of any serious cardiovascular disease or presence of clinically relevant CNS pathology;
- Pregnant or nursing women;
- Subjects using of any chemotherapy, corticosteriod, experiment agents, GVHD therapies, radiation or any other therapies for lymphoma must go through a specific wash-out period before leukapheresis;
- Received allo-hematopoietic stem cell transplantation therapy previously.
- Uncontrolled conditions or unwillingness or inability to follow the procedures required in the protocol;
- Received CAR T-cell or other genetically-modified T-cell therapy previously.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: An Open Label, Single-arm, Phase I Study of JWCAR029 in Subjects With Relapsed or Refractory Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma
This is a Phase I, open-label, single-arm, single center study to assess the safety and efficacy of JWCAR029 in subjects With Relapsed or Refractory Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma
Read the detailed description
Upon the successful product generation of Relmacabtagene Autoleucel, subjects will enter the treatment phase of the study. Treatment will include lymphodepleting chemotherapy followed by Relmacabtagene Autoleucel administration. Subjects will then enter the post-treatment follow-up phase of the study and will be followed for approximately 24 months for safety, disease status, and survival. Long-term follow-up will continue under a separate long-term follow-up protocol, currently up to 15 years after the last Relmacabtagene Autoleucel administration.
- Conditions
- Leukemia, Lymphocytic, Chronic, B-Cell
- Being tested
- JWCAR029 (Relmacabtagene Autoleucel)
- Medical subject headings
- Leukemia, Lymphocytic, Chronic, B-Cell
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
JWCAR029 (Relmacabtagene Autoleucel)Genetic
CD19-targeted Chimeric Antigen Receptor (CAR) T Cells
| Study group | Role | What they receive |
|---|---|---|
| JWCAR029 Treatment | Experimental | Dose-finding for JWCAR029 monotherapy Receives: Genetic: JWCAR029 (Relmacabtagene Autoleucel) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Treatment-related adverse events (AEs)
Type, Proportion, and Severity
Measured: 2 years
Recommended dose of JWCAR029
Recommended dose of JWCAR029
Measured: 28 days after JWCAR029 infusion
Secondary outcomes (12)
Best Objective response (BOR) rate
iwCLL2018
Measured: 3 months
Best Complete response (CR) rate
iwCLL2018
Measured: 3 months
Objective response rate (ORR)
iwCLL2018
Measured: 3 months
Complete response rate (CRR)
iwCLL2018
Measured: 3 months
MRD-negative response rate
Proportion of subjects who achieve MRD-negative OR and CR
Measured: 3 months
Progression free survival (PFS)
iwCLL2018
Measured: 2 years
Overall survival (OS)
iwCLL2018
Measured: 2 years
Duration of response
iwCLL2018
Measured: 2 years
Pharmacokinetics- Maximum concentration (Cmax)
Flow cytometry and qPCR
Measured: 2 years
Pharmacokinetics- Time of the maximum concentration (Tmax)
Flow cytometry and qPCR
Measured: 2 years
Pharmacokinetics- area under the curve
Flow cytometry and qPCR
Measured: 2 years
Serum cytokines associated with CRS
IL-6, IL-8, TGF-β1, TNF-α, etc.
Measured: 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Mar 2022
- Study start28 Feb 2022 (estimated)
- Primary completion31 Jan 2023 (estimated)
- Study completion31 Mar 2025 (estimated)
Why it stopped: Due to the COVID-19 pandemic,no subjects enrolled
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Leukemia, Lymphocytic, Chronic, B-CellStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 0 participants (actual)
Sponsor and investigators
- Lead sponsor
- Shanghai Ming Ju Biotechnology Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- JianYong Li, Principal investigator, The First Affiliated Hospital with Nanjing Medical University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05259813
- Sponsor's protocol ID
- JWCAR029-007
- Status last verified
- Nov 2023
- First submitted
- 8 Feb 2022
- Last updated
- 24 Nov 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 24 Nov 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open Label, Single-arm, Phase I Study of JWCAR029 in Subjects With Relapsed or Refractory Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma
- ClinicalTrials.gov ID
- NCT05259813
- Acronym / sponsor ID
- JWCAR029-007
- Conditions
- Leukemia, Lymphocytic, Chronic, B-Cell
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- WithdrawnReason stopped: Due to the COVID-19 pandemic,no subjects enrolled
- Enrolment
- 0 participants (actual)
- Lead sponsor
- Shanghai Ming Ju Biotechnology Co., Ltd.Industry (pharma, biotech, devices)
- Collaborators
- The First Affiliated Hospital with Nanjing Medical University
- Study start
- 28 Feb 2022 (estimated)
- Primary completion
- 31 Jan 2023 (estimated)
- Study completion
- 31 Mar 2025 (estimated)
- First posted
- 2 Mar 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a Phase I, open-label, single-arm, single center study to assess the safety and efficacy of JWCAR029 in subjects With Relapsed or Refractory Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma
Detailed description
Upon the successful product generation of Relmacabtagene Autoleucel, subjects will enter the treatment phase of the study. Treatment will include lymphodepleting chemotherapy followed by Relmacabtagene Autoleucel administration. Subjects will then enter the post-treatment follow-up phase of the study and will be followed for approximately 24 months for safety, disease status, and survival. Long-term follow-up will continue under a separate long-term follow-up protocol, currently up to 15 years after the last Relmacabtagene Autoleucel administration.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| JWCAR029 Treatment | Experimental | Genetic: JWCAR029 (Relmacabtagene Autoleucel)Dose-finding for JWCAR029 monotherapy |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- ≥ 18 years old and ≤ 75 years old;
- Sign on the informed consent;
- Diagnosis of:
- Relapsed/refractory patients, Subjects must have received and failed Bruton tyrosine kinase inhibitor (BTKi) treatment or have been deemed ineligible for BTKi therapy;
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1;
Key exclusion criteria (12 listed)
- Central nervous system (CNS) only involvement by malignancy or primary CNS lymphoma;
- History of another primary malignancy that has not been in remission for at least 2 years;
- Subjects has HBV, HCV, HIV or syphilis infection at the time of screening;
- Deep venous thrombosis (DVT)/Pulmonary embolism (PE), or DVT/PE requires anti-coagulation within 3 months prior to signing the ICF;
- Subjects with uncontrolled systemic fungal, bacterial, viral or other infection;
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| JWCAR029 (Relmacabtagene Autoleucel)CD19-targeted Chimeric Antigen Receptor (CAR) T Cells | Genetic | JWCAR029 Treatment |
Primary outcome
Treatment-related adverse events (AEs)
Time frame: 2 years
Type, Proportion, and Severity
Recommended dose of JWCAR029
Time frame: 28 days after JWCAR029 infusion
Recommended dose of JWCAR029
12 secondary outcomes
Best Objective response (BOR) rate
Time frame: 3 months
Best Complete response (CR) rate
Time frame: 3 months
Objective response rate (ORR)
Time frame: 3 months
Complete response rate (CRR)
Time frame: 3 months
MRD-negative response rate
Time frame: 3 months
Progression free survival (PFS)
Time frame: 2 years
Overall survival (OS)
Time frame: 2 years
Duration of response
Time frame: 2 years
Pharmacokinetics- Maximum concentration (Cmax)
Time frame: 2 years
Pharmacokinetics- Time of the maximum concentration (Tmax)
Time frame: 2 years
Pharmacokinetics- area under the curve
Time frame: 2 years
Serum cytokines associated with CRS
Time frame: 2 years
Results and safety
The study was withdrawn before enrolling participants, so there are no results.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Nov 2023.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
JianYong Li principal investigator
The First Affiliated Hospital with Nanjing Medical University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing JWCAR029 (Relmacabtagene Autoleucel) in people with Leukemia, Lymphocytic, Chronic, B-Cell, run by Shanghai Ming Ju Biotechnology Co., Ltd. at 1 site in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 11 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: withdrawn, as of the sponsor's last update on 24 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study was withdrawn before enrolling participants, so there are no results.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Treatment-related adverse events (AEs) (time frame: 2 years). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Nov 2023.