CD19/CD22 Chimeric Antigen Receptor (CAR) T Cells in Children and Young Adults With Recurrent or Refractory CD19/CD22-expressing B Cell Malignancies

PHASE1CompletedINTERVENTIONAL
Enrollment

54

Participants

Timeline

Start Date

March 26, 2018

Primary Completion Date

July 10, 2024

Study Completion Date

January 13, 2025

Conditions
Lymphoma, Non-HodgkinLeukemia, Lymphocytic, B CellB-Cell LymphomaB-Cell LeukemiaAcute Lymphoid LeukemiaB-Non Hodgkin LymphomaB-NHLB-AllAcute Lymphoblastic LeukemiaAcute Lymphocytic Leukemia
Interventions
BIOLOGICAL

CD19/CD22 CAR T-Cells

Cluster of differentiation 19 (CD19)/cluster of differentiation 22 (CD22) chimeric antigen receptor (CAR) T-cells will be infused on Day 0 after lymphodepleting chemotherapy regimen.

DRUG

Fludarabine

Fludarabine is administered as an intravenous (IV) infusion in an appropriate solution over 30 minutes. To prevent undue toxicity the dose will be based on body surface area (BSA) (25-30 mg/m\^2/dose) on Days -4, -3, -2 or Days -5, -4, -3, -2.

DRUG

Cyclophosphamide

Cyclophosphamide will be diluted in an appropriate solution and infused over one hour. The dose will be based on the body surface area (BSA), at 900 mg/m\^2/dose after fludarabine infusion on Day -2 or 600 mg/m\^2/dose on Days -3 \& -2.

PROCEDURE

Apheresis

According to institutional standards.

OTHER

Anti-emetic

Prophylaxis and treatment.

DRUG

Diphenhydramine

Pre-medication: 0.5-1 mg/kg/dose (maximum 50 mg/dose) by mouth or intravenous over 10-15 minutes.

DRUG

Acetaminophen

Pre-medication: 15 mg/kg/dose (maximum 650 mg/dose by mouth).

DIAGNOSTIC_TEST

ECG

Pre-cell infusion.

DIAGNOSTIC_TEST

ECHO

Pre-cell infusion.

DIAGNOSTIC_TEST

MRI Brain

Pre-cell infusion.

PROCEDURE

Bone marrow biopsy

Pre-cell infusion.

DIAGNOSTIC_TEST

Cardiac MRI

Screening

Trial Locations (1)

20892

National Institutes of Health Clinical Center, Bethesda

All Listed Sponsors
lead

National Cancer Institute (NCI)

NIH

NCT03448393 - CD19/CD22 Chimeric Antigen Receptor (CAR) T Cells in Children and Young Adults With Recurrent or Refractory CD19/CD22-expressing B Cell Malignancies | Biotech Hunter | Biotech Hunter