This study is a single-center exploratory clinical trial. It is estimated that 6-12 subjects will be enrolled. The "BOIN" dose escalation design is adopted. The main purpose is to evaluate the safety of FKC288 in the treatment of subjects with relapsed or refractory AL amyloidosis and explore the recommended phase II dose of FKC288 in the treatment of patients with relapsed/refractory systemic Light Chain (AL) amyloidosis.
A leukapheresis procedure will be performed to manufacture FKC288 chimeric antigen receptor (CAR) modified T cells. Bridging therapy is allowed between PBMC collection and lymphodepletion. Lymphodepletion with fludarabine and cyclophosphamide was performed for three consecutive days. After 1-day rest, subjects will receive a single dose infusion of FKC288 at 0.1, 0.3, 1.0, or 3.0x 10\^6 CAR+ T cells/Kg. Subjects will be followed in the study for a minimum of 2 years after FKC288 infusion.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
12
Administration of FKC288 Four dose groups of 0.1×10\^6 CAR-T/kg, 0.3×10\^6 CAR-T/kg, 1.0×10\^6 CAR-T/kg, and 3.0×10\^6 CAR-T/kg FKC288 are designed in this study. 3 to 6 subjects are expected to be enrolled in each dose group according to observed DLT.
Jinling Hospital
Nanjing, Jiangsu, China
RECRUITINGThe proportion of subjects with dose-limiting toxicity
The number of participants with dose limiting toxicity in each dose group and the type of dose limiting toxicity that occurred.
Time frame: Within 28 days after FKC288 injection infusion
The proportion of subjects with adverse events
All adverse events were evaluated according to NCI-CTCAE v5.0 criteria.
Time frame: Within 24 weeks after FKC288 injection infusion
Proportion of subjects achieving hematologic response
The proportion of subjects who achieve any type of hematologic response according to the 2023 National Comprehensive Cancer Network (NCCN) systemic light-chain amyloidosis guidelines within 6 months after receiving FKC288 infusion.
Time frame: Within 6 months after FKC288 injection infusion
Proportion of subjects achieving organ response
The proportion of subjects who achieve any type of organ response according to the 2023 National Comprehensive Cancer Network (NCCN) systemic light-chain amyloidosis guidelines within 2 years after receiving FKC288 infusion.
Time frame: Within 2 years after FKC288 injection infusion
Progression-free survival (PFS) of all subjects
Time from the first FKC288 infusion to the first assessment of disease progression/relapse or death from any cause.
Time frame: Within 2 years after FKC288 injection infusion
Overall survival (OS) of all subjects
Time from the first FKC288 infusion to death from any cause.
Time frame: Within 2 years after FKC288 injection infusion
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