This is a multi-center, open-label, single-arm, phase I/II trial to evaluate the safety and efficacy of HY004 treatment in Adult patients with relapsed or refractory B-cell Non-Hodgkin's Lymphoma (r/r B-NHL).
This trial is a multi-center, open label, single-arm, phase I/II trial to evaluate the safety and efficacy of HY004 in Adult(aged 18\~75 years old) patients with r/r B-NHL. The phase I part of the trial is to evaluate the safety, optimal dose of HY004, Pharmacokinetics/Pharmacodynamics(PK/PD)and preliminary efficacy in the treatment of Adult patients with r/r B-NHL. The phase II part of the trial is to evaluate the efficacy and safety of HY004 in in the treatment of Adult patients with r/r B-NHL. The study includes screening, pre-treatment (Cell Product manufacture \& lymphodepletion), HY004 infusion , safety and efficacy follow-up, and survival follow-up. All subjects who have received HY004 infusion will be followed for up to 2 years.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Autologous 2nd generation bispecific CAR-T cells targeting both CD22 and CD19, single infusion intravenously. Start Dose level: 2.00 x 10\^6/kg CAR+T-cells
【Phase I】Maximum Tolerated Dose (MTD), Dose Limiting Toxicity (DLT) and Recommended Phase II Dose (RP2D)
Determine the MTD and DLT of HY004 in the Treatment and recommend the dose for Phase II study.
Time frame: 28 days
【Phase II】Overall Remission Rate (ORR), which includes Complete Remission (CR) and Partial Remission (PR)
Efficacy of HY004 as measured by ORR at 3 months after HY004 Cell Injection infusion, which includes CR and PR.
Time frame: 3 months
【Phase I】Overall Remission Rate (ORR), which includes Complete Remission (CR) and Partial Remission (PR)
Efficacy of HY004 as measured by ORR at 3 months after HY004 Cell Injection infusion, which includes CR and PR.
Time frame: 3 months
Safety of CNCT19 therapy: CTCAE v5.0
Safety measures include adverse events as assessed by CTCAE v5.0.
Time frame: 24 months
Complete Remission Rate (CRR)
Efficacy of HY004 as measured by CR at 3 months after HY004 Cell Injection infusion.
Time frame: 3 months
ORR(CR+PR)/CRR
Efficacy of HY004 as measured by ORR/CRR at 28 days after cell infusion.
Time frame: 28 days
ORR(CR+PR)/CRR
Efficacy of HY004 as measured by ORR/CRR at 6 months after cell infusion.
Time frame: 6 months
Best Overall Response (BOR)
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The best overall response after HY004 infusion.
Time frame: 24 mouths
Duration of Remission (DOR)
DOR means the duration from reaching the response (e.g., CR or PR) criteria of the therapy to the first, clearly defined progressive disease, or death for disease under investigation.
Time frame: 24 mouths
Progression-free survival (PFS)
PFS means duration from the HY004 Cell Injection infusion to progression of lymphoma, or death for any reason.
Time frame: 24 mouths
Event-free survival (EFS)
EFS means duration from the HY004 Cell Injection infusion to progression of lymphoma, start of new anti-cancer treatment, relapse, death of any cause or discontinued due to any adverse events.
Time frame: 24 mouths
Overall survival (OS)
OS is defined as the time from the signing of informed consent form to the date of the last survival follow-up or death due to any cause.
Time frame: 24 mouths