This Phase I study is designed to evaluate the safety and efficacy of FKC289 in subjects with relapsed/refractory primary light chain (AL) amyloidosis.The primary objectives are to assess the safety of FKC289 and to establish the recommended Phase II dose (RP2D). And this Phase II study is designed to evaluate the efficacy of FKC289.The primary objectives are to assess proportion of subjects with hematologically best complete response (CR) within 6 months.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
32
Anti-BCMA/CD19 chimeric antigen receptor autologous T cells
The Frist Affiliated Hospital of Jinan University
Guangzhou, Guangdong, China
Sun Yat-sen University Cancer Center
Guangzhou, Guangdong, China
The Frist Affiliated Hospital of Guangxi Medical university
Nanning, Guangxi, China
Henan Cancer Hospital
Zhengzhou, Henan, China
Tongji Mecial college of HUST
Wuhan, Hubei, China
Jiangsu Province Hospital
Nanjing, Jiangsu, China
Qilu Hospital of Shandong University
Jinan, Shandong, China
Zhongshan Hospital Fudan University
Shanghai, Shanghai Municipality, China
Sichuan Provincial People's Hospital
Chengdu, Sichuan, China
West China Hospital Sichuan Hospital
Chengdu, Sichuan, China
...and 1 more locations
Dose-Limiting Toxicity (DLT)
Number of subjects experiencing DLT
Time frame: Within 28 days after FKC289 infusion
Adverse Events (AEs) and Serious Adverse Events (SAEs)
Number of subjects experiencing AEs and SAEs
Time frame: Within 24 months after FKC289 infusion
Replication Competent Lentivirus (RCL)
Number of subjects with positive detection of RCL
Time frame: Within 24 months after FKC289 infusion
Hematologic complete response rate (CRR)
Proportion of subjects achieving hematologic complete response (CR) according to the NCCN 2023
Time frame: Within 6 months,12 months, and 24 months after FKC289 infusion
Hematologic objective response rate (ORR)
Proportion of subjects achieving hematologic objective response according to the NCCN 2023
Time frame: Within 6 months,12 months, and 24 months after FKC289 infusion
Pharmacokinetics (PK)
Levels of CAR-T cells in peripheral blood
Time frame: Within 24 months after FKC289 infusion
Pharmacodynamics (PD)
Proportion of CD19+ B cells and BCMA+ plasma cells in peripheral blood; Changes in the levels of cytokines in peripheral blood
Time frame: Within 24 months after FKC289 infusion
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