CARD

  • Research type

    Research Study

  • Full title

    CAR19 Donor Lymphocytes for relapsed CD19+ malignancies following allogeneic transplantation

  • IRAS ID

    200484

  • Contact name

    Nick McNally

  • Contact email

    ctc.sponsor@ucl.ac.uk

  • Sponsor organisation

    University College London

  • Eudract number

    2016-001869-85

  • Duration of Study in the UK

    4 years, 11 months, 30 days

  • Research summary

    Most patients with CD19+ malignancies have poor prognosis once their disease comes back following an allogeneic transplant. As standard, where they are free from graft-versus-host disease (GvHD), they are offered unmanipulated donor lymphocytes (a particular type of immune cells in the blood that kills cancer cells). This approach however, has little effect in these malignancies and most patients still end up developing GvHD without any tangible clinical benefit.
    In this study, adult (aged 16-70 years) patients who have relapsed after an allogeneic transplant, will be given lymphocytes which have been genetically modified (CAR19 T-cells) in an escalating dose regimen so that they can specifically fight cancer cells expressing CD19. The lymphocytes are initially given at a smaller dose and gradually increases in the absence of a response and toxicities. They each would receive a maximum of 3 doses. Patients have been shown to respond to such modified lymphocytes adult patients with different types of cancers of the immune system as well as patients relapsing after an allogeneic transplant. Most of these early stage studies are ongoing at the moment, but early results are very encouraging.
    Our study aims to assess whether the modified cells can be made using an automated system and to see if they are safe.

  • REC name

    London - West London & GTAC Research Ethics Committee

  • REC reference

    16/LO/1721

  • Date of REC Opinion

    1 Dec 2016

  • REC opinion

    Further Information Favourable Opinion