Basic Information

Gene symbol CD19 Synonyms B4, CVID3 Type of gene protein-coding
Description CD19 molecule

GTO ID GTC0262
Trial ID NCT02537977
Disease Diffuse Large B-Cell Lymphoma
Altered gene CD19
Therapeutic/Target gene Target gene
TherapyCAR-T cell
Treatment CD19 CAR-T cells
Generation2nd
PhasePhase1|Phase2
Recruitment statusUnknown
TitleCD19-directed CAR T Cells Therapy in Relapsed/Refractory B Cell Malignancy
Year2015
CountryChina
Company sponsorShanghai Tongji Hospital, Tongji University School of Medicine
Other ID(s)TJ1537
Vector information
Vectorlentivirus
Transgene/Inserted genea scFv from a fully-human anti-CD19 monoclonal antibody; CD8α hinge; transmembrane domains; a CD28 costimulatory domain; a CD3ζ activation domai
Vector production methodOn day 0, fresh or thawed PBMC were placed in complete medium containing AIM-V CTS™ medium (Thermo/Life Technologies), 5% heat-inactivated pooled human AB serum (Valley Biomedical, Winchester VA), 300 IU/mL interleukin-2 (IL-2) (Proleukin; Prometheus Laboratories), and 50 ng/mL anti-CD3 (MACS® GMP CD3 pure, clone OKT3, Miltenyi Biotech). Cells were incubated in cell culture bags (Origen Biomedical) for 22-24 hours in a 37⁰C, 5% CO2 humidified incubator. On day 1, LSIN-Hu19-CD828Z vector was thawed and added, along with protamine sulfate, to the cell culture bags containing activated T cells. Cells were incubated 44-48 hours in a 37⁰C, 5% CO2 humidified incubator. After the incubation, on day 3 of culture, cells were removed from cell culture bags and resuspended in fresh medium at 0.5-1×106 cells/mL. On day 5, cells were counted and diluted to 0.5-1×106 cells/mL. Cultures were continued until day 7 to day 9 when cells were harvested, concentrated, washed either manually or on a COBE 2991 cell processor, and cryopreserved. The method of washing and concentration was determined by the number of cells in the cultures. CAR T cells were dosed as a specific number of CAR+CD3+ cells/kg of patient bodyweight.

Clinical Result

Cohort1: CAR-T
Administration route intravenous infusion
Dosage 3E6 cells/kg
Donor type Autologous
Pts 10
Age Child, Adult, Older_Adult
Lymph depletion Yes
Outcome 3/10(CR); 1/10(PR); 3/10(SD); 3/10(PD)
Adverse reactions 2/10(grade 2 cytokine release syndrome); 3/10(grade 1 cytokine release syndrome)
References DOI: 10.12289/j.issn.1008-0392.20278
Cohort2: CAR-T_Ibrutinib
Administration route None
Dosage 3E6 cells/kg
Donor type Autologous
Pts 16
Age Child, Adult, Older_Adult
Lymph depletion Yes
Outcome 7/16(CR); 7/16(PR); 1/16(SD); 1/16(PD)
Adverse reactions 4/16(grade 2 cytokine release syndrome); 8/16(grade 1 cytokine release syndrome)
References DOI: 10.12289/j.issn.1008-0392.20278

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