A Single-arm, Multicenter, Open-label, Phase I/II Trial of Allo-QuadCAR01-T, an Allogeneic CAR-T-cell Therapy Targeting CD19 and CD20, for the Treatment of Relapsed or Refractory B-cell Malignancies
Summary
This study is testing Allo-QuadCAR01-T, a new off-the-shelf CAR-T therapy for people with hard-to-treat B-cell cancers. Unlike current CAR-T treatments that use a patient's own cells, this therapy uses donor cells that are ready to use, which can save time and reduce costs. It targets two proteins, CD19 and CD20, to lower the chance of relapse and uses gene editing to make it safer. The trial has three parts: first to find a safe dose, then to confirm it, and finally to test how well it works in patients with diffuse large B-cell lymphoma (DLBCL). Patients will get one infusion after chemotherapy to prepare their body. The main goal is to check safety and see how many patients have a complete response by Week 13. About 160 patients will take part, and researchers will follow them for up to 15 years.
Arms & interventions
- OtherCyclophosphamide (Non-IMP, Lymphodepletion)
Intravenous infusion over 3 days (d-5 to d-3)
- OtherFludarabine (Non-IMP, Lymphodepletion)
Intravenous infusion over 3 days (d-5 to d-3)
- DrugAllo-QuadCAR01-T
Single dose IV infusion on Day 1
Outcome measures
Primary
Incidence of AEs defined as DLTs
Incidence and intensity of adverse events (AEs) graded according to Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0, except for cytokine release syndrome (CRS), immune effector cell associated neurotoxicity syndrome (ICANS), tumor lysis syndrome, and graft versus host disease (GvHD), which will be graded according to widely accepted specialized criteria
Time frame: At the end of cycle 1 (in total 28 days, given no treatment interruptions)
To determine the maximum tolerated dose (MTD)
MTD
Time frame: At the End of Cycle 1 (in total 28 days, given no treatment interruptions)
To determine the incidence of dose-limiting toxicities (DLT)
Incidence of DLTs
Time frame: At the end of cycle 1 (in total 28 days, given no treatment interruptions)
Phase 2: Complete response rate (CRR)
Complete remission rate is defined as the proportion of participants with complete remission, per international working group (IWG) Lugano classification, as assessed by the investigator.
Time frame: Up to week 13
Secondary
Pharmacokinetics of Allo-QuadCAR01-T in PB in patients after infusion of Allo-QuadCAR01-T
Time frame: Up to 24 months
To investigate the impact of Allo-QuadCAR01-T on MRD
Time frame: Up to 24 months
To evaluate immunogenicity against Allo-QuadCAR01-T
Time frame: Up to 24 months
To evaluate host immune cell depletion and reconstitution resulting from LD
Time frame: Up to 24 months
Overall Response Rate (ORR)
Time frame: Up to 24 months
Progression-Free Survival (PFS)
Time frame: Up to 24 months
Duration of Response (DOR)
Time frame: Up to 24 months
Overall Survival (OS)
Time frame: Up to 24 months
Time to Next Treatment (TTNT)
Time frame: Up to 24 months
Eligibility criteria
Study locations (5)
University of Chicago
Chicago, Illinois, 60637
Northwestern University
Evanston, Illinois, 60208
Brown University Health
Providence, Rhode Island, 02903
Sarah Cannon Research Institute
Nashville, Tennessee, 37203
MD Anderson Cancer Center
Houston, Texas, 77030