Phase I, open-label, dose-escalation and dose-expansion study evaluating the safety and efficacy of Universal Chimeric Antigen Receptor T-cell (UCART) targeting the Cluster of Differentiation 123 (CD123) in patients with relapsed/refractory acute myeloid leukemia (AML). The purpose of this study is to evaluate the safety and clinical activity of Universal Chimeric Antigen Receptor T-cells targeting CD123 (UCART123v1.2) and determine the Maximum Tolerated Dose (MTD) and Recommended Phase 2 Dose (RP2D).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
29
Allogeneic engineered T-cells expressing anti-CD123 Chimeric Antigen Receptor Biological/vaccine: CLLS52 A monoclonal antibody that recognizes the CD52 antigen Other Names: Alemtuzumab
University of California, San Francisco (UCSF) - Helen Diller Family Comprehensive Cancer Center
San Francisco, California, United States
H. Lee Moffitt Cancer Center & Research Institute
Tampa, Florida, United States
Northwestern University
Chicago, Illinois, United States
Dana-Farber Cancer Institute
Boston, Massachusetts, United States
Roswell Park Cancer Institute
Buffalo, New York, United States
Weill Medical College of Cornell University
New York, New York, United States
University of Pennsylvania - Abramson Cancer Center
Philadelphia, Pennsylvania, United States
MD Anderson Cancer Center
Houston, Texas, United States
Incidence of adverse events (AE)/serious adverse events (SAE)/Dose Limiting Toxicities (DLT) [Safety and Tolerability]
Safety of UCART123v1.2 - Incidence, nature, and severity of AE and SAEs throughout the study
Time frame: 24 Months
Dose escalation and expansion part: Occurrence of DLTs
Time frame: Up to Day 28 post last UCART123v1.2 infusion
Investigators assessed overall response rate according to the European Leukemia Net (ELN) Response Criteria
Time frame: At Day 28, Day 56, Day 84, Month 3, Month 6, Month 9, Month 12, Month 15, Month 18, Month 21 and Month 24
Duration of Response
Time frame: From the date of the initial response to the date of disease progression or death from any cause, whichever occurs first, assessed up to Month 24
Progression Free Survival
Time frame: From the first day of study treatment to the date of disease progression or death from any cause, whichever occurs first, assessed up to Month 24
Overall Survival
Time frame: From the first day of study treatment to the date of death from any cause, assessed up to Month 24
Pharmacokinetic (PK) Analysis: Standard PK Analysis will be completed to obtain Maximum plasma concentration (Cmax)
Time frame: alemtuzumab levels will be determined pre- and post-dose alemtuzumab and up to 48 hours after the last dose
Pharmacokinetic Analysis: Standard PK Analysis will be completed to obtain time to reach Cmax (Tmax)
Time frame: alemtuzumab levels will be determined pre- and post-dose alemtuzumab and up to 48 hours after the last dose
Pharmacokinetic Analysis: Standard PK Analysis will be completed to obtain total area under curve from zero to infinity (AUC-infinity)
Time frame: alemtuzumab levels will be determined pre- and post-dose alemtuzumab and up to 48 hours after the last dose
Pharmacokinetic Analysis: Standard PK Analysis will be completed to obtain Terminal Rate
Time frame: alemtuzumab levels will be determined pre- and post-dose alemtuzumab and up to 48 hours after the last dose
Pharmacokinetic Analysis: Standard PK Analysis will be completed to obtain Terminal Half-life
Time frame: alemtuzumab levels will be determined pre- and post-dose alemtuzumab and up to 48 hours after the last dose
Pharmacokinetic Analysis: Standard PK Analysis will be completed to obtain Clearance
Time frame: alemtuzumab levels will be determined pre- and post-dose alemtuzumab and up to 48 hours after the last dose
Pharmacokinetic Analysis: Standard PK Analysis will be completed to obtain Volume of Distribution
Time frame: alemtuzumab levels will be determined pre- and post-dose alemtuzumab and up to 48 hours after the last dose
Pharmacodynamic Analysis: Pharmacodynamics Monitoring of the incidence of anti-cluster of differentiation 52 (anti-CD52; alemtuzumab) antibodies (ADA) in serum Pre-alemtuzumab administration and through Day 84
Time frame: From screening through Day 84
Pharmacodynamic Analysis: Pharmacodynamics Quantitation of T cells in peripheral blood
Time frame: From screening through Day 84
Pharmacodynamic Analysis: Pharmacodynamics Quantitation of B cells in peripheral blood
Time frame: From screening through Day 84
Pharmacodynamic Analysis: Pharmacodynamics Quantitation of natural killer (NK) cells in peripheral blood
Time frame: From screening through Day 84
Pharmacodynamic Analysis: Pharmacodynamics Quantitation of total lymphocytes in peripheral blood
Time frame: From screening through Day 84
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