This is a multicentre, non-randomized, open-label, Phase I/II clinical trial of MDG1011, an investigational medicinal product (IMP), consisting of patient-derived autologous T cells, persistently transduced with a Preferentially Expressed Antigen in Melanoma (PRAME)-specific human leukocyte antigen (HLA)-A\*02:01-restricted T cell receptor (TCR).
Phase I: The Phase I dose escalation part will establish the MTD/RP2D in subjects with high risk myeloid and lymphoid neoplasms, a total of 3 disease entities. Phase I subjects will be enrolled into the following cohorts and treated with a single intravenous (i.v.) infusion of IMP: * Cohort 1: target dose of 1 x 105 T cells/kg ± 20% * Cohort 2: target dose of 1 x 106 T cells/kg ± 20% * Cohort 3: target dose of 5 x 106 T cells/kg ± 20% * Optional cohort 4: up to 1 x 107 T cells/kg + 20% Phase II: The Phase II part consists of two arms, each representing one disease entity. Within each arm, representing a disease entity, subjects will be enrolled in 2 different treatment groups to receive either: 1. IMP in the treatment group (up to 20 subjects who are positive for human leukocyte antigen (HLA)-A\*02:01); Or 2. therapy as per Investigator's discretion in the concurrent control (up to 20 subjects who are negative for HLA-A\*02:01).
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
9
PRAME-T-Cell Receptor Gene Modified Autologous T Cells
Any intervention/therapy chosen by the investigator
University Hospital Dresden
Dresden, Germany
University Hospital Erlangen
Erlangen, Germany
University Hospital Frankfurt
Frankfurt, Germany
University Hospital Freiburg
Freiburg im Breisgau, Germany
Phase I: Adverse Events and Dose Limiting Toxicities (Safety and Tolerability)
Incidence and severity of adverse events according to the NCI CTCAE, v4.03; MTD and/or RP2D of IMP measured by dose-limiting toxicities (DLTs) up to 28 days post infusion
Time frame: 3 months
Phase I: maximum tolerated dose (MTD) and/or recommended Phase II dose (RP2D) of MDG101
Time frame: 28 days
Phase I: For feasibility: percent of all subjects who receive the planned target dose of MDG1011
Time frame: 3 months
Phase II: Adverse Events (Safety)
Incidence and severity of adverse events according to NCI CTCAE, v4.03
Time frame: 3 months
Phase II: overall response rate (ORR)
Time frame: 3 months
Phase I: overall response rate (ORR)
Time frame: 3, 6 and 12 months
Phase I: time to event and duration of response (DoR) rate
Time frame: 3, 6 and 12 months
Phase I: time to event and time to progression (TTP) rate
Time frame: 3, 6 and 12 months
Phase I: time to event and progression-free survival (PFS) rate
Time frame: 3, 6 and 12 months
Phase I: time to event and overall survival (OS) rate
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University Hospital Heidelberg
Heidelberg, Germany
University Hospital Leipzig
Leipzig, Germany
University Hospital Mainz
Mainz, Germany
University Hospital Regensburg
Regensburg, Germany
University Hospital Wuerzburg
Würzburg, Germany
Time frame: 3, 6 and 12 months
Phase I: Change in quality of life (QoL)
EQ-5D-5L questionaire
Time frame: baseline, 3, 6 and 12 months
Phase I: Change in quality of life (QoL)
EORTC-QLQ-C30 \[AML/MDS\] questionaire
Time frame: baseline, 3, 6 and 12 months
Phase I: Change in quality of life (QoL)
EORTC-MY20 \[MM\] questionaire
Time frame: baseline, 3, 6 and 12 months
Phase I: Correlation of PRAME expression with the antitumor response
Time frame: 3, 6 and 12 months
Phase II: time to event and duration of response (DoR) rate
Time frame: 3, 6 and 12 months
Phase II: time to event and time to progression (TTP) rate
Time frame: 3, 6 and 12 months
Phase II: time to event and progression-free survival (PFS) rate
Time frame: 3, 6 and 12 months
Phase II: time to event and overall survival (OS) rate
Time frame: 3, 6 and 12 months
Phase II: changes in quality of life (QoL)
EQ-5D-5L questionaire
Time frame: baseline, 3, 6 and 12 months
Phase II: changes in quality of life (QoL)
EORTC-QLQ-C30 \[AML/MDS\] questionaire
Time frame: baseline, 3, 6 and 12 months
Phase II: changes in quality of life (QoL)
EORTC-MY20 \[MM\] questionaire
Time frame: baseline, 3, 6 and 12 months
Phase II: For feasibility, the percent of all subjects who receive the RP2D of MDG1011
Time frame: 3 months
Phase II: correlation of PRAME expression with the antitumor response
Time frame: 3, 6 and 12 months
Phase I: Adverse Events (safety)
Incidence and severity of adverse events according to NCI CTCAE, v4.03
Time frame: 6 and 12 months
Phase II: Adverse Events (safety)
Incidence and severity of adverse events according to NCI CTCAE, v4.03
Time frame: 6 and 12 months