CLBR001 + SWI019 is an combination investigational immunotherapy being evaluated as a potential treatment for patients diagnosed with B cell malignancies who are refractory or unresponsive to salvage therapy or who cannot be considered for or have progressed after autologous hematopoietic cell transplantation. This first-in-human study will assess the safety and tolerability of CLBR001 + SWI019 and is designed to determine the maximum tolerated dose (MTD) or optimal SWI019 dose (OSD). Patients will be administered a single infusion of CLBR001 cells followed by cycles of SWI019. The study will also assess the pharmacokinetics and pharmacodynamics of CLBR001 + SWI019.
CLBR001 + SWI019 is a two-component therapy comprising an autologous chimeric antigen receptor T (CAR-T) cell product (CLBR001, the switchable CAR-T cell (sCAR-T)) and an anti-CD19 (cluster of differentiation antigen 19) antibody (SWI019, the switch, a biologic). In combination, SWI019 acts as an adapter molecule that controls the activity of the CLBR001 CAR-T cell product.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
18
Investigational immunotherapy for B cell malignancies
City of Hope National Medical Center
Duarte, California, United States
University of California at San Diego
San Diego, California, United States
University of Chicago
Chicago, Illinois, United States
Masonic Cancer Center, University of Minnesota
Minneapolis, Minnesota, United States
Weill Cornell Medical College - New York Presbyterian Hospital
New York, New York, United States
Wake Forest Baptist Health
Winston-Salem, North Carolina, United States
Sarah Cannon Research Institute - Tennessee Oncology
Nashville, Tennessee, United States
Sarah Cannon Research Institute - Texas Transplant Institute
San Antonio, Texas, United States
Frequency, relatedness, severity and duration of treatment emergent and treatment related adverse events
To determine the frequency, relatedness, severity and duration of treatment emergent and treatment related adverse events
Time frame: 35 days
Number of first cycle dose limiting toxicities (DLT) as assessed by Common Terminology Criteria for Adverse Events (CTCAE)
Based on the number of first cycle dose limiting toxicities (DLT) as assessed by CTCAE to determine maximum tolerated dose (MTD)
Time frame: up to 1 year
Maximum drug concentration (Cmax) of SWI019
To determine the maximum concentration of SWI019 in a patient's peripheral blood
Time frame: up to Day 35
Area under the curve (AUC) of SWI019
To quantify the cumulative amount of SWI019 in a patient's peripheral blood over time
Time frame: up to Day 35
Time to reach Cmax (Tmax) of SWI019
To identify the time point when the concentration of SWI019 reaches maximum in a patient's peripheral blood
Time frame: up to Day 35
Clearance (CL) of SWI019
To determine the clearance factor of SWI019 in a patient's peripheral blood
Time frame: up to Day 35
Apparent elimination half-life (t1/2) of SWI019
To identify the time point when the concentration of SWI019 reaches half of maximum in a patient's peripheral blood
Time frame: up to Day 35
Quantification of CLBR001 cells in peripheral blood
To quantify CLBR001 in a patient's peripheral blood at different time points
Time frame: up to 1 year
Phenotype of CLBR001 in peripheral blood and/or tumor/bone marrow biopsies
To evaluate the phenotype of CLBR001 in a patient's peripheral blood at different time points by flow cytometry
Time frame: up to 1 year
Immunogenic response to CLBR001
To evaluate the anti-drug antibodies in response to CLBR001 administration in a patient's peripheral blood
Time frame: up to 1 year
Immunogenic response to SWI019
To evaluate the anti-drug antibodies in response to SWI019 administration in a patient's peripheral blood
Time frame: up to 1 year
Serum cytokine concentrations
To measure the cytokine levels (e.g. TNFa, IL-6, IL-1, IL-2, etc.) in a patient's peripheral blood at different time points
Time frame: up to 1 year
Overall (best) objective response by the Response Evaluation Criteria in Lymphoma (RECIL) and Lugano criteria
To determine the overall (best) objective anti-cancer response by RECIL and Lugano criteria
Time frame: up to 1 year
Duration of response (DOR)
To evaluate the duration of anti-cancer response after CLBR001 and SWI019 administration
Time frame: up to 1 year
Progression free survival (PFS)
To evaluate the duration of patient's progression-free survival
Time frame: up to 1 year
Overall survival (OS)
To evaluate the overall duration of patient's survival
Time frame: up to 1 year
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