This is a Phase 1/2, open-label, multicenter, non-randomized study to investigate the safety, tolerability, and clinical activity of HER2-specific dual-switch CAR-T cells, BPX-603, administered with rimiducid to subjects with previously treated, locally advanced or metastatic solid tumors which are HER2 amplified/overexpressed.
* Phase 1: Cell dose escalation to identify the maximum dose of BPX-603 administered without or with rimiducid. The first subject in each dose cohort will receive BPX-603 alone (without rimiducid) in order to assess safety of the CAR-T monotherapy. * Phase 2: Indication-specific dose expansion to assess the safety, pharmacodynamics (including BPX-603 persistence and response to temsirolimus as applicable), and clinical activity at the recommended dose for expansion (RDE) identified in Phase 1 in various HER2+ solid tumors. * During Phase 1 or 2, temsirolimus (single IV dose at 25 mg) may be administered following BPX-603 infusion in response to treatment-emergent toxicity in order to activate the iRC9 safety switch.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
220
HER2-targeted dual-switch CAR-T cells
City of Hope National Medical Center
Duarte, California, United States
University of California San Diego (UCSD)
La Jolla, California, United States
Winship Cancer Institute at Emory University
Atlanta, Georgia, United States
University of Chicago
Chicago, Illinois, United States
John Theurer Cancer Center, Hackensack University Medical Center
Hackensack, New Jersey, United States
Roswell Park Cancer Institute
Buffalo, New York, United States
The University of Texas MD Anderson Cancer Center
Houston, Texas, United States
Proportion of subjects experiencing Dose Limiting Toxicities at increasing doses of BPX-603
Dose limiting toxicities are defined as BPX-603-related adverse events.
Time frame: 35 days from time of BPX-603 infusion
Maximum tolerated dose (MTD) and/or recommended dose for expansion (RDE)
Identify the optimal dose of BPX-603 for Phase 2.
Time frame: through Phase 1 completion, up to 2 years
Persistence of HER2-CAR T cells (cell counts)
The persistence over time of BPX-603 CAR T cells in the peripheral blood as determined by flow cytometry (% CAR+ cells).
Time frame: measured over time from baseline through study completion, up to 5 years
Expansion of HER2-CAR T cells (vector copy number)
The expansion over time of BPX-603 CAR T cells in the peripheral blood as determined by qPCR (copies/ug gDNA).
Time frame: measured over time from baseline through study completion, up to 5 years
Antitumor activity of BPX-603
Overall response rate
Time frame: through study completion, up to 5 years
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