This is a Phase 1 dose escalation study following a 3+3 study design. The purpose of this study is to evaluate the safety and efficacy of ADI-001 in patients with B cell malignancies.
ADI-001 is an investigational immunotherapy composed of allogeneic gamma delta T cells that is being evaluated as a potential treatment for patients diagnosed with B cell malignancies who have relapsed or are refractory to at least two prior regimens. This first-in-human study will assess the safety and tolerability of ADI-001 and is designed to determine the maximum tolerated dose (MTD) or maximum assessed dose (MAD). Patients will be administered a single infusion or multiple infusions of ADI-001 cells. The study will include the following two parts: Part 1 : dose escalation and extension. Parts 1a (escalation) and 1b (extension) will involve escalation and administration of single dose of ADI-001 and multiple doses of ADI-001. Part 2 : dose expansion will involve dose administration of ADI-001 at MTD/MAD as determined in Part 1. The study will also assess the pharmacokinetics and pharmacodynamics of ADI-001.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
34
Anti-CD20 CAR-T
Chemotherapy for Lymphodepletion
Chemotherapy for Lymphodepletion
Stanford University Medical Center
Stanford, California, United States
University of Miami- Sylvester Comprehensive Cancer Center
Miami, Florida, United States
Northside Hospital Blood and Marrow Transplant Group of Georgia
Atlanta, Georgia, United States
The Incidence of Subjects with Dose Limiting Toxicities within each dose level cohort
This primary endpoint will be used to determine the Maximum Tolerated Dose (MTD) or Maximum Assessed dose (MAD).
Time frame: Day 28
Proportion of treatment emergent and treatment related adverse events
This primary endpoint will be used to determine the MTD/MAD of ADI-001
Time frame: 1 year
Frequency and persistence of ADI-001
Defined as duration from Day 1 to undetectable levels of ADI-001 cells per microliter blood
Time frame: Day 1 through Month 12
Overall Response Rate by Lugano Criteria
Time frame: Day 28, Month 3, 6, 9, and 12
Duration of Response
Time frame: Day 28, Month 3, 6, 9, and 12
Progression Free Survival
Time frame: Day 28, Month 3, 6, 9, and 12
Time To Progression
Time frame: Day 28, Month 3, 6, 9, and 12
Overall Survival
Time frame: Day 28, Month 3, 6, 9, and 12
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The State University of Iowa
Iowa City, Iowa, United States
Norton Cancer Institute
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Roswell Park Cancer Institute
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MD Anderson Cancer Center
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Swedish Cancer Center
Seattle, Washington, United States
Medical College of Wisconsin
Milwaukee, Wisconsin, United States