This is a Phase 1b, multicenter, open-label, single arm study to evaluate the safety and efficacy of the combination therapy, CD30.CAR-T and the programmed cell death protein-1 (PD-1) checkpoint inhibitor, nivolumab, in patients aged 12 years of age and above with relapsed or refractory classical Hodgkin lymphoma (cHL) following failure of standard frontline therapy.
Upon successful leukapheresis to produce CD30.CAR-T cells, patients will enter the treatment phase of the study. Treatments will include 4 cycles of nivolumab and CD30.CAR-T infusion (preceded by lymphodepletion chemotherapy). Patients will then enter the post-treatment follow-up phase of the study, whereby patients will undergo either autologous stem cell transplant or continue to receive up to 6 additional treatment cycles of nivolumab. Patients will be followed for response assessments and safety monitoring until end of study (EOS); approximately 3 years after leukapheresis. Long-term follow-up will continue with additional safety monitoring and survival for up to 15 years after Leukapheresis.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
15
Dose: 480 mg or 6 mg/kg Q4W
Dose: 2 x 10e8 cells/m2
Dose: 30 mg/m2/day x 3 days
City of Hope National Medical Center
Duarte, California, United States
University of Miami
Miami, Florida, United States
UNC Lineberger Comprehensive Cancer Center
Chapel Hill, North Carolina, United States
Baylor College of Medicine
Houston, Texas, United States
Safety of autologous CD30.CAR-T in combination with nivolumab
DLT
Time frame: From first dose of nivolumab (Cycle 1) to end of nivolumab Cycle 4 (each cycle is 28 days)
Anti-tumor activity using CR rate of autologous CD30.CAR-T in combination with nivolumab
CR rate
Time frame: Up to end of 10 weeks post-CD30.CAR-T treatment
Overall response rate
ORR
Time frame: Through study completion, an average of 3 years from Leukapheresis
Duration of response
DOR
Time frame: Through study completion, an average of 3 years from Leukapheresis
Progression-free survival
PFS
Time frame: Through study completion, an average of 3 years from Leukapheresis
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Dose: 70 mg/m2/day x 3 days
MD Anderson Cancer Center
Houston, Texas, United States