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Clinical Trials/NCT05252403
NCT05252403
Recruiting
Phase 2

Measurable Residual Disease Driven Strategy for One or Two Infusions of Non- Viral, Transposon-manipulated CARCIK (CD19) Cells: A Phase II Study in Pediatric and Adult Patients With Relapsed/Refractory B Cell Precursor ALL (BCP-ALL)

Fondazione Matilde Tettamanti Menotti De Marchi Onlus2 sites in 1 country35 target enrollmentDecember 1, 2021

Overview

Phase
Phase 2
Intervention
Not specified
Conditions
Acute Lymphoblastic Leukemia
Sponsor
Fondazione Matilde Tettamanti Menotti De Marchi Onlus
Enrollment
35
Locations
2
Primary Endpoint
To evaluate the overall response rate: change from baseline at day 28 after the first CARCIK-CD19 infusion
Status
Recruiting
Last Updated
2 years ago

Overview

Brief Summary

This is a single arm, open-label, multi-center, phase II study to determine the activity and the safety of a therapeutic strategy that allows a second CARCIK-CD19 cells infusion, driven by the status of disease from one month after the first infusion, in adult and pediatric patients with r/r BCP- ALL.

Registry
clinicaltrials.gov
Start Date
December 1, 2021
End Date
March 2025
Last Updated
2 years ago
Study Type
Interventional
Study Design
Single Group
Sex
All

Investigators

Sponsor
Fondazione Matilde Tettamanti Menotti De Marchi Onlus
Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Children (1-17) and adults (18-75 years old);
  • Relapsed or refractory adult and pediatric B- ALL as defined for the presence of bone marrow with ≥ 5% lymphoblasts by morphologic assessment, or if \<5%, with at least 1% of molecular disease at PCR;
  • Evidence of CD19 tumor expression in bone marrow and/or peripheral blood by flow cytometry;
  • Diagnosis of CD19 positive ALL in the bone marrow, and/or peripheral blood and/or extramedullary sites with the exclusion of Central Nervous System (CNS) if CNS-3 disease.

Exclusion Criteria

  • GVHD Grades II-IV for patients who had previously been transplanted;
  • Any cell therapy in the previous 30 days;
  • Patient with concomitant life-threatening infectious disease;
  • Lansky/Karnofsky score \<60;
  • Patients with hepatic or renal disease as specific above;
  • Pregnant or breast-feeding females;
  • Rapidly progressive disease that in the estimation of the investigator and sponsor would compromise ability to complete study therapy;

Outcomes

Primary Outcomes

To evaluate the overall response rate: change from baseline at day 28 after the first CARCIK-CD19 infusion

Time Frame: Baseline and day 28

At baseline and at Day 28 after infusion: molecular evaluation of disease positivity \<0.01%

To evaluate the duration of response of patients treated with CARCIK - CD19 cells. Change from day 28 at month 2, 3, 4, 5, 6, 9 and 12

Time Frame: Day 28 and month 2, 3, 4, 5, 6, 9 and 12

Day 28 and month 2, 3, 4, 5, 6, 9 and 12: molecular evaluation of disease positivity \<0.01%

Study Sites (2)

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