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临床试验/NCT03189836
NCT03189836终止1 期

Phase 1 Study of ACTR707, an Autologous T Cell Product, in Combination With Rituximab, in Subjects With Relapsed or Refractory CD20+ B Cell Lymphoma

Cogent Biosciences, Inc.22 个研究点 分布在 1 个国家目标入组 26 人开始时间: 2017年10月4日最近更新:
适应症

试验速览

阶段
1 期
状态
终止
入组人数
26
试验地点
22
主要终点
Safety as assessed by dose limiting toxicities (DLTs)

研究概览

简要总结

This is a phase 1, multi-center, single-arm, open-label study evaluating the safety and anti-lymphoma activity of an autologous T cell product (ACTR707) in combination with rituximab in subjects with refractory or relapsed CD20+ B cell lymphoma.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 80 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • signed written informed consent obtained prior to study procedures
  • histologically-confirmed relapsed or refractory CD20+ B-cell lymphoma of one of the following types, with documented disease progression or recurrence following the immediate prior therapy: DLBCL (regardless of cell of origin or underlying molecular genetics), MCL, PMBCL, Gr3b-FL, TH-FL (prior dx of FL before transforming to DLBCL).
  • biopsy-confirmed CD20+ expression of the underlying malignancy with disease progression following immediate prior therapy
  • at least 1 measurable lesion on imaging.
  • must have received adequate prior therapy for the underlying CD20+ B-cell lymphoma, defined as an anti-CD20 mAb in combination with an anthracycline-containing chemotherapy regimen (i.e. chemo-immunotherapy) and at least one of the following:
  • biopsy-proven refractory disease after frontline chemo-immunotherapy
  • relapse within 1 year from frontline chemo-immunotherapy and ineligible for autologous hematopoietic stem cell transplant (auto-HSCT)
  • for subjects with DLBCL, PMBCL, and Gr3b-FL: relapsed or refractory disease following at least 2 prior regimens or following an auto-HSCT
  • for subjects with TH-FL: relapsed or refractory disease following at least 2 prior regimens or following an auto-HSCT. At least 1 prior regimen with an anti-CD20 mAb in combination with chemotherapy is required following documented transformation
  • for subjects with MCL (confirmed with cyclin D1 expression or evidence of t(11;14) by cytogenetics, fluorescent in situ hybridization (FISH) or polymerase chain reaction (PCR): relapsed or refractory disease after at least 1 prior regimen with chemo-immunotherapy (prior auto-HSCT is allowable)
  • ECOG 0 or 1
  • life expectancy of at least 6 months
  • platelet count greater than 50,000/µL

排除标准

  • known active central nervous system (CNS) involvement by malignancy.
  • prior treatment as follows:
  • alemtuzumab within 6 months of enrollment
  • fludarabine, cladribine, or clofarabine within 3 months of enrollment
  • external beam radiation within 2 weeks of enrollment
  • mAb (including rituximab) within 2 weeks of enrollment
  • other lymphotoxic chemotherapy (including steroids except as below) within 2 weeks of enrollment
  • experimental agents within 3 half-lives prior to enrollment, unless progression is documented on therapy
  • clinically significant cardiac disease
  • clinically significant active infection
  • clinically significant CNS disorder
  • clinical history, prior diagnosis, or overt evidence of autoimmune disease
  • known bone marrow involvement due to underlying malignant disease, in dose-escalation phase only

结局指标

主要结局

Safety as assessed by dose limiting toxicities (DLTs)

时间窗: 28 days

Dose-limiting toxicities, MTD, incidence and severity of AEs and clinically significant abnormalities of laboratory values

Determination of maximum tolerated dose and proposed recommended Phase 2 dose

时间窗: 24 weeks

次要结局

  • Assessment of persistence of ACTR707 as measured by flow cytometry and qPCR(24 weeks)
  • Assessment of ACTR707 phenotype and function as measured by flow cytometry(24 weeks)
  • Anti-lymphoma activity as measured by overall response rate(24 weeks)
  • Anti-lymphoma activity as measured by duration of response(24 weeks)
  • Anti-lymphoma activity as measured by progression-free survival(24 weeks)
  • Anti-lymphoma activity as measure by overall survival(24 weeks)
  • Assessment of inflammatory markers and cytokines/chemokines(24 weeks)
  • Rituximab PK(24 weeks)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (22)

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