Phase 1/1b First-in-human Study of Autologous Chimeric Engulfment Receptor T-Cell CER-1236 in Patients With Acute Myeloid Leukemia, Myelodysplastic Syndrome, and Myelofibrosis (CertainT-1)
试验速览
- 阶段
- 1 期
- 状态
- 招募中
- 入组人数
- 18
- 试验地点
- 5
- 主要终点
- Incidence of adverse events (AEs) and serious adverse events (SAEs) - (Part 1)
研究概览
简要总结
This is a first in human, multi center, open label, phase 1/1b study to evaluate the safety and preliminary efficacy of CER-1236 in patients with relapsed/refractory (R/R), measurable residual disease (MRD) positive acute myeloid leukemia (AML), or TP53mut disease.
详细描述
CER-1236 is a first in class chimeric engulfment receptor T-cell therapy candidate that targets the Tim4 ligand.
This is a first in human, multi center, open label, phase 1/1b study to evaluate the safety and preliminary efficacy of CER-1236 in patients with relapsed/refractory (R/R), measurable residual disease (MRD) positive acute myeloid leukemia (AML), or TP53mut disease.
The study is divided into Part 1 (escalation phase) and Part 2 (expansion phase).
Part 1 (Escalation Phase): The primary objectives of Part 1 are to define the safety of different doses of CER-1236 and to define the recommended dose for Part 2 (RP2D) of CER-1236.
Part 2 (Expansion Phase): The objective of the Part 2 expansion cohort is to evaluate the safety and efficacy of CER-1236 in patients with acute myeloid leukemia.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 85 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients need to have a confirmed diagnosis of de novo or secondary AML, or myelodysplastic syndrome (MDS)/AML with 10% to 19% blasts, per the International Consensus Classification 2022 or the WHO 2022 classification.
- •Absolute lymphocyte count >0.3 x 109/L prior to apheresis.
- •Eastern cooperative oncology group (ECOG) performance status 0 to 1.
排除标准
- •Prior therapy with a permanently integrated, genetically modified cell product.
- •No measurable leukemia on the screening bone marrow evaluation prior to any bridging therapy.
- •Active autoimmune disease or history of autoimmune disease requiring treatment within the prior 2 years. Patients with history of autoimmune thyroiditis or type 1 diabetes well controlled on replacement regimen are eligible.
- •A known hypersensitivity or severe allergy to fludarabine, cyclophosphamide, or study drug components or diluents.
- •Any other medical, psychological, or social condition that may interfere with study participation or compliance, or compromise patient safety in the opinion of the physician.
- •Primary immunodeficiency disorder.
研究组 & 干预措施
Part 1: Single Agent CER-1236
AML patient treated with a single dose of CER-1236 monotherapy
干预措施: Cyclophosphamide (Drug)
Part 1: Single Agent CER-1236
AML patient treated with a single dose of CER-1236 monotherapy
干预措施: CER-1236 (Drug)
Part 1: Single Agent CER-1236
AML patient treated with a single dose of CER-1236 monotherapy
干预措施: Mesna (Drug)
Part 2: Single Agent CER-1236
AML patient treated with a single dose of CER-1236 monotherapy
干预措施: CER-1236 (Drug)
Part 2: Single Agent CER-1236
AML patient treated with a single dose of CER-1236 monotherapy
干预措施: Cyclophosphamide (Drug)
Part 2: Single Agent CER-1236
AML patient treated with a single dose of CER-1236 monotherapy
干预措施: Mesna (Drug)
Part 1: Single Agent CER-1236
AML patient treated with a single dose of CER-1236 monotherapy
干预措施: Fludarabine (Drug)
Part 2: Single Agent CER-1236
AML patient treated with a single dose of CER-1236 monotherapy
干预措施: Fludarabine (Drug)
结局指标
主要结局
Incidence of adverse events (AEs) and serious adverse events (SAEs) - (Part 1)
时间窗: 2 year
Escalation Period
Incidence of dose-limiting toxicities (DLTs) of CER-1236 Monotherapy - (Part 1)
时间窗: 28 days
Escalation Period
Estimation of the objective response rate (ORR), complete response (CR), composite complete response (cCR), and measurable residual disease (MRD) negativity rates - (Part 2)
时间窗: 2 years
Expansion Period
次要结局
- PK (AUC) of CER-1236 - (Part 1)(2 year)
- Estimation of the objective response rate (ORR), complete response (CR), composite complete response (cCR), and measurable residual disease (MRD) negativity rates - (Part 1)(2 years)
- Incidence of adverse events (AEs) and serious adverse events (SAEs) - (Part 2)(2 years)
- PK (Cmax) of CER-1236 - (Part 1)(2 years)
