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临床试验/NCT06834282
NCT06834282招募中1 期

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)

CERo Therapeutics Holdings, Inc.5 个研究点 分布在 1 个国家目标入组 18 人开始时间: 2025年4月7日最近更新:
适应症
干预措施
相关药物

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

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

Experimental

AML patient treated with a single dose of CER-1236 monotherapy

干预措施: Cyclophosphamide (Drug)

Part 1: Single Agent CER-1236

Experimental

AML patient treated with a single dose of CER-1236 monotherapy

干预措施: CER-1236 (Drug)

Part 1: Single Agent CER-1236

Experimental

AML patient treated with a single dose of CER-1236 monotherapy

干预措施: Mesna (Drug)

Part 2: Single Agent CER-1236

Experimental

AML patient treated with a single dose of CER-1236 monotherapy

干预措施: CER-1236 (Drug)

Part 2: Single Agent CER-1236

Experimental

AML patient treated with a single dose of CER-1236 monotherapy

干预措施: Cyclophosphamide (Drug)

Part 2: Single Agent CER-1236

Experimental

AML patient treated with a single dose of CER-1236 monotherapy

干预措施: Mesna (Drug)

Part 1: Single Agent CER-1236

Experimental

AML patient treated with a single dose of CER-1236 monotherapy

干预措施: Fludarabine (Drug)

Part 2: Single Agent CER-1236

Experimental

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)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (5)

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