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临床试验/NCT04696731
NCT04696731进行中(未招募)1 期

A Phase 1A/1B Multicenter Study Evaluating the Safety and Efficacy of ALLO-316 With Cyclophosphamide/Fludarabine Lymphodepletion Alone or Including ALLO-647 in Subjects With Advanced or Metastatic Clear Cell Renal Cell Carcinoma (ccRCC)

Allogene Therapeutics12 个研究点 分布在 1 个国家目标入组 120 人开始时间: 2021年2月24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
进行中(未招募)
入组人数
120
试验地点
12
主要终点
Proportion of patients experiencing Dose Limiting Toxicity with ALLO-647 in combination with fludarabine/cyclophosphamide administered prior to ALLO-316

研究概览

简要总结

This is a Phase 1 dose escalation study using a 3+3 study design, followed by a phase 1b expansion study. The purpose of the TRAVERSE study is to assess the safety, efficacy, and cell kinetics of ALLO-316 in adults with advanced or metastatic clear cell renal cell carcinoma after a lymphodepletion regimen comprising fludarabine, cyclophosphamide, with or without ALLO-647 to define a Phase 2 dose.

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 74 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Histologically confirmed renal cell carcinoma with a predominant clear cell component.
  • Must have received a checkpoint inhibitor and a VEGF inhibitor in the advanced and/or metastatic setting.
  • At least one measurable lesion as defined by RECIST version 1.1
  • Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) 0 or
  • Absence of donor (product)-specific anti-HLA antibodies (DSA).
  • Adequate hematological, renal, liver, pulmonary, and cardiac functions.

排除标准

  • Central nervous system (CNS) metastatic disease (unless controlled and stable for at least 4 weeks), leptomeningeal disease, or cord compression.
  • Clinically significant CNS dysfunction.
  • Any other active malignancy within 3 years prior to enrollment.
  • Prior treatment with anti-CD70 therapies.
  • Current thyroid disorder (including hyperthyroidism) with the exception of hypothyroidism controlled on stable dose of hormone replacement therapy.
  • Prior treatment with anti-CD52 monoclonal antibody in the past 12 months.
  • Participants unwilling to participate in the extended safety monitoring period.

研究组 & 干预措施

ALLO-647, ALLO-316

Experimental

干预措施: Fludarabine (Drug)

ALLO-647, ALLO-316

Experimental

干预措施: ALLO-316 (Genetic)

ALLO-647, ALLO-316

Experimental

干预措施: ALLO-647 (Biological)

ALLO-647, ALLO-316

Experimental

干预措施: Cyclophosphamide (Drug)

结局指标

主要结局

Proportion of patients experiencing Dose Limiting Toxicity with ALLO-647 in combination with fludarabine/cyclophosphamide administered prior to ALLO-316

时间窗: 33 days

Proportion of subjects experiencing Dose Limiting Toxicities at increasing doses of ALLO-316

时间窗: 28 days

次要结局

未报告次要终点

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (12)

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Global CD70-Targeting Therapies Market Report 2026 Highlights Expanding Pipeline and Combination Strategies- A new market report forecasts continued expansion of the global CD70-targeting therapies pipeline across the United States, China, and Europe as candidates advance through clinical trials and regulatory review. - Clinical development increasingly incorporates combination regimens pairing CD70 therapies with immunotherapies, epigenetic inhibitors, chemotherapy, and targeted agents to strengthen responses and address resistance. - Leading companies including Allogene Therapeutics, Ambrx (Johnson & Johnson), Molecular Partners, and CRISPR Therapeutics are advancing differentiated programs through proprietary platforms such as allogeneic cell therapy and DARPin engineering. - The report highlights biomarker-driven development and patient-selection strategies as key levers for more precise clinical positioning across leukemia, lymphoma, renal cell carcinoma, and autoimmune indications.22 days agoALLO-316 CAR-T Therapy Shows Promise in Renal Cell Carcinoma Trial, but Deaths Reported• Allogene's ALLO-316 demonstrated a 38% overall response rate in renal cell carcinoma patients at dose level 2 in the TRAVERSE phase 1 trial. • In patients with high CD70 expression, ALLO-316 achieved a confirmed overall response rate of 33%, indicating potential for targeted therapy. • The trial reported a manageable safety profile, with mostly low-grade cytokine release syndrome, but included three on-study patient deaths. • ALLO-316, an off-the-shelf CAR-T therapy, shows potential as a novel treatment for metastatic RCC resistant to multiple therapeutic classes.last yearALLO-316 Demonstrates Promising Response in CD70-Positive Renal Cell Carcinoma• A phase 1 trial of ALLO-316 showed a 50% overall response rate in patients with CD70-positive renal cell carcinoma (RCC) with a tumor proportion score (TPS) of ≥50%. • The study also reported a 33% confirmed response rate among patients with CD70-positive RCC, indicating potential efficacy in heavily pretreated patients. • The most common adverse events were cytokine release syndrome, fatigue, and neutropenia, with a manageable safety profile observed in the trial. • These findings suggest that ALLO-316, an off-the-shelf CAR T-cell therapy, could represent a significant advancement in treating advanced RCC.last yearALLO-316 Receives FDA RMAT Designation for CD70+ Advanced Renal Cell Carcinoma• The FDA granted Regenerative Medicine Advanced Therapy (RMAT) designation to ALLO-316 for CD70-positive advanced or metastatic renal cell carcinoma. • The RMAT designation was supported by phase 1 TRAVERSE trial data, which showed promising overall response and disease control rates. • In CD70-positive patients, ALLO-316 demonstrated a 30% overall response rate and a 100% disease control rate in the trial. • ALLO-316's adverse effect profile was consistent with autologous CAR T-cell therapies, with manageable safety observed in the trial.last yearALLO-316 Granted RMAT Designation by FDA for Advanced Renal Cell Carcinoma- The FDA granted Regenerative Medicine Advanced Therapy (RMAT) designation to ALLO-316 for advanced or metastatic renal cell carcinoma. - The RMAT designation aims to expedite the development and review of ALLO-316, an AlloCAR T therapy. - Phase 1 TRAVERSE trial data supports the RMAT designation, showing promising disease control and response rates in CD70-expressing RCC patients. - ALLO-316 demonstrated a manageable safety profile, consistent with other CAR T therapies, in heavily pretreated patients.last year