HA-1 T TCR T Cell Immunotherapy for the Treatment of Patients With Relapsed or Refractory Acute Leukemia After Donor Stem Cell Transplant
Part of paid clinical trials in Seattle, Washington.
- Sponsor
- Fred Hutchinson Cancer Center
- Study ID
- NCT03326921
- Phase
- PHASE1
- Status
- Recruiting
Conditions
- Acute Biphenotypic Leukemia
- Acute Lymphoblastic Leukemia
- Acute Myeloid Leukemia
- Acute Undifferentiated Leukemia
- Blast Phase Chronic Myeloid Leukemia, BCR-ABL1 Positive
- Chronic Myeloid Leukemia
- Chronic Myeloid Leukemia, BCR-ABL1 Positive
- Chronic Myelomonocytic Leukemia
- Juvenile Myelomonocytic Leukemia
- Leukemia
- Minimal Residual Disease
- Mixed Phenotype Acute Leukemia
- Myelodysplastic Syndrome
- Recurrent Acute Biphenotypic Leukemia
- Recurrent Acute Lymphoblastic Leukemia
- Recurrent Acute Myeloid Leukemia
- Recurrent Acute Undifferentiated Leukemia
- Recurrent Blastic Plasmacytoid Dendritic Cell Neoplasm
- Recurrent Childhood Acute Lymphoblastic Leukemia
- Recurrent Childhood Acute Myeloid Leukemia
- Recurrent Chronic Myeloid Leukemia, BCR-ABL1 Positive
- Recurrent Chronic Myelomonocytic Leukemia
- Recurrent Mixed Phenotype Acute Leukemia
- Recurrent Myelodysplastic Syndrome
- Refractory Acute Lymphoblastic Leukemia
- Refractory Adult Acute Lymphoblastic Leukemia
- Refractory Blastic Plasmacytoid Dendritic Cell Neoplasm
- Refractory Chronic Myeloid Leukemia, BCR-ABL1 Positive
- Refractory Myelodysplastic Syndrome
Eligibility Criteria
- Sex
- ALL
- Age
- N/A - 80 Years
- Healthy Volunteers
- Not accepted
Interventions
- CD8+ and CD4+ Donor Memory T-cells-expressing HA1-Specific TCR — BIOLOGICALGiven IV
- Bone Marrow Aspiration — PROCEDUREUndergo bone marrow aspiration
- Biospecimen Collection — PROCEDUREUndergo blood sample collection
Study Details
This phase I trial studies the side effects and best dose of CD4+ and CD8+ HA-1 T cell receptor (TCR) (HA-1 T TCR) T cells in treating patients with acute leukemia that persists, has come back (recurrent) or does not respond to treatment (refractory) following donor stem cell transplant. T cell receptor is a special protein on T cells that helps them recognize proteins on other cells including leukemia. HA-1 is a protein that is present on the surface of some peoples' blood cells, including leukemia. HA-1 T cell immunotherapy enables genes to be added to the donor cells to make them recognize HA-1 markers on leukemia cells.
Key Dates
- Start date
- Feb 23, 2018
- Status verified
- May 2026
- Primary completion
- Oct 16, 2027
- Completion
- Jul 16, 2028
Study Design
- Enrollment
- 24 participants (estimated)
- Allocation
- NA
- Intervention model
- SINGLE_GROUP
- Primary purpose
- TREATMENT
Arms
- Experimental: Treatment (CD4+ and CD8+ HA-1 TCR T cells)Patients receive lymphodepleting chemotherapy (e.g., fludarabine and cyclophosphamide or debulking regimens as specified in the protocol) ending 2-14 days prior to HA-1 TCR T cell administration. Patients then receive CD4+ and CD8+ HA-1 TCR T cells IV.
Primary Outcome Measure
Feasibility of manufacturing minor H antigen (HA-1) T cell receptor (TCR) CD8+ and CD4+ T cells [ Time Frame: At time of T cell infusion (at day 0) ]
Central Contacts
- FHCC Immunotherapy Intake206-606-4668
- FHCC Immunotherapy Intake855-557-0555
Locations (1)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Fred Hutch/University of Washington Cancer Consortium | Seattle | Washington | 98109 | FHCC Immunotherapy Intake 855-557-0555 Elizabeth Krakow (PRINCIPAL_INVESTIGATOR) |
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