CAR-20/19-T Cells in Patients With Relapsed Refractory B Cell Malignancies
Part of paid clinical trials in Milwaukee, Wisconsin.
- Sponsor
- Medical College of Wisconsin
- Study ID
- NCT04186520
- Phase
- PHASE1/PHASE2
- Status
- Recruiting
Conditions
- Central Nervous System Lymphoma
- Chronic Lymphocytic Leukemia (CLL)
- Diffuse Large B Cell Lymphoma
- Follicular Lymphoma
- Mantle Cell Lymphoma (MCL)
- Marginal Zone Lymphoma
- Non Hodgkin Lymphoma (NHL)
- Primary Mediastinal Large B-cell Lymphoma (PMBCL)
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - 80 Years
- Healthy Volunteers
- Not accepted
Interventions
- 8/12-Day Production of Car-T Cells — BIOLOGICALA fixed dose of 2.5 x 10\^6 CAR-20/19-T cells/kg expanded with IL-7/IL-15.
- 8/12-Day Production of Cryopreserved Car-T Cells — BIOLOGICALA fixed cryopreserved dose of 2.5 x 10\^6 CAR-20/19-T cells/kg expanded with IL-7/IL-15.
- 12-Day Production of Car-T Cells — BIOLOGICALA fixed dose of 2.5 x 10\^6 CAR-20/19-T cells/kg expanded with IL-7/IL-15.
Study Details
This is a Phase I/II, interventional, single-arm, open-label, treatment study designed to evaluate the safety and efficacy of Interleukin-7 and Interleukin-15 (IL-7/IL-15) manufactured chimeric antigen receptor (CAR)-20/19-T cells as well as the feasibility of a flexible manufacturing schema in adult patients with B cell malignancies that have failed prior therapies.
Key Dates
- Start date
- May 18, 2020
- Status verified
- Feb 2026
- Primary completion
- Feb 28, 2027
- Completion
- Feb 28, 2029
Study Design
- Enrollment
- 100 participants (estimated)
- Allocation
- NON_RANDOMIZED
- Intervention model
- SEQUENTIAL
- Primary purpose
- TREATMENT
Arms
- Experimental: 8/12 Day Production of CAR-T for NHLPhase 1: Determine safety of 2.5x10\^6 cells/kg IL-7/IL-15 expanded CAR-20/19-T cells in patients with relapsed, refractory B-cell NHL. Patients will be enrolled in 3+3 fashion. Phase 1b: Six to nine patient expansion cohorts at eight or 12-day manufacturing. If six patients are enrolled in Phase 1 then only six additional patients will be added. If three patients are enrolled in Phase 1 then nine additional patients will be treated for a total of 12 in each group.
- Experimental: 8/12 Day Production of CAR-T for CLLPhase 1: Determine safety of 2.5x10\^6 cells/kg IL-7/IL-15 expanded CAR-20/19-T cells in patients with CLL. Patients will be enrolled in 3+3 fashion. Phase 1b: The enrollment will cap at 24 subjects.
- Experimental: 8/12 Flexible Manufacturing with Mandated Cryopreservation8/12 flexible manufacturing with mandated cryopreservation prior to infusion of LV20.19 CAR T-cells. The enrollment will cap at 24 subjects.
- Experimental: 12-Day Production of Car-T Cells for NHLPhase 1: Determine safety of 2.5x10\^6 cells/kg IL-7/IL-15 expanded CAR-20/19-T cells in patients with relapsed, refractory B-cell NHL. Patients will be enrolled in 3+3 fashion. Phase 1b: Six to nine patient expansion cohorts at 12-day manufacturing. If six patients are enrolled in Phase 1 then only six additional patients will be added. If three patients are enrolled in Phase 1 then nine additional patients will be treated for a total of 12 in each group.
- Experimental: 8/12 Day Production of CAR-T for Relapsed/Refractory Primary or Secondary CNS LymphomaPhase 1: Determine safety of 2.5x106 cells/kg IL-7/IL-15 expanded CAR-20/19-T cells in patients with primary/secondary central nervous system (CNS) lymphoma. Phase 1b: Safety and efficacy will be evaluated in this study that will enroll 12 to 24 patients.
- Experimental: Phase 2 - Efficacy of CAR-20/19-T cells in MCLSingle-stage Phase II design with three-month CR as the target endpoint.
Primary Outcome Measure
Number of Adverse Events after CAR 20/19-T cell infusion [ Time Frame: Within the first 28 days after infusion ]
Central Contacts
- Medical College of Wisconsin Cancer Center Clinical Trials Office866-680-0505
Locations (1)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Medical College of Wisconsin and Froedtert Hospital | Milwaukee | Wisconsin | 53226 | Nirav Shah, MD |
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