CD123-Directed Autologous T-Cell Therapy for Acute Myelogenous Leukemia (CATCHAML)

Who is this study for? Patients with acute myelogenous leukemia
What treatments are being studied? CD123-Directed Autologous T-Cell Therapy
Status: Recruiting
Location: See all (2) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1
SUMMARY

The CD123-CAR T-cell therapy is a new treatment that is being investigated for treatment of AML/myelodysplastic syndrome (MDS), T- or B- acute lymphoblastic leukemia (ALL) or blastic plasmacytoid dendritic cell neoplasia (BPDCN). The purpose of this study is to find the maximum (highest) dose of CD123-CAR T cells that is safe to give to these patients. This would include studying the side effects of the chemotherapy, as well as the CD123-CAR T-cell product on the recipient's body, disease and overall survival. Primary Objective To determine the safety of one intravenous infusion of escalating doses of autologous, CD123-CAR T cells in patients (≤21 years) with recurrent/refractory CD123+ disease (AML/MDS, B-ALL, T-ALL or BPDCN) after lymphodepleting chemotherapy. Secondary Objectives To evaluate the antileukemia activity of CD123-CAR T cells. Exploratory Objectives * To assess the immunophenotype, clonal structure and endogenous repertoire of CD123-CAR T cells and unmodified T cells * To characterize the cytokine profile in the peripheral blood and CSF after treatment with CD123-CAR T cells * To characterize tumor cells post CD123-CAR T-cell therapy

Eligibility
Participation Requirements
Sex: All
Maximum Age: 21
Healthy Volunteers: f
View:

• Age ≤21 years old

• Relapsed/refractory CD123+ disease defined as follows:

∙ AML/MDS

• Relapsed disease: Patients developing recurrent disease after a first complete remission (CR)

• Refractory disease: Patients not achieving a CR after 2 cycles of induction chemotherapy

∙ B-cell ALL

• Relapsed disease that is CD123 positive and CD19 negative/dim or patients otherwise ineligible for CD19 directed therapies including

‣ Patients in 2nd or greater relapse

⁃ Patients with relapse after allogeneic HSCT

• Refractory disease that is CD123 positive and CD19 negative/dim or patients otherwise ineligible for CD19 directed therapies

∙ T-cell All • Relapsed refractory disease that is CD123 positive

∙ BPDCN

∙ • Relapsed/refractory disease that has failed front-line therapy

• Estimated life expectancy of \>12 weeks

• Karnofsky or Lansky (age-dependent) performance score ≥50

• Patients with a history of prior allogeneic HCT must be clinically recovered from prior HCT therapy, have no evidence of active GVHD and have not received a donor lymphocyte infusion (DLI) within the 28 days prior to apheresis

• Patient must have an identified, suitable HCT donor

• For females of child-bearing age:

• Not lactating with intent to breastfeed

• Not pregnant with negative serum pregnancy test within 7 days prior to enrollment

• Meets eligibility criteria to undergo autologous apheresis, or have previously undergone autologous apheresis

• Age≤21 years old

• Detectable disease that is CD123+ (at least MRD+ disease)

• Estimated life expectancy of \>8 weeks

• Karnofsky or Lansky (age-dependent) performance score≥50

• Patients with a history of prior allogeneic HCT must be clinically recovered from prior HCT therapy, have no evidence of active GVHD and have not received a donor lymphocyte infusion (DLI) within the 28 days prior to planned infusion

• Patient must have an identified, suitable HCT donor

• Adequate cardiac function defined as left ventricular ejection fraction \>40%, OR shortening fraction ≥25%

• EKG without evidence of clinically significant arrhythmia

• Adequate renal function defined as creatinine clearance or radioisotope GFR ≥50 ml/min/1.73m2 (GFR ≥40 ml/min/1.73m2 if \< 2 years of age)

• Adequate pulmonary function defined as forced vital capacity (FVC)≥50% of predicted value; or pulse oximetry≥92% on room air if patient is unable to perform pulmonary function testing

• Total Bilirubin≤3 times the upper limit of normal for age, except in subjects with Gilbert's syndrome

• Alanine aminotransferase (ALT) OR aspartate aminotransferase (AST) ≤5 times the upper limit of normal for age

• Has recovered from all NCI CTAE grade III-IV, non-hematologic acute toxicities from prior therapy

• For females of child-bearing age

‣ Not lactating with intent to breastfeed

⁃ Not pregnant with negative serum pregnancy test within 7 days prior to enrollment

• If sexually active, agreement to use birth control until 3 months after T- cell infusion. Male partners should use a condom.

• Available autologous transduced T-cell product that has met GMP release criteria

Locations
United States
Tennessee
St Jude Children's Research Hospital
RECRUITING
Memphis
St. Jude Children's Research Hospital
RECRUITING
Memphis
Contact Information
Primary
Swati Naik, MD
referralinfo@stjude.org
866-278-5833
Time Frame
Start Date: 2020-07-29
Estimated Completion Date: 2026-05-01
Participants
Target number of participants: 32
Treatments
Other: CD123-CAR T cell therapy
CD123-CAR T-cell dose and infusion Up to 4 Dose levels will be evaluated with a maximum dose of 2.5 x 10\^8 CAR+ T cells. If dose limiting toxicities (DLTs) are observed on Dose level 1 then the cell dose is de- escalated.
Sponsors
Leads: St. Jude Children's Research Hospital

This content was sourced from clinicaltrials.gov

Similar Clinical Trials