Pilot Study of Non-Viral, RNA-Redirected Autologous T Cells in Patients With Refractory or Relapsed Hodgkin Lymphoma

NCT02624258 | Terminated Early Phase 1 DMC

• 1 other identifier: 14BT055, 821157
• Study Type: interventional
• Target: 2
• Locations: 1 country
• Sites: 1

Brief Summary

Pilot open-label study to estimate the feasibility, safety and efficacy of intravenously administered, RNA electroporated autologous T cells expressing CD19 chimeric antigen receptors expressing tandem TCRζ and 4-1BB (TCRζ /4-1BB) costimulatory domains (referred to as "RNA CART19") in Hodgkin Lymphoma (HL) patients. Subjects will be treated with IV administration of RNA anti-CD19 CAR T cells for a total of six doses over 3 weeks.

Conditions

Hodgkin Lymphoma

Outcome Measures

Primary Outcomes (1)

• Incidence of Treatment-Emergent Adverse Events, defined as NCI CTCAE V4 > Grade 3

  Occurrence of study related adverse events, defined as NCI CTCAE V4 \> grade 3 signs/symptoms, laboratory toxicities and clinical events that are possible, likely or definitely related to study treatment at any time from the first cyclophosphamide infusion until Month 4.

  Month 4 post-CART19 Infusion

Study Arms (1)

RNA CART19 cells

EXPERIMENTAL

CD19 RNA redirected autologous T-cells (RNA CART19 cells)

Biological: CD19 RNA redirected autologous T-cells (RNA CART19 cells)

Interventions

CD19 RNA redirected autologous T-cells (RNA CART19 cells) BIOLOGICAL

Subjects will be treated with IV administration of RNA anti-CD19 CAR T cells for a total of six doses over 3 weeks. The first dose will be administered 1-4 days after infusion of cyclophosphamide 30mg/kg.

RNA CART19 cells

Eligibility Criteria

• Age: 18 Years - 24 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Male or female subjects with HL with no available curative treatment options (such as autologous SCT) who have a limited prognosis (several months to \< 2 year survival) with currently available therapies will be enrolled.
• HL with biopsy-proven relapse or refractory disease who are unresponsive to or intolerant of at least one line of standard salvage therapy;
• Patients must have evaluable disease by radiologic imaging (FDG PET-CT or FDG PET-MRI) within 42 day of enrollment; evaluable includes both assessable and/or measurable disease
• Age 18 to 24 years. Patients ages 22-24 will only be enrolled if they are currently being treated at CHOP or another pediatric facility/oncologist.
• Expected survival \> 12 weeks at time of screening
• Adequate organ function defined as:
• Renal function defined as:
• Creatinine clearance or radioisotope GFR \> 60 mL/min/1.73 m2 OR
• Serum creatinine: \< 1.7mg/dL (male subjects) or \< 1.4mg/dL (female subjects)
• ALT \< 5 times the ULN for age
• Total Bilirubin \< 2.0 mg/dl
• Must have a minimum level of pulmonary reserve defined as ≤ Grade 1 dyspnea and pulse oxygenation \> 94% on room air
• Have no active GVHD and require no immunosuppression
• Are more than 6 months from transplant 6) Karnofsky performance status ≥ 50 at screening
• Left Ventricular Shortening Fraction (LVSF) \> 28% confirmed by echocardiogram, or Left Ventricular Ejection Fraction (LVEF) \> 45% confirmed by echocardiogram or MUGA

You may not qualify if:

• Pregnant or lactating women. The safety of this therapy on unborn children is not known. Female study participants of reproductive potential must have a negative serum pregnancy test at enrollment. A urine pregnancy test will be performed within 48 hours before the RNA CART19 infusion.
• Uncontrolled active infection.
• Active hepatitis B or hepatitis C infection.
• Any uncontrolled active medical disorder that would preclude participation as outlined.
• HIV infection.
• Patients with known active CNS involvement by malignancy. Patients with prior CNS disease that has been effectively treated will be eligible providing treatment was \>4 weeks before enrollment
• Patients in complete remission with no evidence by radiologic imaging of disease.
• History of allergy to murine proteins
• History of allergy or hypersensitivity to study product excipients (human serum albumin, DMSO, and Dextran 40).
• Anti-CD20 monoclonal antibody therapy within the last 3 months, or absence of circulating B cells
• Unstable angina and/or myocardial infarction within 6 months prior to screening.

Sponsors & Collaborators

• University of Pennsylvania: lead
• Children's Hospital of Philadelphia: collaborator

Study Sites (1)

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, 19104, United States

Location

Related Publications (1)

• Svoboda J, Rheingold SR, Gill SI, Grupp SA, Lacey SF, Kulikovskaya I, Suhoski MM, Melenhorst JJ, Loudon B, Mato AR, Nasta SD, Landsburg DJ, Youngman MR, Levine BL, Porter DL, June CH, Schuster SJ. Nonviral RNA chimeric antigen receptor-modified T cells in patients with Hodgkin lymphoma. Blood. 2018 Sep 6;132(10):1022-1026. doi: 10.1182/blood-2018-03-837609. Epub 2018 Jun 20.

  PMID: 29925499 DERIVED

MeSH Terms

Conditions

Hodgkin Disease

Condition Hierarchy (Ancestors)

Lymphoma; Neoplasms by Histologic Type; Neoplasms; Lymphoproliferative Disorders; Lymphatic Diseases; Hemic and Lymphatic Diseases; Immunoproliferative Disorders; Immune System Diseases

Study Officials

• Susan Rheingold, MD

  Children's Hospital of Philadelphia

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: early phase 1
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 1, 2015
• First Posted: December 8, 2015
• Study Start: November 1, 2015
• Primary Completion: June 5, 2019
• Study Completion: December 6, 2019
• Last Updated: May 21, 2020

Record last verified: 2020-05

Locations

US (1)