NCT03189836

Brief Summary

This is a phase 1, multi-center, single-arm, open-label study evaluating the safety and anti-lymphoma activity of an autologous T cell product (ACTR707) in combination with rituximab in subjects with refractory or relapsed CD20+ B cell lymphoma.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
26

participants targeted

Target at P25-P50 for phase_1 lymphoma

Timeline
Completed

Started Oct 2017

Geographic Reach
1 country

11 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 12, 2017

Completed
4 days until next milestone

First Posted

Study publicly available on registry

June 16, 2017

Completed
4 months until next milestone

Study Start

First participant enrolled

October 4, 2017

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 21, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 21, 2020

Completed
Last Updated

October 11, 2021

Status Verified

October 1, 2021

Enrollment Period

3 years

First QC Date

June 12, 2017

Last Update Submit

October 4, 2021

Conditions

Keywords

CD20+B cellACTRACTR707relapsedrefractoryT cellT cell productadoptive T cellsgene therapy

Outcome Measures

Primary Outcomes (2)

  • Safety as assessed by dose limiting toxicities (DLTs)

    Dose-limiting toxicities, MTD, incidence and severity of AEs and clinically significant abnormalities of laboratory values

    28 days

  • Determination of maximum tolerated dose and proposed recommended Phase 2 dose

    24 weeks

Secondary Outcomes (8)

  • Anti-lymphoma activity as measured by overall response rate

    24 weeks

  • Anti-lymphoma activity as measured by duration of response

    24 weeks

  • Anti-lymphoma activity as measured by progression-free survival

    24 weeks

  • Anti-lymphoma activity as measure by overall survival

    24 weeks

  • Assessment of persistence of ACTR707 as measured by flow cytometry and qPCR

    24 weeks

  • +3 more secondary outcomes

Study Arms (1)

ACTR707 in combination with rituximab

EXPERIMENTAL
Biological: ACTR707Biological: rituximab

Interventions

ACTR707BIOLOGICAL

autologous T cell product

ACTR707 in combination with rituximab
rituximabBIOLOGICAL

CD20-directed cytolytic antibody

ACTR707 in combination with rituximab

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • signed written informed consent obtained prior to study procedures
  • histologically-confirmed relapsed or refractory CD20+ B-cell lymphoma of one of the following types, with documented disease progression or recurrence following the immediate prior therapy: DLBCL (regardless of cell of origin or underlying molecular genetics), MCL, PMBCL, Gr3b-FL, TH-FL (prior dx of FL before transforming to DLBCL).
  • biopsy-confirmed CD20+ expression of the underlying malignancy with disease progression following immediate prior therapy
  • at least 1 measurable lesion on imaging.
  • must have received adequate prior therapy for the underlying CD20+ B-cell lymphoma, defined as an anti-CD20 mAb in combination with an anthracycline-containing chemotherapy regimen (i.e. chemo-immunotherapy) and at least one of the following:
  • biopsy-proven refractory disease after frontline chemo-immunotherapy
  • relapse within 1 year from frontline chemo-immunotherapy and ineligible for autologous hematopoietic stem cell transplant (auto-HSCT)
  • for subjects with DLBCL, PMBCL, and Gr3b-FL: relapsed or refractory disease following at least 2 prior regimens or following an auto-HSCT
  • for subjects with TH-FL: relapsed or refractory disease following at least 2 prior regimens or following an auto-HSCT. At least 1 prior regimen with an anti-CD20 mAb in combination with chemotherapy is required following documented transformation
  • for subjects with MCL (confirmed with cyclin D1 expression or evidence of t(11;14) by cytogenetics, fluorescent in situ hybridization (FISH) or polymerase chain reaction (PCR): relapsed or refractory disease after at least 1 prior regimen with chemo-immunotherapy (prior auto-HSCT is allowable)
  • ECOG 0 or 1
  • life expectancy of at least 6 months
  • platelet count greater than 50,000/µL

You may not qualify if:

  • known active central nervous system (CNS) involvement by malignancy.
  • prior treatment as follows:
  • alemtuzumab within 6 months of enrollment
  • fludarabine, cladribine, or clofarabine within 3 months of enrollment
  • external beam radiation within 2 weeks of enrollment
  • mAb (including rituximab) within 2 weeks of enrollment
  • other lymphotoxic chemotherapy (including steroids except as below) within 2 weeks of enrollment
  • experimental agents within 3 half-lives prior to enrollment, unless progression is documented on therapy
  • clinically significant cardiac disease
  • clinically significant active infection
  • clinically significant CNS disorder
  • clinical history, prior diagnosis, or overt evidence of autoimmune disease
  • known bone marrow involvement due to underlying malignant disease, in dose-escalation phase only

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (11)

Banner MD Anderson Cancer Center

Gilbert, Arizona, 85234, United States

Location

Yale University

New Haven, Connecticut, 06520, United States

Location

Emory University, Winship Cancer Institute

Atlanta, Georgia, 30322, United States

Location

Loyola University

Maywood, Illinois, 60153, United States

Location

Indiana Bone and Marrow Transplantation

Indianapolis, Indiana, 46327, United States

Location

University of Maryland

Baltimore, Maryland, 21201, United States

Location

University of Minnesota

Minneapolis, Minnesota, 55455, United States

Location

Ohio State University

Columbus, Ohio, 43210, United States

Location

Tennessee Oncology - Nashville

Nashville, Tennessee, 37203, United States

Location

The University of Texas MD Anderson Cancer Center

Houston, Texas, 77030, United States

Location

Medical College of Wisconsin

Milwaukee, Wisconsin, 53226, United States

Location

Related Publications (1)

  • Ernst M, Oeser A, Besiroglu B, Caro-Valenzuela J, Abd El Aziz M, Monsef I, Borchmann P, Estcourt LJ, Skoetz N, Goldkuhle M. Chimeric antigen receptor (CAR) T-cell therapy for people with relapsed or refractory diffuse large B-cell lymphoma. Cochrane Database Syst Rev. 2021 Sep 13;9(9):CD013365. doi: 10.1002/14651858.CD013365.pub2.

MeSH Terms

Conditions

LymphomaRecurrence

Interventions

Rituximab

Condition Hierarchy (Ancestors)

Neoplasms by Histologic TypeNeoplasmsLymphoproliferative DisordersLymphatic DiseasesHemic and Lymphatic DiseasesImmunoproliferative DisordersImmune System DiseasesDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, Murine-DerivedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulins

Study Officials

  • Jessica Sachs, MD

    Cogent Biosciences, Inc.

    STUDY DIRECTOR

Study Design

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

Study Record Dates

First Submitted

June 12, 2017

First Posted

June 16, 2017

Study Start

October 4, 2017

Primary Completion

September 21, 2020

Study Completion

September 21, 2020

Last Updated

October 11, 2021

Record last verified: 2021-10

Data Sharing

IPD Sharing
Will not share

Locations