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This is a Phase 1/1b, nonrandomized, open-label, parallel assignment, dose-escalation, and dose-expansion study to evaluate the safety and clinical activity of azer-cel, an allogeneic anti-CD19 CAR T, in adults with r/r B ALL, r/r B-cell NHL and CLL/SLL.
This is a multicenter, nonrandomized, open-label, parallel assignment, dose-escalation, and dose-expansion study to evaluate the safety and tolerability, find an appropriate dose to optimize safety and efficacy, and evaluate clinical activity of azer-cel in participants with relapsed/refractory (r/r) B-cell acute lymphoblastic leukemia (B-ALL), non-Hodgkin lymphoma (NHL), and chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma (SLL). Before initiating azer-cel, participants will be administered lymphodepletion (LD). At Day 0 of the Treatment Period, participants will receive an intravenous (IV) infusion of azer-cel potentially followed by interleukin-2 (IL-2). All participants will be monitored through D720 or progression. All participants who receive a dose of azer-cel will be asked to consent to a separate long-term follow-up (LTFU) study for up to 15 years after exiting this study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Phase 1 Dose Escalation: Azer-cel Dose Level 1 | Experimental | Azer-cel, 3 x 10^5 CAR T cells per kilogram (kg) body weight. Route of Administration: Intravenous infusion |
|
| Phase 1 Dose Escalation: Azer-cel Dose Level 2 | Experimental | Azer-cel, 1 x 10^6 CAR T cells per kg body weight. Route of Administration: Intravenous infusion |
|
| Phase 1 Dose Escalation: Azer-cel Dose Level 3a | Experimental | Azer-cel, 3 x 10^6 CAR T cells per kg body weight. Route of Administration: Intravenous infusion |
|
| Phase 1 Dose Escalation: Azer-cel Dose Level 4 | Experimental | Azer-cel, 6 x 10^6 CAR T cells per kg body weight as 2 administrations of 3 x 10^6 CAR T cells per kg body weight on Day 0 and Day 10. Route of Administration: Intravenous infusion |
|
| Phase 1 Dose Escalation: Azer-cel Dose Level 4b | Experimental |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Azer-cel | Biological | Infusion of Allogeneic Anti-CD19 CAR T cells |
|
| Measure | Description | Time Frame |
|---|---|---|
| Phase 1 Dose Escalation/Phase 1b Dose Expansion: Number of Participants with Azer-cel-related AEs Defined as Dose-limiting Toxicities (DLTs) | Up to Day 720 | |
| Phase 1b Dose Expansion: Objective Response Rate (ORR) B-ALL | ORR for participants with B-ALL will be assessed by National Comprehensive Cancer Network (NCCN) 2017 criteria. | Up to Day 720 |
| Phase 1b Dose Expansion: ORR NHL | ORR for participants with NHL will be assessed by Lugano classification, International Workgroup on Chronic Lymphocytic Leukemia (iwCLL) 2018 guidelines, International Primary Central Nervous System Lymphoma Collaborative Group (IPCG) criteria, and International Workshop on Waldenstrom's Macroglobulinemia (IWWM)-11 criteria. | Up to Day 720 |
| Measure | Description | Time Frame |
|---|---|---|
| Phase 1 Dose Escalation: ORR |
| Up to Day 720 |
| Complete Response (CR) Rate |
|
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Key Inclusion Criteria
Criteria for B-ALL:
• Participant has confirmed unequivocal r/r CD19+ B-ALL.
Criteria for NHL and CLL/SLL:
• Participant has unequivocal aggressive CD19+ r/r B-cell NHL that is confirmed by tumor biopsy tissue from last relapse after CD19-directed therapy.
For Phase 1 Dose Escalation:
For Phase 1b Dose Expansion (CAR T-relapsed cohort):
For Phase 1b dose expansion (CAR T-naive cohort):
Criteria for both B-ALL, NHL, and CLL/SLL:
Key Exclusion Criteria
Criteria for B-ALL:
• Burkitt cell (L3 ALL) or mixed-lineage acute leukemia.
Criteria for NHL:
Criteria for B-ALL and NHL:
Any known uncontrolled cardiovascular disease at the time of Screening that, in the investigator's opinion, renders the participant ineligible
Additional criteria apply.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Imugene Clinical Team | Contact | +1 984 245 0082 | info@imugene.com | |
| Imugene Clinical Team | Contact | +61 2 9423 0881 | info@imugene.com |
| Name | Affiliation | Role |
|---|---|---|
| John Byon, MD, PhD | Imugene Limited | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Banner MD Anderson Cancer Center | Completed | Gilbert | Arizona | 85234 | United States | |
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Azer-cel, 500 x 10^6 CAR T cells (flat dose). Route of Administration: Intravenous infusion |
|
| Phase 1B Dose Expansion: Azer-cel | Experimental | Azer-cel will be administered at a dose level established in Phase 1. Route of Administration: Intravenous infusion |
|
|
| Fludarabine | Drug | Specified dose on specified days |
|
| Cyclophosphamide | Drug | Specified dose on specified days |
|
| IL-2 | Drug | Specified dose on specified days |
|
| Up to day 720 |
| Duration of Response (DoR) | - Defined as the duration (days) from initial response to disease progression or death. | Up to day 720 |
| Progression-free survival (PFS) | - Defined as the duration (days) from Day 0 to disease progression or death. | Up to day 720 |
| Overall survival (OS) | - Defined as the duration (days) from Day 0 to death. | Up to day 720 |
| Time to next treatment (TNT) | - Defined as the duration (days) from Day 0 to institution of next systemic therapy. | Up to day 720 |
| Number of Participants with AEs | - Defined as all AEs of clinical significance captured on study and specific reporting of DLTs, treatment-emergent adverse events (TEAEs), serious adverse events (SAEs), adverse events of special interests (AESIs), and AEs related to study treatment. | Up to day 720 |
| City of Hope |
| Completed |
| Duarte |
| California |
| 91010 |
| United States |
| H. Lee Moffitt Cancer Center | Recruiting | Tampa | Florida | 33612 | United States |
|
| Winship Cancer Institute Emory University | Recruiting | Atlanta | Georgia | 30322 | United States |
|
| Northside Hospital Cancer Institute | Recruiting | Atlanta | Georgia | 30342 | United States |
|
| University of Maryland | Recruiting | Baltimore | Maryland | 21201 | United States |
|
| Tufts Medical Center | Recruiting | Boston | Massachusetts | 02111 | United States |
|
| Dana-Farber Cancer Institute | Completed | Boston | Massachusetts | 02215 | United States |
| Barbara Ann Karmanos Cancer Institute (Wayne State University) | Completed | Detroit | Michigan | 48201 | United States |
| University of Minnesota | Recruiting | Minneapolis | Minnesota | 55455 | United States |
|
| Weill Cornell Medical College - NY Presbyterian Hospital | Completed | New York | New York | 10021 | United States |
| Columbia University Irving Medical Center/New York Presbyterian Hospital | Recruiting | New York | New York | 10032 | United States |
|
| Duke University | Completed | Durham | North Carolina | 27708 | United States |
| Ohio State University | Completed | Columbus | Ohio | 43210 | United States |
| Lifespan Cancer Institute at Rhode Island Hospital | Recruiting | Providence | Rhode Island | 02903 | United States |
|
| Baylor University Medical Center | Recruiting | Dallas | Texas | 75246 | United States |
|
| MD Anderson | Completed | Houston | Texas | 77030 | United States |
| Medical College of Wisconsin | Recruiting | Milwaukee | Wisconsin | 53226 | United States |
|
| Royal Prince Alfred Hospital | Recruiting | Camperdown | New South Wales | 2050 | Australia |
|
| Liverpool Hospital | Recruiting | Liverpool | New South Wales | 2170 | Australia |
|
| Royal Adelaide Hospital | Recruiting | Adelaide | South Australia | 5000 | Australia |
|
| St Vincent's Hospital Melbourne | Recruiting | Fitzroy | Victoria | 3065 | Australia |
|
| Barwon Health - Andrew Love Cancer Centre | Recruiting | Geelong | Victoria | 3320 | Australia |
|
| ID | Term |
|---|---|
| D008228 | Lymphoma, Non-Hodgkin |
| D002051 | Burkitt Lymphoma |
| D015451 | Leukemia, Lymphocytic, Chronic, B-Cell |
| ID | Term |
|---|---|
| D008223 | Lymphoma |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| D020031 | Epstein-Barr Virus Infections |
| D006566 | Herpesviridae Infections |
| D004266 | DNA Virus Infections |
| D014777 | Virus Diseases |
| D007239 | Infections |
| D014412 | Tumor Virus Infections |
| D016393 | Lymphoma, B-Cell |
| D015448 | Leukemia, B-Cell |
| D007945 | Leukemia, Lymphoid |
| D007938 | Leukemia |
| D006402 | Hematologic Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| C024352 | fludarabine |
| D003520 | Cyclophosphamide |
| D007376 | Interleukin-2 |
| ID | Term |
|---|---|
| D010752 | Phosphoramide Mustards |
| D009588 | Nitrogen Mustard Compounds |
| D009150 | Mustard Compounds |
| D006846 | Hydrocarbons, Halogenated |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D063088 | Phosphoramides |
| D009943 | Organophosphorus Compounds |
| D007378 | Interleukins |
| D016207 | Cytokines |
| D036341 | Intercellular Signaling Peptides and Proteins |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D008222 | Lymphokines |
| D011506 | Proteins |
| D001685 | Biological Factors |
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