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This is a two-part, Phase 2, multicenter, open-label, single arm study to evaluate the safety and efficacy of autologous CD30.CAR-T in adult and pediatric subjects with relapsed or refractory CD30+ classical Hodgkin Lymphoma.
The Pilot part of the study will evaluate the safety, tolerability, and preliminary antitumor efficacy of CD30.CAR-T. The Pivotal part of the study will evaluate antitumor efficacy and further evaluate safety and tolerability. All study eligibility requirements, assessments, procedures, and follow-up are the same for patients in both Pilot and Pivotal parts of the study.
Subjects who meet eligibility criteria will have their blood drawn by leukapheresis for manufacture the CD30.CAR-T cells. Subjects are allowed bridging chemotherapy, as per Investigator choice, while waiting for production of CD30.CAR-T. Lymphodepletion (LD) with fludarabine and bendamustine will be administered for 3 consecutive days starting on Day -5 to Day -3, prior to CD30.CAR-T infusion, which will be administered on Day 0 as a single IV infusion. Depending on disease status, eligible subjects may receive up to a total of two CD30.CAR-T infusions at the same dose, each with preceding LD chemotherapy.
Subjects will be closely monitored for safety and efficacy throughout the Treatment Period until the end of study (EOS) visit at Month 24. Subjects will be followed for survival, withdrawal of consent or study closure, whichever occurs first. Health Related Quality of Life assessments will also be collected throughout the study. After the EOS visit, subjects will enter the long-term follow-up phase (LTFU) which will include survival follow-up, additional safety, efficacy and biomarker assessments, as clinically indicated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CD30 positive r/r classical Hodgkin Lymphoma | Experimental | Patients with relapsed or refractory classical Hodgkin Lymphoma who have failed 3 prior lines of treatment, which may include a prior autologous and/or allogeneic stem cell transplant. Patients will be treated with autologous CD30.CAR-T cells. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CD30.CAR-T | Drug | Autologous CD30.CAR-T cells infused on Day 0 after the completion of lymphodepleting chemotherapy. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pilot: Safety of autologous CD30.CAR-T | Adverse events | Minimum 24 months post-CD30.CAR-T infusion |
| Pivotal: Anti-tumor effect of autologous CD30.CAR-T using objective response rate (ORR) as assessed by an Independent Radiology Review Committee (IRRC) per the Revised Criteria for Response Assessment: The Lugano Classification (Cheson, 2014) | ORR | As early as 6 weeks after CD30.CAR-T treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Pilot: Antitumor efficacy of autologous CD30.CAR-T using objective response rate (ORR) as assessed by an Independent Radiology Review Committee (IRRC) per the Revised Criteria for Response Assessment: The Lugano Classification (Cheson et al., 2014) | ORR | As early as 6 weeks after CD30.CAR-T treatment |
| Pilot: Duration of Response |
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Inclusion Criteria:
Eligibility is determined prior to blood collection . Patients must satisfy the following criteria to be enrolled in the study:
Signed Informed Consent Form
Male or female patients who are 12 - 75 years of age
Histologically confirmed classical Hodgkin Lymphoma
Relapsed or refractory cHL that has failed at least 3 prior lines of therapy, including:
CD30-positive tumor
At least 1 measurable lesion according to The Lugano Classification
Laboratory parameters: Hematological, renal and hepatic functions, and coagulation parameters
ECOG PS of 0 to 1 or equivalent [either Karnofsky PS (for patients ≥ 16 year of age) or Lansky PS (for patients < 16 years of age)]
Anticipated life expectancy > 12 weeks
Exclusion Criteria:
Evidence of lymphomatous involvement of central nervous system (CNS)
Presence of clinically relevant or active seizure disorder, stroke, cerebrovascular ischemia/hemorrhage, dementia, cerebellar disease, or any autoimmune disease with central nervous system (CNS) involvement
Active uncontrolled bleeding or a known bleeding diathesis
Inadequate pulmonary function defined as pulse oximetry < 90% on room air
ECHO or MUGA with LVEF < 45%
On-going treatment with immunosuppressive drugs or chronic systemic corticosteroids
Having received:
Currently receiving any investigational agents within 4 weeks prior to study enrollment; or received any tumor vaccines within 6 weeks prior to CD30.CAR-T infusion
Active acute or chronic graft versus host disease (GVHD) requiring immune suppression regardless of grade
Evidence of human immunodeficiency virus (HIV) infection
Seropositive for and with evidence of active viral infection with hepatitis B virus (HBV) or hepatitis C virus (HCV)
Unresolved > Grade 1 non-hematologic toxicity associated with any prior treatments
History of hypersensitivity reactions to murine protein-containing products or other product excipients
Symptomatic cardiovascular disease: Class III or IV according to the New York Heart Association (NYHA) Functional Classification
Active second malignancy or history of another malignancy within the last 3 years
Women who are pregnant or intending to become pregnant; women who are breastfeeding; persons with procreative potential not using and not willing to use 2 highly effective methods of contraception
Any other serious, life-threatening, or unstable preexisting medical conditions
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| Name | Affiliation | Role |
|---|---|---|
| Helen Heslop, MD | Baylor College of Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| City of Hope Comprehensive Cancer Center | Duarte | California | 91010 | United States | ||
| University of Chicago Medical Center |
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| Fludarabine | Drug | Lymphodepletion chemotherapy (30 mg/m2/day) for 3 consecutive days |
|
|
| Bendamustine | Drug | Lymphodepletion chemotherapy (70 mg/m2/day) for 3 consecutive days |
|
|
DOR |
| Minimum 24 months post-CD30.CAR-T infusion |
| Pilot: Progression Free Survival | PFS | Minimum 24 months post-CD30.CAR-T infusion |
| Pilot: Overall Survival | OS | Minimum 24 months post-CD30.CAR-T infusion |
| Pilot: Health Related quality of life (HRQoL) questionnaire | QoL | Minimum 24 months post-CD30.CAR-T infusion |
| Pivotal: Number of patients with adverse events as a measure of safety and tolerability of CD30.CART cells | Adverse events | As early as 6 weeks after CD30.CAR-T treatment |
| Pivotal: Objective response rate (ORR as assessed by IRRC) per the Revised Criteria for Response Assessment: The Lugano Classification (Cheson, 2014) | ORR | Minimum 24 months post-CD30.CAR-T infusion |
| Pivotal: Progression Free Survival (PFS) | PFS | Minimum 24 months post-CD30.CAR-T infusion |
| Pivotal: Duration of Response (DOR) | DOR | Minimum 24 months post-CD30.CAR-T infusion |
| Pivotal: Overall Survival | OS | Minimum 24 months post-CD30.CAR-T infusion |
| Pivotal: Health Related quality of life (HRQoL) questionnaire | HRQoL | Minimum 24 months post-CD30.CAR-T infusion |
| Chicago |
| Illinois |
| 60637 |
| United States |
| Children's Hospital of Philadelphia | Philadelphia | Pennsylvania | 19104 | United States |
| Sarah Cannon Research Institute | Nashville | Tennessee | 37203 | United States |
| MD Anderson Cancer Center | Houston | Texas | 77030 | United States |
| ID | Term |
|---|---|
| D006689 | Hodgkin Disease |
| 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 |
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| ID | Term |
|---|---|
| C024352 | fludarabine |
| C042382 | fludarabine phosphate |
| D000069461 | Bendamustine Hydrochloride |
| ID | Term |
|---|---|
| D002087 | Butyrates |
| D000144 | Acids, Acyclic |
| D002264 | Carboxylic Acids |
| D009930 | Organic Chemicals |
| D009588 | Nitrogen Mustard Compounds |
| D009150 | Mustard Compounds |
| D006846 | Hydrocarbons, Halogenated |
| D006838 | Hydrocarbons |
| D001562 | Benzimidazoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
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