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| Name | Class |
|---|---|
| Bristol-Myers Squibb | INDUSTRY |
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This is a Phase 1b, multicenter, open-label, single arm study to evaluate the safety and efficacy of the combination therapy, CD30.CAR-T and the programmed cell death protein-1 (PD-1) checkpoint inhibitor, nivolumab, in patients aged 12 years of age and above with relapsed or refractory classical Hodgkin lymphoma (cHL) following failure of standard frontline therapy.
Upon successful leukapheresis to produce CD30.CAR-T cells, patients will enter the treatment phase of the study. Treatments will include 4 cycles of nivolumab and CD30.CAR-T infusion (preceded by lymphodepletion chemotherapy). Patients will then enter the post-treatment follow-up phase of the study, whereby patients will undergo either autologous stem cell transplant or continue to receive up to 6 additional treatment cycles of nivolumab. Patients will be followed for response assessments and safety monitoring until end of study (EOS); approximately 3 years after leukapheresis. Long-term follow-up will continue with additional safety monitoring and survival for up to 15 years after Leukapheresis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nivolumab and CD30.CAR-T | Experimental | Study treatment will include 4 cycles of nivolumab and a single CD30.CAR-T infusion (preceded by lymphodepletion chemotherapy of Fludarabine and Bendamustine). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nivolumab | Drug | Dose: 480 mg or 6 mg/kg Q4W |
|
| Measure | Description | Time Frame |
|---|---|---|
| Safety of autologous CD30.CAR-T in combination with nivolumab | DLT | From first dose of nivolumab (Cycle 1) to end of nivolumab Cycle 4 (each cycle is 28 days) |
| Measure | Description | Time Frame |
|---|---|---|
| Anti-tumor activity using CR rate of autologous CD30.CAR-T in combination with nivolumab | CR rate | Up to end of 10 weeks post-CD30.CAR-T treatment |
| Overall response rate | ORR |
| Measure | Description | Time Frame |
|---|---|---|
| Overall survival | OS | Through study completion, an average of 3 years from Leukapheresis |
| Pharmacokinetics - Maximum concentration (Cmax) | Maximum concentration of CD30.CAR-T |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Helen Heslop, MD | Baylor College of Medicine | Principal Investigator |
| Sairah Ahmed, MD | M.D. Anderson Cancer Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| City of Hope National Medical Center | Duarte | California | 91010 | United States | ||
| University of Miami |
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Upon successful leukapheresis to produce CD30.CAR-T cells, patients will enter the treatment phase of the study. Treatments will include 4 cycles of nivolumab and CD30.CAR-T infusion (preceded by lymphodepletion chemotherapy). Patients will then enter the post-treatment follow-up phase of the study, whereby patients will undergo either autologous stem cell transplant or continue to receive up to 6 additional treatment cycles of nivolumab. Patients will be followed for response assessments and safety monitoring until end of study (EOS); approximately 3 years after leukapheresis. Long-term follow-up will continue with additional safety monitoring and survival for up to 15 years after Leukapheresis.
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| Autologous CD30.CAR-T | Drug | Dose: 2 x 10e8 cells/m2 |
|
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| Fludarabine | Drug | Dose: 30 mg/m2/day x 3 days |
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| Bendamustine | Drug | Dose: 70 mg/m2/day x 3 days |
|
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| Through study completion, an average of 3 years from Leukapheresis |
| Duration of response | DOR | Through study completion, an average of 3 years from Leukapheresis |
| Progression-free survival | PFS | Through study completion, an average of 3 years from Leukapheresis |
| Through study completion, an average of 3 years from Leukapheresis |
| Pharmacokinetics - Time of maximum concentration (Tmax) | Time to peak concentration of CD30.CAR-T in the blood | Through study completion, an average of 3 years from Leukapheresis |
| Pharmacokinetics - Area under the curve | Area under the curve of CD30.CAR-T in the blood | Through study completion, an average of 3 years from Leukapheresis |
| Miami |
| Florida |
| 33136 |
| United States |
| UNC Lineberger Comprehensive Cancer Center | Chapel Hill | North Carolina | 27599 | United States |
| Baylor College of Medicine | Houston | Texas | 77030 | United States |
| MD Anderson Cancer Center | Houston | Texas | 77030 | United States |
| ID | Term |
|---|---|
| D000077594 | Nivolumab |
| C024352 | fludarabine |
| C042382 | fludarabine phosphate |
| D000069461 | Bendamustine Hydrochloride |
| ID | Term |
|---|---|
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
| 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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