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Business Decision
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The goal of this clinical trial is to evaluate CLBR001 and ABBV-461 as a treatment for patients with locally advanced or metastatic breast cancer. The goals are to establish the safety and efficacy of the combination therapy while establishing the optimal biologic doses.
Patients will be administered a single infusion of CLBR001 cells followed by cycles of ABBV-461 with regular assessments of safety and disease response to treatment.
CLBR001 + ABBV-461 is novel switchable CAR-T cell combination therapy comprised of an autologous CAR-T product (CLBR001, the switchable CAR-T cell [sCAR-T]) and ABBV-461 (the "switch" biologic molecule). ABBV-461 acts as an adapter molecule that controls the activity of the CLBR001 CAR-T cell product.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose Escalation | Experimental | Combination product CLBR001 + ABBV461 is administered in ascending dose level cohorts to determine the Optimal Biologic Dose (OBD) of CLBR001 + ABBV-461. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Two Component Product CLBR001 + ABBV-461 | Biological | Investigational switchable CAR-T cell therapy for breast cancer |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of subjects with adverse events as assessed by CTCAE v5.0 and ASTCT consensus grading criteria for CRS and ICANS | To assess the safety and tolerability in subjects by evaluating the frequency, relatedness, severity and duration of adverse events, as assessed by CTCAE v5.0 and ASTCT consensus grading criteria for CRS and ICANS. | To 1-year post administration of CLBR001 |
| Number of subjects with replication competent lentivirus | To assess the safety and tolerability in subjects by evaluating the number of subjects testing positive for replication competent lentivirus. | To 1-year post administration of CLBR001 |
| Number of dose-limiting toxicities as assessed by CTCAE v5.0 and ASTCT consensus grading for CRS and ICANS | The number of dose-limiting toxicities as assessed by CTCAE v5.0 and ASTCT consensus grading for CRS and ICANS will be used to identify an Optimal Biologic Dose (OBD) of CLBR001 and ABBV-461. | To 28-days post-first dose of ABBV-461 |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacodynamics | To measure pharmacodynamic response by evaluating concentrations of serum cytokines. | To 1-year post administration of CLBR001 |
| Assess Immunogenicity using Antidrug Antibodies |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Chief Medical Officer, MD | Calibr-Skaggs Institute for Innovative Medicines | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Augusta University Medical Center | Augusta | Georgia | 30912 | United States | ||
| Indiana University Melvin and Bren Simon Comprehensive Cancer Center |
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To determine Immunogenic response to CLBR001 and ABBV-461 by presence of antidrug antibodies (ADA)
| To 1-year post administration of CLBR001 |
| Overall Best Objective Response | To evaluate anti-tumor activity of CLBR001 + ABBV-461 by assessing Overall (best) objective response by response evaluation criteria in solid tumors by using RECIST v1.1. | To 1-year post administration of CLBR001 |
| Disease Control Rate | To evaluate anti-tumor activity of CLBR001 + ABBV-461 by assessing Disease Control Rate by using RECIST v1.1. | To 1-year post administration of CLBR001 |
| Evaluate Pharmacokinetics of CLBR001 + ABBV-461 : Cmax | To evaluate the pharmacokinetics (PK) of CLBR001, including expansion and persistence, and ABBV-461 by quantifying CLBR001 cells in peripheral blood and PK parameters of ABBV-461. | To 1-year post administration of CLBR001 |
| Evaluate Pharmacokinetics of CLBR001 + ABBV-461 : Tmax | To evaluate the pharmacokinetics (PK) of CLBR001, including expansion and persistence, and ABBV-461 by quantifying CLBR001 cells in peripheral blood and PK parameters of ABBV-461. | To 1-year post administration of CLBR001 |
| Evaluate Pharmacokinetics of CLBR001 + ABBV-461 : AUC | To evaluate the pharmacokinetics (PK) of CLBR001, including expansion and persistence, and ABBV-461 by quantifying CLBR001 cells in peripheral blood and PK parameters of ABBV-461. | To 1-year post administration of CLBR001 |
| Evaluate Pharmacokinetics of CLBR001 + ABBV-461 : t(1/2) | To evaluate the pharmacokinetics (PK) of CLBR001, including expansion and persistence, and ABBV-461 by quantifying CLBR001 cells in peripheral blood and PK parameters of ABBV-461. | To 1-year post administration of CLBR001 |
| Indianapolis |
| Indiana |
| 46202 |
| United States |
| Roswell Park Cancer Institute | Buffalo | New York | 14263 | United States |
| University of Virginia | Charlottesville | Virginia | 22908 | United States |
| Fred Hutchinson Cancer Center | Seattle | Washington | 98109 | United States |
| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| D064726 | Triple Negative Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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